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Crossroads to Brain Injury Recovery, Inc.

Harrisonburg, VA

www.c2bir.org

Amount Requested: $2,500 for Circles of Support

Mission: To improve the quality of life for those affected by brain injury by ensuring that individuals and their caregivers have access to the information, resources, and services they need to lead independent and productive lives.

Constituents Served: Children, youth and adults who have a documented acquired or traumatic brain injury and who reside in our service area (Augusta County, Staunton, Waynesboro, Highland County, Bath County, Rockbridge County, Harrisonburg, and Rockingham County). Last year, we provided case management to 69 unique individuals (about 8 of whom are school-aged children).  Approximately half of these individuals reside in the greater Augusta County area (Augusta, Staunton, Waynesboro). Further, 22 clients either returned to work or maintained employment; 5 clients were volunteering; 15 clients were enrolled in school or training; 12 individuals moved to safer, more stable housing; 6 individuals received assistive technology to help them with organization and communication; and 17 individuals obtained much needed evaluations, therapies, and medical/dental care that they otherwise would not be able to access or afford.

Program Overview: According to the Centers for Disease Control (CDC) and based on Virginia population estimates, more than 186,000 Virginians are living with a disability as a result of a Traumatic Brain Injury (TBI) or stroke.  More than 5,000 people are estimated to be living with a disability as a result of TBI in the central Shenandoah Valley.  In 2009, our organization conducted a study to better understand the barriers persons with brain injury face when trying to access appropriate and timely services.  Persons with brain injury struggle to access services due to many factors such as co-occurring psychiatric issues and chronic health conditions, as well as cognitive and behavioral changes such as memory loss, difficulty organizing and sequencing, and impaired judgment and impulsivity. These common consequences of brain injury also place individuals at risk for un/under-employment, homelessness, institutionalization, repeat hospitalizations, and even incarceration.

Crossroads requests funding for Circles of Support, which aims to increase the quality of life for persons with brain injury by: (1) increasing self-sufficiency and independence; (2) increasing participation in meaningful, productive activities in the community; and (3) ensuring physical, mental and emotional well-being.  Specifically, Circles of Support includes intensive case management (outer circle) using an interdisciplinary team (case manager, life skills trainer, neuropsychologist, behavior analyst, speech pathologist and occupational therapist) to assess and make treatment recommendations.  Some individuals may also need additional training and support such as life skills training, job coaching, and behavior supports (middle circle).  A few individuals may even require even more intensive behavior supports services (innermost circle), to address specific behavioral concerns that may be a barrier to independence, health and safety.

Funding for Circles of Support will help provide for personnel costs for direct service staff involved in the program, including travel (mileage) for attending client appointments and related activities.

Current Operating Budget: $245,610