Robert Koffman

Robert Koffman
Walter Reed National Military Medical Center | WRNMMC · National Intrepid Center of Excellence

MD. MPH

About

35
Publications
9,476
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4,576
Citations
Introduction
Robert Koffman is a retired naval psychiatrist and preventive medicine physician. He continues to provide care to Service Members, Veterans, and their families as a Red Cross Volunteer psychiatrist at the National Intrepid Center of Excellence, Walter Reed National Military Medical Center. Robert's two current projects entail the epigenetics of wounded warriors and the amelioration of PTSD symptoms through Animal Assisted Therapies.

Publications

Publications (35)
Article
Full-text available
Background: Since 2000, over 413,000 US service members (SM) experienced at least one traumatic brain injury (TBI), and 40% of those with in-theater TBIs later screened positive for comorbid psychological health (PH) conditions, including post-traumatic stress disorder (PTSD), depression, and anxiety. Many SMs with these persistent symptoms fail to...
Article
Full-text available
This study investigated posttraumatic stress disorder (PTSD) symptoms in U.S. Navy sailors assigned to guard duty in detainee operations (DETOPS, n = 444) facilities and other duties (non-DETOPS, n = 1,715) in Iraq and Afghanistan via analysis of cross-sectional, self-report surveys. The majority of DETOPS sailors reported being in serious danger o...
Article
Combat and operational stress control (COSC) surveys guide allocation of high-demand, low-quantity mental health assets to support combat-deployed U.S. forces. The current article describes an innovative application of machine learning, decision tree analysis, to predict unit-level risk for combat mental health outcomes like posttraumatic stress di...
Article
Full-text available
The present quasi-experimental study examined the psychological health of one group of U.S. Marines returning home by 12-day sea voyage to another comparable group returning within 24 hours by air following a six-month combat deployment to Iraq. Few significant group differences were seen in the 11 assessed self-report outcomes at three (n = 631) o...
Chapter
What is now simply referred to as “The Long War”, the conflicts in Iraq and Afghanistan—previously called Operation Iraqi Freedom and Operation Enduring Freedom—have tested America’s resolve, have stretched America’s forces, and now comprise America’s longest combat engagement. So too, have Individual Augments, Service Members both active and reser...
Article
Full-text available
Art therapy is increasingly being accepted as a form of complementary and integrative care for military veterans affected by trauma and injuries in the line of duty. Less is known, however, about the applications of art therapy for co-morbid traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD). In addition, most studies to date ha...
Article
The Navy Mobile Care Team (MCT) provided combat and operational stress control (COSC) to Navy Individual Augmentee (IA) sailors deployed to Afghanistan from 2009 through 2013. The MCT was unique in the history of Navy combat stress control in that its operational model was theoretically informed by human ecological systems theory adapted for modern...
Conference Paper
OBJECTIVE: To utilize a novel interdisciplinary model of care to identify patterns of injury in service members (SMs) who have sustained combat related traumatic brain injury (TBI) and comorbid psychological health (PH)conditions, and evaluate response to treatment. BACKGROUND: Over 280,000 military personnel have sustained a TBI in the past 12 yea...
Article
Full-text available
The discrepancy between military and civilian prevalence rates of posttraumatic stress disorder (PTSD) indicates that military service, in particular combat duty, carries with it an increased risk for the development of PTSD, thereby representing one of the key challenges to military mental health care. The US Department of Defense (DoD) has experi...
Article
Full-text available
Robert L. Koffman, MD, Capt, US Navy, reports his experiences using acupuncture in clinical environments in Afghanistan, recounting his success with the "Koffman Cocktail" and several auricular patterns. He animates his report through e-mails and transcripts of telephone conversations from the war theater. His experiences underscore the clinical va...
Article
To investigate the association between US Navy individual augmentee (IA) deployers, who may lack the protective effects of unit cohesion and social support, and newly reported mental health. Responses from the Millennium Cohort Study questionnaires were examined for 2086 Navy deployers in this prospective exploratory study. Multivariable logistic r...
Article
Full-text available
In this paper, we report on the development and dissemination of a preventive intervention, Families OverComing Under Stress (FOCUS), an eight-session family-centered intervention for families facing the impact of wartime deployments. Specific attention is given to the challenges of rapidly deploying a prevention program across diverse sites, as we...
Conference Paper
Full-text available
A high percentage of Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) combat veterans have been diagnosed with Posttraumatic Stress Disorder (PTSD) during and following their respective combat tours. Virtual Reality (VR) treatment has been documented as an exceptional treatment for anxiety disorders and specifically for PTSD. An O...
Article
Empirical studies and surveillance projects increasingly assess and address potentially adverse psychological health outcomes from the stress of military operations, but no standards yet exist for common concept definitions, variable categories, and measures. This article reports the consensus recommendations of the federal interagency Operational...
Article
Full-text available
In this report we describe virtual reality graded exposure therapy (VRGET) for the treatment of combat-related post-traumatic stress disorder (PTSD). In addition, we summarize the outcomes of a case study, from an Office Of Naval Research (ONR)-funded project of VRGET with an active duty female Seabee who completed three combat tours to Iraq. Detai...
Article
Full-text available
Virtual Reality Graded Exposure Therapy (VRGET) is an effective treatment for combat-related PTSD. We summarize the outcomes of a VRGET pilot study with 12 participants who completed one to multiple combat tours in support of the War on Terrorism and who were subsequently diagnosed with combat-related PTSD. Details of the collaborative program amon...
Article
Mental Health Advisory Team IV has had a profound impact on military policy, public opinion, and interventional strategies. As an experienced combat veteran, the author characterizes the impact Mental Health Advisory Team IV has had within the military mental health community, as well as on community mental health overall. (PsycINFO Database Record...
Poster
Full-text available
See ”Introduction” section to the Poster Paper.
Article
Full-text available
The current combat operations in Iraq and Afghanistan have involved US military personnel in major ground combat and hazardous security duty. Studies are needed to systematically assess the mental health of members of the armed services who have participated in these operations and to inform policy with regard to the optimal delivery of mental heal...
Article
Full-text available
When a U.S. Navy Aircraft Carrier battle group deploys overseas, the aircraft carrier's medical department is responsible for the medical needs of over 12,000 personnel with their indigenous developmental, stress, family, alcohol, drug, and interpersonal and intrapersonal relationship difficulties. This article reviews the effectiveness of having a...
Article
Full-text available
When a U.S. Navy Aircraft Carrier battle group deploys overseas, the aircraft carrier's medical department is responsible for the medical needs of over 12,000 personnel with their indigenous developmental, stress, family, alcohol, drug, and interpersonal and intrapersonal relationship difficulties. This article reviews the effectiveness of having a...
Article
Full-text available
When a U.S. Navy aircraft carrier battle group deploys overseas, the ship's medical department is responsible for more than 10,000 personnel and their numerous musculoskeletal injuries. This paper reviews the effectiveness of having a U.S. Navy physical therapist and physical therapy technician onboard the USS Carl Vinson during its most recent dep...
Article
Axis I psychiatric disorders generally are considered incompatible with both the issuance and subsequent maintenance of aeromedical clearance certificates. Little doubt exists as to the impact that conditions such as anxiety disorders, mood disorders, or substance-related disorders have on the conduct of safe flight. Nevertheless, different compuls...
Article
A survey of the literature reveals little data regarding modern aviation and combat-related stress, fatigue, or psychiatric disabilities. What little is known about combat fatigue in aircrew is largely inferred from literature written about ground personnel. Understanding the unique aviation environment is necessary in order to develop effective co...

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