ABSTRACT
People with traumatic brain injury (TBI) present with some of the most challenging and complex de cits related to injury of any diagnostic group. Injury to the central nervous system impacts the individual so pervasively that most systems are either directly impaired or indirectly impaired because of their interdependence with other impaired systems. As case managers think more pragmatically and less physiologically, they can see a direct translation of physical system impairments and the havoc these impairments wreak on the more functional systems of family, work, and socialization. Of course, all systems relate to one another and, as such, treatment of a speci c system will necessarily impact other systems as well. The rehabilitation of a person with TBI requires a wide variety of professional services and tremendous coordination of effort to be appropriately comprehensive.
