Fort Hood, TX

Contact Information
Carl R. Darnall Army Medical Center
Intrepid Spirit Clinic
58th Street, Bldg. 36029
Fort Hood, TX 76544
United States

Catchment Area

Fort Hood and local area, Arkansas, Louisiana and Oklahoma


Scot Engel, Psy.D.
DVBIC Site Director

Dr. Scot Engel is a published clinical psychologist with over 15 years of experience.

Engel serves as the DVBIC site director for Fort Hood, Texas as well as the officer in charge at the Fort Hood TBI Clinic and site director of the Intrepid Spirit. He directs and manages day-to-day operations at the TBI Clinic and is responsible for over 30 employees.

Engel has been at the Fort Hood TBI Clinic since 2012. During this time, he has redesigned the clinics interdisciplinary team meetings, developed interdisciplinary patient tracking systems linked to severity of presenting complaint and length of stay, and with the assistance of the clinical team has created and implemented a six-week intensive outpatient program.

Engel was born in New York and raised in New Jersey. He received his bachelor’s degree in psychology and human resource management from Michigan State University and completed his doctorial training at the Illinois School of Professional Psychology.

Program Overview

The Fort Hood site of DVBIC extends the overall center’s mission of providing education and clinical care services concerning traumatic brain injury (TBI) to our region’s active, Reserve, Guard and community populations. This is accomplished through close command and community contact, and integration of clinical care coordination with the health care delivery system on post and in the community network.

The TBI system of care at Fort Hood begins in the soldier readiness process upon a soldier’s return from deployment. TBI screenings are conducted at this time. Those soldiers screening positive for concussion receive a referral for the Level II TBI center. Here, a full history and physical are obtained and concussion-related symptoms are addressed. Most of the service members with concussion are managed in this clinic; however, those with more significant or complex problems are referred to the Level III TBI clinic. This clinic offers the following services:

Education and Outreach

  • Patient and family education
  • Health care provider education
  • Professional and ancillary staff education

Clinical Care

  • Diagnosis of concussion/TBI
  • Management of symptoms: sleep disturbances, memory problems, fatigue, headaches
  • Serves as referral clinic for the evaluation and management of service members with complex TBI needs
  • Serves as direct access point for incoming medevacs

Regional Education and Outreach Program

The Carl R. Darnall Army Medical Center (CRDAMC) has a TBI recovery support specialist (RSS), who is continually updating their working knowledge of TBI systems of care within military, Department of Veterans Affairs and civilian medical communities. The RSS is responsible for maintaining a regional resource bank for patients with TBI and providers to help facilitate access to these services. Additionally, the RSS is responsible for tracking the care of TBI patients stationed at Fort Hood, plus those located in Arkansas, Louisiana and Oklahoma. For detailed information about DVBIC’s TBI Recovery Support Program, visit

The CRDAMC TBI Clinic has an assigned regional education coordinator (REC), who provides briefings to military unit supervisors on identifying and managing service members with TBI. The REC helps the nurse practitioner assigned to the clinic, and other clinicians, provide education to health care professionals. Since the Army mandated the Warrior Concussion/Mild Traumatic Brain Injury Awareness Campaign in 2011, the DVBIC education staff has worked alongside CRDAMC to ensure all providers and service members are familiar with the Army’s policies concerning the management of concussions. The REC is also responsible for education outreach in the states of Arkansas, Louisiana and Oklahoma, and provides the following services:

  • Assists in the development of education programs tailored to target audiences 
  • Provides consultation to military and veterans sites related to TBI educational issues
  • Conducts outreach activities within the region to expand opportunities to provide TBI education and information about DVBIC programs and services 
  • Serves as a resource for information and education on TBI at the site and for the region