Traumatic brain injury (TBI) has often been referred to as the silent epidemic. Many of the signs and symptoms of the injury often go unnoticed and often take months or years to appear. TBI as define by IDEA and Broward County is described as:
A traumatic brain injury means an acquired injury to the brain caused by an external physical force resulting in total or partial functional disability or psychosocial impairment, or both, that adversely affects educational performance. The term applies to mild, moderate, or severe open or closed head injuries resulting in impairments in one or more areas, such as cognition; language; memory; attention; reasoning; abstract thinking; judgment; problem solving; sensory, perceptual and motor abilities; psychosocial behavior; physical functions; information processing; or speech. The term includes anoxia due to trauma. The term does not include brain injuries that are congenital, degenerative, or induced by birth trauma. (“Exceptional Student Education policies and Procedures”, 2012, p. 76) About 1.7 million people receive a TBI annually in the United States. Of these 52,000 people dies as a result of their injury, 275,000 are hospitalized and nearly 1.3 million people are released after hospitalization. Males are more likely to receive a TBI than females and children between the ages of 0-4 and ages 15-19 are more likely to sustain a TBI, just about half of all TBI’s reported annually are in the age range of 0-14. TBI’s cost the healthcare system and society approximately 60 billion dollars in the year 2000. (Center for Disease Control, 2013) According to The Center for Head Injury Services people who sustain a TBI may live a normal and long life, but may require 5 to 10 years of intensive services and rehabilitation and may have lifelong rehabilitation needs. (2013) TBI is often referred as the silent epidemic because the