House of Representatives
Mr. Chair, I rise in support of this important amendment and I thank my friend from New Jersey, Bill Pascrell, for allowing me to work with him on this issue. The Department of Defense and the RAND Corporation have recently estimated that…
Mr. Chair, I rise in support of this important amendment and I thank my friend from New Jersey, Bill Pascrell, for allowing me to work with him on this issue. The Department of Defense and the RAND Corporation have recently estimated that 20 percent of our military personnel who have served in Iraq or Afghanistan have suffered a Traumatic Brain Injury (TBI).
Because symptoms of TBI often go unnoticed, at least initially, it is difficult to know exactly how many troops are living with this disability. If not diagnosed early on, TBIs can lead to memory loss, severe headache disorders, and alcohol and drug abuse.
Neurocognitive assessment has been proven to be an effective tool in detecting and measuring the severity of TBI. This is why the fiscal year 2008 National Defense Authorization required the Department of Defense to screen ALL military personnel for TBI both before and after deployment. Post-deployment screenings are to be compared with pre- deployment (or baseline) assessments to determine whether or not the servicemember is suffering from a TBI.
Unfortunately, too many of our men and women returning from the wars in Iraq and Afghanistan are still not being screened for TBI.
Servicemembers that have been screened post-deployment are currently given a self-assessment checklist, in which the results are not even comparable to their pre-deployment neurocognitive screenings. Not to mention that because the checklist is self-administered, the results are typically inaccurate since these troops either do not realize or do not want to admit that they are living with a TBI.
I am pleased that this year's Defense Authorization includes language requiring the Department of Defense to implement a comprehensive screening and assessment policy by the end of 2011. However, until this policy is fully implemented, thousands of our men and women in uniform are returning from combat without the necessary screenings to ensure that they receive proper treatment.
This amendment, which I am proud to have introduced with Congressmen Pascrell, Andrews, Cole, Ortiz, Coffman and Joe Wilson, will ensure that until the Department of Defense has put in place a comprehensive screening policy, all of our military personnel will receive neurocognitive assessments both before and after deployment. The amendment requires that the same neurocognitive tool used for pre- deployment assessment also be used for post-deployment evaluation. Using the same test allows physicians to compare the baseline screening with the post-deployment results to determine whether a TBI does in fact exist. The current system of using different tools for pre- and post-deployment screenings is like comparing apples to oranges. It is essential that our men and women who put themselves in harm's way to protect us every day receive immediate and appropriate care.
There are currently a number of neurocognitive tools available for the Department of Defense to use for screenings. Several of the branches have initiated comparative studies assessing the effectiveness of the various tools, however, most have yet to be completed. The amendment also requires the Department of Defense to oversee the completion of all outstanding studies and conduct an analysis of the options available.
Though TBIs are difficult to detect because no one symptom exists, it is imperative that the Department of Defense take every possible measure to diagnose and treat our troops effected by TBI. This is why I strongly support this amendment and I encourage all of my colleagues to do the same.