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  • What You Need to Know About Substance Abuse and TBI

    Service member surrounded by medications and an empty bottle

    U.S. Navy photo by Seaman Tina Staffieri

    For many, drinking in moderation doesn’t pose a problem. But for those with traumatic brain injury (TBI), using drugs or alcohol to cope can be dangerous. Providers need to be aware that failure to treat substance abuse problems following TBI may be counterproductive to a successful recovery, and lead to added medical, psychiatric or behavioral problems, unemployment and family troubles for patients.

    The Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) addressed these concerns during the January webinar, “Substance Abuse and Traumatic Brain Injury: Magnitude, Manifestations, Myths and Management.” Dr. Charles H. Bombardier, professor of rehabilitation medicine at the University of Washington School of Medicine, discussed key messages for health professionals to consider when working with patients with both substance abuse and TBI, which included:

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  • Eat, Drink and Be Merry… Responsibly

    Family beside a Christmas tree
    U.S. Marine Corps photo

    Family dinners, work parties, happy hours, New Year’s festivities and many other social gatherings are prevalent during this time of year. Typically a joyous time with family and friends, these activities often lead to overeating and indulging ourselves in unhealthy foods we normally would resist, as well as drinking more frequently and potentially abusively.

    Whether the drinking environment is centered on grandma’s brandy eggnog or other holiday alcoholic drinks, we live in a culture that tells us it’s OK to drink during the holidays. Throughout the season, there is an increase in availability of alcohol at parties and family functions we attend, which may make it more difficult for those trying to avoid drinking too much. Additionally, many holiday drinks are mixed, making the strength of the alcohol content relatively unknown. A drink like this is often stronger than a standard drink, and can get the unwary drinker into trouble.

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  • After Service, Find afterdeployment.org

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    Photo courtesy of U.S. Army

    Getting started is often the most difficult step in any process. If you’re a service member struggling with depression, sleep difficulties, posttraumatic stress, traumatic brain injury or any number of challenges to living a healthy, balanced life post-deployment, taking that first step toward improvement can be daunting. As simple as it seems, even clicking on a website that offers help for your concerns requires a leap of faith in yourself and the website.

    That’s well understood by the developers of afterdeployment.org, an interactive wellness resource. Created specifically for service members, their families, veterans and health care providers, it takes into consideration the unique combination of issues service members could encounter post-deployment and guides their self-discovery through an engaging, media-rich experience.

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  • ‘Military Medicine’ Supplement Focuses on Psychological Health, TBI

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    DCoE develops special medical journal supplement to highlight advances in psychological health and TBI. (DCoE photo)

    What’s the impact of multiple deployments and repeated traumatic stressors on service members? Why are a significant number of military personnel experiencing psychological injuries following their deployments? What treatment options are available? What’s being done to help advance the field of traumatic brain injury (TBI) and psychological health?

    If these questions are on your mind, consider reading the special edition of “Military Medicine.” Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) subject matter experts and others share updated research to better understand current psychological health and TBI conditions affecting the health, occupational and personal functioning of service members and veterans. Published by The Association of Military Surgeons of the United States (AMSUS), the journal identifies effective screening tools, diagnostic technologies and treatments for major areas of concern like posttraumatic stress disorder (PTSD), depression, substance use disorder and TBI.

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  • When is One Drink, One Drink Too Many?

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    U.S. Air Force photo illustration by Senior Airman Mike Meares

    Lt. Cmdr. David Barry is a subject matter expert on alcohol and substance abuse/misuse at DCoE.

    For many, drinking alcohol in moderation isn’t a problem. For others, keeping within appropriate limits can be challenging. So what’s appropriate drinking? And how do you know when your drinking is excessive or risky? Many have misconceptions about the answers to these questions. Primarily young adults believe that as long as they don’t get too sick, black out or drive while intoxicated, their drinking is appropriate. However, not remembering events from the night before, experiencing hangovers and getting sick are all signs of excessive, unhealthy drinking.

    Whether at a party or at a bar, it’s easy to unintentionally engage in excessive drinking, since the alcohol content is not always apparent. A standard drink is equal to one 12-ounce beer (5 percent alcohol), five ounces of wine (12 percent alcohol), or a 1.5-ounce shot of 80 proof alcohol. So, drinks like a “large” 20-ounce beer from a restaurant, the microbrew with a kick, or the strong-mixed drink from the bar are greater in alcohol content than one standard drink.

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  • DCoE Seeks Feedback on Co-occurring Conditions Toolkit

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    Download the Co-occurring Conditions Toolkit mobile app and then share your feedback. (U.S. Army photo by Brian Gebhart)

    We want to hear from you! Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) created an easy way for you to share your thoughts on the Co-occurring Conditions Toolkit: Mild Traumatic Brain Injury and Psychological Health and corresponding mobile app for smartphones and tablets. Your feedback will help us make improvements to the tool kit and app and other psychological health and traumatic brain injury (TBI) products.

    Did the tool kit improve your capacity to manage patients with mild TBI and co-occurring psychological health conditions? Based on your experience with the tool kit, share your thoughts about everything from advantages and disadvantages to recommendations and suggestions for future TBI clinical resources and tools. Take the online survey today—it only takes a few minutes. This survey is voluntary and your responses are anonymous.

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