LEADER 05125nam 22006974a 450 001 9910960703203321 005 20251116230829.0 010 $a9786610742318 010 $a9780309164689 010 $a0309164680 010 $a9781280742316 010 $a1280742313 010 $a9780309657303 010 $a030965730X 035 $a(CKB)1000000000521978 035 $a(SSID)ssj0000279274 035 $a(PQKBManifestationID)11217702 035 $a(PQKBTitleCode)TC0000279274 035 $a(PQKBWorkID)10260441 035 $a(PQKB)11144634 035 $a(MiAaPQ)EBC3378180 035 $a(Au-PeEL)EBL3378180 035 $a(CaPaEBR)ebr10160723 035 $a(CaONFJC)MIL74231 035 $a(OCoLC)923276481 035 $a(Perlego)4735403 035 $a(BIP)13425451 035 $a(EXLCZ)991000000000521978 100 $a20060331d2006 ua 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 00$aEvaluating the HRSA Traumatic Brain Injury Program /$fCommittee on Traumatic Brain Injury, Board on Health Care Services ; Jill Eden and Rosemary Stevens, editors 205 $a1st ed. 210 $aWashington, DC $cNational Academies Press$dc2006 215 $a326 p. $cill 300 $aBibliographic Level Mode of Issuance: Monograph 311 08$a9780309101134 311 08$a0309101131 320 $aIncludes bibliographical references. 327 $aFrontMatter -- Reviewers -- Acknowledgments -- Contents -- List of Boxes, Figures, and Tables -- Preface -- Executive Summary -- 1 Overview of the HRSA Traumatic Brain Injury Program -- 2 Epidemiology and Consequences of Traumatic Brain Injury- An Invisible Disability -- 3 Service Needs and Sources of Funding and Supports for People with TBI-Related Disabilities -- 4 Assessment of the HRSA TBI Program -- APPENDIXES -- APPENDIX A Methods of the Study -- APPENDIX B Interview Guide Developed by the IOM Committee on Traumatic Brain Injury with the Assistance of Holly Korda, Ph.D. -- APPENDIX C State TBI Programs and Protection and Advocacy Systems: Characteristics and Accomplishments, by State -- APPENDIX D Profiles of TBI Initiatives in Seven States -- APPENDIX E Stakeholders Assess the HRSA TBI Program: A Report on National Interviews and Interviews in Seven States -- APPENDIX F Glossary, Abbreviations, and Acronyms. 330 $aA traumatic brain injury (TBI)-a brain injury caused by a sudden jolt, blow, or penetrating head trauma that disrupts the function of the brain-can happen to anyone. The effects of a TBI vary from person to person, depending on the force dynamics of injury and the patient's anatomy and physiology. People with TBI-related disabilities and their family members and caregivers need comprehensive, coordinated, person-centered systems of care that attend to their changing needs long after their acute injury has been treated medically. At least 5.3 million Americans are estimated to have a TBI-related disability. The Health Resources and Services Administration's (HRSA) TBI Program, initially authorized by the Traumatic Brain Injury Act of 1996 (P.L. 104-106) and reauthorized by the Children's Health Act of 2000 is a modest federal program with broad ambitions: a $9 million grants program aimed at motivating states to create systems improvement on behalf of persons with TBI with disabilities and their families. In 2004, the federal Office of Management and Budget (OMB) questioned the effectiveness of the HRSA TBI Program, noting that there had been no regular independent evaluations of the program's effects on TBI patients and their families. To address these concerns, HRSA contracted with the Institute of Medicine (IOM) in the spring of 2005 to conduct a study: (1) to assess the impact of the HRSA Program on how state systems are working or failing to work in support of individuals with TBI; and (2) to advise HRSA on how it could improve the program to best serve individuals with TBI and their families. The IOM appointed an 11-member Committee on Traumatic Brain Injury to perform the study. This report presents the IOM Committee on Traumatic Brain Injury's assessment of the HRSA TBI Program's impact and recommendations for improving the program. 517 3 $aEvaluating the Health Resources and Services Administration Traumatic Brain Injury Program 606 $aBrain damage$xPatients$xRehabilitation$zUnited States 606 $aBrain damage$xPatients$xServices for$zUnited States$xEvaluation 615 0$aBrain damage$xPatients$xRehabilitation 615 0$aBrain damage$xPatients$xServices for$xEvaluation. 676 $a362.196/8 701 $aEden$b Jill$01804887 701 $aStevens$b Rosemary$f1935-$0978266 712 02$aInstitute of Medicine (U.S.).$bCommittee on Traumatic Brain Injury. 712 02$aUnited States.$bDept. of Health and Human Services. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910960703203321 996 $aEvaluating the HRSA Traumatic Brain Injury Program$94367880 997 $aUNINA