Evaluating the HRSA Traumatic Brain Injury Program (2006) / Chapter Skim
Currently Skimming:
1 Overview of the HRSA Traumatic Brain Injury Program
1 Overview of the HRSA Traumatic Brain Injury Program
Pages 17-32
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. TBI survivors with persistent impairments may require ongoing services, such as case management, cognitive and physical rehabilitation, medical and behavioral health care, financial assistance, vocational training, housing, transportation, and other services, long after their acute injuries are treated medically.
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. The HRSA TBI Program is a congressionally mandated program intended to facilitate the development of statelevel infrastructure and service delivery systems for individuals with TBI and their families, particularly with respect to family or consumer support, return to work, housing or supportive living personal assistance services, assistive technology and devices, behavioral health services, substance abuse services, and traumatic brain injury treatment and rehabilitation (Title 42 U.S.
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The TBI Program was created by the Traumatic Brain Injury Act of 1996 (P.L.
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The report is organized as follows: · This chapter, Chapter 1, Overview of the HRSA Traumatic Brain Injury Program, introduces the report and establishes the context for the committee's assessment of the HRSA TBI Program's impact by describing the program's legislative history, program administration, and grants design. · Chapter 2, Epidemiology and Consequences of Traumatic Brain Injury -- An Invisible Disability, provides further background by describing the epidemiology and consequences of TBI, focusing on the subset of the TBI population (and their families)
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The remaining pages of this chapter give an overview of the HRSA TBI Program, including the program's legislative mandate, administration by HRSA, and the two major components of the grant program. Legislative Mandate for the HRSA TBI Program The HRSA TBI Program was initially authorized by the Traumatic Brain Injury Act of 1996 (P.L.
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. Apart from the HRSA TBI Program and other TBI-related programs identified in Box 1-2, several federal programs provide cash support, health coverage, or other supports to eligible persons with TBI (discussed in Chapter 3)
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SOURCE: Administration on Developmental Disabilities, 2005. course of brain injury recovery and outcomes following the delivery of a coordinated system of emergency care, acute neurotrauma management, comprehensive inpatient rehabilitation, and long-term interdisciplinary follow-up services.
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24 http:// and of and Division State Community Health and Equal Minority International Planning of Affairs of and of of Rights Evaluation Office Health Office Opportunity Civil Office and Office Health Health Disparities Data of Program Office and Development HIV/AIDS Bureau of Start http://www.hrsa.gov/orgchart.htm of Perinatal Office Performance Review Division Healthy and Services 2005: Healthcare Systems Bureau 2005. of Health of and Services, THE Office Rural Policy OF of Division Research, Training Education bureaucracy, Human Bureau Health Professions OFFICE ADMINISTRATOR of and of for Brain with HRSA Office Federal Assistance Management Health and Program the Health Needs Division Health Services Bureau Children in Special Traumatic Injury of Maternal Child of Financial place Office Administration and Management Child, and of Health of Health Department Program's Bureau Primary Care Division Adolescent Family U.S.
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The organizational home of the HRSA TBI Program, which is intended to help persons of all ages, is the Maternal and Child Health Bureau of HRSA; originally, in the Division of Child, Family, and Adolescent Health and, more recently, in the Division of Services for Children with Special Health Care Needs. Budget for the HRSA TBI Program The history of federal appropriations for the HRSA TBI Program from FY 1997 to FY 2005 is shown in Table 1-1.
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26 = .05 FY 2.20 1997 $2.90 -- 0.58 -- $2.83 verallo NDRN early h 2.75 agency's throug 1998 $3.00 NA NA NA advocacy; the available. 2005 and not cover FY 3.89 0.93 0.14 1999 $5.00 $4.96 = for millions)
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States that receive TBI State Program Grants must provide matching funds of $1 for each $2 of federal grant funds they receive. In the early years of the HRSA TBI Program, FY 1997 to FY 2000, the match was required to be in cash.
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GRANTS PROVIDED UNDER THE HRSA TBI PROGRAM As noted earlier, the HRSA TBI Program encompasses two major programs: (1) the TBI State Grants Program, which awards grants to states, U.S.
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A statewide "action plan" to provide a culturally competent, comprehensive community-based system of care that encompasses physical, psychological, educational, vocational, and social aspects of TBI services and addresses the needs of individuals with TBI, as well as family members, must be developed. Under the TBI State Grants Program, states that had an established plan for developing the four core components of a TBI infrastructure were
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HRSA has distributed PATBI Grants to P&A systems in states, territories, the District of Columbia, and the Native American Protection and Advocacy Project to bolster advocacy support for individuals with TBI and their families since FY 2002. As noted earlier, the PATBI Grants Program was authorized as a component of the HRSA TBI Program in the Children's Health Act of 2000.
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Since then, PATBI Grants to P&A systems have been formula-based, so all states and territories have received the grants, with annual allotments ranging from a minimum of $50,000 up to $117,000 (California)
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2005. Traumatic Brain Injury Technical Assistance Center.
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