1. Traumatic Brain Injury Part III - Interview with Don Mickey, Charles Degeneffe, & Jim Amell University of Wisconsin-Madison Social Work 644

2. Challenges Across the Life Span  Realization of injury’s impact  TBI as a hidden disability  Children Fitting in

3. Challenges Across the Life Span (2)  TBI as a hidden disability (cont.)  Adolescents Return to classroom  Adults Physical appearance Return to previous role(s)

4. Workers’ Skills and Knowledge Competencies  Acknowledgement of injured person’s prior life  Understanding of organically-based behavior  Understanding of nature and differential impact of injury  Family involvement

5. Community Resources  Contingent on region or community  U.S. Brain Injury Association  Funding programs – Brain Treatment Waiver (WI)  Neuropsychologists who specialize

6. Cross-State Differences in Community Resources  WI v. CA: difference in state infrastructure  NM – money allocation  Brain Injury Association as first step

7. Effective Resource Mobilization  Case management or service coordination  Knowledge of available resources  Education and training of professionals

8. Policy Considerations  Bioethics – immediate post-injury versus long-term needs  Insurance coverage and need for additional services  1998 NIH Conference & medical model  Lack of awareness at national, state, and local level  Stigma associated with brain injury

9. Future Direction in Service Programs  New research studies Quiet v. noisy post-coma environment Mild TBI and PET scans - adjustment to living with someone different from pre-injury personality and behavior Family caregiving – cultural impacts  National funding for long-term treatment  Increased awareness and improved professional training

10. Future Direction in Service Programs (2)  Research and impact on service programs Transition from centers into communities – long-term emphasis Vocational rehabilitation and supported employment – Virginia Commonwealth University