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NIDRR TBI Model System
In 1987, the U.S. Department of Education, National Institute on Disability and Rehabilitation research (NIDRR) provided funding to establish the Traumatic Brain Injury (TBI) Model Systems of Care. The research and demonstration projects focus primarily on: 1) developing and demonstrating a model system of care for persons with TBI, stressing continuity and comprehensiveness of care; 2) maintaining a standardized national database for innovative analysis of TBI treatment and outcomes.
The TBI Model Systems (TBIMS) Project is a prospective, longitudinal multi-center study which examines the course of recovery and outcomes following TBI. Each center provides a coordinated system of emergency care, acute neurotrauma management, comprehensive inpatient rehabilitation and long-term interdisciplinary follow-up services.
From 1987 to 1997 four centers were funded. In 1997 funding was expanded to include five centers. The Ohio Valley Center received funding in 1997 as a part of the expanded scope of the TBIMS Project. In 1998, Funding was again expanded to include a total of 17 centers. Funding is for five years. The Ohio Valley Center has eighteen research and demonstration projects included in it's funding in addition to the collection of data for the national database. These projects include:
Team Brain Injury: A new model for comprehensive brain injury rehabilitation.
The effectiveness of a brief intervention for awareness of deficits.
Using the internet to enhance team functioning.
Using the internet to provide peer support.
A naturalistic study of the role of vocational rehabilitation services in return to work after TBI.
Effectiveness of the SASSI in screening for substance abuse among persons with TBI.
Predicting subjective well-being following TBI.
The dynamics of change in outcomes over the first five years following TBI.
The role of agitation in prediction of outcome following TBI.
Predicting entrance into the workforce following TBI.
Incidence, impact and causes of sleep dysfunction after TBI
Systematic bias in long term outcome studies due to subjects lost to follow-up.
The cost effectiveness of alternate pharmacological interventions for severe agitation.
The cost effectiveness of early intervention for substance abuse.
The cost effectiveness of early enterostomy tube placement after TBI.
A pilot project to identify women with TBI due to domestic violence.
Substance abuse as a contributing factor to violence induced injuries and long-term outcomes.
Outcomes from severe TBI without acute rehabilitation.