The purpose of this research is to determine whether military veterans and service members with mild traumatic brain injury with and without co-occurring substance use can complete and benefit from integrated interdisciplinary care individualized to their symptoms, goals, and needs.
Participants will complete surveys about substance use and other symptoms at the beginning and end of treatment in an intensive outpatient program and 6 months after discharge.
At least 18 years of age
US military service member or veteran
Diagnosis of mild traumatic brain injury (mTBI) and/or repetitive head impact/blast exposures
Participating in the SHARE Military Initiative intensive outpatient program
History of brain injury other than mTBI or progressive neurological disorder
Active psychosis
Not able to provide consent
Single group
Integrated Model of Care
Other interventionThe Integrated Model of Care was developed and piloted by the study team provide support for individuals seeking care in an interdisciplinary intensive outpatient program for mild traumatic brain injury to receive support for co-occurring substance use-related needs.
Neurobehavioral Symptom Inventory (NSI)
a 22-item, self-report questionnaire used to measure change in symptoms commonly associated with mild traumatic brain injury over time
Short Inventory of Problems- Revised (SIP-R)
a 17-item self-report inventory used to assess adverse consequences of substance use
Life-Satisfaction Questionnaire -11 (LISAT-11)
an internationally validated 11-item self-report inventory of satisfaction within important life domains: life as a whole, vocational situation, financial situation, leisure situation, contacts with friends, sexual life, self-care management, family life, partner, physical health, and psychological health
Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)
a 20-item self-report inventory used to assess severity of posttraumatic stress symptoms and monitoring symptom change during and after treatment
Patient Health Questionnaire (PHQ-8)
an eight item, self-report inventory used to screen for the presence and severity of depression
Generalized Anxiety Disorder Scale (GAD-7)
a seven item, self-report inventory used to screen for the presence and severity of anxiety
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