A program of intervention for substance abuse following traumatic brain injury

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Describes a pilot program initiated in 1991 to address the problems of substance abuse among persons who have experienced traumatic brain injury (TBI). The treatment model is community-based, using an interdisciplinary staff with expertise in TBI, vocational rehabilitation, and substance abuse treatment in order to support and enhance existing services in the client's own community. Resource and service coordination is the primary method of intervention. The underpinnings of the model are described in six principles. Core and supplemental services as well as staffing patterns are discussed. Innovative components of the program include the theoretical model of changing addictive behaviors used to guide treatment, and community team development to facilitate a coordinated and integrated approach. The program can serve both urban and rural populations and has relatively low start-up costs. Initial program evaluation results and clinical experience suggest that substance abuse and vocational rehabilitation goals can be effectively attained using this model of service delivery. (This document is included in NCDDR's Guide to Substance Abuse and Disability Resources produced by NIDRR Grantees, number D.39 and 2nd Ed, number D.47.)

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