Evaluation of Population Health Improvement Initiative (PHII) Outcomes

Traumatic Brain Injury Report
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Evaluation of Population Health Improvement Initiative (PHII) Outcomes
Safe Headspace was established to enhance the lives of people, especially the older population, who have posttraumatic stress disorder (PTSD) after suffering from a traumatic brain injury (TBI) a long time, or probably decades after the initial insult. The Safe Headspace also established the PHII outcomes for both TBI and PTSD, which were inspired by the poor treatment of mental health issues among the combat veterans of Vietnam during the war in the 1970s. During the said period, there was insufficient information on mental health problems and their impact on the overall welfare of the individual, resulting in lifelong damage, even up to the time that the combatants were already senior citizens. Thus, the plan aimed to alleviate the overall sense of well-being of the patients with mental health issues. It also consisted of several interventions, but among these, the project focused on exercise, medications, and meditation (Capella University, n.d.).
The Interventions
The Safe Headspace Director mentioned that the assigned participants under the exercise group demonstrated the most significant improvement. The participants consisted of mostly men between 45 to 80 years old. The exercise regimen followed the recommendations of the Centers for Disease Control and Prevention (CDC) of undergoing moderate aerobic exercise for four weeks, but the specific exercises and duration were not mentioned. The results revealed a significant enhancement in the participants' memory, mood, and muscle control. The attrition rate was high, but approximately 75% of all the participants continued the exercise regimen for the next three months, resulting in an overall improvement of 15% for the muscle control, 22% for the mood, and 61% for the short- to medium-term memory (Capella University, n.d.).
Second, some of the participants, who did not receive initial medical therapy, were enrolled under the medication therapy where they were initially assessed by a psychotherapist and were prescribed by either an anti-depressant or anti-psychotic, comprising 40% and 9% of all the participants, respectively, for six months. Re-evaluation revealed that 6% and 26% improved muscle control and memory, respectively (Capella University, n.d.).
The last intervention that showed significant improvement was a 10- to 15-minute home meditation. Only 23 individuals participated for three weeks, resulting in 32% and 70% improvement in muscle control and mood, respectively (Capella University, n.d.).
Issues
Many issues have been identified in the plan of the Safe Headspace. This includes the number and distribution of the participants, the design of the treatment, and the analysis of the results. These are important to ensure that the data about the treatment regimens that showed significant improvement in mood, memory, and muscle control are reliable.
First, there was no mention of the diagnosis of the participants. It is unknown whether they were diagnosed with TBI or PTSD, or both, and the criteria for the diagnosis were not discussed. There was also an unequal distribution of the particip...