In-Home Services

There are many reasons why additional support may be needed within the family home to care for the child with TBI. If the child is dependent for all aspects of care, personal care assistants (PCAs) or skilled nursing care may be necessary for a time. Even if the child is not dependent for mobility, marked behavioral changes in the child with TBI may warrant some of these services. Furthermore, if ongoing therapy services are needed to meet active rehabilitation goals, these therapies can sometimes be provided in the home setting. Social work­ers and case managers may be helpful, especially when poor family functioning is present. This is especially critical to attempt to offset the development of behav­ioral problems in these children status post-TBI (226).