public awareness of such injuries. The Alabama State Head Injury Program was created in 1981 to provide vocational and rehabilitation services for individuals with TBI.

In 1989, the Alabama Department of Rehabilitation Services established the Alabama Head Injury Task Force and designated a statewide coordinator. A TBI work team made up of individuals with a TBI, family members, rehabilitation professionals, and medical and social services providers was also established to develop a service delivery model to address problems with traditional vocational rehabilitation services for people with brain injury.

This group developed the Interactive Community-Based Model (ICBM) to decentralize and provide community integration services for people with TBI in local communities. The ICBM was piloted in three locations in Alabama from 1990 to 1992. In 1992–1993, the Alabama legislature created the Impaired Drivers Trust Fund. This trust fund allowed the expansion of the ICBM model and serves as the basis for the state’s activities related to grants from the Federal TBI Program. In 1997, the Alabama legislature enacted the Alabama Head Injury and Spinal Cord Injury Registry Act, designating the Alabama Department of Public Health the lead state agency for data and registry activities.

Alabama’s Department of Rehabilitation Services was designated the lead state agency for TBI for Federal TBI Program Grants from the Health Resources and Services Administration (HRSA) in 1997. This department has established relationships and works closely with several state agencies and organizations, including the Alabama Head Injury Foundation, founded in 1983; TBI programs for adults and children within the Alabama Department of Rehabilitation Services; and the University of Alabama’s TBI Model System of Care, funded in 1998 by the National Institute for Disability and Rehabilitation Research (NIDRR), among others.

Alabama has received funding for TBI-related surveillance from the federal Centers for Disease Control and Prevention (CDC), although it was reported in the summer of 2005 that funding for the current cycle had not been approved. As of the summer of 2005, Alabama had not developed a Medicaid TBI waiver.

The federally mandated protection and advocacy (P&A) system for adults and children with developmental disabilities in Alabama is the Alabama Disabilities Advocacy Program. Since 1976, this program, at the direction of Alabama’s governor, has been administered by the clinical program of the University of Alabama School of Law. The Alabama Disabilities Advocacy Program is also the entity in Alabama designated to receive Protection and Advocacy for TBI (PATBI) Grants from HRSA. At the time it applied for a PATBI Grant, the Alabama Disabilities Advocacy Program had already operated several programs that served persons with

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