TABLE A-1 The Committee’s Criteria for Selecting Seven States for an In-Depth Look

Criterion

Description

Rationale

Participation in the Federal TBI Program

Type of TBI Program Grant received by the state from the Health Resources and Services Administration (HRSA)—TBI Planning Grant, TBI Implementation Grant, and/or TBI Post-Demonstration Grant)—and duration of the grant received.

In 2005, 2 states had a TBI Planning Grant; 10, a TBI Implementation Grant; and 0, a Post-Demonstration Grant. Past history: 37 states had previous Planning Grants; 40, Implementation Grants; and 23, Post-Demonstration Grants. Some states appear to have moved swiftly and effectively after receiving TBI Program Grant funding from HRSA; other states had not moved beyond modest planning activities.

State TBI funding

TBI trust fund, Medicaid waiver, or dedicated state TBI funding.

The relative importance of Federal TBI Program Grants to states depends on other state funding sources. States with highly developed TBI programs often have TBI trust funds, TBI-specific or other Medicaid waivers, or other dedicated state funding. Less developed TBI programs draw from general state funds.

Locus of the lead state agency for TBI

State agency with lead authority for TBI (appointed by the governor)

The state agency with lead authority for TBI programs varies considerably and may affect the program’s effectiveness, especially as the need for integration of TBI services becomes increasingly complex.

Other

Region, urban/rural, cultural diversity, data systems, and participation in the TBI Model Systems Program.*

The potential impact of a Federal TBI Program Grant to a state may be compromised or enhanced by any of these factors.

*The National Institute on Disability and Rehabilitation Research (NIDRR) provides grants to 16 state TBI Model Systems, programs that develop and conduct research on TBI service delivery systems.



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