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Community Reintegration, Participation, and Employment Issues in Veterans and Service Members With Traumatic Brain Injury

  • Christina Dillahunt-Aspillaga
    Affiliations
    Health Services Research and Development Service Center of Innovation on Disability and Rehabilitation Research, James A. Haley Veterans Hospital, Tampa, FL

    Rehabilitation and Mental Health Counseling Program, Department of Child and Family Studies, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL
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  • Gail Powell-Cope
    Correspondence
    Corresponding author Gail Powell-Cope, PhD, ARNP, FAAN, Center of Innovation on Disability and Rehabilitation Research, 8900 Grand Oak Circle (673/151R), Tampa, FL 33637.
    Affiliations
    Health Services Research and Development Service Center of Innovation on Disability and Rehabilitation Research, James A. Haley Veterans Hospital, Tampa, FL
    Search for articles by this author

      Abstract

      Traumatic brain injury (TBI) has been called the signature injury of the post-9/11 wars in Iraq, Afghanistan, and neighboring countries. Although similarities exist between veterans and service members with TBI, levels of severity and different constellations of coexisting comorbid conditions affect them differently. These conditions affect physical, cognitive, and emotional function, which in turn can complicate community reintegration (CR), or the ability to return to family, vocational, and community life. This special supplement of the Archives of Physical Medicine and Rehabilitation consists of articles written by accomplished teams from multiple disciplines, including anthropology, neuropsychology, nursing, occupational therapy, psychology, and rehabilitation sciences. Each article brings a different perspective to bear on what CR means for veterans and service members from examination of predictors and perceptions of veterans and service members and others to measurement studies. Collectively, this group of articles represents current thinking about CR and lays the groundwork for testing interventions to improve CR outcomes for veterans and service members (eg, employment, living situation, family life).

      Keywords

      List of abbreviations:

      CR (community reintegration), PTSD (posttraumatic stress disorder), TBI (traumatic brain injury)
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      References

        • Sayer N.A.
        • Carlson K.F.
        • Frazier P.A.
        Reintegration challenges in U.S. service members and veterans following combat deployment.
        Soc Issues Policy Rev. 2014; 8: 33-73
        • Cernich A.
        • Chandler L.
        • Scherdell T.
        • Kurtz S.
        Assessment of co-occurring disorders in veterans diagnosed with traumatic brain injury.
        J Head Trauma Rehabil. 2012; 27: 253-260
        • Tanielian T.
        • Jaycox L.H.
        Invisible wounds of war.
        Rand Corporation, Santa Monica, CA2008
        • Okie S.
        Traumatic brain injury in the war zone.
        N Engl J Med. 2005; 352: 2043
        • Lew H.L.
        • Cifu D.X.
        • Sigford B.
        • Scott S.
        • Sayer N.
        • Jaffee M.S.
        Team approach to diagnosis and management of traumatic brain injury and its comorbidities.
        J Rehabil Res Dev. 2007; 44: vii-xi
        • Department of Veteran Affairs
        Blueprint for excellence.
        Veterans Health Administration, Washington (DC)2014 (Available at:) (Accessed January 13, 2017)
        • Phillips K.M.
        • Clark M.E.
        • Gironda R.J.
        • et al.
        Pain and psychiatric comorbidities among two groups of Iraq and Afghanistan era veterans.
        J Rehabil Res Dev. 2016; 53: 413-432
        • Pugh M.J.
        • Finley E.P.
        • Wang C.P.
        • et al.
        A retrospective cohort stury of comorbidity trajectories associated with traumatic brain injury in veterans of the Iraq and Afghanistan wars.
        Brain Inj. 2016; 30: 1481-1490
        • Farmer C.M.
        • Krull H.
        • Concannon T.W.
        • et al.
        Characteristics and treatment patterns of service members with mild traumatic brain injury.
        (Available at:) (Accessed January 17, 2017)
        • Resnik L.
        • Bradford D.W.
        • Glynn S.M.
        • Jette A.M.
        • Johnson Hernandez C.
        • Wills S.
        Issues in defining and measuring veteran community reintegration: Proceedings of the Working Group on Community Reintegration, VA Rehabilitation Outcomes Conference, Miami, Florida.
        J Rehabil Res Dev. 2012; 49: 87-100
        • Trudel T.M.
        • Nidiffer F.D.
        • Barth J.T.
        Community-integrated brain injury rehabilitation: treatment models and challenges for civilian, military, and veteran populations.
        J Rehabil Res Dev. 2007; 44: 1007-1016
        • Manderscheid R.W.
        Helping veterans return: community, family, and job.
        Arch Psychiatr Nurs. 2007; 21: 122-124
        • Sander A.M.
        • Clark A.
        • Pappadis M.R.
        What is community integration anyway?: defining meaning following traumatic brain injury.
        J Head Trauma Rehabil. 2010; 25: 121-127
        • Sayer N.A.
        • Cifu D.X.
        • McNamee S.
        • et al.
        Rehabilitation needs of combat-injured service members admitted to the VA polytrauma rehabilitation centers: the role of PM&R in the care of wounded warriors.
        PM R. 2009; 1: 23-28
        • Pogoda T.K.
        • Carlson K.F.
        • Gormley K.E.
        • Resnick S.G.
        Supported employment for veterans with traumatic brain injury: provider perspectives.
        Arch Phys Med Rehabil. 2018; 99: S14-S22
        • Carlson K.F.
        • Pogoda T.K.
        • Gilbert T.A.
        • et al.
        Supported employment for veterans with traumatic brain injury: patient perspectives.
        Arch Phys Med Rehabil. 2018; 99: S4-S13
        • Dillahunt-Aspillaga C.
        • Pugh M.J.
        • Cotner B.A.
        • et al.
        Employment stability in veterans and service memebers with traumatic brain injury: a veterans administration traumatic brain injury model systems study.
        Arch Phys Med Rehabil. 2018; 99: S23-S32
        • Gray M.
        • Chung J.
        • Aguila F.
        • Williams T.G.
        • Teraoka J.K.
        • Harris O.A.
        Long-term functional outcomes in military service members and veterans after traumatic brain injury/polytrauma inpatient rehabilitation.
        Arch Phys Med Rehabil. 2018; 99: S33-S39
        • Pugh M.J.
        • Swan A.A.
        • Carlson K.F.
        • et al.
        Traumatic brain injury severity, comorbidity, social support, family functioning, communicty reintegration among veterans of the Afghanistan and Iraq wars.
        Arch Phys Med Rehabil. 2018; 99: S40-S49
        • Mortera M.H.
        • Kinirons S.A.
        • Simantov J.
        • Klingbeil H.
        Long-term neruobehavioral symptoms and return to productivity and operation enduring freedom/operations Iraqi freedom veterans with and without traumatic brain injury.
        Arch Phys Med Rehabil. 2018; 99: S50-S57
        • Hawkins B.L.
        • Crowe B.M.
        Contextual facilitators and barriers of community reintegration among injured female military veterans: a qualitative study.
        Arch Phys Med Rehabil. 2018; 99: S65-S71
        • Besterman–Dahan K.
        • Chavez M.
        • Njoh E.
        Rooted in the community: assessing the reintegration effects of agriculture on rural veterans.
        Arch Phys Med Rehabil. 2018; 99: S72-S78
        • Scherer
        • MAJ M.R.
        • Weightman M.M.
        • Radomski M.V.
        • et al.
        Measuring soldier performance during the patrol-exertion multitask: preliminary validation of a postconcussive functional return-to-duty metric.
        Arch Phys Med Rehabil. 2018; 99: S79-S85
        • Wen P.-S.
        • Waid-Ebbs J.K.
        • Graham D.P.
        • Helmer D.A.
        Psychometric properties of 2 participation measures in veterans with mild traumatic brain injury.
        Arch Phys Med Rehabil. 2018; 99: S86-S93
        • Elnitsky C.A.
        • Blevins C.
        • Findlow J.W.
        • Alverio T.
        • Wiese D.
        Student veterans reintegrating from the military to the university with traumatic injuries: how does service use relate to health status?.
        Arch Phys Med Rehabil. 2018; 99: S58-S64