TBI, testing of the entire system, its components, and overall effectiveness is needed; for SCI, more rigorous control is required. Closer working relationships between industry and vocational rehabilitation programs should also be fostered.

Coordinated systems of care that integrate treatment from the site of injury through long-term community follow-up are needed for mitigating the short-term effects of SCI and TBI and for reducing long-term disability.

Several studies have underscored the lack of adequate funding for injury prevention research and practice (National Research Council, 1985; Rice et al., 1989). Although considerable progress has been made in accurately describing and establishing injury as a major public health concern, greater resources must be directed to the prevention of injuries by applying existing knowledge and by developing new intervention strategies.

Available resources for injury prevention research and practice should reflect the importance of injury as one of the leading causes of disability. Consonant with the recommendations included in Injury in America (National Research Council, 1985), Cost of Injury in the United States (Rice et al., 1989), and Injury Prevention (U.S. National Committee for Injury Prevention and Control, 1989), a Center for Injury Control is needed and should be established within the Centers for Disease Control to serve as a focal point for national injury prevention programs and activities. This would be an important component of a national disability prevention program.

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