{"id":73282,"date":"2023-04-05T18:20:04","date_gmt":"2023-04-05T18:20:04","guid":{"rendered":"https:\/\/one.sightlinemg.com\/navytimes\/uncategorized\/2023\/04\/05\/military-still-mismanaging-troops-traumatic-brain-injury-care\/"},"modified":"2026-08-08T15:27:20","modified_gmt":"2026-08-08T15:27:20","slug":"military-still-mismanaging-troops-traumatic-brain-injury-care","status":"publish","type":"post","link":"https:\/\/one.sightlinemg.com\/navytimes\/news\/your-navy\/2023\/04\/05\/military-still-mismanaging-troops-traumatic-brain-injury-care\/","title":{"rendered":"Military still mismanaging troops\u2019 traumatic brain injury care"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Nearly half a million service members suffered <a href=\"https:\/\/www.militarytimes.com\/news\/your-military\/2023\/03\/30\/troops-injured-in-syria-attack-in-stable-condition-or-returned-to-duty\/\" target=\"_blank\">traumatic brain injuries<\/a> in the past two decades, but the Defense Department isn\u2019t sure exactly how many, how they are being treated or how they are doing now, according to the Pentagon\u2019s inspector general.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A <a href=\"https:\/\/media.defense.gov\/2023\/Mar\/30\/2003190188\/-1\/-1\/1\/DODIG-2023-059V2.PDF\" target=\"_blank\">DoD inspector general report released Monday<\/a> found inconsistencies with how the military health system handles screening, tracking and treating brain injury, often because the existing<b> <\/b>process is cumbersome. It concluded that DoD is <b>\u201c<\/b>unable to accurate identify, treat and track\u201d incidents of brain injury across the forces.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The report shows the Pentagon is still trying to grapple with the so-called invisible injury of war, after two decades of combat in the Middle East and South Asia, which means such injuries could plague the military population for decades to come, unacknowledged and untreated by the military health system or the veterans health system.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The report estimates at least 459,000 troops experienced brain injury while in service between 2000 and 2022, some of whom now suffer from <a href=\"https:\/\/www.militarytimes.com\/news\/your-military\/2019\/12\/12\/could-mild-brain-injuries-be-affecting-good-order-and-discipline-the-pentagon-wants-to-find-out\/\" target=\"_blank\">chronic TBI symptoms<\/a>, which can effect service members\u2019 ability to deploy, job performance, and quality of life, the report said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DoD has embraced the report\u2019s major recommendations, and is working to implement them, Navy Cmdr. Nicole Schwegman told Military Times on Wednesday. That includes developing a \u201cTBI Oversight strategy and action plan and the creation of a TBI Program of Record that addresses resourcing as well as standardized programming and referral standards,\u201d Schwegman said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The report recommends the Pentagon\u2019s health and personnel departments review the current brain injury diagnostic tool; make the 72-hour follow-up with a patient a requirement, not an option; create a standard protocol for that second appointment; and establish oversight to make sure the injuries are documented the same way across all services, the better to track them.<\/p>\n\n\n\t<aside class=\"smg-interstitial-link wp-block-smg-interstitial-link\">\n\t\t<a href=\"https:\/\/one.sightlinemg.com\/militarytimes\/news\/your-military\/2022\/08\/26\/pentagon-plan-aims-to-treat-prevent-tbis-for-the-long-haul\/\" class=\"smg-interstitial-link__inner\">\n\t\t\t\t\t\t\t<div class=\"smg-interstitial-link__media\">\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"200\" src=\"https:\/\/one.sightlinemg.com\/wp-content\/uploads\/2026\/08\/Fire-Power-1.jpg-1.jpg?w=300\" class=\"smg-interstitial-link__image wp-post-image\" alt=\"\" \/>\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"smg-interstitial-link__content\">\n\t\t\t\t<span class=\"smg-interstitial-link__kicker\">Related<\/span>\n\t\t\t\t<h3 class=\"smg-interstitial-link__title\">Pentagon plan aims to treat, prevent TBIs for the long haul<\/h3>\n\t\t\t\t\t\t\t\t\t<p class=\"smg-interstitial-link__excerpt\">The new blueprint aims to identify each service member\u2019s baseline brain health, while developing policies to prevent, identify and treat brain damage.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/a>\n\t<\/aside>\n\t\n\n\n<p class=\"wp-block-paragraph\">The report follows a<b> <\/b><a href=\"https:\/\/www.militarytimes.com\/news\/pentagon-congress\/2021\/11\/03\/centcom-didnt-properly-document-brain-injuries-after-2020-iraq-barrage\/\" target=\"_blank\">2021 evaluation<\/a> that found U.S. Central Command hadn\u2019t properly documented and tracked over 100 TBIs sustained after an attack at an Iraqi air base.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This week\u2019s report found that most military treatment facilities were treating the 14-page, multi-part <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK542592\/\" target=\"_blank\">Military Acute Concussion Evaluation 2<\/a> form like a menu; 10 out of 14 clinics only filled out parts of the form. And only 6 out of 10 were using it for follow-up care during the healing process. The form requires clinicians to measure symptoms as varied as short-term memory to word finding to grip strength.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One medical practitioner told investigators that the form \u201cfalls<b> <\/b>to the wayside because it is not useful and takes too long to complete,\u201d according to the report.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">On top of that, providers were not consistently updating troops electronic health records to include their possible or diagnosed traumatic brain injuries, making it harder to track their conditions and follow up on care.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The<b> <\/b>inspector general also found that only 41% of patients with diagnosed mild traumatic brain injury had 72- hour follow-up appointments, despite policy recommending them, because the policy doesn\u2019t explicitly lay out a requirement.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In turn, during 2021, only 33% of mildly brain-injured patients completed a 72-hour follow-up, according to the report.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Pentagon Inspector General found inconsistent tracking and followup care for up to half a million traumatic brain injured troops.<\/p>\n","protected":false},"author":7,"featured_media":73932,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_yoast_wpseo_meta-robots-noindex":"","_yoast_wpseo_meta-robots-nofollow":"","_yoast_wpseo_canonical":"","_acf":"","_yoast_wpseo_primary_category":65,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","_smg_distribution_targets":[]},"categories":[101,23,89,12,26,65],"tags":[],"coauthors":[3308],"class_list":["post-73282","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-daily-news-roundup","category-home","category-middle-column","category-news","category-newsletters","category-your-navy"],"acf":{"subheadline":"","legacy_arc_id":"75RSV5VMSRDIHICOXZN2JKDQV4","arc_canonical_url":"\/news\/your-military\/2023\/04\/05\/military-still-mismanaging-troops-traumatic-brain-injury-care\/","remove_feature_photo":false,"is_sponsored":false,"subtype":"","redirect_url":"","disable_inline_ads":false,"native_logo_pretext":"Presented By:"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.0 (Yoast SEO v28.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Military still mismanaging troops\u2019 traumatic brain injury care - Navy Times<\/title>\n<meta name=\"description\" content=\"The Pentagon Inspector General found inconsistent tracking and followup care for up to half a million traumatic brain injured troops.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Military still mismanaging troops\u2019 traumatic brain injury care\" \/>\n<meta property=\"og:description\" content=\"The Pentagon Inspector General found inconsistent tracking and followup care for up to half a million traumatic brain injured troops.\" \/>\n<meta property=\"og:url\" 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