Do state supports for persons with brain injury affect outcomes in the 5 years following acute rehabilitation?

Model System:

TBI

Reference Type:

Journal article

Accession No.:

J87659

Journal:

Health and Place

Year, Volume, Issue, Page(s):

2021 , 72, 102674,

Publication Website:

Abstract:

Study investigated the effects of state-level resources and supports as an environmental factor influencing long-term outcomes from traumatic brain injury (TBI) using data from the TBI Model Systems. The primary hypothesis was that community participation, global functioning, and life satisfaction will be higher on average among people with TBI living in states with more brain injury specific programs and resources and better long-term services and supports (LTSS). Analyses examined the effects of state supports that specifically target people with TBI (federal funding for state brain injury programs, per capita revenue generated by brain injury trust funds, and expenditures for brain injury-specific Medicaid waivers) and one measure of the relative quality of a state’s LTSS for all people with disabilities. The results of multilevel and fixed-effects modeling indicated that state supports have a small but significant impact on participation and life satisfaction. The most consistent finding indicated that states with better LTSS had higher levels of community participation and life satisfaction on average for people with TBI over and above individual-level differences and fluctuations in these outcomes over time. There was some indication that more brain injury specific supports also result in better participation in the community.

Author(s):