Articles, Blog

UMass Combat Brain Injury and Mental Health Study | Connecting Point | Feb. 26, 2020

March 5, 2020


>>>A STUDY RELEASED BY
RESEARCHERS SHOWS THAT CRITICALLY INJURED SOLDIERS ARE
AT GREATER RISK OF MENTAL HEALTH DISORDERS. THE RESEARCHERS LOOKED AT
THOUSANDS OF CASES OF MILITARY MEMBERS INJURED IN COMBAT IN IN
IRAQ AND AFGHANISTAN FROM 2002 TO 2011. WE SAT DOWN WITH THE SENIOR
POLICY OF MANAGEMENT IN THE SCHOOL OF HEALTH AND HEALTH
SCIENCES TO LEARN MORE>>THE STUDY CAME OF AN EFFORT
THAT STARTED IN THE WAR IN AFGHANISTAN AND IRAQ. WHERE ACTUALLY IN THE FIELD
PHYSICIAN DECIDED HE WAS GOING THESE CRITICALLY INJURED
SOLDIERS. SO IT STARTED AS THIS KIND OF
ONE PERSON PROJECT ON A LAPTOP IN THE FIELD AND BECAME WHAT’S
KNOWN AS THE D.O.D.C.R. OR
DEPARTMENT OF DEFENSE TRAUMA REGISTRY. THE STUDY WAS MOTIVATED BY
TRYING TO UNDERSTAND THE ACTUAL LONG-TERM OUTCOMES OF SOLDIERS
WHO HAVE BEEN SEVERELY INJURED. SO IT’S QUITE A BIT THAT’S KNOWN
ABOUT TRAUMATIC BRAIN INJURY AND THE OUTCOMES OF MILD TO MODERATE
TBI. BUT VERY LITTLE IS KNOWN ABOUT
SEVERELY INJURED SOLDIERS. THAT WAS KIND OF THE MAIN
MOTIVATION FOR LOOKING AT THIS GROUP OF PATIENTS
>>WHEN YOU TALK ABOUT SEVERELY INJURED, TRAUMATIC BRAIN INJURY,
CAN YOU JUST GIVE US A LITTLE BIT OF A DISTINCTION BETWEEN THE
TWO?>>YOU CAN THINK OF MILD
TRAUMATIC BRAIN INJURY AS THE TYPE OF THING LIKE A CONCUSSION. SO THE TYPE OF THINGS THAT MAYBE
KIDS GET ON A SOCCER FIELD OR MAYBE IN A FOOTBALL GAME. SOMETHING THAT CAUSES THIS KIND
OF ACUTE INJURY, BUT DOESN’T HAVE A NECESSARY LONG-TERM
IMPACT. IN THE SEVERE ARE THE EXTREME
CASES WHERE YOU HAVE PENETRATING INJURIES TO THE BRAIN OR
CRUSHING INJURIES. THESE ARE
FOLKS THAT ARE SEVERELY INJURED AND REQUIRES INTENSIVE CARE FOR
MONTHS AND MONTHS AND MONTHS. THERE ARE A DIFFERENT GROUP
CLINICALLY WHEN COMPARED TO THE CONVENTIONAL WORK THAT’S BEEN
DONE ON TBI>>WHEN YOU DID YOUR RESEARCH
YOU’RE REALLY LOOKING AT JUST THE LONG-TERM MENTAL HEALTH
OUTCOMES FOR SOMEBODY WHO IS RECOVERING OR RECOVERED FROM A
SEVERE TBI. AND SO WHAT ARE SOME OF THE
THINGS THAT YOU FOUND AS YOU DID YOUR RESEARCH?>>SO ONE OF THE THINGS WE FOUND
WAS THAT CONTRARY TO SOME OF THE CONVENTIONAL WISDOM, WHICH WAS
WHEN PATIENTS HAVE A SEVERE BRAIN INJURY, THAT HAS SOME KIND
OF PROTECTIVE EFFECT. IN OTHER WORDS, THE FOLKS
THOUGHT THAT WHEN YOU HAD A SEVERE INJURY, YOU MIGHT HAVE —
MIGHT SORT OF HAVE THIS AMNESIA OR SORT OF AMNESTIC EFFECT. WHAT WE THINK SHOWED WAS THAT
DOESN’T SEEM TO BE THE CASE. IN FACT, THAT AS YOU HAVE A MORE
AND MORE SEVERE TRAUMATIC BRAIN INJURY THAT THE INCIDENCE OF
HAVING A MENTAL HEALTH CONDITION INCREASES
>>INCLUDING PTSD, WHICH WHICH WAS PART OF YOUR RESEARCH. WHY WAS THIS IMPORTANT TO YOU TO
LOOK AT THIS PARTICULAR AREA?>>THIS TOPIC IS OF GREAT
INTEREST TO ME BECAUSE MY RESEARCH FOCUSES ON MARGINALIZED
POPULATION. I HAVE A PARTICULAR INTEREST IN
SOCIAL DETERMINANCE OF HEALTH WHICH THIS STUDY DOESN’T
DIRECTLY GET AT. BUT THERE’S A WELL-ESTABLISHED
GAP IN THE CARE OF ACTIVE COMBAT SOLDIERS AS THEY TRANSITION FROM
BEING IN SERVICE TO THE VA OR INTO PRIVATE CARE. THERE’S A STIGMA ATTACHED WITH
MENTAL HEALTH DIAGNOSIS. AND WHILE I DON’T THINK THAT WE
REALLY WERE ABLE TO REALLY UNDERSTAND HOW THE S STIGMA HADN
IMPACT ON OUR STUDY FINDINGS, IT WAS AN IMPORTANT THING FOR ME TO
TRY TO LEARN MORE ABOUT AND ALSO TRY TO SHED SOME KIND OF INSIGHT
ON>>AND WHEN YOU TALK ABOUT A
STIGMA ATTACHED TO THAT, CERTAINLY WITH MEN AND WOMEN
COMING BACK, MAYBE NOT WANTING TO SHARE, YOU KNOW, SOME OF THE
THINGS THAT THEY’RE STRUGGLING WITH. SO THIS RESEARCH CERTAINLY
HIGHLIGHTS MANY OF THE DIFFERENT THINGS THAT THEY’RE
EXPERIENCING. WHERE DO YOU THINK YOU GO FROM
HERE WITH THIS?>>I THINK TO HAVE A REAL
DEFINITIVE UNDERSTANDING OF WHAT’S GOING ON WITH PATIENTS
THAT SUSTAIN SEVERE INJURIES, THERE HAS TO BE A MORE
SYSTEMATIC WAY OF THIS INFORMATION BEING CAPTURED. WHAT WE WERE ABLE TO DO WAS
EXAMINE ALL OF THE INFORMATION IN THE DEPARTMENT OF DEFENSE,
SORT OF HEALTH RECORDS, REGISTRY. WHILE ACKNOWLEDGING THIS DISTANT
CONNECT TO THE VETERANS ADMINISTRATION’S INFORMATION AT
ALL. NOR DOES IT CONNECT WITH ANY OF
THE PRIVATE SORT OF SECTOR INFORMATION. SO WE DON’T REALLY KNOW WHAT
GOES ON ONCE FOLKS LEAVE THE DEPARTMENT OF DEFENSE SORT OF
HEALTH SYSTEM. AND SYSTEMS NEED TO CHANGE TO BE
ABLE TO CONNECT THESE PIECES TOGETHER SO WE CAN REALLY LEARN
ABOUT WHAT’S GOING ON.

2 Comments

  • Reply Mitchell Singleton February 27, 2020 at 5:10 pm

    Goob job! 🙂 Keep it up! Would you like to be YouTube friends? :]

  • Reply MisterTracks February 27, 2020 at 5:10 pm

    awesome content

  • Leave a Reply