Tramatic Brain Injury


The Adult Head Injury Program provides assistance to Missouri residents, individuals and families, in locating, coordinating, and purchasing rehabilitation and psychological services for adults who have survived a traumatic brain injury (TBI).


Individuals must be a Missouri resident and 21 years or older. Service coordination is available to adult survivors of TBI regardless of financial status. Rehabilitation services are available to individuals who are eligible for the service, and whose income is at or below 185% of Federal Poverty Guidelines. Individuals may contact a service coordinator or, with consent, may be referred by physicians, family, friends, rehabilitation centers, service agencies, and support organizations.


Coordination includes:

  • Evaluation and assessment of needs, information and education regarding the causes and effects of TBI, and prevention of secondary clinical conditions
  • Development of a service plan Assistance in locating and accessing medical care, housing, counseling, transportation, rehabilitation, vocational training, and cognitive/behavior training
  • Regular evaluation and updates of the service plan

Rehabilitation services may be provided to eligible clients when necessary to facilitate the client’s achievement of a long-term goal as indicated in the SHCN Service Plan.
The provision of rehabilitation services is subject to availability of funds, which are appropriated annually. All rehabilitation services must be prior authorized. The Department of Health and Senior Services is payer of last resort. The Adult Head Injury service coordinator will assist the client to apply for any other payment resources before submitting requests for use of SHCN funds.

Rehabilitation includes:

  • Adjustment Counseling
  • Behavioral Assessment and Consultation
  • Neuropsychological Evaluation and Consultation
  • Pre-vocational/Pre-employment Training
  • Socialization Skills Training
  • Special Instruction
  • Supported Employment/Follow Along
  • Transitional Home and Community Support
  • Transportation


Rita Zotto, TBI Service Coordinator 1-816-539-2144 or 1-800-451-0669