Abstract

Traumatic brain injuries (TBI) are a major community health problem in the United States. Traumatic brain injury can result in disruption to normal brain functions and is caused by a bump, blow, or external damage to the head. Ranging from mild to severe in nature, TBIs can result in physical, cognitive, emotional, social, personality, adaptive, and behavioral changes in an individual. These devastating symptoms contribute to individuals with TBIs having the potential for a host of short and long-term issues. Traumatic brain injury can result in cognitive impairments, including disinhibition and risky decision-making behaviors, thus increasing the risk of substance abuse. Because many people do not have visible or physical signs, TBI can be difficult to screen, assess, and diagnose. Despite these difficulties, mental health and substance use disorder professionals can make a positive difference for clients with traumatic brain injury. As such, the current study examines the experiences and perceptions of TBI among treatment staff of Vinland National Center, a substance use disorder treatment facility in Minnesota. Results of this study raise awareness of the challenges of TBI in drug and alcohol treatment centers and offer tips, strategies, and solutions for professionals working with this clientele.

Highlights

  • The gravity of traumatic brain injuries (TBIs) often goes under-recognized and under-acknowledged, Traumatic Brain Injury (TBI) result in significant numbers of disabilities and even deaths every year in the United States and around the world (Brain Injury Association of America, 2015; Centers for Disease Control, 2015; Dewan et al, 2018; Mouzon et al, 2018)

  • The survey was completed by 57% of staff members, with most having received some sort of training or education in the area of TBI

  • The results listed here were gathered from a number of single response and openended questions to explore the opinion and experiences of professionals providing substance use disorder treatment for individuals with brain injuries and cognitive impairments at a treatment center in Minnesota

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Summary

Introduction

The gravity of traumatic brain injuries (TBIs) often goes under-recognized and under-acknowledged, TBIs result in significant numbers of disabilities and even deaths every year in the United States and around the world (Brain Injury Association of America, 2015; Centers for Disease Control, 2015; Dewan et al, 2018; Mouzon et al, 2018). Substance use disorder and mental health professionals should consider the potential for TBI among clients with a history of self-harm and vice-versa (Mackelprang et al, 2014) To address this complicated web of symptomatology and co-occurring problems, routine and systematic screening and assessment for TBI is essential. Depending on the severity of the TBI symptoms, substance use disorder and mental health professionals may need to develop a diverse team of care providers on behalf of the client This should likely include a professional with expertise in traumatic brain injuries and behavioral management. Because survey research in the general population has found limited awareness of TBI along with frequent misconceptions (Guilmette & Paglia, 2004), this study sought to better understand the familiarity and everyday practices of substance use disorder and mental health professionals in regards to TBI This survey was administered exclusively to the staff of Vinland National Center, a substance use disorder treatment facility in Minnesota. Preferences of treatment modalities and intervention strategies will vary greatly among the staff members

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