ABSTRACT

Symptom Complex .................................................................................... 74 3.3 Co-occurring Disorders and Polytrauma ......................................................................... 75

3.3.1 Mental Health Conditions and Exposures ........................................................... 76 3.3.2 Overlap between PTSD and Traumatic Brain Injury Symptomatology .......... 78

3.3.2.1 Assessment of Co-occurring Mental Health Conditions ....................80 3.3.3 Common Polytrauma Conditions.......................................................................... 81

3.4 Polytrauma Rehabilitation and Integrated Care Approaches .......................................83 3.4.1 VHA Polytrauma System of Care ..........................................................................83 3.4.2 Acute Care.................................................................................................................83 3.4.3 Postacute Care for Mild Traumatic Brain Injury .................................................84 3.4.4 Treatment beyond Six Months ...............................................................................84 3.4.5 Treatment of Cognitive Sequelae in Polytrauma.................................................85 3.4.6 Managing Mood after Traumatic Brain Injury ....................................................85 3.4.7 Family Support .........................................................................................................86 3.4.8 Importance and Potential Role of Peer Support and Visitation ........................ 87

3.5 Conclusions ...........................................................................................................................88 Acknowledgment .......................................................................................................................... 89 Appendix: Neurobehavioral Symptom Inventory ...................................................................90 References .......................................................................................................................................90