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Improvised explosive devices (IEDs) have been one of the leading causes of death and injury among U.S. troops. Those who survive an IED blast or other injuries may be left with a traumatic brain injury (TBI) and attendant or co-occurring psychological symptoms. In response to the need for specialized services for these populations, the U.S. Department of Defense (DoD) established the National Intrepid Center of Excellence (NICoE) in Bethesda, Maryland, in 2010. The NICoE's success in fulfilling its mission is impacted by its relationships with home station providers, patients, and their families. The RAND Corporation was asked to evaluate these relationships and provide recommendations for strengthening the NICoE's efforts to communicate with these groups to improve patients' TBI care. Through surveys, site visits, and interviews with NICoE staff, home station providers, service members who have received care at the NICoE, and the families of these patients, RAND's evaluation examined the interactions between the NICoE and the providers responsible for referring patients and implementing treatment plans. --

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Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Injuries and Wounds --- Injuries, Wounds --- Research-Related Injuries --- Wounds --- Wounds and Injury --- Wounds, Injury --- Injuries --- Trauma --- Injuries, Research-Related --- Injury --- Injury and Wounds --- Injury, Research-Related --- Research Related Injuries --- Research-Related Injury --- Traumas --- Wound --- First Aid --- Traumatology --- Healthcare Facilities, Manpower, and Services --- Population Heterogeneity --- Population Statistics --- Characteristic, Population --- Characteristics, Population --- Heterogeneity, Population --- 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--- Encephalon Diseases --- Encephalopathy --- Intracranial CNS Disorders --- Intracranial Central Nervous System Disorders --- Brain Disease --- Brain Disorder --- CNS Disorder, Intracranial --- Encephalon Disease --- Encephalopathies --- Intracranial CNS Disorder --- Medicine, Physical --- Physiatrics --- Physical Medicine and Rehabilitation --- Physiatry --- Services, Health --- Health Service --- Service, Health --- Craniocerebral Injuries --- Crushing Skull Injury --- Forehead Trauma --- Head Injuries, Multiple --- Head Injury, Minor --- Head Injury, Open --- Head Injury, Superficial --- Injuries, Craniocerebral --- Injuries, Head --- Multiple Head Injuries --- Occipital Trauma --- Open Head Injury --- Superficial Head Injury --- Trauma, Head --- Frontal Region Trauma --- Head Injuries --- Head Trauma --- Occipital Region Trauma --- Parietal Region Trauma --- Temporal Region Trauma --- Craniocerebral Injury --- Craniocerebral Traumas --- Crushing Skull Injuries --- Forehead 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Occipital Region --- Trauma, Parietal Region --- Trauma, Temporal Region --- Traumas, Craniocerebral --- Traumas, Forehead --- Traumas, Frontal Region --- Traumas, Head --- Traumas, Occipital --- Traumas, Occipital Region --- Traumas, Parietal Region --- Traumas, Temporal Region --- Head --- Optic Nerve Injuries --- Olfactory Nerve Diseases --- Group, Occupational --- Groups, Occupational --- Occupational Group --- Medicine, Military --- Habilitation --- Disabled Persons --- Recovery of Function --- Return to Work --- Sports for Persons with Disabilities --- Health, Veterans --- War Exposure --- Veterans --- Military --- Air Force Personnel --- Armed Forces Personnel --- Army Personnel --- Coast Guard --- Marines --- Navy Personnel --- Sailors --- Submariners --- Force Personnel, Air --- Personnel, Air Force --- Personnel, Armed Forces --- Personnel, Army --- Personnel, Military --- Personnel, Navy --- Sailor --- Soldier --- Submariner --- Military Family --- Acute Brain Injuries --- 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Disabled veterans --- Brain damage --- Persons --- Craniocerebral Trauma --- Evaluation Studies as Topic --- Brain Diseases --- Health Care Evaluation Mechanisms --- Quality of Health Care --- Named Groups --- Central Nervous System Diseases --- Investigative Techniques --- Trauma, Nervous System --- Wounds and Injuries --- Health Services Administration --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Health Care --- Diseases --- Health Care Quality, Access, and Evaluation --- Nervous System Diseases --- Disabled Persons --- Program Evaluation --- Brain Injuries --- Veterans --- Medicine --- Health & Biological Sciences --- Neurology --- Management --- Medical care --- Patients --- Rehabilitation --- Veteran --- Acute Brain Injuries --- Brain Injuries, Acute --- Brain Injuries, Focal --- Focal Brain Injuries --- Injuries, Acute Brain --- Injuries, Brain --- Brain Lacerations --- Acute Brain Injury --- Brain Injury --- Brain Injury, Acute --- Brain Injury, Focal 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--- Research, Evaluation --- Test, Pre-Post --- Tests, Pre-Post --- Use Effectiveness --- Craniocerebral Injuries --- Crushing Skull Injury --- Forehead Trauma --- Head Injuries, Multiple --- Head Injury, Minor --- Head Injury, Open --- Head Injury, Superficial --- Injuries, Craniocerebral --- Injuries, Head --- Multiple Head Injuries --- Occipital Trauma --- Open Head Injury --- Superficial Head Injury --- Trauma, Head --- Frontal Region Trauma --- Head Injuries --- Head Trauma --- Occipital Region Trauma --- Parietal Region Trauma --- Temporal Region Trauma --- Craniocerebral Injury --- Craniocerebral Traumas --- Crushing Skull Injuries --- Forehead Traumas --- Frontal Region Traumas --- Head Injuries, Minor --- Head Injuries, Open --- Head Injuries, Superficial --- Head Injury --- Head Injury, Multiple --- Head Traumas --- Injuries, Minor Head --- Injuries, Multiple Head --- Injuries, Open Head --- Injuries, Superficial Head --- Injury, Craniocerebral --- Injury, Head --- Injury, Minor Head --- Injury, Multiple Head --- Injury, Open Head --- Injury, Superficial Head --- Minor Head Injuries --- Minor Head Injury --- Multiple Head Injury --- Occipital Region Traumas --- Occipital Traumas --- Open Head Injuries --- Parietal Region Traumas --- Region Trauma, Frontal --- Region Trauma, Occipital --- Region Trauma, Parietal --- Region Traumas, Frontal --- Region Traumas, Occipital --- Region Traumas, Parietal --- Skull Injuries, Crushing --- Skull Injury, Crushing --- Superficial Head Injuries --- Temporal Region Traumas --- Trauma, Craniocerebral --- Trauma, Forehead --- Trauma, Frontal Region --- Trauma, Occipital --- Trauma, Occipital Region --- Trauma, Parietal Region --- Trauma, Temporal Region --- Traumas, Craniocerebral --- Traumas, Forehead --- Traumas, Frontal Region --- Traumas, Head --- Traumas, Occipital --- Traumas, Occipital Region --- Traumas, Parietal Region --- Traumas, Temporal Region --- Head --- Person --- Disabled sailors --- Disabled soldiers --- Service-disabled veterans --- Veterans, Disabled --- injuries --- organization & administration --- Military Personnel --- Veterans Health --- Military Family --- Social Validity, Research --- Rehabilitation Research --- Bedridden Persons --- Immobilization --- Sports for Persons with Disabilities --- Health Services for Persons with Disabilities --- First Aid --- Traumatology --- Pharmacy Audit --- Audit, Pharmacy --- Pharmacy Audits --- Optic Nerve Injuries --- Olfactory Nerve Diseases --- Psychology, Pathological --- People with disabilities --- Wounds and injuries --- Central Nervous System Disease --- Central Nervous System Disorder --- Defense and Veterans Brain Injury Center (Washington, D.C.) --- Evaluation. --- DVBIC --- D.V.B.I.C. --- Defense Centers of Excellence for Psychological Health & Traumatic Brain Injury (U.S.) --- Traumatic Brain Injury Center of Excellence (U.S.) --- Defense and Veterans Brain Injury Center (Silver Spring, Md.)

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Medical care --- Mental health services --- Brain --- Health services administration --- Evidence-based medicine --- Investigative Techniques --- Clinical Medicine --- Craniocerebral Trauma --- Health Services --- Behavioral Disciplines and Activities --- Health Care Evaluation Mechanisms --- Evidence-Based Practice --- Brain Diseases --- Quality of Health Care --- Occupational Groups --- Medicine --- Persons --- Psychiatry and Psychology --- Trauma, Nervous System --- Central Nervous System Diseases --- Wounds and Injuries --- Health Services Administration --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Health Occupations --- Health Care Facilities, Manpower, and Services --- Nervous System Diseases --- Health Care Quality, Access, and Evaluation --- Diseases --- Disciplines and Occupations --- Health Care --- Named Groups --- Brain Injuries --- Military Personnel --- Program Evaluation --- Evaluation Studies as Topic --- Mental Health Services --- 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Forces Personnel --- Army Personnel --- Coast Guard --- Marines --- Navy Personnel --- Sailors --- Soldiers --- Submariners --- Force Personnel, Air --- Personnel, Air Force --- Personnel, Armed Forces --- Personnel, Army --- Personnel, Military --- Personnel, Navy --- Sailor --- Soldier --- Submariner --- Acute Brain Injuries --- Brain Injuries, Acute --- Brain Injuries, Focal --- Focal Brain Injuries --- Injuries, Acute Brain --- Injuries, Brain --- Brain Lacerations --- Acute Brain Injury --- Brain Injury --- Brain Injury, Acute --- Brain Injury, Focal --- Brain Laceration --- Focal Brain Injury --- Injuries, Focal Brain --- Injury, Acute Brain --- Injury, Brain --- Injury, Focal Brain --- Laceration, Brain --- Lacerations, Brain --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- 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Nervous System Disorders --- Neurological Disorders --- Neurologic Disorders --- Disease, Nervous System --- Diseases, Nervous System --- Disorder, Nervous System --- Disorder, Neurologic --- Disorder, Neurological --- Disorders, Nervous System --- Disorders, Neurologic --- Disorders, Neurological --- Nervous System Disease --- Nervous System Disorder --- Neurologic Disorder --- Neurological Disorder --- Healthcare Facilities, Manpower, and Services --- Health Professions --- Health Occupation --- Health Profession --- Occupation, Health --- Occupations, Health --- Profession, Health --- Professions, Health --- CNS Diseases --- Central Nervous System Disorders --- CNS Disease --- Axonotmesis --- Injuries, Nervous System --- Neurotmesis --- Craniocervical Injuries --- Nervous System Injuries --- Axonotmeses --- Craniocervical Injury --- Nervous System Injury --- Nervous System Trauma --- Nervous System Traumas --- Neurotmeses --- Nervous System --- Person --- Medical Specialities --- Medical Specialties --- Medical Specialty --- Specialities, Medical --- Specialties, Medical --- Specialty, Medical --- Medical Speciality --- Speciality, Medical --- Group, Occupational --- Groups, Occupational --- Occupational Group --- Quality of Care --- Quality of Healthcare --- Care Qualities --- Care Quality --- Health Care Quality --- Healthcare Quality --- Brain Disorders --- CNS Disorders, Intracranial --- Central Nervous System Disorders, Intracranial --- Central Nervous System Intracranial Disorders --- Encephalon Diseases --- Encephalopathy --- Intracranial CNS Disorders --- Intracranial Central Nervous System Disorders --- Brain Disease --- Brain Disorder --- CNS Disorder, Intracranial --- Encephalon Disease --- Encephalopathies --- Intracranial CNS Disorder --- Evidence Based Health Care Management --- Evidence Based Healthcare Management --- Evidence Based Management, Health Care --- Evidence Based Management, Healthcare --- Evidence-Based Healthcare --- Evidence-Based Health Care --- Evidence Based Health Care --- Evidence Based Healthcare --- Evidence Based Practice --- Evidence-Based Health Cares --- Evidence-Based Healthcares --- Health Care, Evidence-Based --- Health Cares, Evidence-Based --- Healthcare, Evidence-Based --- Healthcares, Evidence-Based --- Healthcare Evaluation Mechanisms --- Evaluation Mechanism, Healthcare --- Evaluation Mechanisms, Healthcare --- Healthcare Evaluation Mechanism --- Mechanism, Healthcare Evaluation --- Mechanisms, Healthcare Evaluation --- Services, Health --- Health Service --- Service, Health --- Craniocerebral Injuries --- Crushing Skull Injury --- Forehead Trauma --- Head Injuries, Multiple --- Head Injury, Minor --- Head Injury, Open --- Head Injury, Superficial --- Injuries, Craniocerebral --- Injuries, Head --- Multiple Head Injuries --- Occipital Trauma --- Open Head Injury --- Superficial Head Injury --- Trauma, Head --- Frontal Region Trauma --- Head Injuries --- Head Trauma --- Occipital Region Trauma --- Parietal Region Trauma --- Temporal Region Trauma --- Craniocerebral Injury --- Craniocerebral Traumas --- Crushing Skull Injuries --- Forehead Traumas --- Frontal Region Traumas --- Head Injuries, Minor --- Head Injuries, Open --- Head Injuries, Superficial --- Head Injury --- Head Injury, Multiple --- Head Traumas --- Injuries, Minor Head --- Injuries, Multiple Head --- Injuries, Open Head --- Injuries, Superficial Head --- Injury, Craniocerebral --- Injury, Head --- Injury, Minor Head --- Injury, Multiple Head --- Injury, Open Head --- Injury, Superficial Head --- Minor Head Injuries --- Minor Head Injury --- Multiple Head Injury --- Occipital Region Traumas --- Occipital Traumas --- Open Head Injuries --- Parietal Region Traumas --- Region Trauma, Frontal --- Region Trauma, Occipital --- Region Trauma, Parietal --- Region Traumas, Frontal --- Region Traumas, Occipital --- Region Traumas, Parietal --- Skull Injuries, Crushing --- Skull Injury, Crushing --- Superficial Head Injuries --- Temporal Region Traumas --- Trauma, Craniocerebral --- Trauma, Forehead --- Trauma, Frontal Region --- Trauma, Occipital --- Trauma, Occipital Region --- Trauma, Parietal Region --- Trauma, Temporal Region --- Traumas, Craniocerebral --- Traumas, Forehead --- Traumas, Frontal Region --- Traumas, Head --- Traumas, Occipital --- Traumas, Occipital Region --- Traumas, Parietal Region --- Traumas, Temporal Region --- Head --- Medicine, Clinical --- Investigative Technics --- Investigative Technic --- Investigative Technique --- Technic, Investigative --- Technics, Investigative --- Technique, Investigative --- Techniques, Investigative --- EBM (Medicine) --- Evidence-based healthcare --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Cerebrum --- Mind --- Behavioral health care --- Mental health care --- Psychiatric care --- Psychiatric services --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Medical and health care industry --- Medical services --- Personal health services --- organization & administration --- injuries --- Administration --- Management --- Decision Support Techniques --- Evidence-Based Dentistry --- Evidence-Based Nursing --- Social Validity, Research --- First Aid --- Traumatology --- Military Family --- Neurology --- Occupations --- Pharmacy Audit --- Audit, Pharmacy --- Pharmacy Audits --- Optic Nerve Injuries --- Olfactory Nerve Diseases --- Clinical medicine --- Systematic reviews (Medical research) --- Health planning --- Public health administration --- Central nervous system --- Public health --- Decision making --- Military Deployment --- Deployment, Military --- Health Workforce --- Military Health --- Employee --- Employees --- Personnel --- Worker --- Workers --- Evaluation. --- Central Nervous System Disease --- Central Nervous System Disorder --- Mental Health Services. --- Evidence-Based Medicine. --- Program Evaluation. --- Evaluation Studies as Topic.