Survivors of improvised explosive device attacks often have traumatic brain injuries (TBIs). Those recovering from TBIs often find they must coordinate services across multiple systems of care, something that would be difficult even without cognitive challenges. This report documents RAND s assessment of a program designed to facilitate care coordination for such individuals."

Despite supporting more than 200 psychological health and traumatic brain injury programs, the Department of Defense lacks a way to develop, track, and assess the performance of this portfolio. RAND researchers developed a potential model and tools to support a centralized, systematic, and ongoing process to aid in making decisions around continued program support and expansion.

To inform improvements to the quality of care delivered by the military health system for posttraumatic stress disorder and major depressive disorder, researchers developed a framework and identified, developed, and described a candidate set of measures for monitoring, assessing, and improving the quality of care. This document describes their research approach and the measure sets that they identified.

The U.S. Department of Defense established the National Intrepid Center of Excellence (NICoE) to provide specialized services for troops suffering from traumatic brain injury (TBI). Through interviews with NICoE staff, home station providers, service members treated at the NICoE, and their families, as well as surveys and site visits, RAND evaluated interactions between the NICoE and providers referring patients and implementing treatment plans.