Abstract:
The New York Traumatic Brain Injury Model System (NYTBIMS) of the Department of Rehabilitation Medicine at Mount Sinai Medical Center (MSMC) in New York City (NYC) is a comprehensive program of care that meets the diverse needs of individuals with traumatic brain injury (TBI). There are three components in this system: (1) comprehensive clinical care, (2) research, and (3) dissemination, education and training. A unique aspect of the NYTBIMS is the involvement of individuals with TBI in all aspects of the program and its close relationship with the Research and Training Center on the Community Integration of Individuals with TBI. The clinical program consists of: a) the NYC Emergency Medical Service, which extricates individuals from their injury site to the Level I trauma center at Elmhurst Hospital Center, b) acute neurological services at Elmhurst or Mount Sinai and c) inpatient rehabilitation services at either Mount Sinai Hospital or Elmhurst. Subsequent outpatient rehabilitation services and long-term follow-up are provided at both institutions as well. The research program is designed to advance our current understanding of TBI to improve rehabilitation outcomes. Local research projects involving two prominent disabling conditions of TBI, depression and fatigue will be conducted. Through a variety of educational programs, dissemination, education and training will be provided for individuals with TBI, their families and health professionals. This includes the development of a public policy newsletter, our own consumer reports, publication of a patient/family newsletter and expansion of our website. In addition, the NYTBIMS will sponsor local, regional and national education/training programs.

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