Nursing Home Initiative Services

MRC continues to support individuals with developmental disabilities who moved out of nursing homes as part of the Rolland settlement, now closed.  Individuals live in a variety of settings including but not limited to apartments with supports, with their families, shared living, group homes, and assisted living.  The individuals served determine the focus of the support services that MRC provides, from skills training, community integration, PCA management, health maintenance, promotion of wellness and quality of life.

These services are funded and overseen by MRC Rolland Coordinators.

Elders and Traumatic Brain Injury – Federal Grant Program

The Massachusetts Rehabilitations Commission operationalized the “Improving the Massachusetts System of Care for Elders sustaining a Traumatic Brain Injury” federally funded grant₁ (also known as the HRSA grant program) to implement systemic changes benefiting the traumatic brain injury elder (60+) population.  The grant focuses on a pilot area of the state, Northeast and MetroWest, and is in effect for four years (2014-2018). 

Through partnership with the Brain Injury Association of Massachusetts of MA (BIA-MA) and other local/state agencies₃, this grant enhances the current elder service system through staff training on TBI, resources, and community education and ultimately contributes to the enhancement of the state’s “No Wrong Door” model.

A Project Advisory Board, made up of professionals, caregivers, and survivors, provides guidance and oversight on all aspects of the grant. This group helps to advocate for future service needs for elders with TBI.

For information on resources for elders with TBI please contact the Elder Information hotline (844-839-7154) at the BIA-MA or visit their website at

  1. It is important to note that this grant is commonly referred to as the HRSA Elder grant #H21MC26927. Effective June 1, 2016, the Traumatic Brain Injury H21 State Implementation grant program was transferred from the Health Resources and Services Administration (HRSA) to the Administration for Community Living (ACL).  Within ACL, the Traumatic brain Injury State Demonstration Grant program is housed in the Administration on Disabilities (AOD) in the Independent Living Administration (ILA). 

Training for Schools, Families, Programs, and Agencies

A primary mandate of the Community Based Services Program is to provide training and consultation to agencies, programs and professionals throughout the Commonwealth, both public and private, so they may more effectively serve individuals with brain injuries.

These trainings and in-services are available at no cost to any organization or professional currently providing services to individuals with brain injuries or interested in working with persons with brain injuries.  They are provided by consulting clinicians or staff, all of whom have experience in head injury rehabilitation. Consultants are available who specialize in neuropsychology, behavior management, vocational adjustment, and other areas of specialization. A general overview of the cognitive and behavioral effects of brain injury is also available.

The Statewide Head Injury Program can also provide Technical Assistance (TA) and consultation pertinent to the educational needs of school-age individuals with traumatic brain injuries enrolled in public or private schools throughout Massachusetts. TA is provided by a SHIP Consultant and/or a SHIP Consulting Neuropsychologist without cost to the school. School personnel or the parents of a child with a traumatic brain injury can request Technical Assistance from SHIP.

Technical assistance for school-age individuals is a result of federal legislation recognizing the unique educational needs of children with TBIs, but with this change in legislation, educators throughout MA are faced with a newly identified special-needs student population. There is still a lack of training and experience in working with children with TBIs, as many common behaviors, emotions, and reactions that children have after a brain injury are not accurately identified and understood by teachers and educational staff. Some common complications resulting from a TBI are motor coordination issues, impairments of perception, and depression, along with many other possible symptoms. Moreover, as sports related concussions are very prevalent, some symptoms of childhood concussions are: vomiting, headache, crying and inability to be consoled, restlessness or irritability, as well as long-term symptoms of persistent headache, poor attention, and change in sleep pattern. 

Consumer-specific consultation: SHIP consultants address the particular needs, situation or circumstances of a specific SHIP-eligible consumer. This form of in-service is available for individuals who have been determined eligible for SHIP services and with the consent of the individual/guardian. The consultant can work directly with the service provider to identify strategies, develop service or behavioral plans, and make recommendations to enhance and improve consumer participation and/or service provision. 

 Programmatic training:  SHIP consultants and staff provide a general overview of the effects of TBI. General recommendations, strategies and suggestions are provided to the professional or organization for serving persons with TBI. Specific types of problems, behaviors, situations, or models of treatment or care may be discussed in this forum, but specific individuals cannot be identified, reviewed or discussed. SHIP has provided these trainings to a wide spectrum of service providers such as home health agencies, independent mental health centers, elder home care agencies, vocational settings, DDS and DMH, and VNAs. The professional or organization need not be providing services to a SHIP-eligible consumer to request these trainings.

SHIP consultants provide a variety of trainings pertinent to people with brain injuries, including:

  • Core training of Traumatic Brain Injury and the Brain
  • Understanding Brain Injury and Its Effects
  • Acquired Brain Injury Training
  • Substance Abuse and TBI
  • Managing Challenging Behaviors with Clients with TBI and ABI
  • Psychotherapy for Clients with ABI or TBI
  • Blast TBI and Related Sequelae in Veterans
  • TBI in the Elder Population
  • Preventing and Managing Aggression in the TBI Population
  • How to Interpret and Utilize a Neuropsychological Report
  • Employment Related Issues For Clients with TBI

These trainings can accommodate various audiences of size and lengths of presentation.

How Do I Obtain Further Information about any of the SHIP programs and services?

Obtain information by calling (617) 204-3852 or toll-free (in Massachusetts only) 1-800-223-2559. TTY: (617) 204-3817. Or send an e-mail to



This information is provided by the Massachusetts Rehabilitation Commission