One Mind has been spearheading the Screen-Inform-Prevent program since 2015 to improve the acute care management of children and adults who sustain a mild traumatic brain injury (TBI), which is also commonly referred to as concussion. Despite the rather benign sounding term, mild TBI is a major health concern with more than 2 million emergency department visits each year in the U.S. Concussion screening and management protocols have been developed for professional football and for the U.S. Department of Defense based on the best available evidence, but there is no standard practice for civilians. However, unlike these “top-down” organizations, implementation of knowledge in the U.S. healthcare systems is significantly more challenging, as described in a publication that followed the 2016 One Mind Summit.
To address some of the major challenges, the One Mind Director of Science and Technology has been working with David Wright at Emory University (a leading expert in emergency care for TBI) and Gerard Gioia at Childrens’ National Health System in Washington, DC (a neuropsychologist with expertise in adolescent TBI) and in 2018 successfully submitted a research proposal to the Center of Disease Control’s National Center for Injury Prevention and Control. The award provides funding to David Wright, the principal investigator, and his team for four-years ($550K per year; $2.2 million total) to demonstrate that for children and adolescents who sustain a mild TBI:
- It is feasible to implement an evidence-based screening and management program into an electronic-healthcare record system for emergency departments, urgent care centers and pediatric and family care practice centers;
- It is feasible to communicate the recently published CDC best practice guidelines for pediatric TBI to patients, families and other care-givers, and schools; and that
- Early identification, intervention and management improves outcomes.