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Location:
Bldg. 3737 (By the LRMC Fire Station)

DSN Phone:
590-5601

CIV Phone:
06371-9464-5601

Hours:
Mondays - Fridays:
7:30 a.m. -4:30 p.m.

The Landstuhl Regional Medical Center Traumatic Brain Injury (TBI) Program performs TBI Screenings on all patients from downrange and offers evaluation, assessment, treatment and follow-up services for Service Members, beneficiaries, and retirees who have sustained a TBI and have ongoing symptoms. As part of our mission we offer education for continued self treatment and outreach education into the community to teach injury prevention.

LRMC TBI Rehabilitation Program “Synapse”

Our Mission:
The mission of the Intensive Rehabilitation Traumatic Brain Injury (TBI) Program “Synapse” at LRMC is to facilitate return to duty and/or maximize quality of life and recovery of function for all patients referred to LRMC because of their TBI needs. To accomplish this mission, team members evaluate the patient’s concussion care needs. Synapse is an intensive rehabilitation program and not all our patients require intensive services. If a patient’s needs require intensive interdisciplinary care, a Synapse rehabilitation plan is developed. This plan is mutually developed with the patient upon preliminary acceptance into the Synapse Program and the plan is then evaluated during treatment and summarized upon completion of program.

Our Purpose:
The purpose of the Synapse program at LRMC is to provide the overall coordination of care and integration of medical services and therapeutic resources that are critical to the service member (SM) obtaining maximum rehabilitation benefit for concussion care. We work closely with command to facilitate return to duty.

Our Team:
The LRMC Synapse team is comprised of an interdisciplinary group of health care providers including neurologists, primary care practitioners, physical therapists, speech language pathologists, an occupational therapist, psychologist, Optometrist, Audiologist, Rehabilitation Psychologist, nurse case managers and a TBI nurse educator. Access to additional specialty health care providers is available as needed.

Treatment Program:
Case Management: The patient is assigned a nurse case manager for the duration of their treatment program at LRMC who will meet with the patient on a weekly basis. The case manager will be the central point for navigating through the treatment program and will be available to:
• be involved in reviewing their medical records, assisting with clinical interviews, and facilitating appointments.
• collaborate with the treatment and rehabilitation team to monitor their progress through the program.
• offer individualized health education based on their personal treatment needs.
• discuss with them any changes made to your treatment plan.
• provide coordination with previous and future health care providers.

Therapy & Rehabilitation:
Anyone who is referred to the Synapse program will participate in a multi-discipline assessment process to determine their current treatment needs. If their needs require intense rehabilitation they will be accepted in the Synapse program and an interdisciplinary treatment plan will be developed and reviewed with them. Based on their individual needs, a relatively full day of intensive therapy will be scheduled for them each day that will include a combination of one-on-one and group treatment sessions. For those individuals who do not require the level of intense rehabilitation offered through Synapse, appropriate recommendations will be made.

The Synapse program works closely with the LRMC Evolutions program, which is a comprehensive day treatment approach to treating symptoms related to Post Traumatic Stress Disorders (PTSD). If a patient experiences complex symptoms related to PTSD, the Rehab Team may recommend that the individual attend the Evolutions program. For problematic but less intense trauma-based treatment needs, they may receive individual and/or group psychotherapy treatments for their symptoms with behavioral health providers within the Synapse program.

Upon completion of their intensive therapy in the Synapse program, our health care providers and case managers will coordinate their ongoing health care needs with providers at other locations, and at their request, assist with communication of their needs and abilities with their command.

The Synapse treatment team is happy to involve family members or significant others in the program, with consent. Team members can help educate family members regarding relevant symptoms, therapy, progress, and outcomes. This can be done in-person or by telephone.

Synapse Group Therapies:

Morning Group:
This is a time to begin the day with a review of the daily schedule and to participate in short activities to get focused for the day. Patients meet briefly with their case manager and the occupational therapist to organize their events for the treatment day.

Cognitive Game Group:
The Cognitive Gaming group is designed to provide an opportunity to practice cognitive skills in a fun and interactive environment. Facilitated by a speech
language pathologist and an occupational therapist, a variety of group, solo, and 2-player games will be provided which specifically challenge skills like working memory, problem solving, planning, creative thinking, visual spatial skills, and fast-paced attention. Participation will be part of a therapy plan and tracked as therapy goals. Group members who are not being seen for cognitive skills development are welcome to participate as space permits.

Conditioning & Strength Training:
You will participate in a physical therapy-directed approach to improving circulation, flexibility, and neuro-muscular function. This will positively contribute to other aspects of your treatment by providing opportunities to improve sleep and concentration, and decrease stress and tension headaches.

Vocational Education Group:
This group focuses on goal setting, and establishing objectives for either successful reintegration into work and education or preparation for transition. This group is co-facilitated by individuals who have experienced TBI and the group is focused on cognitive reframing to support recovery, quality of life and personal goals.

Mindfulness/Relaxation:
A variety of activities will be utilized to increase mental and emotional focus, sense of relaxation, and regulation of the nervous system.

Psychoeducational/ Occupational Group:
A variety of educational resources and small group options are available to the patient to address specific vocational aspects of their rehabilitation as well as provide them with educational opportunities to increase awareness and understanding of recovery from concussion.