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Community-integrated brain injury rehabilitation: Treatment models and challenges for civilian, military, and veteran populations

机译:社区综合性脑损伤康复:平民,军人和退伍军人的治疗模式和挑战

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摘要

Traumatic brain injury (TBI) is a major health problem in civilian, military, and veteran populations. Individuals experiencing moderate to severe TBI require a continuum of care involving acute hospitalization and postacute rehabilitation, including community reintegration and, one would hope, a return home to function as a productive member of the community. In the military, the goal is to help individuals with TBI return to active duty or make an optimal return to civilian life if the extent of their injuries necessitates a "medical board" discharge. Whether civilian, military, or veteran with TBI, individuals who move beyond the need to live in a facility must be reintegrated back into the community. This article discusses four treatment models for community reintegration, reviews treatment standardization and outcome issues, and describes a manualized rehabilitation pilot program designed to provide community reintegration and return to duty/work for civilians, veterans, and military personnel with TBI.
机译:颅脑外伤(TBI)是平民,军事和退伍军人的主要健康问题。经历中度至重度TBI的个体需要连续护理,包括急性住院和急性后康复,包括社区重返社会,并且希望返回家园以成为社区的生产性成员。在军队中,目标是帮助患有TBI的人重返现役或在受伤程度导致“医疗委员会”出院的情况下最佳地恢复平民生活。无论是平民,军事人员还是TBI的资深人士,超出居住条件的个人都必须重新融入社区。本文讨论了社区重返社会的四种治疗模式,回顾了治疗标准化和结果问题,并描述了手动康复试点计划,旨在为TBI为平民,退伍军人和军事人员提供社区重返社会和重返工作岗位。

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