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Patient Care > InterModel

The Interdisciplinary Model

The NICoE Clinical Care Model includes clinical evaluation, family-focused intervention, treatment initiation, individualized treatment and discharge planning.

The NICoE’s care model pulls from the best of western medicine, complementary and alternative approaches and mind-body skills. The individualized treatment plans devised at the NICoE are composed of a combination of these modalities, and aim to suit the needs and preferences of the service member while giving them the skills for self-management.

The NICoE also provides a complete array of virtual reality-based technologies, such as the Firearms Training Simulator (FATS), and the Computer-Assisted Rehabilitation Environment (CAREN), which provides the opportunity for exposure to a variety of situations and stimuli for diagnostic and therapeutic procedures.

​​The Model:


Clinical Evaluation: The NICoE provides service members with a comprehensive, interdisciplinary, holistic and individually tailored outpatient evaluation using the latest available evidence-based technology, clinical knowledge and techniques. These efforts are focused on identifying the biological, psychological, social and spiritual elements contributing to the service member’s persistent symptoms and condition. The end result of this evaluation is a comprehensive, goal-directed and feasible long-term treatment plan.

The Bio-Psycho-Social-Spiritual evaluation includes:

      • Initial Intake/Triage Interview
      • Full Physical Evaluation
      • Audiology Evaluation
      • Auditory Processing Evaluation
      • Assistive Technology Evaluation
      • Complementary/Alternative Medicine (CAM) and Wellness Evaluation
      • Computer Assisted Rehabilitation Equipment (CAREN)
      • Detailed Vestibular Evaluation
      • Family Evaluation
      • Fire Arms Training Simulator (FATS)
      • Magnetoencephalography/Electrophysiological studies
      • Neuroimaging
      • Neurological Evaluation
      • Neuropsychological Evaluation
      • Occupational Therapy Evaluation
      • Optometry/Vision Evaluation
      • Physical Therapy Evaluation
      • Psychiatric Evaluation
      • Research Consultation
      • Sleep Evaluation
      • Speech-Language Pathology Evaluation
      • Spirituality Evaluation
      • Standard Laboratory Screening
      • Substance Use Assessment
      • Transcranial Doppler (TCD)
      • Visual/Perceptual Evaluation
      • Other Specialty Medical Examinations

Family-Focused Intervention: Family involvement during evaluation and treatment planning addresses the emotional and behavioral needs of the families of service members. Family may include: spouses and children, non-beneficiary parents of single service members, significant others and caregivers or close supportive friends who might not otherwise be eligible for participation in DoD health programs as a family member. Service members both with and without supportive family members present are evaluated for potential relationship issues.

Individualized Treatment Planning: Upon completion of the evaluation process, an interdisciplinary team establishes an evidence-based, scientifically sound and effective individualized patient-centric treatment plan based on the needs of the service member and his or her family. Tailored interventions across the patient’s stay inform the development of this recommended plan for ongoing treatment. Treatment initiations, results and indications for ongoing treatment are communicated to the patient’s referring primary care manager to help maintain continuity of care for patients.

Discharge: At discharge, the service member and family attend a discharge conference where a summary of findings and recommendations are presented. The NICoE provides an integrative discharge summary detailing findings and recommendations and will, with appropriate release of information authorization, communicate those findings and recommendations to referring and/or receiving clinicians, case managers and commands.


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