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Polytrauma/TBI System of Care

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Recovery and Rehabilitation

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Each patient responds differently to rehabilitation. Some patients have lengthy stays in an acute, inpatient program and other patients receive their care through outpatient services. While some patients treated in the polytrauma programs are able to return to active duty, pursue school, or return to work, others will continue to need more intense supportive services and care. VA's Polytrauma System of Care (PSC) provides an integrated system of specialized rehabilitation programs, described below.

Brain Injury Rehabilitation

Each patient receives comprehensive, acute traumatic brain injury (TBI) rehabilitation with a focus on treatment for the medical, physical, cognitive, and emotional changes that can occur after TBI and polytraumatic injuries. VA medical and rehabilitation specialists work with the patient to assess and treat a wide variety of symptoms and conditions that can affect functional independence, including:

  • Communication skills
  • Activities of daily living
  • Thinking skills (memory, judgment, awareness)
  • Strength and endurance
  • Community reintegration
  • Adjustment and coping
  • Changes in behavior
  • Dizziness and balance
  • Pain

Emerging Consciousness Program

A specialized program with state-of-the-art protocol of care for patients in a minimally conscious state. Interdisciplinary program and services are provided to:

  • Improve responsiveness and return to consciousness
  • Facilitate advancement to the next phase of rehabilitation care


Blind and Low Vision Rehabilitation

Comprehensive evaluation by vision specialists for problems related to vision loss. Treatment services include:

  • Use of adaptive equipment
  • Safe, independent mobility
  • Return to community activities

Amputation Rehabilitation

Ongoing support and treatment for all prosthetic/orthotic needs, including:

  • A full array of state-of the-art prostheses designed to maximize function and return to independence
  • Staff with specialized training in amputee care

Mental Health and Social Support

Counseling services by rehabilitation mental health professionals to help families cope with the emotional issues and changes that arise after traumatic injury or illness.

  • Education about the TBI/Polytrauma rehabilitation process and recovery
  • Assistance in identifying available resources and other avenues of support
  • Focus on and training in self-care and wellness for family caregivers

Driver Rehabilitation Program

Comprehensive assessment of driving skills and safety by Certified Driver Rehabilitation Specialist.

  • State-of-the-art driving simulators
  • Driver training vehicles

Vocational Rehabilitation

Individualized services that match the vocational or independent living needs and interests of our clients.

  • Vocational evaluations, career exploration, and job placement services for both civil service and private-sector employment
  • Vocational education about VA benefits and community-based resources for independent living program services and education/training employment services
  • Availability of functional assessments and functional capacity evaluations