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Managing Behavioral Health Needs of Veterans with Traumatic brain injury (TBI) in Primary Care

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Abstract

Traumatic brain injury (TBI) is a frequent occurrence in the United States, and has been given particular attention in the veteran population. Recent accounts have estimated TBI incidence rates as high as 20 % among US veterans who served in Afghanistan or Iraq, and many of these veterans experience a host of co-morbid concerns, including psychiatric complaints (such as depression and post-traumatic stress disorder), sleep disturbance, and substance abuse which may warrant referral to behavioral health specialists working in primary care settings. This paper reviews many common behavioral health concerns co-morbid with TBI, and suggests areas in which behavioral health specialists may assess, intervene, and help to facilitate holistic patient care beyond the acute phase of injury. The primary focus is on sequelae common to mild and moderate TBI which may more readily present in primary care clinics.

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Acknowledgments

The authors wish to thank Emily Pikoff-Mirwis and Borah Kim for their assistance in literature search and reviewing the manuscript. Writing of this manuscript was supported by the Department of Veterans Affairs Office of Academic Affiliations, Advanced Fellowship Program in Mental Illness Research and Treatment, and the Department of Veterans Affairs Center for Integrated Healthcare, VA Western New York Healthcare System at Buffalo.

Conflict of interest

The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government.

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  1. Center for Integrated Healthcare (116N), VA Western New York Healthcare System, 3495 Bailey Ave., Buffalo, NY, 14215, USA

    Paul R. King & Laura O. Wray

  2. Division of Geriatrics/Gerontology, Department of Medicine, School of Medicine and Biomedical Sciences, State University of New York/University at Buffalo, Buffalo, NY, USA

    Laura O. Wray

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King, P.R., Wray, L.O. Managing Behavioral Health Needs of Veterans with Traumatic brain injury (TBI) in Primary Care. J Clin Psychol Med Settings 19, 376–392 (2012). https://doi.org/10.1007/s10880-012-9345-9

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