Brain Injury Medicine - Intrepid Spirit
TBI (Traumatic Brain Injury)
After a concussion, service members will be evaluated by their Primary Care Provider. If they remain symptomatic after the acute stage of recovery (two weeks up to one month), they may benefit from evaluation and treatment at the Intrepid Spirit Center, Womack Army Medical Center. They should talk with their primary care manager if they are unsure about the symptoms they are experiencing. All soldiers who have received a referral from their Primary Care Provider may schedule an appointment at the Intrepid Spirit by calling 910-907-7777. Appointments are available Monday-Friday, 8:00 a.m.-4:00 p.m. Currently the Intrepid Spirit is only able to provide services for service members. Family Members and Retirees are referred to a specialty provider off post.
Concussion Care Clinic
The Concussion Care Clinic (CCC), Department of Brain Injury Medicine, is responsible for the evaluation and treatment of patients who have sustained a concussion or traumatic brain injury (TBI). This includes management of patients with persistent post-concussive symptoms (PPCS). For patients with PPCS, clinic care providers perform a detailed history and physical examination in order to better identify the cause of each persistent symptom, and customize a treatment program. Clinicians within the CCC coordinate and supervise any rehabilitation services deemed necessary, and ultimately make recommendations regarding physical limitations and fitness for duty of active duty patients.
The Intrepid Spirit utilizes a holistic, multidisciplinary approach to better determine the cause of persistent post concussive symptoms (PPCS). They provide comprehensive treatment for functional deficits associated with concussion/ traumatic brain injury. Team members meet regularly to discuss individualized patient goals and progress, making changes as needed to ensure maximum recovery.
Services include the following:
Neuro-Optometry directs vision rehab, which can improve symptoms - such as headaches, perceptual deficits, and balance - as well as service members' activities of daily living, such as shooting, reading, and routine soldier tasks.
Neuropsychologists evaluate through testing the nature and extent of impairment following TBI and plan strategies to compensate for the injury.
Occupational Therapists help service members who have sustained a TBI to develop, recover or maintain their ability to perform tasks of daily living.
Physical Therapists evaluate and treat vestibular and balance disorders commonly associated with head injury.
Speech and Language Pathologists assist service members who have speech, language, and cognitive (attention, memory, problem solving) problems to regain optimal communication.
Social Workers/Psychologists provide evaluation, education, supportive services, and referrals for soldiers and family members to decrease psychiatric distress and promote wellness strategies.
Intensive Outpatient Program
The clinic also offers an Intensive Outpatient Program, a four-week program for service members. During the program, the clinic team works with the SM and their families to create a tailored treatment plan that focuses on creating a plan of action to increase resilience and well-being as well as learning the skills they need to self-manage their symptoms in the long term. The mission of the IOP / PAR program is to return the SM to his/her parent unit as quickly as possible, and ensure that, if cleared for duty, s/he is able to safely perform basic level FORSCOM skill requirements to meet the standards that unit leadership requires.
The CCC also partners with local and national Defense and Veterans Brain Injury Center personnel who coordinate educational sessions on topics such as concussion, TBI, and PPCS for other medical providers and various units/agencies of the Fort Bragg community. In addition, support services are available through a Regional Support Specialist who assists service members and families with ensuring continuity of care and access to services during transitions from active duty to civilian life and/or PCS moves.