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TBI Care

Traumatic Brain Injury Care


Traumatic Brain Injury 

Traumatic Brain Injury (TBI) is defined as an injury caused by an external physical force, or by certain medical conditions such as stroke, encephalitis, aneurysm, anoxia or brain tumors.

This includes open or closed head injuries, or acquired brain injuries from certain medical conditions resulting in mild, moderate, or severe impairments in one or more areas including cognition, language, memory, attention, reasoning, abstract thinking, judgment, problem solving, sensory perceptual and motor abilities, psycho-social behavior, physical functioning, information processing, and speech.


When someone suffers TBI the entire family is affected. Taking care of someone with TBI can be exhausting and enormously stressful. Studies show that caregivers of people who have suffered a brain injury may experience feelings of burden, distress, anxiety, anger, and depression. Platinum Home Health Care works to meet the needs of the brain injured individual and thereby minimize undue stress for caregivers that may be present due to concerns regarding the level, and/or quality of care provided to their loved ones.

Platinum Home Health Care believes that every person should have the opportunity to return to, and remain in, the community. Platinum supports this by participating in the New York State TBI Medicaid Waiver program. The TBI Waiver program allows individuals who qualify to receive supports and services that allow them to reside safely in the community and achieve a maximal level of independence.

Through its participation in this program Platinum provides Service Coordination services and TBI specific home care services (HCSS). HCSS services are designed for persons with cognitive deficits resulting from a TBI.


Waiver Services Provided:

Service Coordination (SC): The Service Coordinator functions as the TBI program participant’s advocate in the community. The Service Coordinator’s goal is to increase the participant’s independence, productivity, and integration into the community while maintaining the health and welfare of the individual. The Service Coordinator assists the prospective participant with the enrollment process and coordinate and monitor the ongoing provision of all services in the Service Plan.  Services may include the coordination of benefits and entitlements such as Medicaid and food stamps, arranging for medical appointments and rehabilitation services including transportation, and ensuring the participant’s safety via the provision of all other necessary services including TBI Waiver and non-waiver services.

Home and Community Support Services (HCSS): Platinum Home Health Care recognizes that individuals with TBI often require specialized services in addition to traditional home care.  Home and Community Support Services are individually designed services that address a need for supervision and oversight in addition to support with any physical care needs. HCSS can provide prompting, direction, supervision and oversight, as well as support in the following areas:

  • Personal care needs
  • Maintaining a clean and safe home
  • Reminders to take medications
  • Planning and completion of shopping
  • Planning and completion of meals
  • Managing and keeping important appointments
  • Traveling within the community
  • Identifying and participating in social activities
  • Protective oversight and supervision
  • Assistance with emergencies


Other Services available through the TBI Waiver program that may be coordinated by a service coordinator:

Independent Living Skills Training (ILST) – Assists the individual in achieving a maximal level of independence in the community.

Structured Day Program (SDP) – Day program services provided in a group setting with other individuals with TBI to address the promotion of independence and provide socialization and leisure activities.

Community Integration Counseling (CIC) – A counseling service to address the challenges faced by the individual in adjusting to life after a TBI.

Positive Behavioral Interventions and Supports (PBIS) – A service designed to address maladaptive behaviors that threaten the TBI individual’s ability to remain safely in the community. Providers work with the individual, their family, and caregivers to eliminate or minimize maladaptive behaviors.

Social Transportation – Transportation to non-medical events. This service helps assist with community integration by allowing the TBI individual transportation that is not normally covered by Medicaid. Typical examples of social transportation include transportation to family events, religious services, and leisure activities.

*Refer to a full TBI program description for a complete listing of all services available through this program.


Training & Continuing Education:

Platinum Home Health Care provides comprehensive training to educate caregivers. Trainings are developed and conducted by nurses, social workers, and other TBI specialists. TBI Waiver Program staff receive specialized training in the physical, psychological, behavioral, clinical, rehabilitation, and social needs of individuals with TBI. Training includes information regarding the understanding and promotion of the individual’s rights, choices, and independence. All of Platinum’s TBI Waiver program staff are evaluated and certified for their competency in the delivery of care to individuals.   

Insurance accepted and Program Application: Platinum Home Health Care accepts private pay and Medicaid. A Platinum TBI specialist can assist with application for the TBI Waiver program.

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