Community Mental Health Journal

, Volume 52, Issue 2, pp 158–164 | Cite as

Barriers and Facilitators in Providing Community Mental Health Care to Returning Veterans with a History of Traumatic Brain Injury and Co-occurring Mental Health Symptoms

  • Bridget B. Matarazzo
  • Gina M. Signoracci
  • Lisa A. Brenner
  • Jennifer H. Olson-Madden
Original Paper


As Veterans from recent conflicts return from deployments, increasing numbers are seeking care for physical (e.g., history of traumatic brain injury) and mental health (e.g., depression, anxiety) symptoms. Data suggest that only about half of recent Veterans are seeking care within the Veterans Health Administration. As such, providers within the community are likely to require additional training to meet the unique needs of these Veterans and their families. Towards this end, meetings were held with administrators and clinicians at Colorado Community Mental Health Centers (CMHCs) to identify current barriers and facilitators, as they relate to working with Veterans with a history of TBI and co-occurring mental health conditions. On-whole, CMHC employees had limited experience with providing care to the cohort of interest. Additional training will assist with increasing capacity and a web-based toolkit was developed to facilitate the transfer of knowledge (


Traumatic brain injury Mental health Veterans Providers 



Support for this project was provided by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). Our partner in this endeavor is Judy L. Dettmer, Director, Traumatic Brain Injury Program, Colorado Department of Human Services, Division of Vocational Rehabilitation.


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Copyright information

© Springer Science+Business Media New York (Outside USA) 2015

Authors and Affiliations

  • Bridget B. Matarazzo
    • 1
    • 2
  • Gina M. Signoracci
    • 1
    • 3
  • Lisa A. Brenner
    • 1
    • 4
  • Jennifer H. Olson-Madden
    • 1
    • 3
  1. 1.Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC)DenverUSA
  2. 2.Department of PsychiatryUniversity of Colorado Anschutz Medical CampusAuroraUSA
  3. 3.Departments of Psychiatry and Physical Medicine and RehabilitationUniversity of Colorado Anschutz Medical CampusAuroraUSA
  4. 4.Departments of Psychiatry, Neurology, and Physical Medicine and RehabilitationUniversity of Colorado Anschutz Medical CampusAuroraUSA

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