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Effects and Outcomes in Civilian and Military Traumatic Brain Injury: Similarities, Differences, and Forensic Implications
Author(s) -
Lamberty Greg J.,
Nelson Nathaniel W.,
Yamada Torrii
Publication year - 2013
Publication title -
behavioral sciences and the law
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.649
H-Index - 74
eISSN - 1099-0798
pISSN - 0735-3936
DOI - 10.1002/bsl.2091
Subject(s) - traumatic brain injury , adjudication , active duty , injury prevention , medicine , neuropsychology , poison control , occupational safety and health , human factors and ergonomics , military personnel , suicide prevention , psychiatry , military medicine , psychology , clinical psychology , medical emergency , cognition , pathology , political science , law
Traumatic brain injury (TBI) is a prominent public health problem in both civilian and military settings. This article discusses similarities and differences in the assessment and treatment of TBI and the attendant forensic implications. Acute care and management of moderate/severe TBI tend to be similar across environments, as is the recognition of disability status in affected individuals. By contrast, an increased focus on mild TBI in recent years has resulted in a reliance on self‐report and screening measures to validate the occurrence of events leading to injury. This has complicated assessment, treatment and subsequent medicolegal proceedings. The neuropsychological literature has provided significant guidance on these difficult issues, although the complexity of disability adjudication for active duty members of the military and veterans continues to pose challenges for clinicians in evaluative and treatment contexts. Copyright © 2013 John Wiley & Sons, Ltd.