In accordance with DoDI 6490.13, Comprehensive Policy on Traumatic Brain Injury-Related Neurocognitive Assessments by the Military Services, service members will receive a pre-deployment baseline neurocognitive assessment within the 12 months before deployment using the designated DoD neurocognitive assessment instrument, which currently is the Automated Neuropsychological Assessment Metrics (ANAM). Civilian employees will receive a baseline neurocognitive assessment in the same manner as service members, to the extent practical and consistent with DoDD 1404.10, DoD Civilian Expeditionary Workforce.
If an individual sustains an injury while on deployment, a neurocognitive assessment will be performed following a diagnosed concussion or mild traumatic brain injury (TBI) in accordance with the DCoE clinical practice recommendation, found on the MHS website.
Medical providers will compare post-injury neurocognitive assessments to service member baseline neurocognitive assessments, when available, to inform return-to-duty decisions. If a baseline neurocognitive assessment is not available, providers will compare post-injury neurocognitive assessment to pre-deployment relevant norms.
Upon return from deployment, service members who respond affirmatively to the TBI risk assessment questions on DD Form 2796, Post Deployment Health Assessment (PDHA) may be referred for further clinical evaluation that may include the administration of a neurocognitive assessment. All referred service members will be tracked as appropriate.
Additional information regarding neurocognitive assessment and TBI, as well as clinical recommendations and clinical support tools can be found on the Defense and Veterans Brain Injury Center website.