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Traumatic Brain Injury (TBI)

Brain Injury Defined
A brain injury is any injury that results in brain cell death and loss of function. A traumatic brain injury (TBI) is an external trauma to the head or violent movement of the head, such as from a fall, car crash or being shaken.

There are two basic types of TBI: 1) open - a wound is evident; 2) closed - lack of physical wound. TBI may or may not be combined with loss of consciousness or skull fracture.

TBI is complex and unpredictable in its outcomes. Serious injury can occur without obvious physical disabilities. Both mild and severe TBI can result in lifelong impairments - requiring long-term care services.

In cases of stroke, drowning, or asphyxiation, the brain injury incurred is called an Acquired Brain Injury (ABI) and treatment and services may differ from those described herein. 

TBI Resulting From an Automobile Accident
In Michigan, about 30% of traumatic brain injuries are caused by car crashes. Michigan has the most comprehensive no-fault automobile insurance system in the nation. The services provided to persons with TBI through automobile insurance companies are typically very good and comprehensive.

To avoid losing your benefits, immediate action needs to be taken by contacting the automobile insurance agent, or Consumer Services, Division of Insurance, PO Box 30220, Lansing, MI 48090-7720 or 877-999-6442.


Educational Materials and Links

• Educational Materials for Providers and Consumers
Everyone can learn more about TBI through a free, self-paced online training course. Providers may earn continuing education credits. Many resources are available to help persons with TBI find the services they need as well as helpful information for providers.

• Links to Additional Organizations and Services
Where to find more information about TBI and available services.


Michigan Veterans and TBI

• Michigan Veterans and TBI
United States FlagVeterans returning from combat may have a  traumatic brain injury (TBI) caused by direct or indirect involvement with an improvised explosive device (IED), mortars, grenades, bullets, car accidents or falls.


Medicaid and TBI

• Medicaid Traumatic Brain Injury Memorandum of Understanding (MOU) Program
medical symbolMedicaid will cover short-term, post-acute, comprehensive, intensive, goal-directed rehabilitation services for persons 18 or older with a brain injury.


Improving Services for TBI

• MDCH Service Improvment Efforts



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