Clinical Tools for Providers on Mild TBI

DVBIC offers providers a variety of tools to help ensure the delivery of quality care in the treatment and rehabilitation of traumatic brain injury (TBI).

Clinical Suites

DVBIC optimizes clinical care by combining evidence from medical literature, health care research and expert opinion to develop and provide clinical suites to help providers deliver evidence-based treatment and address the challenges associated with mild TBI. Clinical suites can be made up of one or more of the following:

  • Clinical recommendations, which provide guidance on assessing and managing mild TBI symptoms
  • Clinical support tools that offer an algorithmic approach to evaluating, managing and referring mild TBI patients for specialty care
  • Training slides that show providers how to identify and treat patients with mild TBI-related symptoms
  • Fact sheets or brochures, which provide tips and tools to help service members and veterans cope with a mild TBI

Below are the topics of our clinical suites:

More Clinical Tools

DVBIC also offers the following tools to assist in the identification, treatment and management of patients with mild TBI in deployed and non-deployed settings.

  • Dizziness Handicap Inventory (DHI), PDF [80 KB]

    The 25-item self-assessment evaluates the impact of dizziness on daily life imposed by vestibular system disease.

  • Epworth Sleepiness Scale (ESS), PDF [14 KB]

    The ESS is widely used in the field of sleep medicine as a subjective measure of a patient's sleepiness. The test is a list of eight situations in which you rate your tendency to become sleepy on a scale of 0 - no chance of dozing, to 3 - high chance of dozing.

  • Glasgow Coma Scale (GCS), PDF [28 KB]

    The GCS is used to assess the consciousness and neurological functioning of a person who has just received a TBI. The total score is the sum of the scores in three categories: eye-opening response, verbal response and motor response. (Source: DVBIC)

  • Neurobehavioral Symptom Inventory (NSI), PDF [17 KB]

    The NSI is used as a subjective measure for symptom reporting. The NSI is a 22-item symptom inventory of non-specific but common mild TBI symptoms.

  • Patient Health Questionnaire (PHQ-9), PDF [86 KB]

    The PHQ-9 is a nine-item tool commonly used in the primary care setting to assess the presence and severity of depression symptoms.

  • Posttraumatic Stress Disorder Checklist -5 (PCL-5), PDF [103 KB]

    The PCL-5 is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD. The PCL-5 has a variety of purposes, including: monitoring symptom change during and after treatment, screening individuals for PTSD and making a provisional PTSD diagnosis.

  • Headache Impact Test (HIT-6), PDF [64 KB]

    The six-item HIT-6 provides a global measure of adverse headache impact and is used to screen and monitor patients with headaches in both clinical practice and clinical research. The HIT-6 items measure the severity of headache pain and the adverse impact of headache on social functioning, role functioning, vitality, cognitive functioning and psychological distress. (Source: NIH)

  • Patient Global Impression of Change (PGIC), PDF [65 KB]

    The PGIC captures clinically meaningful change that makes a difference to the patient. Consisting of one question rated on a seven-point Likert scale, the PGIC offers a quick and simple method of quantifying clinical progress. The patient is asked to describe the change in activity limitations, symptoms, emotions and overall quality of life related to the concussion.

  • Insomnia Severity Index (ISI), PDF [65 KB]

    The ISI is a brief, validated, seven-item self-report questionnaire useful for the initial assessment of insomnia symptom severity and ongoing monitoring of treatment response.

  • ICD-10 Diagnostic Coding Guidance for Traumatic Brain Injury Training Slides

    The training slides provide guidance to help facilitate consistent and accurate coding for TBI diagnoses and related symptoms and conditions.

  • Mild Traumatic Brain Injury Pocket Guide (CONUS)

    A concussion screening tool that includes an all-encompassing, quick reference on the assessment, treatment and management of patients with mild TBI and related symptoms. The pocket guide is also available as a mobile app.

  • MACE: Military Acute Concussion Evaluation Pocket and Wallet Cards

    The MACE, available as a Pocket Card and Wallet Card, is a concussion screening tool for the acute assessment of service members involved in a potentially concussive event.

  • Concussion Management Algorithm Pocket and Wallet Cards

    The Concussion Management Algorithm, available as a Pocket Card and Wallet Card, is a tool for all levels of providers on the assessment, evaluation and treatment of concussion in the deployed setting.

  • Indications and Conditions for In-Theater Post-Injury Neurocognitive Assessment Tool (NCAT) Testing Clinical Recommendation

    This clinical recommendation provides background on pre-deployment neurocognitive testing and the use of automated neuropsychological assessment metrics following a concussion in the deployed setting.

Additional Resources

Please note that some files may not be compliant with Section 508 of the Rehabilitation Act. If you need an accessible version of a particular file, please contact us and we will provide one for you.