s 362.19 S26mss 1992 MEDICAID SERVICES SURVEYS HEAD MONTANA INJURIES IN HOSPITALS AND NURSING FACILITIES to* DOCUMENTS COLLECTS HAY $2003 Montana ct«tc- Department of Social and Rehabilitation Services Medicaid Services Division Long Term Care Bureau PLEASE RETURN TO: Family/MCH Bureau Dept. of Health & Env. Sciences Cogswell Building October, 1992 Helena, MT 59620 MONTANASTATELIBRARY 3 0864 1001 9520 8 DEPARTMENT OF SOCIAL AND REHABILITATION SERVICES STANSTEPHENS JULIAE. ROBINSON GOVERNOR DIRECTOR OF MONTANA' STATE P.O.BOX4210 HELENA,MONTANA59604-4210 October 30, 1992 TO: Interested Persons FROM: Nancy Ellery, Administrator f){X im'^^'7-'-'--' T Medicaid Services Division I am pleased to present the results of a survey conducted by Cecilia Cowie of our staff regarding individuals with traumatic brain injuries. There is an increasing concern about the provision of appropriate services to persons with traumatic brain injuries and their families. Our agency receives many requests for services which we are unable to address. We are trying to better understand what services are needed and who needs them. The data in this report relates the information we received. While it is limited, it gives us a basis from which to begin discussions within our agency and with others. To those of you who took the time to complete the survey, we thank you. To those of you who have a personal or professional interest in individuals with traumatic brain injuries, I encourage you to be in contract with Ms. Cowie at 444-4150 to relate your concerns. "WorkingTogetherToEmpowerMontanans" The mission is to change public policy to prevent traumatic brain injuries, empower persons with those injuries, and assist them to live independently, participate fully in life, and be treated with dignity'.* Rocky Utounr«;n R*giona/ Brain Injury C#n(•t Digitized by the Internet Archive in 2010 with funding from Montana State Library http://www.archive.org/details/medicaidservices1992mont Head Injuries in Montana Every fifteen seconds someone sustains a traumatic brain injury (TBI) in the United States. Every five minutes one dies and another becomes permanently disabled. Of the two million Americans who sustain a TBI annually, two-thirds are under the age of 34. A survivor of a severe brain injury typically faces five to ten years of intensive services at an estimated cost in excess of $4 million. 1 BACKGROUND Injuries and disabilities are the leading cause of preventable death, lost productivity and social dependence. Frontier states Table 1. Leading Causes of Years of Potential Life Lost BeforeAge 65 Montana, 1988 10,000 - 8.000 6.000 - 2,000 Source:CenterslorDiseaseControl Unintentional Cancer Heart Suicide/ Birth Injuries Disease Homicide Detects 1 Statistical information provided by the National Head Injury Foundation and MPS Associates, Inc. Head Injuries in Montana such as Montana have higher rates of injuries than other states. The primary occupations in Montana (agriculture, timber and mining) are among the most dangerous of all occupations. Montana also has a high rate of substance abuse related accidents resulting in head injuries. Motor vehicle crashes cause one-half of all traumatic brain injuries. Child abuse accounts for 64% of infant head injuries. Traumatic brain injury is the leading killer and cause of disability in children and young adults.2 Table 2. Workplace Death Rates forSelect Industries Montana and United States 1980-1986 01 o o o oo" 41 a. o a Agriculture Mining Construction Trans,Comm I Montana K*3] UnitedStates Source: Centers forDisease Control 2 Ibid.