Programs or Related Information Concept Submission Form

The Concept Submission Program process is designed to collect information on evidence-based services, products, programs and research that support service members and their families and is available to the general public. The information that a collaborator shares about products or services must be related to psychological health and/or traumatic brain injury.

By completing the submission form, you are agreeing to have your submission reviewed by a representative of Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) who may wish to contact you for further information related to your submission.

DCoE does not award contracts, provide research grants or offer other forms of financial support.

DCoE does not purchase programs, services or products through the concept submission process.

If you are seeking funding, please visit: http://www.usamraa.army.mil/pages/baa_forms/index.cfm.

For grant announcements, please visit: www.grants.gov.

CAUTION: This is not a secure or protected message system. Please do not provide sensitive personal information such as your social security number or medical condition.

Program Concept Submission Form

Contact Information

If applicable

Topic Areas

Check 4 most closely associated

Population(s) that would benefit from this information

Check 4 most closely associated
What do you hope to gain as a result of this concept submission? e.g. “Request dissemination of information about this program throughout DoD” or “Request DCoE be aware of the development of our program that shows improved outcomes for PTSD”
e.g. What does the program do? What were the results? What are the implications for populations of interest to DCoE?
e.g. What is used in the program? What is the program length? (e.g. 12 weeks/2 hours per week of group based treatment for Alcohol Abuse Aftercare), etc.
e.g. “This program assists active duty Service Members post-deployment” or “This program is for inpatient treatment of adolescent military family members ages 12-18 with mood disorders”
e.g. Has the program been implemented? Where/When/Outcomes, contact information of location and/or points of contact?
e.g. What populations are not recommended to participate in this program?
e.g. How has the program been sustained over long periods?
e.g. Joint Commission; list citations, short paragraph or Not Available
i.e. insurers who have approved
e.g. “We will be implementing this program at _____” or “We are refining/expanding our program to _____” or “We have applied for a grant with _______.”

Evidence to Support Research

Please list supporting empirical evidence. If anecdotal evidence please list as such.

Citation or short paragraph for each or Not Available
Citation or short paragraph or N/A
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

CAUTION: This is not a secure or protected message system. Please do not provide sensitive personal information such as your social security number or medical condition.

By completing the submission form, you are agreeing to have your submission reviewed by a representative of DCoE who may wish to contact you for further information related to your submission.

DCoE does not award contracts, provide research grants or offer other forms of financial support.

DCoE does not purchase programs, services or products through the concept submission process.

If you are seeking funding, please visit: http://www.usamraa.army.mil/pages/baa_forms/index.cfm.

For grant announcements, please visit: www.grants.gov.