Care of War Veterans with Mild Traumatic Brain Injury

To the Editor: The views expressed by Hoge and colleagues in their Perspective article (April 16 issue) 1 on the role of mild traumatic brain injury (TBI) in postdeployment dysfunction are not upheld by the clinical experience of most experts who provide care. The authors' concern that the postdeployment system of care implemented by the Veterans Health Administration (VHA) has unintended adverse health consequences is based on inaccurate information. Screening for TBI is part of broader postdeployment screening for potential health problems, including post-traumatic stress disorder (PTSD), depression, alcohol abuse, infectious diseases, and chronic symptoms. Screening by the VHA helps to . . .