Traumatic Brain Injury-Resource Optimization Center (TBI-ROC): Organizers Seek to Build Rock-Solid, Streamlined Services for Injured Servicemembers

By Caroff, Maria | The Exceptional Parent, June 2009 | Go to article overview

Traumatic Brain Injury-Resource Optimization Center (TBI-ROC): Organizers Seek to Build Rock-Solid, Streamlined Services for Injured Servicemembers


Caroff, Maria, The Exceptional Parent


Whether in civilian or military life, the complicated maze of insurance coverage, providers, and services can be difficult to traverse. Compounded by injuries experienced in war and the need for rehabilitation and seamlessness of services to ensure optimal opportunity at recovery, these obstacles become even more challenging and can contribute to a recovering servicemember's feelings of debilitation and helplessness well beyond the mental and physical injuries they have experienced.

Organizers of the Traumatic Brain Injury-Resource Optimization Center (TBI-ROC) aim to change all of that through cooperation with government entities such as the Department of Defense (DoD) and Department of Veterans Affairs (VA) as well as civilian healthcare providers via a resource TBI-ROC has developed known as the Brain Injury Navigator (BIN). The Brain Injury Navigator provides a road map for care, available so that any servicemember or family member and any physical or mental healthcare provider can know at a glance the stage of care that a servicemember is in and the next steps required for his or her care as well as available resources.

As is often the case when change occurs to systems, there is a very real, human need and driving force behind this push for change. Peter Bunce (Colonel, U.S. Air Force, Retired) is a member of the TBI-ROC Advisory Group and one of its spokespersons. Pete's son, Justin, 25, a Marine Corporal, was in one of the initial waves of Marine units, 3rd Battalion 7th Marine Regiment, into Iraq in 2003. Pete explains that his son survived his eight-month deployment, and his family had a welcome home party for him, "and I thought we were safe." Then he received a call from Justin, whose unit was stationed at Marine Corps Base Twenty-Nine Palms in California. "Dad, they're going to send us back in about two months," he told his father. Briefly into his second tour, Justin was severely injured by an improvised explosive device (IED). He lost the vision in his right eye and sustained a traumatic brain injury from shrapnel that penetrated his frontal lobe. "You don't know anything about brain injury until it affects somebody you love," Pete says. The Bunce family worked strenuously to pull together the necessary services for Justin's rehabilitative care. When Pete was asked to be a part of TBI-ROC, the group's endeavors meshed with his envisioned philosophy for integrated and readily accessible care.

[ILLUSTRATION OMITTED]

Where Do We Go From Here?

When Justin was close to the end of his therapy at the VA hospital in Washington, DC, his family was told, "There isn't much more he can do." "I knew that he had more potential," says Pete. The Bunce family began to search the country for a facility that could help Justin make further progress. The VA put together a list of questions the family could use as they searched for a facility that could provide the next stage of care. The search across the country led to a facility in Wisconsin that specializes in brain injury rehabilitation, where Justin is currently receiving care and continues to make progress. His family wanted to find a facility that would not only be good for him in this phase of his recovery but in the next stage, with vocational training, says Pete. "He's come so much farther than anybody thought he could," Pete says.

Even though Pete Bunce has experience in working within a bureaucracy, he found the process of navigating through the health system challenging and frustrating. His family became the case managers for Justin, he said, bringing back best practices to share with his care providers. It was Justin's family who spent time researching and visiting facilities to determine what would provide Justin's best options. "I have no criticism of the VA," says Pete. "This is new," he says, indicating that the Vietnam era is very different than that of the Global War on Terror. "The VA's doing a tremendous job, in my estimation, of trying to service this very large population. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited article

Traumatic Brain Injury-Resource Optimization Center (TBI-ROC): Organizers Seek to Build Rock-Solid, Streamlined Services for Injured Servicemembers
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this article
  • Highlights & Notes
  • Citations
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.