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Care Transitions to and from the National Intrepid Center of Excellence (Nicoe) for Service Members with Traumatic Brain Injury [Minkštas viršelis]

  • Formatas: Paperback / softback, 134 pages, aukštis x plotis: 280x216 mm
  • Išleidimo metai: 31-May-2015
  • Leidėjas: RAND
  • ISBN-10: 0833088882
  • ISBN-13: 9780833088888
Kitos knygos pagal šią temą:
  • Formatas: Paperback / softback, 134 pages, aukštis x plotis: 280x216 mm
  • Išleidimo metai: 31-May-2015
  • Leidėjas: RAND
  • ISBN-10: 0833088882
  • ISBN-13: 9780833088888
Kitos knygos pagal šią temą:
The National Intrepid Center of Excellence (NICoE) provides specialized services for troops suffering from traumatic brain injury (TBI). RAND evaluated interactions between the NICoE and providers referring patients and implementing treatment plans.
Preface iii
Figures
ix
Tables
xi
Summary xiii
Acknowledgments xxiii
Abbreviations xxv
Chapter One Introduction
1(8)
Epidemiology of TBI
2(1)
Severity, Symptoms, and Clinical Course of TBI
2(1)
Comorbidity of TBI and Psychiatric Disorders
3(1)
The NICoE Program
4(1)
Overview of the NICoE Evaluation
5(1)
Limits of This Evaluation
6(1)
Organization of This Report
7(2)
Chapter Two Evaluation Methods
9(12)
Procedures
9(2)
NICoE Site Visit
9(1)
Home Station Site Visits
9(1)
Surveys
10(1)
Measures
11(1)
NICoE Site Visit
11(1)
Home Station Site Visits
11(1)
Surveys
12(1)
Data Analyses
12(1)
Installation and NICoE Site Visits
12(1)
Surveys
12(1)
Sample Characteristics
13(8)
NICoE Site Visit
13(1)
Home Station Site Visits
13(1)
NICoE Referring Provider Survey Respondents
14(2)
NICoE Patient Survey Respondents
16(5)
Chapter Three History and Mission of the NICoE
21(6)
History and Motivation
21(1)
The Mission and Goals of the NICoE Program
22(1)
Perceptions of the NICoE's Role Within the MHS
22(3)
The NICoE as a Fresh Start for Treatment
23(2)
Conclusion
25(2)
Chapter Four Who Is Referred to the NICoE, and How Does the Referral Process Work?
27(8)
What Kind of Patients Are Referred to the NICoE for Treatment?
27(3)
What Problems Are Patients Experiencing at the Time of Referral to the NICoE?
30(1)
At the Time of Referral to the NICoE, Were There Perceived Gaps in Home Station Care?
31(1)
What Is the Process to Refer Patients to the NICoE?
32(1)
Do Patients Referred to the NICoE Agree to Attend and Complete the Program?
33(1)
Conclusion
33(2)
Chapter Five NICoE Assessment and Treatment Processes
35(10)
What Clinical Services Are Offered to NICoE Patients?
35(1)
How Satisfied with NICoE Services Are Referring Providers, Patients, and Their Spouses?
36(4)
Site Provider Perspective
36(1)
Patient and Spouse Perspective
37(3)
How Satisfied Are Providers, Patients, and Spouses with Communication During Care at the NICoE?
40(5)
Interdisciplinary Meetings Within the NICoE
40(1)
Communication Between the NICoE and Referring Providers
40(2)
Communication Between the NICoE and Patients and Their Spouses
42(1)
Conclusion
42(3)
Chapter Six Transitioning from the NICoE to the Home Station
45(16)
The NICoE Discharge Planning Process
45(1)
The NICoE Discharge Summary and Recommendations
46(3)
The Transition from the NICoE Back to the Home Station
49(1)
The Implementation of the NICoE Recommendations at the Home Station
50(3)
Facilitators and Barriers to Implementing NICoE Recommendations
53(4)
Facilitators to Implementing NICoE Recommendations
53(1)
Barriers to Implementing NICoE Recommendations
54(3)
Patient Satisfaction with Home Station Care Following the NICoE
57(1)
Conclusion
58(3)
Chapter Seven Discussion and Recommendations
61(10)
Summary of Findings
61(3)
The NICoE's History and Mission
61(1)
Referral of Service Members to the NICoE
61(1)
NICoE Assessment and Treatment Processes
62(1)
Transitioning from the NICoE Back to the Home Station
63(1)
Study Limitations
64(1)
Recommendations
65(4)
The NICoE's Mission
65(1)
Referral of Service Members to the NICoE
66(1)
NICoE Assessment and Treatment Services
67(1)
Transitioning from the NICoE Back to the Home Station
68(1)
Conclusion
69(2)
APPENDIX
A NICoE Site Visit Discussion Guide
71(6)
B Home Station Installation Patient Discussion Guide
77(2)
C Home Station Installation Spouse/Caregiver Discussion Guide
79(2)
D Home Station Installation Provider Discussion Guide
81(4)
E Survey Measures
85(20)
References 105