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Development of Systems of Care for Persons With Traumatic Brain Injury

Cope, D. Nathan MD; Mayer, Nathaniel H. MD; Cervelli, Larry OTR/L

Journal of Head Trauma Rehabilitation: March-April 2005 - Volume 20 - Issue 2 - p 128–142
20th Anniversary Special Article

The history of the development of comprehensive systems of care for treatment of survivors of traumatic brain injury is reviewed in relation to publications in The Journal of Head Trauma Rehabilitation (JHTR). This development has drawn from multiple other areas of clinical endeavor and has extended the range of services from an acute inpatient focus to include multisite delivery and lifetime supported living aspects. Widespread implementation of this comprehensive system approach continues to lag because of coordination and financing challenges. The history and details of these developments are comprehensively reflected in the published articles of JHTR over the past 20 years.

Paradigm Health Corporation, Concord, Calif (Dr Cope and Mr Cervelli); and the Temple University School of Medicine, Moss Rehab, Philadelphia, Pa (Dr Mayer).

Corresponding author: D. Nathan Cope, MD, Paradigm Health Corp, 1001 Galaxy Way, Suite 300, Concord, CA 94520 (e-mail:

© 2005 Lippincott Williams & Wilkins, Inc.