SEVERE TBI Each year, TBIs contribute to a substantial number of deaths and cases of permanent disability. In fact, TBI is a contributing factor to a third (30%) of all injury-related deaths in the United States.1 In 2010, approximately 2.5 million people sustained a traumatic brain injury.2 Individuals with more severe injuries are more likely to require hospitalization. Changes in the rates of TBI-related hospitalizations vary depending on age. For persons 44 years of age and younger, TBI-related hospitalizations decreased between the periods of 2001–2002 and 2009–2010. However, rates for age groups 45–64 years of age and 65 years and older increased between these time periods. Rates in persons 45–64 years of age increased almost 25% from 60.1 to 79.4 per 100,000. Rates of TBI-related hospitalizations in persons 65 years of age and older increased more than 50%, from 191.5 to 294.0 per 100,000 during the same period, largely due to a substantial increase (39%) between 2007–2008 and 2009–2010. In contrast, rates of TBI-related hospitalizations in youth 5–14 years of age fell from 54.5 to 23.1 per 100,000, decreasing by more than 50% during this period.1,2 A severe TBI not only impacts the life of an individual and their family, but it also has a large societal and economic toll. The estimated economic cost of TBI in 2010, including direct and indirect medical costs, is estimated to be approximately $76.5 billion. Additionally, the cost of fatal TBIs and TBIs requiring hospitalization, many of which are severe, account for approximately 90% of the total TBI medical costs.3,4 TBI Classification Systems TBI injury severity can be described using several different tools. The Glasgow Coma Scale (GCS),5 a clinical tool designed to assess coma and impaired consciousness, is one of the most commonly used severity scoring systems. Persons with GCS scores of 3 to 8 are classified with a severe TBI, those with scores of 9 to 12 are classified with a moderate TBI, and those with scores of 13 to 15 are classified with a mild TBI. Other classification systems include the Abbreviated Injury Scale (AIS), the Trauma Score, and the Abbreviated Trauma Score. Despite their limitations,6 these systems are crucial to understanding the clinical management and the likely outcomes of this injury as the prognosis for milder forms of TBIs is better than for moderate or severe TBIs.7-9 Potential Affects of Severe TBI A non-fatal severe TBI may result in an extended p eriod of unconsciousness (coma) or amnesia after the injury. For individuals hospitalized after a TBI, almost half (43%) have a related disability one year after the injury.10 A TBI may lead to a wide range of short- or long-term issues affecting: Cognitive Function (e.g., attention and memory) Motor function (e.g., extremity weakness, impaired coordination and balance) Sensation (e.g., hearing, vision, impaired perception and touch) Emotion (e.g., depression, anxiety, aggression, impulse control, personality changes) Approximately 5.3 million Americans are living with a TBI-related disability and the consequences of severe TBI can affect all aspects of an individual’s life.11 This can include relationships with family and friends, as well as their ability to work or be employed, do household tasks, drive, and/or participate in other activities of daily living. Fast Facts Falls are the leading cause of TBI and recent data shows that the number of fall-related TBIs among children aged 0-4 years and in older adults aged 75 years or older is increasing. Among all age groups, motor vehicle crashes and traffic-related incidents r esult in the largest percentage of TBI-related deaths (31.8%).12 People aged 65 years old and older have the highest rates of TBI-related hospitalizations and death.13 Shaken Baby Syndrome (SBS), a form of abusive head trauma (AHT) and inflicted traumatic brain injury (ITBI), is a leading cause of child maltreatment deaths in the United States. Meeting the Challenge of Severe TBI While there is no one size fits all solution, there are interventions that can be effective to help limit the impact of this injury. These measures include primary prevention, early management, and treatment of severe TBI. CDC’s research and programs work to reduce severe TBI and its consequences by developing and evaluating clinical guidelines, conducting surveillance, implementing primary prevention and education strategies, and developing evidence-based interventions to save lives and reduce morbidity from this injury. Developing and Evaluating Clinical Guidelines CDC researchers conducted a study to assess the effectiveness of adopting the Brain Trauma Foundation (BTF) in-hospital guidelines for the treatment of adults with severe traumatic brain injury (TBI). This research indicated that widespread adoption of these guidelines could result in: a 50% decrease in deaths; a savings of approximately $288 million in medical and rehabilitation costs; and a savings of approximately $3.8 billion—the estimated lifelong savings in annual societal costs for severely injured TBI patients.14 TBIs in the Military Blasts are a leading cause of TBI for active duty military personnel in war zones.15 CDC estimates of TBI do not include injuries seen at U.S. Department of Defense or U.S. Veterans Health Administration Hospitals. For more information about TBI in the military including an interactive website for service members, veterans, and families and caregivers, please visit: www.dvbic.org . CDC, in collaboration with 17 organizations, published the Field Triage Guidelines for the Injured Patient .16 These guidelines include criteria on severe head trauma and can help provide uniform standards to emergency medical service (EMS) providers and first responders, to ensure that patients with TBI are taken to hospitals that are best suited to address their particular injuries. Conducting Surveillance Data are critical to help inform TBI prevention strategies, identify research and education priorities, and support the need for services among those living with a TBI. CDC collects and reports both national and state-based TBI surveillance data: CDC presents data on the incidence of TBI nationwide in its report: Traumatic Brain Injury in the United States: Emergency Department Visits, Hospitalizations, and Deaths, 2002-2006 . This current report presents data on emergency department visits, hospitalizations, and deaths for the years 2002 through 2006 and includes TBI numbers by age, gender, race, and external cause. CDC currently funds 30 states to conduct basic TBI surveillance through the CORE state Injury Program . (Note: While some un-funded states do participate in the submission of TBI- and other injury-related data compiled in this report, the report does not include data from all 50 states.) Implementing Primary Prevention and Education Strategies CDC has mul tiple education and awareness efforts to help improve primary prevention of severe TBI, as well as those that promote early identification and appropriate care. Content source: Centers for Disease Control and Prevention , National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention References National Vital Statistics System (NVSS), 2006–2010. Data source is maintained by the CDC National Center for Health Statistics. National Hospital Discharge Survey (NHDS), 2010; National Hospital Ambulatory Medical Care Survey (NHAMCS), 2010; National Vital Statistics System (NVSS), 2010. All data sources are maintained by the CDC National Center for Health Statistics. Finkelstein E, Corso P, Miller T and associates. The Incidence and Economic Burden of Injuries in the United States. New York (NY): Oxford University Press; 2006. Coronado, McGuire, Faul, Sugerman, Pearson. The Epidemiology and Prevention of TBI (in press) 2012 Teasdale, G, Jennett, B. Assessment of coma and impaired consciousness. A practical scale. Lancet 304(7872):81-84, 1974. Stein SC. Classification of head injury. In: Narayan, RK, Wilberger, Jr., JE, Povlishock, JT, eds. Neurotrauma. McGraw-Hill, 1996:31-41. Coronado, VG, Thurman, DJ, Greenspan, AI, et al. Epidemiology. In: Jallo, J, Loftus, C, eds. Neurotrauma and Critical Care of the Brain. New York, Stuttgart: Thieme, 2009. Levin, HS, Gary, HE, Eisenberg, HM, et al. Neurobehavioral outcome 1 year after severe head injury. Experience of the Traumatic Coma Data Bank. J Neurosurg 73(5):699-709, 1990. Williams, DH, Levin, HS, Eisenberg, HM. Mild head injury classification. Neurosurgery 27(3):422-428, 1990. Selassie AW, Zaloshnja E, Langlois JA, Miler T, Jones P, Steiner C. Incidence of Long-term disability following Traumatic Brain Injury Hospitalization, United States, 2003 J Head Trauma Rehabil 23(2):123-131,2008. Thurman D, Alverson C, Dunn K, Guerrero J, Sniezek J. Traumatic brain injury in the United States: a public health perspective. J Head Trauma Rehabil 1999;14(6):602-615. Faul M, Xu L, Wald MM, Coronado VG. Traumatic brain injury in the United States: emergency department visits, hospitalizations, and deaths. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2010. National Hospital Discharge Survey (NHDS), 2006–2010; National Hospital Ambulatory Medical Care Survey (NHAMCS), 2006–2010. All data sources are maintained by the CDC National Center for Health Statistics. Faul M, Wald MM, Rutland-Brown W, Sullivent EE, Sattin RW. Using a cost-benefit analysis to estimate outcomes of a clinical treatment guideline: testing the Brain Trauma Foundation guidelines for the treatment of severe traumatic brain injury. J Trauma . 2007 Dec;63(6):1271-8. Champion HR, Holcomb JB, Young LA. Injuries from explosions. Journal of Trauma 2009;66(5):1468–1476. CDC. Guidelines for Field Triage of Injured Patients: Recommendations of the National Expert Panel on Field Triage. Morbidity and Mortality Weekly Reports Recommendations and Reports. January 23, 2009 / Vol. 58 / No. RR-1.

ABI RESOURCES SOCIAL GROUPS AND EVENTS GOBBLE WOBBLE SAMUN TARE Kayayyakin Ma'aikatan ku da Tunes na Turkiyya 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Connecticut Department of Social Services address. Norwich Field Office 401 West Thames Street Norwich, CT 06360 DSS Field Offices and staffed Benefits Center ( 1-855-626-6632 ) are open Monday, Tuesday, Thursday, and Friday, from 8:00 a.m. to 4:30 p.m. (closed Wednesday). Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources 1/13 Bridgeport Hartford Manchester Middletown New Britain New Haven Norwich Torrington Stamford Waterbury Willimantic MFP program ABI waiver program Healthcare services Financial assistance Eligibility criteria Benefit renewal process Service disruptions Medical aid Food support Cash assistance Apply for benefits Check eligibility MyAccount DSS benefits info Social services Public assistance programs Government benefits. ABI RESOURCES CONNECTICUT CT DSS ACQUIRED BRAIN INJURY ABI WAIVER AND MFP AGENCY PROVIDER. CT SUPPORTED LIVING AND COMMUNITY CARE LEADERS. BRAIN INJURY COMMUNITY OF CONNECTICUT BICC DISABILITY RIGHTS OF CONNECTICUT ADVOCATES

Kula da lafiyar gida shine mafita mai tsada ga tsofaffi da danginsu, saboda yana ba da damar tsofaffi su kasance cikin kwanciyar hankali na gidansu yayin samun kulawar da suke buƙata. Koyaya, farashin kula da lafiyar gida na iya bambanta dangane da abubuwa da yawa, gami da nau'in kulawar da ake buƙata, wurin sabis, da hukumar da ke ba da kulawa. Kulawa a gida ga tsofaffi yawanci ya haɗa da taimako tare da ayyukan yau da kullun, kamar wanka, sutura, da shirya abinci. Masu kula da tsofaffi kuma na iya ba da sufuri, sarrafa magunguna, da haɗin gwiwa. Farashin waɗannan ayyukan na iya bambanta, tare da wasu hukumomi suna cajin ƙimar sa'a ɗaya yayin da wasu na iya bayar da farashi mai fa'ida ko farashin fakiti. Kudin taimakon lafiyar gida na iya zuwa daga $18- $24 a kowace awa, ya danganta da wuri da hukuma. Wasu sabis na kula da gida na iya haɗawa da ƙarin farashi don abubuwa kamar hayan kayan aiki ko sarrafa magunguna. ; Hukumomin kiwon lafiya na gida kuma suna cajin kuɗi don ayyukansu, wanda zai iya zuwa daga $18- $24 a kowace awa. Wannan farashi na iya bambanta dangane da hukumar da ayyukan da suke bayarwa. ; Nawa ne kulawar gida? Farashin kulawar gida zai iya bambanta dangane da ayyukan da ake buƙata da wurin sabis, amma yawanci ya tashi daga $18- $24 a kowace awa. Nawa ne ma'aikacin lafiyar gida? Farashin mataimaki na kiwon lafiya na gida na iya bambanta dangane da wurin da hukuma, amma yawanci ya tashi daga $18- $24 a kowace awa. ; Mutanen da ke neman taimako a gida kuma mazauna Connecticut suna iya duba cikin Shirin Kula da Gida na CT don Dattawa. Shirin yana ba da sabis na kulawa a cikin gida, kamar kulawa na sirri, sabis na masu gida, da kulawar jinkiri. Sun kuma haɗa da ayyukan jinya da na jiyya, da kayan aikin likita da kayayyaki. Don samun cancanta ga Shirin Kula da Gida na CT, dole ne mutane su cika wasu sharuɗɗan cancantar kuɗi da na likita. ; A ƙarshe, farashin kula da lafiyar gida na iya bambanta dangane da abubuwa da yawa, gami da nau'in kulawar da ake buƙata, wurin sabis, da hukumar da ke ba da kulawa. Kudin taimakon lafiyar gida na iya zuwa daga $18- $24 a kowace awa, kuma hukumomin kula da lafiyar gida su ma suna cajin kuɗi don ayyukansu. Shirin CT Homecare don dattawa shiri ne na jihar don mazauna Connecticut waɗanda ke ba da sabis na kulawa a cikin gida kuma yana ƙarƙashin wasu ƙa'idodin cancantar kuɗi da likita. Yana da kyau koyaushe a kwatanta farashi da ayyuka daga hukumomi da shirye-shirye daban-daban don nemo mafi dacewa ga tsofaffin ƙaunataccenku.

abi resources 8 types of self care physical mental emotional spiritual social financial abi resources 8 types of self care physical mental emotional spiritual social financial abi resources 8 types of self care physical mental emotional spiritual social financial abi resources 8 types of self care physical mental emotional spiritual social financial abi resources 8 types of self care physical mental emotional spiritual social financial abi resources 8 types of self care physical mental emotional spiritual social financial 1/2

Housing Options and Assistance People living with disabilities often need supportive living options. The right choice depends on several factors, including support needs, expenses, and personal preference. ABI Resources serves those searching for assisted living homes to overcome the two main barriers: choosing a home and figuring out how to pay for it. Care Options for Individuals and People With Disabilities There are three levels of assisted living: assisted living communities, independent living communities, and home care. Home care brings assistance with daily living to the home, independent living offers a community with convenient amenities and assisted living combines a community that offers convenient amenities with support for daily living tasks. There are numerous other independent living skills taught at ABI Resources. Some of the services include Planning for the future, Healthy Relationships, Living Well with a Disability, Positive Attitudes and Overcoming Barriers, Art Expression, and Money Management. These are just a few of the many supported living services that are available. If you or a loved one is interested in meeting with ABI Resources, we loved to talk with you.

Headaches are a common symptom of brain injury. The type and severity of headaches can vary dependin Headaches are a common symptom of brain injury. The type and severity of headaches can vary dependin Headaches are a common symptom of brain injury. The type and severity of headaches can vary dependin Headaches are a common symptom of brain injury. The type and severity of headaches can vary dependin 1/8 Headaches are a common symptom experienced by individuals who have sustained a brain injury. The type and severity of headaches can vary depending on the nature and extent of the injury. Some common causes of headaches after a brain injury include changes in blood flow to the brain, inflammation, and changes in nerve function. Treatments for headaches after a brain injury can include medications, physical therapy, and lifestyle changes such as stress management and regular exercise. Headaches are a common symptom of brain injury. The type and severity of headaches can vary depending on the type and extent of the injury. Some common types of headaches associated with brain injury include tension headaches, migraines, and post-traumatic headaches. These headaches can be caused by various factors, including swelling, bleeding, and changes in the brain's chemistry or structure. Treatment for headaches related to brain injury typically involves managing the underlying injury and addressing any contributing factors, such as pain and stress. Medications, physical therapy, and other therapies may also be used to manage symptoms. It is important to see a healthcare professional if you suspect you have a brain injury and are experiencing headaches.

Social Security Administration n Ofishin Tsaro na Jama'a a Norwich Ste 380, 55 Main St 06360, Norwich, Connecticut 1-888-482-3170 , 1-800-772-1213 , 1-888-482-3170 Disability Determination Services While applications for Social Security disability are taken in the local field offices, the medical decisions are made in each state by a disability determination service. If you have already filed an application for disability benefits or if you are a medical provider, you can mail medical information on a Connecticut applicant to: Disability Determination Services 309 Warwarme Avenue Hartford, CT. 06114 Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Wil Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Willimantic, Connecticut 1-877-405-0488, 1-800-772-1213, 1-800-325-0778 Social Security Administration Social Security Office in Waterbury Suite 1, 51 North Elm St 06702, Social Security Administration Social Security Office in Waterbury Suite 1, 51 North Elm St 06702, Waterbury, Connecticut 1-877-405-4874, 1-800-772-1213, 1-800-325-0778 Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Wil Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Willimantic, Connecticut 1-877-405-0488, 1-800-772-1213, 1-800-325-0778 1/29

Connecticut Department of Social Services address. New Britain Field Office 30 Christian Lane New Britain, CT 06051-4152 DSS Field Offices and staffed Benefits Center ( 1-855-626-6632 ) are open Monday, Tuesday, Thursday, and Friday, from 8:00 a.m. to 4:30 p.m. (closed Wednesday). Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources 1/13 Bridgeport Hartford Manchester Middletown New Britain New Haven Norwich Torrington Stamford Waterbury Willimantic MFP program ABI waiver program Healthcare services Financial assistance Eligibility criteria Benefit renewal process Service disruptions Medical aid Food support Cash assistance Apply for benefits Check eligibility MyAccount DSS benefits info Social services Public assistance programs Government benefits. ABI RESOURCES CONNECTICUT CT DSS ACQUIRED BRAIN INJURY ABI WAIVER AND MFP AGENCY PROVIDER. CT SUPPORTED LIVING AND COMMUNITY CARE LEADERS. BRAIN INJURY COMMUNITY OF CONNECTICUT BICC DISABILITY RIGHTS OF CONNECTICUT ADVOCATES

What is the MFP Program and what does it do? The MFP program helps a person with the funding and organization of moving out of a medical facility. It helps with setting up housing, necessities, medical equipment and temporary in home caregivers. MFP is a federal demonstration grant, received by the CT Department of Social Services from the Centers for Medicare and Medicaid Services. It was awarded to help rebalance the long-term care system so that individuals have the maximum independence and freedom of choice regarding where they live and receive care and services. The program builds on current programs by offering enhanced community services and support to those who have resided in nursing facilities for at least three months. Under MFP, CT will receive, for those transitioning back to the community, an enhanced Medicaid match of nine million dollars over five years, being reimbursed for 75 percent of costs for the first year back in the community instead of the customary 50 percent. This federal support is a financial incentive for Conn. to reduce the use of more expensive institutional care for Medicaid recipients. The approach is more cost-effective for taxpayers and is expected to lead to improved quality of life for older adults and people with physical and developmental disabilities and mental illness. People transitioning back into the community have the choice of where they want to live, whether it’s the person’s own home, a family member’s home, an apartment or congregate living. Goals of the MFP Increase dollars spent on home and community based services. Increase the percent of people receiving their long-term services in the community relative to those in institutions. Decrease the number of hospital discharges to nursing facilities for those requiring care after discharge. Increase the probability of people returning to the community within the first three months of admission to an institution Transition individuals out of institutions and back into the community Individualized care plans are created based on need. CCCI transition coordinators will provide one-to-one assistance with community supports, system navigation, accessing resources and living arrangements. ABI Waiver Program Kuɗin MFP yana bin Shirin Mutum School Support Services ( I.L.S.T. ) Life Skills Training Aboki / Kulawa State Wide Service Areas 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Wil Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Willimantic, Connecticut 1-877-405-0488, 1-800-772-1213, 1-800-325-0778 Social Security Administration Social Security Office in Waterbury Suite 1, 51 North Elm St 06702, Social Security Administration Social Security Office in Waterbury Suite 1, 51 North Elm St 06702, Waterbury, Connecticut 1-877-405-4874, 1-800-772-1213, 1-800-325-0778 Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Wil Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Willimantic, Connecticut 1-877-405-0488, 1-800-772-1213, 1-800-325-0778 1/29