Evidence-Based Intervention Strategies for Veterans and Military Personnel with Traumatic Brain Injury and Co-Morbid Mental Health Conditions: A Systematic Review

2013 ◽  
Vol 14 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Bridget B. Matarazzo ◽  
Hal S. Wortzel ◽  
Brooke A. Dorsey Holliman ◽  
Lisa A. Brenner
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Military Personnel ◽  
The Body ◽  
Health Conditions ◽  
Evidence Based ◽  
Mental Health Conditions ◽  
Evidence Based Treatments

Traumatic brain injury (TBI) is prevalent among veterans and military personnel. These individuals present with increased rates of co-morbid mental health conditions and are at increased risk for suicide. Evidence-based treatments are needed to serve this population. A systematic review was conducted in order to determine the state of the science with respect to interventions aimed at improving mental health outcomes among veterans and military personnel. Results indicate that only three published articles exist that met inclusion criteria for this systematic review. All three study designs were observational in nature. Significant risk of bias was noted. The body of evidence was rated according to the GRADE approach. Although the published work marks an important starting point in evaluating evidence-based treatments for veterans and military personnel with TBI, the overall quality of evidence was determined to be very low. Implications for both future research and current practice are discussed.

Subgroups of US IRAQ and Afghanistan veterans: associations with traumatic brain injury and mental health conditions

2015 ◽  
Vol 9 (3) ◽  
pp. 445-455 ◽  
Author(s):  
Carlos A. Jaramillo ◽  
Douglas B. Cooper ◽  
Chen-Pin Wang ◽  
David F. Tate ◽  
Blessen C. Eapen ◽  
...  
Keyword(s):  
Mental Health ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Conditions ◽  
Mental Health Conditions

Association of Traumatic Brain Injury With Chronic Pain in Iraq and Afghanistan Veterans: Effect of Comorbid Mental Health Conditions

2017 ◽  
Vol 98 (8) ◽  
pp. 1636-1645 ◽  
Author(s):  
Karen H. Seal ◽  
Daniel Bertenthal ◽  
Deborah E. Barnes ◽  
Amy L. Byers ◽  
Irina Strigo ◽  
...  
Keyword(s):  
Mental Health ◽  
Traumatic Brain Injury ◽  
Chronic Pain ◽  
Brain Injury ◽  
Health Conditions ◽  
Mental Health Conditions

Factors Associated with Mild Traumatic Brain Injury in Veterans and Military Personnel: A Systematic Review

2014 ◽  
Vol 20 (3) ◽  
pp. 249-261 ◽  
Author(s):  
Maya E. O'Neil ◽  
Kathleen F. Carlson ◽  
Daniel Storzbach ◽  
Lisa A. Brenner ◽  
Michele Freeman ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Military Personnel ◽  
Physical And Mental Health ◽  
Post Traumatic Stress ◽  
Military Members ◽  
History Of

AbstractA history of mild traumatic brain injury (mTBI) is common among military members who served in Operations Enduring Freedom, Iraqi Freedom, and New Dawn (OEF/OIF/OND). We completed a systematic review to describe the cognitive, mental health, physical health, functional, social, and cost consequences of mTBI in Veteran and military personnel. Of 2668 reviewed abstracts, the 31 included studies provided very low strength evidence for the questions of interest. Cognitive, physical, and mental health symptoms were commonly reported by Veterans/military members with a history of mTBI. On average, these symptoms were not significantly more common in those with a history of mTBI than in those without, although a lack of significant mean differences does not preclude the possibility that some individuals could experience substantial effects related to mTBI history. Evidence of potential risk or protective factors moderating mTBI outcomes was unclear. Although the overall strength of evidence is very low due to methodological limitations of included studies, our findings are consistent with civilian studies. Appropriate re-integration services are needed to address common comorbid conditions, such as treatment for post-traumatic stress disorder, substance use disorders, headaches, and other difficulties that Veterans and members of the military may experience after deployment regardless of mTBI history. (JINS, 2014,20, 1–13)

scholarly journals Systematic review of healthcare costs related to mental health conditions among cancer survivors

2018 ◽  
Vol 18 (5) ◽  
pp. 505-517 ◽  
Author(s):  
Jaya S. Khushalani ◽  
Jin Qin ◽  
John Cyrus ◽  
Natasha Buchanan Lunsford ◽  
Sun Hee Rim ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Cancer Survivors ◽  
Healthcare Costs ◽  
Health Conditions ◽  
Mental Health Conditions

scholarly journals Systematic review protocol for facilitators and barriers to integrating health services for traumatic brain injury and mental health or addictions

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e027534 ◽  
Author(s):  
Vincy Chan ◽  
Danielle Toccalino ◽  
Angela Colantonio
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Services ◽  
Healthcare Access ◽  
Barriers And Facilitators ◽  
Cochrane Central Register ◽  
Registration Number ◽  
Scientific Meetings

IntroductionIn the most populous province of Canada, one in five adults and one in six students report a lifetime history of traumatic brain injury (TBI). These individuals were also more likely to report elevated psychological distress and use illicit substances compared with those without TBI. The need for integrated health services has been recognised globally, yet efforts to develop more comprehensive and effective care for TBI and mental health and/or addictions (MHA) continue to be challenged by the siloing of the two systems. This protocol is for a systematic review that describes the current types of integrated care for TBI and MHA and identifies the barriers and facilitators to integrating healthcare for these populations.Methods and analysisThis review will systematically search MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, Sociological Abstracts, and Dissertations & Theses Global. References of eligible articles will also be searched for additional relevant studies. The search strategy will include the use of text words and subject headings relevant to the concepts ‘TBI,’ ‘substance abuse, gambling, or mental health,’ ‘integrated healthcare,’ ‘barriers and facilitators,’ and ‘healthcare access.’ Two reviewers will independently screen all articles based on predetermined inclusion and exclusion criteria and perform quality assessment on eligible studies. A narrative synthesis will be conducted using the data abstracted by the two reviewers.Ethics and disseminationFindings from the systematic review will be published in peer-reviewed journals, presented at scientific meetings, and summarised for key stakeholders in the field of TBI and/or MHA. This protocol will form a systematic review that holds the potential to impact policy and planning in the development of integrated person-centred care for TBI and MHA and addresses a recognised gap in TBI care.Trial registration numberCRD42018108343

Effectiveness study of “occupational connections” – A short-term, in-patient intervention for promotion functioning and participation in daily life of people with mental health conditions

2017 ◽  
Vol 41 (S1) ◽  
pp. S380-S381
Author(s):  
L. Lipskaya-Velikovsky ◽  
T. Krupa ◽  
M. Kotler
Keyword(s):  
Mental Health ◽  
Functional Capacity ◽  
Daily Life ◽  
Well Being ◽  
The Body ◽  
Health Conditions ◽  
Hospital Treatment ◽  
Control Group ◽  
Study Group ◽  
Mental Health Conditions

ObjectivesMental health conditions (MHC) have been associated with restrictions in daily life participation and functioning affecting health and well-being. Substantial numbers of people with MHC experience hospitalizations, however, there is limited evidence supporting functional interventions in the in-patient setting to promote recovery. The OC is an intervention implemented during sub-acute hospitalization, which attempts to promote activity and participation of people with MHC, both during the in-patient stay and upon return to the community, with a view to enabling recovery. To facilitate its implementation, we investigate the OC effectiveness.AimsInvestigate the OC contribution to cognition, symptoms and functional capacity among inpatients with schizophrenia.MethodsThis is a quasi-experimental, prospective, pre/post-designed study with convenience sampling. Inpatients with schizophrenia were enrolled into the study group participating in the OC intervention (n = 16); or the control group participating in hospital treatment as usual (n = 17). The study participants completed evaluations at baseline and at discharge or after 10 weeks with: Neurocognitive State Examination, Trail Making Test, Ray Complex Figure, and Category Fluency Test for aspects of cognition; Positive and Negative Syndrome Scale for symptoms severity, and Observed Tasks of Daily Living-Revised for functional capacity.ResultsStatistically significant improvement in cognitive functioning, symptoms severity and functional capacity was found in the study group after the intervention. These changes were not observed in the control group.ConclusionThe results support the OC effectiveness for cognitive and functional capacity improvement and symptomology relief. The findings advance the body of evidence for functional interventions in hospital settings.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals ‘Global mental health’: systematic review of the term and its implicit priorities

BJPsych Open ◽  
2019 ◽  
Vol 5 (3) ◽  
Author(s):  
Supriya Misra ◽  
Anne Stevenson ◽  
Emily E. Haroz ◽  
Victoria de Menil ◽  
Karestan C. Koenen
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Global Mental Health ◽  
Contextual Information ◽  
Empirical Studies ◽  
Sub Saharan Africa ◽  
Health Conditions ◽  
Middle Income ◽  
Mental Health Conditions ◽  
Sub Saharan

Background The term ‘global mental health’ came to the fore in 2007, when the Lancet published a series by that name. Aims To review all peer-reviewed articles using the term ‘global mental health’ and determine the implicit priorities of scientific literature that self-identifies with this term. Method We conducted a systematic review to quantify all peer-reviewed articles using the English term ‘global mental health’ in their text published between 1 January 2007 and 31 December 2016, including by geographic regions and by mental health conditions. Results A total of 467 articles met criteria. Use of the term ‘global mental health’ increased from 12 articles in 2007 to 114 articles in 2016. For the 111 empirical studies (23.8% of articles), the majority (78.4%) took place in low- and middle-income countries (LMICs), with the most in Sub-Saharan Africa (28.4%) and South Asia (25.5%) and none from Central Asia. The most commonly studied mental health conditions were depression (29.7%), psychoses (12.6%) and conditions specifically related to stress (12.6%), with fewer studies on epilepsy (2.7%), self-harm and suicide (1.8%) and dementia (0.9%). The majority of studies lacked contextual information, including specific region(s) within countries where studies took place (20.7% missing), specific language(s) in which studies were conducted (36.9% missing), and details on ethnic identities such as ethnicity, caste and/or tribe (79.6% missing) and on socioeconomic status (85.4% missing). Conclusions Research identifying itself as ‘global mental health’ has focused predominantly on depression in LMICs and lacked contextual and sociodemographic data that limit interpretation and application of findings. Declaration of interest None.

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