Federal TBI Program Listserv Digest – September 2013

As president of Brain Injury Assoc. of Hawaii, accident attorney Ian Mattoch receives issues of TBISERV’s monthly digest. TBISERV is the listserv for the Federal TBI Program. TBISERV is moderated by the Federal TBI Program’s Technical Assistance Center. In this month’s issue, the on-line forum discusses: 1) TBI Housing Project Needs Assessment; 2) Residential Treatment/Long Term Support; 3) Webinar Invite for The National Action Plan for Child Injury Prevention; 4) Former NFL Players Settle Concussion Lawsuit; and Updates in the General Approach to Pediatric Head Trauma and Concussion.

1. TBI Housing Project Needs Assessment
Nancy Huseman (WA) asks: I am working on a TBI housing project needs assessment and haven’t been able to find data for WashingtonState that shows what type of housing TBI clients with Medicaid or VA benefits are currently living in. For example: Adult family homes, Assisted Living Facilities, Skilled Nursing Facilities, with family, etc. Any ideas? [Respond]


2. Residential/Long Term Support Question
Judy Dettmer (CO) asks: In Colorado we continue to receive many complaints about the lack of residential treatment and long-term residential support options for people with behavioral problems related to their brain injury. This is true for people with relatively mild needs – but who cannot live independently. And also very true for people with severe needs. There are limited facilities in Colorado that accept Medicaid or HCBS waiver Medicaid that provide the services needed for the rates the state will pay. This is compounded when the person has issues with behavior and can be a danger to themselves or others. Out of state placement (in TX and KS) has been an option for two individuals, but now the state is reluctant to approve more placements out of state. Given clearance Safari Challenge Obstacle Course the composition of our legislature and the recovering budget, we may have an opportunity to address the problem in the 2014 legislative session. But while, we understand the problem…we are much less clear on potential solutions. It would help to have input on the following: Do you have a similar problem in your state? Is it for anybody with moderate to severe behavioral issues from a brain injury, or just those on Medicaid/HCBS waiver? In other words, if someone has enough money can they solve the problem or are there truly few to no options regardless of ability to pay? We have been talking with mental health and developmental disability advocates, who have similar concerns. Are there different groups in your state that you work with that have this problem too – the answer here might help us brainstorm other allies in our state? Are you aware of any national expert, writer, researcher, etc. who has studied this problem and recommended

solutions? Do you have ideas for how to solve this problem? Do you know anyone else who might? Thank you. [Respond]

Susan Murphree (TX) responds: In Texas we were successful in adding Cognitive Rehabilitation Therapy to the existing waiver programs. The service is added to one NF waiver (allows waiver services to be provided in certain assisted living facilities) and one IDD waiver that has various residential services options.


3. Webinar Invite: The National Action Plan for Child Injury Prevention: Communication
In 2012, the Centers for Disease Control (CDC), National Center for Injury Prevention and Control (NCIPC) released the National Action Plan for Child Injury Prevention (NAP). Based on the public health model, the NAP framework provides a vision which guides actions and explores the role of federal, state, local, public, and private partners in the prevention of childhood injury. This four part webinar series, brought to you by the Children’s Safety Network (CSN) National Injury and ViolencePreventionResourceCenter and The National Association of County and City Health Officials (NACCHO), will explore four of the NAP’s domains: 1) Data and Surveillance, 2) Communication, 3) Education and 4) Policy. The second webinar in our series on the NAP, on October 8, 2:00 – 3:00pm Eastern Time, will feature Dr. Julie Gilchrist of the NationalCenter for Injury Prevention and Control (NCIPC). Dr. Gilchrist will provide a quick overview of the NAP and review the NAP’s communication domain and its implications for local health departments. The next speaker will be Tracy Mehan, Executive Director of the Child Injury Prevention Alliance which has a strong focus on communication about the NAP. Our final speaker, Diane Holm, Lee County Injury Prevention Coalition, will discuss local strategies, challenges and successes for addressing communication about child injury prevention in their community. During this webinar, participants will:

  • Increase understanding of the NAP and its recommendations around communications
  • Learn about resources available through CSN, Child Injury Prevention Alliance and the NCIPC
  • Learn about the challenges of developing effective communication strategies
  • Learn about a specific local communication strategies

To register, please click here: https://events-na1.adobeconnect.com/content/connect/c1/1002235226/en/events/event/shared/default_template/event_landing.html?sco-id=1433300908&_charset_=utf-8

4. NFL, former players settle concussion lawsuits
“The National Football League agreed to a $765 million settlement with the more than 4,500 former players who filed concussion-related lawsuits Thursday, effectively ending the biggest legal threat to the country’s most popular sports league. For two years, scores of players filed suit against the NFL, claiming the league misled them on the sport’s dangers, a controversy that highlighted its violent past and cast uncertainty on its future. The settlement unveiled Thursday would fund medical exams and research as well as provide compensation for former players who are suffering from the debilitating effects of concussions.” To read the quoted story from the Washington Post, please click here: http://www.washingtonpost.com/sports/redskins/nfl-former-players-settle-concussion-lawsuits/2013/08/29/02582322-10f7-11e3-a2b3-5e107edf9897_story.html

5. Updates in the General Approach to Pediatric Head Trauma and Concussion “Acute recognition and management of traumatic brain injury along the spectrum from mild to severe is essential in optimizing neurocognitive outcomes. Concussion is common following head trauma in children, and resulting symptoms can last for months if not diagnosed and managed properly. Emerging evidence and consensus demonstrate that a program of cognitive and physical activity with a graduated return to play, sport, and school may improve outcomes following concussion. “Return to Play” legislation for youth has been adopted by most states. Outcomes of patients with severe traumatic brain injury have improved.” Article by Shireen M. Atabaki, MD, MPH.
Pediatric Clinics of North America, August 2013, Vol. 60, No. 4. To purchase the full article, please click here: http://www.sciencedirect.com/science/article/pii/S0031395513000771


For more information about these topics, search the Listserv Archives at https://list.nih.gov/cgi-bin/wa.exe?A0=TBISERV&t=&X=0237233782AA159466. The Archives provide in-depth information on current TBISERV topics. Related materials are also available by signing into the Traumatic Brain Injury Collaboration Space (TBICS) at https://tbitac.hrsa.gov/.


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