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Joanne Susi

"I was suddenly unable to do the things I once enjoyed, struggling to come to terms with my injury, frustrated and angry”

Bob's life changed completely in 2013 when he fell two stories while shrink wrapping a boat at the marina where he worked. With the help of his family and BIA-MA,he has found ways to enjoy most of the things he used to, just a little differently. Click here to support BIA-MA efforts in creating better futures for those affected by brain injury.

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Elders with Traumatic Brain Injury (TBI) in Massachusetts

The Facts
Traumatic Brain Injury (TBI) is the leading cause of Acquired Brain Injury (ABI). TBI among older adults is one of the leading causes of death and disability in Massachusetts and across the United States. Falls are the leading cause of TBI in adults 60 and older. 

Approximately 16,000 Massachusetts elders will sustain a TBI this year.  These numbers are documented to be increasing and as the “Baby Boomers” age and life expectancies increase, it is likely that the trend will continue.

Both diagnosis and prognosis are complicated by factors that affect the older population such as other medical conditions, medications, substance use disorders, and elder abuse. To improve rehabilitation outcomes and quality of life for this population, both their needs as an aging adult and their needs specific to brain injury must be addressed collaboratively.

The Project
Through a federal grant, the Brain Injury Association of Massachusetts (BIA-MA) has partnered with the Massachusetts Rehabilitation Commission (MRC) and the Executive Office of Elder Affairs (EOEA) to create arelationship between brain injury services and services for elders in Massachusetts.The goal of this grant is to maximize the existing resource in MA for brain injury survivors over 60.

Elders Web Course

The Massachusetts Traumatic Brain Injury in Elders Web Course is now available through the following link:

This course was created to sustain the efforts of the grant through web-based education. It will serve as a refresher for those who have attended the TBI in Elders trainings and a convenient option for those who were not able to attend in-person.

There are six modules which include:

1. Traumatic Brain Injury in Older Adults
2. Screening for TBI and resources
3. Traumatic Brain Injury and Mental Illness
4. Psychopharmacology: The Elderly with Brain Injury
5. Alcohol and Drug Use and TBI
6. Homelessness and TBI

Each of the modules is valued separately in terms of continuing education and equal a total value of 6.5 credit hours. Please feel free to pass along this opportunity for free continuing education to your partnering agencies and colleagues. If you have any questions, please email Beth Pusey at or call 508-475-0032 x19.

The Existing Services

For the elderly and disabled— In Massachusetts, there is a pre-existing system known as Aging & Disability Resources Consortia (ADRC) which consists of partnerships throughout the state, based on geographic areas, between Independent Living Centers (ILC) and Aging Services Access Points (ASAP). These ADRC’s provide single-point access to long-term care services including MassHealth programs, home care, and other resources for elders and people with disabilities.  

 For survivors of brain injury—The Massachusetts Rehabilitation Commission (MRC) under the Massachusetts Executive Office of Health and Human Services (EOHHS)  is responsible for Vocational Rehabilitation Services, Community Living Services, and eligibility determination for the Social Security Disability Insurance (SSDI) and the Supplemental Security Income (SSI) federal benefits programs. Services for people with brain injury are housed within the Community Living division of MRC and include the waiver programs, Acquired Brain Injury (ABI)  Waiver and Money Follows the Person Waiver program and also the Statewide Head Injury Program (SHIP). SHIP provides services to Massachusetts residents who have sustained a Traumatic Brain Injury.

The Brain Injury Association of Massachusetts’s  Information & Resources department provide information on professionals in the brain injury community, general information about brain injury, and other community resources. For this grant, an Elder Information & Resources Specialist Liz Harnois is available to assist with inquiries specific to older survivors of brain injury and their caregivers.

For information on resources and support for brain injury survivors and caregivers, please call 508-475-0032.