The New York Traumatic Brain Injury Model System (NY-TBI-MS) of the Department of Rehabilitation Medicine of Mount Sinai Medical Center proposes to: 1] provide a regional multidisciplinary system of care that includes a number of innovative clinical programs for people with TBI in the New York City metropolitan area; 2] contribute longitudinal data (including a minimum of 40 Form I’s per year) to the TBI National Database; 3] conduct two local research projects to evaluate promising novel approaches to clinical treatment; and 4] participate in “module” and other collaborative research.
The objectives of the NY-TBI-MS focus on improving the quality of life of persons with TBI through: 1] state-of-the-art clinical care, 2] innovative research and 3] multi-platform, extensive dissemination of research results and other information on TBI to consumers and professionals.
The comprehensive clinical program consists of:
• NYC Emergency Medical Services, ensuring the early and safe extrication of individuals with TBI from the injury site, pre-hospital care and rapid transport to a trauma center.
• Emergency department and acute medical/surgical care in eight New York City trauma centers, in addition to the trauma center at Mount Sinai Hospital, all of which provide state-of-the-art care, adhering to Brain Trauma Foundation guidelines.
• Comprehensive inpatient and outpatient rehabilitation services provided by the Mount Sinai TBI Program: the 36-bed, CARF-accredited brain injury inpatient rehabilitation unit (serving 120 patients/year) stresses coordinated interdisciplinary care; outpatient rehabilitation services include physical and occupational therapy (PT, OT), speech-language pathology (SLP), social work and neuropsychological services, vocational rehabilitation services and three comprehensive day programs to promote community reintegration across all levels of need and of readiness for treatment. Interdisciplinary sub-acute rehabilitation for TBI is provided at Park Terrace Care Center.
The research program of the NY-TBI-MS aims to improve quality of life for TBI survivors by developing effective treatments of post-TBI secondary conditions; program elements include:
• A randomized clinical trial that will evaluate the impact of light therapy on post-TBI fatigue (an Intervention Efficacy study in terms of NIDRR’s proposed Long-range Plan).
• An Intervention Development study that will examine internet-based group treatment for post-TBI emotional dysregulation.
• The NY-TBI-MS’s contribution to the National Database of at least 200 new cases, follow-up of Form II assessments for patients enrolled in current and prior cycles and participation in a research module project, as well as other collaborative research.
Dissemination activities include a policy newsletter; TBI Consumer Reports; accessible web-based information; journal publications; presentations at international, national, regional and local meetings; and outreach to consumers through a newsletter and presentations at conferences.
All key NY-TBI-MS positions are staffed by professionals who have extensive training and experience working with individuals with TBI and are committed to delivering high quality care, even to the most complicated of cases. Many of the members of the NY-TBI-MS staff have earned national recognition for their clinical and research efforts related to TBI.