Abstract

Traumatic brain injury (TBI) is a prevalent and costly condition among U.S. veterans. We used a case-controlled review of Veterans Affairs (VA) administrative data to describe outpatient health care utilization (HCU) in a sample of 780 veterans with history of closed TBI and an equivalent number of controls. Results suggest higher rates of HCU in veterans with TBI, plus an additive effect of TBI and post-traumatic stress disorder (PTSD) in behavioral health utilization. Veterans with TBI history and current PTSD used many times more behavioral health appointments than veterans with TBI alone, and about 1.5 times as many behavioral health appointments as veterans with PTSD alone.

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