ISSUES ON MEDICOLEGAL EVALUATION AND PSICODIAGNOSTIC OF TRAUMATIC BRAIN INJURIES: A CHECKLIST TO DEFINE OUTCOMES

Brain injury does not constitute a univocal pathologic context. Variability of traumas that follows, may make medico-legal evaluation of psychophysical outcomes difficult. To avoid mistakes that could lead to overestimate or underestimate damage that follows brain injuries, it is needed a systematic approach that can let the doctor, or the board, trace back accurately cause and effect chains. This paper suggest an operative checklist that is being experimented in Inail branches in Barletta and Foggia. It includes main dysfunctional and clinic elements that can define severity of post-traumatic injuries. This model has been implemented upon national and international guidelines on military and rehabilitation medicine, that is areas that are keen on improve brain injuries patients’ quality of life through a post-acute phase follow up. In order to give a global evaluation of outcomes, in this paper it has been taken into account main international psychodiagnostics tests useful to define psychical struggles that occurs after the traumatic event and thus to promptly reduce variability between judgments given at different times or by different examiners.