ABSTRACT
Traumatic brain injury (TBI) is rapidly becoming recognized as a national problem of epidemic proportions. Annually, approximately 400,000–500,000 individuals sustain a brain injury of sufficient degree to require treatment (Frankowski, 1986), with anywhere from 44,000 to 90,000 sustaining injury that results in severe, chronic, debilitating impairments (Jennett; Snoek, Bond, & Brooks, 1981; Traphajan, 1988). Survivors of severe brain injury typically exhibit cognitive, physical, or psychosocial impairments that inhibit a return to employment and other activities of daily living, and adversely affect these individuals’ quality of life (Klonoff, Costa, & Snow, 1986; Vogenthaler, 1987a, 1987b).
