Traumatic Brain Injury Services
Services available for mild Traumatic Brain Injury (TBI) include multiple options.
Naval Medical Center Portsmouth provides TBI care for AD service members who are experiencing cognitive and physical symptoms related to concussion/TBI history. TBI Services provides coordination of care amongst core TBI services utilizing a traditional referral-based model. Specialty treatment appointments arranged by the TBI Services intake provider.
Overall services include: Neurology, Sleep medicine, Neuropsychology, Vestibular Physical Therapy, Speech & Language Therapy/Cognitive rehabilitation.
Treatment Pipelines
Traditional outpatient program: is a
patient directed and self-paced comprehensive or single service evaluation for all Active-Duty Service Members and eligible beneficiaries (e.g., nonactive duty, adult family members/dependents, and retirees) on a case by case basis. All aspects of TBI care available are based on the Service Members availability and need. Service Members work with their primary care team, command, and TBI providers as they navigate through treatment on an individual basis. Typical time from initial evaluation to discharge is approximately 12-15 weeks.
Neuropsychology (NP) Clinic: Provides traditional neurocognitive evaluation of various neurological conditions. Neuropsychology Clinic is available for service members and eligible beneficiaries (e.g., non-active duty, adult family members/dependents, and retirees) on a case by base basis if their condition meets the medical necessity requirements for neurocognitive testing.
TBI SERVICES REFERRALS
All service members must be referred for care to the TBI Services or Neuropsychology clinics.
To
place a referral in MH Genesis, Referral 2.0
Medical Service:
Neuropsychology for the Neuropsychology Clinic.
Brain Injury Medicine Traditional TBI care.
NP and TBI Referrals require a MH Genesis with the criteria (listed below) included.
Consults received by the TBI Services will be reviewed by the Department Head, designated Licensed Independent Provider (LIP), or RN Care facilitator and screened for appropriateness. The following information is required on all incoming consults:
-
- Type of injury (i.e. fall, blast, new diagnosis)
- Severity of injury (i.e.. LOC, amnesia duration)
- Date of injury or symptom onset
- Primary symptoms related (i.e. Cognitive complaints, pain, numbness/weakness, headaches, dizziness/balance problems, tinnitus, psychological disturbance)
- Treatment rendered by referring provider, outcome, and prognosis
Neuropsychology Clinic Criteria:
-
- Current diagnosis meeting medical necessity for neurocognitive testing including non-acquired, developmental, and neurological central nervous conditions
- Tricare Eligibility for Care
Cooperative Command Clinic Criteria (traditional TBI referral):
-
- Documented history of concussion/TBI in Active-Duty Service Member,
- No less than 30 days prior to the appointment
- Failed initial conservative treatment provided by Medical Officer/Provider
- No older than 5 years ago
- Documented concussion with symptoms (LOC/AOC, feeling dazed, confused, seeing stars)
- More than 6 months remaining on active duty until EAOS or PCS.
- Either never previously evaluated in TBI clinic or experienced a new injury since previously seen.
Rev. 10/2024