COMPREHENSIVE WARRIOR CARE
APRIL 30, 2011
THE PSYCHOLOGICAL IMPACT
Not surprisingly, for many of the concussed warriors, there is a strong psychologicalcomponent to their injury. As our OIC has toldmany a visiting dignitary, “unlike Aaron Rodgers
quarterback, Green Bay Packers
, when these guys get concussed, it’s because somebody justtried to kill them , and that’s why we have ourclinical psychologist, CDR LaBrie.”Because many of the symptoms associated with a concussion are the same symptomsassociated with acute psychological injuries,sorting out the cognitive and psychological is a challenge for the entire treatment team. Forexample many symptoms, such as di
culty withsleep, are associated with both concussion andpsychological injury. Rather than trying todetermine which injury is causing a symptom werecognized that the cognitive impacts thepsychological just as the psychological impactsthe cognitive.By incorporating an experienced psychologistinto the multidisciplinary team, the CRCC is ableto address those non
physical issues that may beinhibiting the healing of our warriors andpreventing them from returning to the ﬁght.
CDR Walt LaBrie, MSC, USN
The Concussion RestorationCare Center has its primary location in Leatherneck,providing patients comprehensivemedical and mental health care.
However, the Bastion Role 3Hospital plays a key role inidentifying individuals that su
era concussion. The primary teamin the Camp Bastion hospital is a psychiatrist and psychiatrictechnician who evaluateindividuals with suspectedconcussions.Patients are screened forneurologic symptoms withrecommendations that caninclude hospitalization forneurologic observation, admissionto a unit that minimizes risk of injury
providing assistance withactivities of daily living
, orclearing individuals to return totheir unit with follow up at theConcussion Restoration CareCenter. Although evaluating concussions is a primary goal, theBastion team is also consulted foracute psychiatric cases, evaluating patients for personal safety orserious mental health issues. The team also screens US military patients for mental health issuesand provides information oncoordinating care with theoutpatient mental health clinic,the Combat Stress Team. The team is also available forcoalition service members working at Bastion to facilitatepositive morale in a high stresscommunity. Psychiatry in the highoperation tempo of a Role 3facility like Bastion hospitalprovides no end of experiencesand opportunities to care for ourUS and allied service members.
LT Mike Okasinski, MC,USN
PSYCHIATRY: BEFORE THE CRCC