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Department of Veterans Affairs Collaboration With the Traumatic Brain Injury Model Systems Program.

T DEPARTMENT OF VETERANS AFFAIRS (VA) has a long history of providing rehabilitation following traumatic brain injury (TBI) for veterans and service members. In 1992, VA formally designated 4 lead TBI rehabilitation centers located in Minneapolis, Minnesota, Richmond, Virginia, Palo Alto, California, and Tampa, Florida, to collaborate with the Department of Defense to stand up the congressionally mandated Defense and Veterans Head Injury Program (DVHIP).1 DVHIP, created largely in response to the first Persian Gulf War, was later renamed Defense and Veterans Brain Injury Center in 2002. VA’s lead TBI centers served as the cornerstone for acute inpatient TBI rehabilitation for service members injured during the Global War on Terror. These centers were redesignated as Polytrauma Rehabilitation Centers (PRCs) in 2005 (VA added San Antonio, Texas, as a fifth lead TBI center in 2011) as VA stood up the Polytrauma System of Care (PSC), recognizing the complex rehabilitation and ongoing healthcare needs of veterans injured during deployment. The PSC incorporates expanded programming to include transitional residential rehabilitation, comprehensive outpatient rehabilitation, and assistive technology laboratories, as well as the development of specialized protocols such as the Emerging Consciousness program.2 Collaboration with TBI subject matter experts to develop these state-of-the-art programs eventually lead to a