Use the filters to browse the information we have available or to narrow your search results for a specific audience (e.g. caregivers, military, children), a preferred type of content (e.g. videos, blogs, articles), or by topics of interest (e.g. family concerns, legal issues, symptoms).
For many service members and veterans, traumatic brain injury and PTSD often go hand in hand, with some of the symptoms of these conditions being co-morbid. By using evidence-based treatments, providers work with their patients with the goal of getting them as symptomless as possible.
A family member or support person at home plays a key role as part of the treatment plan for a service member or veteran. An adjunct in their loved one’s care, the family member collaborates with the team of providers to help their loved one follow through with appointments, medications, and health regimens. They often serve as the more impartial eyes and ears to their loved one’s challenges and improvements.
Changes don’t happen 0-60 mph, rather they occur incrementally. Providers know that barriers can impede improvement to healing, but by setting a series of step-by-step goals—whether treatments for better sleep, pain relief, or relationship strategies— service members and veterans can see improvements to their physical, behavioral, and emotional issues and build on them from there.
The Road Home Program has had great success treating both female and male survivors of military sexual trauma. Through cognitive processing therapy and other therapies like mindfulness and therapeutic arts—working with providers and alongside peers who have had similar experiences—survivors of military sexual trauma can transform their feelings of powerlessness into a stronger sense of self.
There is great hope and are effective cures to treat people who experience symptoms from trauma or PTSD. Often people have the misperception that PTSD is a chronic, life-time condition. Not so; with treatment, most people can be cured or helped to manage their symptoms so as to return to a productive life.
Part of Rush University Medical Center’s efforts around helping people with trauma and/or PTSD is working with the community—whether screening children more effectively during pediatric visits, working with families, or advising schools. Ongoing adverse events in inner city communities can cause young children, adolescents, and adults to experience trauma and PTSD, but these issues are treatable with professional interventions.
Telling your loved one with PTSD that you cherish them, you care about them, and that you will help them if they will let you is a powerful first step toward getting that person needed treatment. You can’t take on someone else’s suffering—unproductive, anyway—but you can steer them toward the resources and providers who can help them.
Two-week intensive outpatient programs that implement a comprehensive, holistic approach to treatment, The Road Home Program includes two treatment arms for veterans and their families—one for veterans who experience battlefield PTSD, the other for survivors of military sexual trauma. Their data reveal high success rates during the program and in the long-term, post-program.
At Rush’s Road Home Program, providers use evidence-based cognitive processing therapies and other data-driven therapies like mindfulness to treat veterans with post-traumatic stress disorder (PTSD). This intensive treatment model effects far more cures for PTSD in veterans than the traditional, one-on-one, long-term psychotherapy model. Rush is working to offer their therapy model to other populations who may experience PTSD like police, firefighters, first responders, and emergency department staff.
What is most important about PTSD is getting the needed help. PTSD can spiral into depression, anxiety, and other mental health issues that can lead to one’s inability to work or maintain connections with friends and family. Treatment should be sovereign.
For most, the brain's limbic system activates “fight or flight” in response to intense emotions, then calms down. When triggered from trauma, those with PTSD remain in that activated state of hypervigilance. Over time those changes can affect sleep and mood disorders.
After intensive treatment programs like Home Base, often veterans and service members need to rely on their local providers who have not been specifically trained to work with people who have military-related TBI and/or PTSD. But there are lots of resources out there, like Home Base, that can help civilian providers learn more to successfully understand and help this large, unique population in their cities and towns.
Originally, the Home Base program focused primarily on the brain injury, itself, of service members and veterans. With time, experience, and research, the program now approaches treating brain injury from a holistic method as other issues affect brain health—neurological, cognitive, and psychological functions—like sleep deprivation, chronic pain, or co-occurring substance abuse. Treating the whole person with an individually tailored plan has provided far better outcome.
Often feelings of lost connection with family members—whether with a spouse, children, parents, or siblings—is what finally catalyzes a veteran or service member to seek treatment for TBI and/or PTSD. For example, a Special Ops veteran who had deployed 10 times during a 35-year military career finally sought treatment through the Home Base program because his child told his wife that he was afraid of him. He did not want the effects of TBI and/or PTSD to create irreparable damage to his whole, multigenerational family.
There are several misconceptions around brain injury and it is important to dispel them. One is that someone with a TBI cannot get better. Not true; in fact, many, many people with TBI who are engaged in treatment get better and return to full lives. The second issue is the wishful thinking that there is one pill or technology that can cure a TBI. Not true; rather engaging in a series of evidence-based treatments and sticking to one’s treatment regimen is what helps people heal.
Dr. Mary Alexis Iaccarino tells the story of a service member who sent her team a note of thanks along with a photo of himself attending his daughter’s graduation. Before attending the Home Base program as well as a special brain health and trauma program for Special Operations Forces, he could never have imagined being in a crowd filled with noises and lights. For him, attending the graduation was a huge win; because of treatment he was able to participate in a big family moment.
Home Base has been offering outpatient programs for 10 years and intensive programs for the last five, during which time they have learned two main lessons. The first is the importance of designing individual treatment plans for each person based on their biomarkers of injury, symptoms, and needs. Secondly, they learned the importance of follow through post-program—whether helping a service member or veteran learn the tools for self-management when ready or educating local practitioners to better help the military population with TBI and/or PTSD.
Researchers and doctors are learning more about how blast injuries, especially if repetitive and sustained close together, can affect the brain far more significantly than a singular blow to the head as from football, boxing, or a car crash. When treating veterans and service members, clinicians in the Home Base program start by taking an in-depth TBI history starting from childhood to the present. The more they understand the mechanism, frequency, and interval between any sustained injuries, the more pointed their treatment can be.
Oftentimes, a family member is the first to recognize symptoms of TBI and/or PTSD in their loved one who has returned from military service. At the Home Base program, veterans and service members are accompanied by a family member for part of the two-week intensive so upon returning home, the family knows better how to help their loved one understand their symptoms and aid with and ongoing treatments, interventions, medications, and general support.
TBI is a multi-faceted injury that can present physically through headaches, balance, hearing, or vision problems; psychologically through depression or post-traumatic stress; cognitively through memory and attention issues; or all or a combination of these “buckets.” Home Base is a two-week intensive program for veterans and service members that serves as part of their journey to recovery. After the two weeks, case managers help their clients set up the necessary care and services they need in their community and follow their progress.
Once upon a time, researchers and doctors treated all traumatic brain injuries the same, but they now know that the mechanism of injury plays a key role in diagnosis and treatment. There are many parallels for civilians and service members who sustain a traumatic brain injury, but the people are very different. Athletes who sustain a TBI most likely will not have the overlapping emotional challenges that service members may who sustained their injury in combat or in a more threatening setting. Helping service members and veterans often includes treating them for both TBI and PTSD simultaneously.
Dr. Iaccarino shares how suffering a spine injury as a teenager sparked her passion for helping others with brain injury using neurological rehabilitation and recovery, especially veterans and military service members.
After sustaining a spinal injury as a teenager, Dr. Mary Alexis Iaccarino changed the trajectory of her future. She spent months and years in rehab for her neurological injury then went on to become a physiatrist who specializes in treating and rehabilitating people with the most clinically complex cases of sports concussion, traumatic brain injury, and repetitive head trauma. When she treats veterans and service members, she harkens back to her own experiences, encouraging them toward second careers and full lives even with a TBI.
In our country—and around the world—we are witnessing a rise in suicide, drug dependency, and poor access to physical and mental health services. Programs like Wounded Warrior Project feel it is their responsibility to translate their best practices offered to veterans and service members for treatment and rehabilitation for these conditions to the entire country and world of civilians.
Recently, Wounded Warrior Project funded a study with the Rand Corporation on the need to treat substance use disorder along with treating traumatic brain injury (TBI) and/or post-traumatic stress disorder (PTSD). The often co-occurring conditions must be treated simultaneously to be as effective as possible.