Masters Degree Counseling (MS), Licensed Mental Health Counselor (LMHC), and
Nationally Certified Counselor (NCC). Multiple trainings ; trauma, PTSD, TBI,
substance abuse, death and dying, suicide prevention, anger management and
crisis counseling.
 GOVERNMENT CONTRACTOR: Currently, (5+) years as an Advocate for our
Severely Wounded Soldiers returning home from Iraq (OIF) and Afghanistan (OEF).
ADJUNCT PROFESSOR: SUNY Oswego University. Developed and currently
teaching a Master and Post Master level course designed for students who wish to
specialize in or expand upon existing clinical skills when working with various
populations affected with PTSD, Post Combat, and TBI. The course has a strong
military and post combat outline. The course is designed to provide the student
with skills leading to assessment, diagnosis, and treatment for populations
diagnosed with PTSD and TBI. Upon completion of this course, students will be
familiar with various types of brain injuries, anatomy of the brain,
neuropathology, assessment tools, research, scales, and theory.
PSYCHOTHERAPIST: Specializing in grief, loss, and trauma
CLINICAL DISCHARGE PLANNER: Over (5 ½) years experience as Clinical
Discharge Planner for a 287 bed hospital facility in upstate New York that
services the Ft Drum Army Base which is the home of the 10th Mountain
Division and over 19,500 Soldiers as well as the local community. Responsible
for Physical Medicine & Rehabilitation (PMR), ICU, PCU, CCU, and Emergency
Mental Health.
 NYS Chair, Wounded Warrior Adaptive Sports Committee (WWASC): 2011 to
Present; Connecting, organizing, and promoting adaptive sports for Wounded
Veterans and their families
 Veterans Employment Summit Committee (VISN II): 2012 to Present
 Volunteer Mentor, Team Red White & Blue: 2011 to Present
 Active Member NYSID Veterans Employment Committee: 2010 to Present
 Battle Buddy Center: 2010 to Present
Founded in 1861 as the Oswego Primary Teachers'
Training School by Edward Austin Sheldon (above,
center), who embraced and popularized some of the
most innovative teaching methods of his day.
The campus today consists of 46 buildings with classroom, laboratory, residential and athletic
facilities. Recent years have witnessed the launch of a $700 million campus-wide renovation and
renewal program, highlighted by the October 2006 opening of the Campus Center – the college's
first new building in 35 years. Oswego is one of 13 university colleges in the SUNY system. More
than 8,200 students enroll, and there are more than 73,000 living alumni with known addresses.
Oswego offers more than 100 undergraduate majors and minors and graduate programs.
The Counseling and Psychological Services (CPS) Department, led by an outstanding faculty,
offers three graduate programs that lead to Master of Science Degrees in Counseling Services,
Human Services/Counseling, or School Psychology. Students in the Counseling Services program
may choose the School Counseling track or the Student Affairs track. Additionally, a Certificate of
Advanced Study (CAS) is offered in the Counseling Services and School Psychology program and
a CASAC certification is offered in the Human Services/Counseling course of study.
Challenges of Recruitment
 Physical and psychological benefits of
athletics/exercise; sport specific
 Creative resolutions of successful recruitment and
 Team Red White & Blue
 DVBIC (Defense and Veterans Brain Injury Center)
 Sports and recreation statistics
 Closing thoughts(?)
Concerned activity may
lower rating= less pay
Transportation issues
Medication issues
Poor Sleep
Injury specific
Social Phobias
Pre-existing conditions;
medical, behavioral,
personality, mental
Pain Issues
Mobility / prosthetic
Memory issues
Light sensitivity
Substance Abuse
Non compliance with
1. Re-experiencing symptoms
(nightmares, intrusive thoughts)
Avoidance of trauma cues and
Numbing/detachment from others
Hyperarousal (increased startle,
APA, 2000
An anxiety
resulting from
exposure to an
involving direct
or indirect threat
of serious harm
or death; may be
lt) or in company
of others
(military combat)
 Recurrent thoughts of the event
 Flashbacks/bad dreams
 Emotional numbness (“it don’t matter”); reduced
interest or involvement in work our outside activities
 Intense guilt or worry/anxiety
 Angry outbursts and irritability
 Feeling “on edge,” hyperarousal/ hyper-alertness
 Avoidance of thoughts/situations that remind person of
the trauma
 Depression
APA, 1994
 Social and interpersonal
Relationship issues
Low self-esteem
Alcohol and substance
Employment problems
Legal issues
Worsening mental
health issues
Health issues
Loss interest in fun
Stein & McAllister
Traumatic brain injury
(TBI): a blow or jolt to
the heard that disrupts
the normal function of
the brain. The severity
of the (TBI) is
determined at the time
of the injury and may
be classified as: mild,
moderate, or severe.
Concussion: Another
word for a mild (TBI) or
(mTBI). Is the most
common form of (TBI)
in the military.
Symptoms of
concussion often
resolve within days or
PHYSICAL: Headaches, sleep disturbances,
dizziness, balance problems, nausea/vomiting,
fatigue, visual disturbances, light sensitivity,
ringing in the ears.
COGNITIVE: Slowed thinking, poor concentration,
memory problems, difficulty finding words.
EMOTIONAL: Anxiety, depression, irritability, mood
Traumatic brain injury (TBI): injury to the brain caused by an external
trauma to the head or violent movement of the head, such as from a fall,
car crash or being shaken. TBI may or may not be combined with loss of
consciousness, an open wound or a skull fracture (Thurman et al., 1994).
Acquired brain injury (ABI): An injury to the brain that occurred after birth.
An ABI may be caused by TBI, stroke, near suffocation, infections in the
brain, etc. (Brain Injury Association of America, 1997).
Coup-contracoup: (Coo-contracoo) After a traumatic brain injury,
contusion (i.e., bruising and bleeding) can occur anywhere in the brain.
Most contusions are on the underside of the frontal and temporal lobes
because of the irregular and rough texture of the bones underlying these
parts of the brain. In addition, specific sites of bruising and bleeding can
occur at the site of the blow to the head (“coup”) and the site directly
opposite the blow (“contracoup”).
Depressed skull fracture: Bones of the skull are broken or cracked, loose
bone fragments may actually place pressure on or penetrate the brain,
thereby causing damage.
LEFT SIDE OF THE BRAIN: Difficulties in understanding language
(receptive language), Difficulties in producing language (expressive
language), Catastrophic reactions (e.g., depression, anxiety),Verbal
memory deficits , Decreased control over the right side of the body
Impaired logic , Sequencing difficulties
 RIGHT SIDE OF THE BRAIN: Impairments in visual-spatial perception,
Left-neglect, or inattention to the left side of space or the body,
Decreased awareness of deficits , Altered creativity and music
perception , Loss of the Gestalt, or "big picture“, Visual memory
deficits, Decreased control over left-sided movements.
 FRONTAL LOBE: Executive functions , Initiation , Organization , Selfmonitoring, Cognitive functions , Problem solving, Judgment,
Inhibition of behavior Planning/anticipation , Motor planning,
Personality and emotions , Awareness of abilities and limitations,
Attention/concentration, Mental flexibility , Speaking (expressive
PARIETAL LOBE: Sensory functions, Touch perception,
Differentiation of size, shape, and color, Spatial perception,
Visual perception,
OCCIPITAL LOBE: Sensory functions, Visual perception
TEMPORAL LOBE: Cognitive functions Memory Understanding
language(receptive language)Executive functions Organization
and sequencing, Sensory functions Hearing
CEREBELLUM: Motor functions Balance Coordination Skilled
motor activity
BRAIN STEM: Regulatory functions Breathing Heart-rate
Arousal/consciousness, Sleep/wake functions,
Sleep Disturbances
Light sensitivity
Sound sensitivity
Immediately post-injury 80% to 100% describe one or
more symptoms
Most individuals return to baseline functioning
within a year
Ferguson et al. 1999, Carroll et al. 2004; Levin et al. 1987
In the acute and late periods following TBI, the
domains of cognition most commonly affected by
TBI include:
 arousal/disturbances of consciousness
 processing speed/reaction time
 attention (selective, sustained, alternating, divided)
 working memory
 memory (new learning, retrieval, or [usually] both)
 functional communication (use of language)
 executive function
(Reviewed in: Bigler 2007; Arciniegas and Silver 2006; Nuwer 2005;
Meythaler et al. 2001)
Pathological Laughing and Crying
Irritability or loss of temper (“rage episodes”)
Agitation/Aggression (“socially inappropriate
Apathy (loss of drive to think, feel, and/or
Brain Injury
(Adapted from Silver and Arciniegas 2006)
Disturbed Consciousness
Impaired Attention
Slowed Processing
Working Memory Problems
Memory Disturbance
Functional Communication
Executive Dysfunction
Sleep Disturbance
Visual Problems
force vector
force vector
Center of mass
Figure adapted from Arciniegas and Beresford 2001
Stein & McAllister 2009
This shared
Aggression as a Target
for Suicidality
Figure adapted from Silver 2005
Hundreds of troops have come home from war, left the military and committed suicide.
That is the finding of preliminary Veterans Affairs Department research obtained by The
Associated Press that provides the first quantitative look at the suicide toll on today's
combat veterans. The ongoing research reveals that at least 283 combat veterans who
left the military between the start of the war in Afghanistan on Oct. 7, 2001, and the
end of 2005 took their own lives. The numbers, while not dramatically different from
society as a whole, are reminiscent of the increased suicide risk among returning
soldiers in the Vietnam era. Today's homefront suicide tally is running at least double
the number of troop suicides in the war zones as thousands of men and women return
with disabling injuries and mental health disorders that put them at higher risk. A total
of 147 troops have killed themselves in Iraq and Afghanistan since the wars began,
according to the Defense Manpower Data Center, which tracks casualties for the
Pentagon. Add the number of returning veterans and the finding is that at least 430 of
the 1.5 million troops who have fought in the two wars have killed themselves over the
past six years. And that doesn't include those who committed suicide after their
combat tour ended and while still in the military. That compares with at least 4,229 U.S.
military deaths overall since the wars started — 3,842 in Iraq and 387 in and around
U.S. Army Wounded Warrior Soldier (AW2) Curtis
Winston prepares to shoot his recurve bow during
training at the Warrior Transition Command (WTC)
archery clinic in Sumter, South Carolina on March 1216.
SPC Justin Miller receives one-on-one training from
MSG Howard Day, the Army’s Warrior Games
shooting coach during the first Warrior Transition
Command (WTC) shooting clinic held March 14-17
in El Paso, Texas. Photo Credit: SSG Emily
SSG Krisell Creager-Lumpkins, Warrior Transition Unit
(WTU), Fort Carson and SPC Jasmine Perry from
Warrior Transition Battalion (WTB), Fort Campbell along
with more than 70 other wounded, ill, and injured
Soldiers and Veterans participated in the largest
adaptive and reconditioning clinic hosted by the WTC at
Fort Meade’s Mullins Field on March 8. Photo credit:
retired LTC Sue Bozgoz
Improved overall health
Build new friendships
Better quality of life
Weight management
Control blood pressure
Manage diabetes
Decrease depression
Improved balance and
Gain Independence
Ease readjustment
/reintegration issues
Improved problem solving
Build confidence
Improve breathing
improved gross and fine
motor skills
Decrease embarrassment
Reduce stress
Improved speech and
language skills
Strengthen families and
Enhance mental focus and
facilitate memory
Extend lifespan
Air Rifle or air pistol
shooting; focus and control
of breathing for accuracy
which has a calming effect
Fishing: Calming effect and
adaption's can easily be
made for all “ability” levels
Recumbent Trikes or
handcycles: excellent
option for those with
balance issues because
they are low to the ground.
You can go at your own
pace and lots of biking
Indoor climbing wall:
enhances mental focus,
helps overcome dizziness
and balance issues. For all
Scuba diving and skiing:
Easily adapted like shallow
pool diving or sit skiing
lowering risks and worry.
Facilitate memory by
utilizing cues, simple
instruction, and repeating
them, frequent rests, and
focus on one instruction.
Cycling - Ride to Recovery (The American Legion) Ride to Recovery is a 501(c)3 organization
that supports Spinning® Recovery Labs and outdoor cycling programs
at military and VA medical facilities to help injured veterans overcome
physical obstacles. Cycling is an important part of the recovery and
rehabilitation program for two reasons: cycling is an activity in which
almost all patients with mental and physical disabilities can participate,
and participation in R2R helps speed up the recovery and rehabilitation
Golf - Skills 4 Life (Military Warriors Support Foundation)
Golf is one of the most popular sports and hobbies for our wounded
vets. Some are learning how to swing differently, adapting and
overcoming their injury while many others are attracted to the game
and picking it up for the first time.
ROCK VENTURES: Rock Ventures LLC and Shared Adventures Inc,
Rochester, NY 1460 KENT WINCHESTER , Email: [email protected],585-442-5462,
e fax 585-219-5700 A professional, neutral facilitator, guides
discussion on goals, expectations and reinforces challenge by choice
philosophy. Floor problem solving & debriefing encourage
participants to consider behaviors and goals (day to day, work, family,
career) High ropes course, Rappelling, Leap of Faith and other
learning modules may be included. Your place or ours. ALL
367-9239 OASIS
Adaptive Sports, Inc. a non-profit organization offering instruction,
equipment and support to disabled military veterans in a variety of
sports activities. We assist veterans in reconnecting and resuming
productive lives in society through participation in outdoor
recreational activities that promote independence, and social and
emotional well-being.
Sailing, cruising, diving - Veterans Ocean Adventures (South Florida) Our mission is to create an opportunity for veterans to
experience the healing power of water. Create an opportunity for disabled
veterans to experience open ocean sailing, cruising and diving. VOA provides an
introduction to cruising in the Florida Keys and the Bahamas. Select participants
may continue on to join a leg of an ongoing world circumnavigation.
GOLFING: FOREHOPE: 614-784-1111 or email
[email protected] First of its kind to provide a therapeutic
approach to golf resulting in cognitive, emotional, physical and
social development. Golf is a viable means an individual can
rejoin life to its fullest - activity, social opportunities and fun.
SCUBA: Dive Pirates Dive Pirates Foundation 70 W Thymewood
Pl The Woodlands, TX 77382 phone: 877-EYE-DIVE (877-3933483) fax: 281 465 056 email: [email protected]
Traditionally, pirate crews cared for injured crew members by
making them peg legs, hooks, eye patches, etc. Disabled crew
members were not banished from the ship, but were given new
tasks they could perform and be useful to the rest of the
crew. Dive Pirates continues that spirit by bringing the Adaptive
SCUBA Divers in the Caribbean.
Hunting and Fishing - Fishing Has No Boundaries (FHNB) non-profit organization offering
the great outdoors for people with disabilities through the world
of fishing. FHNB is a National Organization with 23 chapters in
11 states, enabling thousands of individuals with disabilities to
participate fully in this spirit lifting, morale booster, trouble free
recreational activity.
Hunting and Fishing - Project Healing Waters Fly Fishing Project Healing Waters Fly
Fishing, Inc. is dedicated to the physical and emotional
rehabilitation of disabled active military service personnel and
veterans through fly fishing and fly tying education and outings.
Hunting and Fishing - Wounded Warriors in Action Foundation; ; WWIAF aids in healing
hearts and minds of combat wounded heroes (Purple Heart
recipients) from OIF/OEF . Provides world-class outdoor
sporting activities,. Healing veterans - mentally, physically and
spiritually from their war experiences.
Ice hockey - USA Warriors Ice Hockey Program The USA Warriors Ice Hockey Program
trains and supplies Injured Servicemen and women with Hockey
equipment and the skills needed to use the sport of Ice Hockey as a
rehabilitation tool to overcome both physical and mental injuries
sustain either in combat or in defense to the United States of
Adaptive Paddling: USCA's Adaptive Paddling; CAOO's
mission is to provide the opportunity for individuals with disabilities
to gain confidence and dignity through participation in paddle
sports, recreation and related educational programs. Outrigger
canoeing, canoeing and kayaking are excellent recreational, fitness
and competitive paddle sports for individuals with physical and/or
intellectual disabilities.
Art classes - American Healing Art Foundation: American
Healing Arts Foundation (AHAF) non-profit organization
promoting art classes at no cost to veterans. Our mission: give
veterans new hope, offer them support, friendship and an art
career opportunity. Art is proven to be therapeutic for the mind
body and soul. Veterans will gain encouragement,
hopefulness, inspiration and a sense of self-satisfaction.
Baseball - Wounded Warrior Amputee Softball The
WWAST is comprised competitive, athletic veterans and active
duty soldiers who have lost limbs post-9/11. The team includes
individuals with a variety of amputations of the arm, above
knee, below knee, bilateral below knee, and foot.
Outdoor adventures - Camp Patriot Camp Patriot
exists to take Disabled U.S. Veterans on outdoor adventures. Camp
Patriot wants to renew the dreams and visions of our disabled veterans
for a meaningful future. We will be bringing disabled American Veterans
to the great state of Montana for outdoor adventures of their choosing.
However, outdoor adventures are just some of the activities we provide
disabled U.S. military veterans at Camp Patriot. We want to create
relationships for them through outdoor adventures that will promote
positive, life changing experiences.
Outdoor adventures - Challenge Aspen Military Opportunities (C.A.M.O.) C.A.M.O. provides recreational and cultural
experiences for wounded warriors with cognitive or physical
disabilities. We encourage family and friends to share in these
experiences. Wounded warriors are able to realize their life potential,
bridging the gap between injuries and moving forward with life's
challenges despite adversity.
Should begin immediately after injury, illness, wounds
Department of Veteran Affairs; VBA, VHA, OIF OEF OND,
Providers, and various other programs
 In-Patient rehabilitation; Physical Medicine & Rehabilitation
(PMR), Acute, Sub-acute
 Out-Patient rehabilitation; OT, PT, Speech, Aqua therapy, mental
health, addiction, recreation therapy, and other specialists
 Residential Programs
 Home based programs
 Specialized treatment facilities; Example: NeuroRestorative
 Sport specific agencies/specialists
 Civilians resources
Provides our Wounded Veterans rehabilitation multidisciplinary and team approach and recreational
opportunities: curling, basketball, paddling, golf, road
racing, biathlon, shooting, and more. Benefits of
Adaptive Sports: substantial physical benefits.
Participation promotes healing, and fosters positive,
mutually supportive relationships between fellow
athletes, building morale through shared experiences
both on and off the playing field. The Sitrin STARS
program helps improve: Endurance, Balance, Strength,
Coordination, Range of Motion, Socialization, Selfesteem.
[email protected] /315-737-2459 /MARK DePERNO STARS
Director /
Since 1985, STRIDE has been fulfilling dreams, removing boundaries,
enhancing self-esteem, and empowering individuals with disabilities
through participation in sport and recreational activities
Since 2005, STRIDE Adaptive Sports has been providing opportunities for our
nation’s heroes to become rehabilitated and learn how to live with a disability
through our Wounded Warrior programs. Our affiliation with Warfighter
Sports, and Disabled Sports USA, allow us to help our military service
members and their families rebuild their lives through sports and recreation.
Wounded and disabled servicemen and women fight even tougher battles
here at home as they struggle to adjust to their new circumstances and postwar life. Giving these heroes a chance to accomplish new skills and realize
their potential, regardless of their disabilities, is a small way our communities
can thank them for all they’ve given to us. Our programs restore hope,
independence and freedom while improving self-esteem, confidence and a
sense of satisfaction.
Mary Ellen Whitney, CEO & Founder
476 North Greenbush Road #9
Rensselaer, NY 12144
(office) 518-598-1279
(mobile) 518-466-4251
Early Intervention;
recreational therapists, OT,
PT, rehabilitation, mental
Providers: Behavioral
Health and Medical
Mentors/Battle buddies
Partnering less active
Soldiers with more active
Soldiers and or Soldiers
more advanced in the
recovery process
Involve family and or
Provide empowerment
Collaboration among
agencies and supportive
Get to know your Soldier;
likes and dislikes
Discuss fears and or
concerns in detail
Discuss options and
details surrounding each
Ensure prosthetics are
appropriate for the event
Be creative with
opportunities and delivery
of information
Understand injury, wounds,
Simultaneously address
rehabilitation and medical
evaluation to determine
baseline cognitive status
and to define realistic
treatment goals and
capabilities to avoid
negative consequences
Medication; pain issues,
psychological issues, other.
Medical clearances
Ensure injury appropriate
Early intervention: Theater,
MTF, Acute/sub-acute rehab,
Personal Care Assistance,
home and community based
supportive services.
Therapeutic Intervention:
EMDR, Stress inoculation
training, CBT, Exposure
Therapy, Psychotherapy/talk
therapy, Psychodynamic, &
Think outside of the box
Team Red, White & Blue
(Team RWB) enriches the lives of wounded veterans
and their families. Our community is comprised of a
diverse group of people---wounded veterans,
advocates, athletes and supporters.
Team RWB uses a multifaceted approach, driven by
our commitment to support the men and women
who have sacrificed so much for our country. We
focus on 4 key areas:
1. We impact wounded veterans through one-on-one
We believe the most effective way to impact a veteran's life is
through a meaningful relationship with someone in their
community. Our advocate program pairs wounded veterans
with citizens we call "Team RWB advocates."The relationship
between the wounded veteran and the advocate is unique to
the needs of the veteran. Typical interaction includes meeting
for meals, assistance with attending medical appointments,
attending local sporting events and other social activities. This
interaction allows veterans to grow in their community, meet
supportive people and find new passions in life.
2. We host community level events with wounded veterans and
Team RWB advocates.
We believe in the power of community. Team RWB hosts
charity events, post-marathon gatherings, awareness dinners
and other events that bring wounded veterans and "everyday
Americans" together. These events build a sense of
community and allow citizens an opportunity to connect with
wounded veterans and others who want to help. These events
often enlist the help of local veteran support groups. By
empowering communities we aim to transform the way
wounded veterans are reintegrated into the towns and
neighborhoods after their combat service.
3. We use athletic events as a tool to inspire people to action,
raise awareness for our mission and fundraise to support the
Team RWB advocate program ;
Team RWB athletes run anything between 5Ks and 100 mile
races, compete in triathlons, climb mountains and belong to a
Cross fit gyms. Our athletes use these and other physical
activities as a way to raise awareness for wounded veterans,
their service, injuries and needs. Athletes train in and wear
Team RWB wicking shirts and serve as ambassadors for the
charity. Their fundraising efforts are essential to the
organization as they generate capital that is used to directly
support wounded veterans and Team RWB programs.
4. We provide opportunities for everyday Americans to get
involved to support wounded veterans by utilizing their unique
Team RWB understands that there are countless individuals
who want to express their gratitude to these men and women
who have courageously served our country and these
supporters want to assist with wounded veterans'
reintegration. To this end, we provide opportunities for people
to use their talents to support wounded veterans and Team
RWB's mission. Whether you build furniture, paint art work,
provide legal assistance, review professional resumes, offer
sporting lessons, make clothing, bake goods or any other
activity- Team RWB wants you to use these talents as a
member of our organization.
Mark Erwin [email protected]
NO Transportation or cant drive
Don’t have patience or energy to make
event arrangements
Concerns about special accommodations
Financial concerns; costs of events and
or transportation
Fear not knowing anyone or having
someone to rely on if they have a
problem; medical issue, anxiety, so forth
Fear of failure
Mental health or medical issues
Family issues
Mentors will provide transportation as
TRWB Organize event details
TRWB pay for all event costs and provide
reimbursement for transportation costs
as appropriate
TRWB will partner you with a genuinely
caring mentor / battle buddy.
Events are individualized, as a group, and
or involve families
TRWB will not put you in a position of
failure. Each event is individualized and
full details discussed prior to ensure
TRWB require a release and medical
history. They collaborate with case
managers and provide follow up reports
to them after the event.
To serve active duty military, their beneficiaries, and
veterans with traumatic brain injuries (TBIs) through
state-of-the-art clinical care, innovative clinical
research initiatives and educational
programs. DVBIC fulfills this mission through
ongoing collaboration with military, VA and civilian
health partners, local communities, families and
individuals with TBI.
 Connect SMs with TBI sustained during OEF and OIF to
 healthcare and resources.
 Follow SMs for 2 yrs or until symptoms resolve
 Assist SMs during transition from DoD to VA and Civilian life
 Provides educational materials on awareness, prevention,
 diagnosising, treatment and management of TBI
 Provides education and training for health care providers,
 Military leadership, SMs, veterans, families and civilian
 Communities
 Offers in –theater support to medical providers through training
 resources, tele-health consultations and technology.
 Collects and analyzes data that enhance TBI care and TX
CLINICAL CARE: Provides assistance at medical sites
for TBI related evaluation, diagnosis, treatment and f/u
RESEARCH: Conducts research to better understand
assess, prevent and treat TBI
Antonio, NMC San Diego, Camp Lejeune, Camp
Pendleton, FT Belvoir, FT Bragg, FT Carson, FT Hood,
Landstuhl Regional Medical Center, Richmond VA,
Tampa, Minn., Palo Alto, Boston.
Johnstown PA
REFERRAL (24/7):
Defense Centers of
Excellence (DCoE)
Outreach Call Center
1.866.966.1020 or [email protected] or 800-870-9244
CONCUSSION: Most common brain injury in sports (CDC and
Prevention). Estimated 300,000 sports related concussions in
the US each year.
BRAIN INJURIES: cause more deaths than any other sports
injury. Example: brain injury accounts for 65 to 85% of all
fatalities in football.
BOXING: Nearly 90% of professional boxers have
sustained a brain injury.
SOCCER: Approximately 5% of soccer players sustain a brain
injury as a result of head-to-head contact, falls or being struck on
the head by the ball. Repeatedly, heading or hitting the ball with
your head is the riskiest activity and can cause a concussion.
FOOTBALL: Injuries to the brain occur at a rate of (1) in
every (3.5) games. Responsible for more than 250,000 head
injuries in the US. In any given season 10% of all college
players and 20% of all high school players sustain brain
injuries. Football players with brain injuries are (6) times
more likely to sustain new injuries.
SKIING: (CPSC) Estimates in 1997 there were 84,200 skiing injuries ~
17,500 head injuries, treated in the US Eds. They estimated 7,700 of
those head injuries including 2,600 were children and could have
been prevented or reduced in severity with use of helmets. About 11
skiing and snowboarding related deaths would be prevented annually
with helmets. (EX: Sonny Bono)
BASEBALL: The head is involved in more baseball injuries than any other body part.
Almost half of the injuries involve a child’s head, face, mouth or eyes. The leading cause
of injury and death is being hit by the ball, the second leading cause is collision.
IN-LINE SKATING: Brain injuries occur most often when skaters
fall and hit their heads on the pavement. Skating on roads
causes a risk of colliding with cars, bicyclists, pedestrians, and
HORSEBACK RIDING: Brain injuries account for 60% of equestrian related fatalities and
17% of all equestrian injuries are brain injuries. 90% of the cases injuries to equestrians
require hospitalization are caused by the rider being separated from the horse while
riding or falls. (EX: Christopher Reeves).
Education and knowledge; medical and psychological issues,
assessment, treatment, early intervention, and resources
Know your Soldier(s) and their families; history, likes, dislikes,
interests, fears, concerns, strengths, and goals
Don’t make assumptions; often Soldiers don’t understand
concussion, TBI, PTSD and other combat related injury issues
Medical Clearance: ensure they have fully healed from any prior or
suspected head injury before risking another head injury
Protective gear: use helmets and other protective gear to minimize
risk of injury ~ further injury ~ worsening pre-existing condition
Utilize Professionals: mental health professionals, OT, Speech, PT,
recreation therapists, and other specialists to support recruitment,
activity, safety, and individualized benefits/treatment goals.
Family: Involve family whenever possible which will help build
healthier relationships
Personal Cell 315-767-3447
Personal Email: [email protected]
Work Phone: 315-425-4400 X52867
Work Emails: [email protected] or or

Traumatic Brain Injury