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Communication between home stations and the NICoE is insufficient

• Better communication about patients would improve coordination of patient care and ease transitions to and from the NICoE.

Understanding of the NICoE's mission, eligibility criteria, and services varies across the Military Health System

• Better messaging about the purpose and function of the NICoE would improve coordination of patient care.

The NICoE is seen to mitigate barriers service members face in seeking treatment for TBI or psychological health problems

• Barriers include resource constraints, stigma, and provider turnover at home station facilities.

Home station providers had a favorable impression of NICoE services but noted concerns

• Some didn't see a big difference in types of services; others saw problems with the NICoE's attitude toward home station care and creation of unrealistic expectations in patients returning to home station care.

The NICoE patient discharge planning process requires collaboration between NICoE and home station personnel, the patient, and the family

• Some former NICoE patients encounter challenges in this transition.
• It appears that little information is returned to the NICoE about what recommendations. are or are not implemented by home station providers.
• Patient satisfaction with home station care is varied.