Name
#44 - The role of connectedness within the intrepid spirit university model
Date & Time
Monday, February 12, 2024, 12:00 PM - 7:00 PM
Description

The Intrepid Fallen Heroes Fund sponsored the creation of the National Intrepid Spirit Center of Excellence (NICoE) and ten satellite clinics known as the Intrepid Spirit Centers (ISC). Of these, the ISC at Fort Belvoir (ISC FB) was the first. The mission of these clinics is to treat the invisible wounds of war, particularly mild Traumatic Brain Injury (mTBI) and Post Traumatic Stress Disorder (PTSD), with the utilization of an interdisciplinary treatment model. The typical patient seen at the ISC FB primarily reports cognitive decline and often attributes it to a remote history of one or multiple mTBI events. While mTBI is a precipitating event (or multiple events with multiple precipitating episodes), most patients also report years of poor sleep, poor diet, pain, avoidance of movements that might cause pain, and stress. These factors also contribute to the phenotypic expression of an individual’s brain and body health. The ISU model addresses these drivers and determinants of health using an interdisciplinary approach and shared conceptualization of the patient and treatment plan. At the ISC FB, interdisciplinary treatment is framed as the Intrepid Spirit University (ISU). Patients are “students” and providers are “teachers” imparting knowledge to assist the student in making lifestyle changes that will address presenting chief complaints. Previously five domains, or pillars, comprised the student’s “curriculum” (treatment plan). These five pillars were sleep, nutrition, pain management, physical movement, and resiliency. A sixth pillar of connectedness was added in September 2023 to address the increasing awareness of the loneliness epidemic, one of the U.S. Surgeon General’s priorities. Delineating connectedness as its own pillar demonstrates the importance to the student and ensures providers intentionally address this aspect in conceptualization of the student’s presentation, formulation, and subsequent treatment plan. ISC FB modalities target connectedness via couples/family art therapy, music therapy’s jam group, occupational therapy, and psychotherapy. Within the clinic there are multiple group offerings and waiting room activities to foster opportunities for discussion amongst students. Several times per year the clinic hosts a Creative Arts Café as a forum for students to present their musical and/or artistic work to providers and peers. Additionally, in highlighting the family connection as part of a student’s education/treatment, the ISU Care Provider Program provides opportunity for spouses to attend appointments in support of the student. Future research should evaluate if this intentional incorporation of connectedness improves clinical outcomes and quality of life measures.

Location Name
Prince Georges Exhibit Hall A/B
Content Presented on Behalf of
DHA
Learning Outcomes
1. Participants will be able to describe Intrepid Spirit University (ISU) model at the Intrepid Spirit Center (ISC), Fort Belvoir
2. Participant will be able to name the ISC, Fort Belvoir ISU pillars
3. Participants will be able to understand the importance of connectedness and its incorporation as a new ISU pillar
Session Type
Posters
Dropdown Content Presented On Behalf Of:
DHA