Overview and Inventory of HHS Efforts to Assist Incarcerated and Reentering Individuals and their Families . Traumatic Brain Injury-State Implementation Grant Program — Texas TBI Juvenile Justice Screening Pilot Study


Funding Mechanism: Grant

Total Available Funding: $1 million

Number of Awards: 1

Average Award Amount per Year: $250,000

Length of Project Period: 4 years; (September 1, 2009 to September 30, 2013)

Federal Partners: Informal partnering with CDC-Division of Injury

Summary:There are approximately 106,000 children and youth in the Texas juvenile justice system, the majority of whom are from diverse cultural backgrounds whose socioeconomic conditions are usually below the Federal Poverty Line. Most are at least five years below their educational grade level, are victims of abuse and many have co-existing substance dependency issues. Many of these youth may have previously sustained a traumatic brain injury (TBI) that contributed to their behavioral dysfunction. Texas’ goal is to expand and strengthen statewide, multi-agency collaboratives to screen, identify and coordinate services for those individuals found to have TBIs in order to assist them receive the necessary treatment to become productive, responsible members of society. The end result will also ameliorate economic burden on families and government agencies.

The grantee will provide training for appropriate juvenile justice personnel to administer TBI and pre-neuropsychological screenings to about 3,000 youth per year. Those diagnosed with TBI and their families will be referred to person and family-centered educational, medical, behavioral, social, economic and vocational supports and services. Data will be collected, evaluated and shared. Partners will provide individualized services and programs to ensure a seamless reintegration to school, community or the workplace. Conferences will be provided for all partners, stakeholders juvenile justice system personnel who are responsible for the care and rehabilitation of adolescent offenders, and an annual end-of-year conference will be held for stakeholders, policy-makers, and all agencies, families and the public.

Background: This grant is part of a larger grant program to address state partnerships to implement programs for those with traumatic brain injury. In July 1996, Congress enacted Public Law 104 166 to provide for the conduct of expanded studies and the establishment of innovative programs with respect to TBI. Under the Law, the Health Resources and Services Administration, (HRSA), Maternal and Child Health Bureau, is charged with implementing a state grants program, to improve access to health and other services for individuals with TBI and their families. The Federal TBI Program was reauthorized as part of the Children’s Health Act of 2008. Through this program states and territories are eligible to receive two types of TBI Grants, Protection and Advocacy and State Implementation grants. State Implementation grants are to be used by states to establish an infrastructure for the delivery of TBI related services and to improve the states’ ability to make system changes that will sustain the TBI service delivery infrastructure.

Grantees: Texas Health and Human Services Commission

Evaluation Activities: The Texas Juvenile Probation Commission and Texas Youth Commission will maintain complete records of the numbers of juveniles screened, diagnoses, treatment referral and outcome over the continuum of the grant. An evaluator will collect, evaluate and maintain data, and all will be provided to the Texas Health and Human Services Commission. Evaluation will be based on number of juveniles screened and diagnosed with TBI, the culturally competent service array referred for youth and parents, their educational progress, reduction in recidivism. Ongoing monitoring and evaluation of the program, communication and collaboration with juvenile justice personnel and other partners, and quarterly leadership team meetings will ensure efficacy and sustainability.

Future Prospects: Unknown


Donelle McKenna, Project Officer
Division of Services for Child with Special Health Needs
Phone: (301)443-9280
Email: DMcKenna@hrsa.gov

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