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Technical Assistance and Consultative Services

NASHIA has capacity and experience in working with each state to analyze its developmental status in creating sustainable systems of care that are comprehensive, culturally sensitive, person-centered, and inclusive of individuals with TBI and family members, particularly in such areas as:

  • Advisory Board Development
  • Coalition Building
  • Funding sources, such as Medicaid, and other federal funding, trust funds, state funds
  • Interagency coordination and collaboration
  • Linkage to Experts
  • Product Development
  • Program Evaluation, including Service Coordination and other Services
  • Project Management
  • Promising Practice Implementation
  • Public Policy
  • Resource Identification
  • Specialized services, such as behavioral services and employment/vocational rehabilitation
  • Strategic Planning
  • Systems Development

To inquire about special technical assistance and consultation services that are available for purchase, contact Lorraine Wargo, RN, NASHIA Executive Director


William A. B. Ditto, MSW, LSW

Bill Ditto

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William (Bill) Ditto retired as the Director of the Division of Disability Services, New Jersey Department of Human Services in August 2010 following 40 years working in governmental human services and in social work education. Widely regarded as an innovator in the field of services for people with disabilities of all ages, he was involved in developing government funded respite services, nurse delegated home care services and creating incentives for people with disabilities to become employed. He pioneered the concept of “Cash & Counseling” in New Jersey with a grant from the Robert Wood Johnson Foundation, which is now a nationally recognized service delivery model.

In the late 1990’s, his agency was designated by the Governor as the State Lead Agency for Brain Injury. He subsequently became involved in overseeing and managing both the NJ TBI Brain Injury Medicaid Waiver and the NJ TBI Trust Fund. He holds Associate and Bachelor’s degrees from Monmouth College, NJ, and a Master’s Degree in Social Work from Rutgers University.

Areas of Expertise:

- Brain Injury State Systems
- Creating & Managing TBI Medicaid Waivers
- Creating & Managing TBI State Trust Funds
- Understanding Federal Brain Injury Policies & Programs
- Consumer-Directed Services
- Long Term Care Supports and Services
- Aging with a Disability
- Organizing Community Outreach Strategies
- Designing Innovative Community-based Services for People with Disabilities & the Aging
- Integrating Brain Injury into Larger Disability Service System: Considerations for Accommodation
- Managing and Surviving in a Bureaucracy
- Influences Public Policy in the Disability Arena
- Federal Options for Creating Brain Injury Services
- Better Community-based Living: Lessons from Research
- Understanding how to Improve Outcomes and Maintain Program Integrity
- Employment for People with Disabilities & Medicaid Buy-In.


Susan L. Vaughn, M.Ed.


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Susan L. Vaughn is the Director of Public Policy for NASHIA, of which she is the founder and the Association’s first president. In 2002, she retired from the State of Missouri after nearly 29 years of experience in the field of disabilities. In 1985, she was hired as the first director of the Missouri Head Injury Advisory Council where she worked for seventeen years. Under her direction, the council developed annual state plans and advocated over the years for legislation and funding to create a service delivery system including: the head and spinal cord injury registry; a statewide trauma system, Medicaid coverage for rehabilitation services; designated state agency for services; expanded eligibility for developmental disabilities services to include TBI; state funding for long-term supported employment, community support, and service coordination; and the head injury trust fund.

Since retiring in 2002, she has consulted with a number of states on the following: facilitating the writing of their state action plans; plans for improving neurobehavioral health services; developing service coordination program for TBI; orientation manuals for state advisory board/councils; presentations/training on state and federal policies, legislation and program initiatives; and advocacy training.

Areas of Expertise:

- Advisory Board Development and Orientation
- Coalition Building
- Brain Injury State and Federal Systems, Funding and Legislation: State of the States
- Linkage to Experts and State Contacts
- Product Development
- Public Policy Information and Advocacy Training
- Resource Identification
- Strategic Planning
- Systems Development ( Developing policies and legislation for a range of issues, i.e. trust fund, registry, state programs, advisory boards/councils, lead state agency)
- Writing Plans and Documents


Debra S. Kamen, MS

Debra S. Kamen

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Debra S. Kamen recently retired as the Assistant Commissioner of the Community Living Division in the Massachusetts Rehabilitation Commission (MRC), a position she had held since 2011. In this capacity she was responsible for the oversight and support of six departments that serve individuals with disabilities by providing a wide range of community-based services statewide. She was involved in the implementation of the Money Follows the Person Demonstration Project with primary responsibility of creating a fully operational Waiver Unit to provide administrative case management to individuals transitioning from nursing homes and chronic and rehabilitation facilities to the community.

In 1985, she served as the first director of the Statewide Head Injury Program (SHIP) and was responsible for developing a community-based service delivery system for individuals with traumatic brain injury and their families. This systems includes a wide range of service options supported with state dollars and Trust Fund generated revenue. In 2003, she assumed the position of Director of the Brain Injury & Statewide Specialized Community Services Department and administratively was responsible for SHIP; the implementation of a class action settlement pertaining to individuals with brain injury in nursing homes; and coordination of the MRC’s transition policies. She also managed two Home and Community-Based Waiver Services (HCBS) programs for individuals with acquired brain injury (ABI) and TBI.

She has authored multiple federal grant applications, including grants from the US Health Resources and Services Administration (HRSB) TBI State Grant Program which Massachusetts has used to focus on the needs of returning servicemembers with TBI; TBI among the homeless; transition from children to adult services; and outreach to the Latino community.

Areas of Expertise:

- Case Management/Service Coordination
- Program Development and Administration
- HCBS Medicaid Waivers and Money Follows the Person Grant Program
- TBI Trust Fund/State Funded Service Delivery Systems
- Developing Community Long-Term Care Supports and Services for Individuals with TBI and ABI
- Grant Writing
- Homeless Adults and Brain Injury
- Outreach to Cultural Communities
- Supported Employment and Vocational Rehabilitation Services
- Transition Services
- Training and Education on TBI-related Disabilities and Needs
- Veterans and Returning Servicemembers with TBI

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