Programs
Missouri
TBI Lead Agency
Adult Head Injury Program
Dept. of Health and Senior Services
Division of Community Health
Special Health Care Needs
PO Box 570
930 Wildwood Drive
Jefferson City, MO 65102
Lori Brenneke, CPHQ
Head Injury Coordinator
573-751-6246
573-751-6237 (Fax)
lori.brenneke@dhss.mo.gov
Service Delivery
In Missouri the designated Lead Agency for adults with TBI, age 21 to 65, is the Missouri Department of Health and Senior Services. Contact may be made with one of nine service coordinators around the State who are under contract with the Missouri Department of Health and Senior Services, Division of Community Health, Special Health Care Needs Unit, Adult Head Injury Service for information, referral, and access to services. The service coordinators determine eligibility based on medical diagnosis, financial eligibility, and need. Services provided through the Adult Head Injury Service include: service coordination, evaluation and assessment of needs, counseling, therapies, community integration, pre-vocational/pre-employment training, supported employment long-term follow-up, transportation, comprehensive day program, neuropsychological evaluation and consultation, behavioral assessment, and consultation.
The Missouri Department of Health and Senior Services receives a State appropriation to fund service coordination and specialized TBI services. The department bills the Division of Medical Services for administrative case management services for participants who are Medicaid eligible.
Children with TBI, from birth to age 21, receive services from the Special Health Care Needs, Hope Service program. Services may include: service coordination, outpatient tests and evaluations, therapies, prescription medicine, equipment, and supplies. Individuals with TBI may also receive services through other State Agencies; including the Department of Elementary and Secondary Education, Division of Vocational Rehabilitation, Department of Mental Health; and Department of Social Services. The Division of Vocational Rehabilitation has designated TBI counselors and the Division of Mental Retardation and Developmental Disabilities has designated case managers in the regional and habilitation centers to serve as resource staff for TBI.
In addition, the University of Missouri-Columbia administers the Missouri Rehabilitation Center (MRC), previously administered by the Missouri Department of Health, which offers TBI rehabilitation, vocational rehabilitation, substance abuse treatment and other services. The University receives a State appropriation for TBI services and the Department of Health and Senior Services though its program collaborates with the MRC.
Find out more information on this State's services in its current profile by clicking here. [PDF 50KB]. You can also order a hardcopy of our latest "Guide to State Government Brain Injury Policies, Funding and Services" for profiles of all States and much more.
HRSA-Funded Projects
The Federal 1996 TBI Act (and 2000 Amendments) requires States to have an interagency advisory council and State plan in order to apply for Federal funding under the act. The Council meets this requirement, and Missouri, through the Department of Health and Senior Services, is one of seven States to initially receive a three-year Implementation Grant beginning in 1997. Post-Demonstration Grants were awarded in 2001-2005. The Council assisted with determining project goals and co-directs the grants. Funding from these grants has provided multi-agency training across State Agencies, developed a family support program, brain injury handbooks translated into other languages, supported the implementation of a person-centered approach for the State Head Injury Service, and a successful inter-agency initiative to begin development of a mechanism for sharing electronic data among government agencies.
Find more information on this State's project in its current grant profile.
Promising Practices
The Division of Special Education is in the process of developing four training modules for educators. The State has provided training to case managers on person-centered planning.
Click here for a summary of the State's Brain Injury Training Portfolio
