I believe that a useful and efficient use of funds would be to train under-employed but intelligent and motivated spouses to identify and treat PTSD through education and training.
I am not a medical professional but have saved a life with CPR. I propose a CPR type training helps people create a bridge between those affected with PTSD/TBI and Medical providers. Something simple like: (RULE)- R (recognize) U (understand) L (listen) E (encourage). It would empower and assist.
Caregivers know little about TBI. They don't understand why their loved ones act & communicate they way they do & often respond negatively; impacting their relationship. They are unfamiliar with their loved one's treatments. They have lost support from family & friends because of behavioral issues.
Many service members who have PTSD symptoms do not seek mental health care. Certain leader behaviors and attitudes are associated with subordinates' mental health and willingness to seek care. Enhanced training for leaders in those behaviors and attitudes can increase service members' help-seeking.