Memorial Hermann Health System

NATIONAL INSTITUTE ON DISABILITY AND REHABILITATION RESEARCH - DISABILITY AND REHABILITATION RESEARCH PROJECTS

SOUTHWEST ADA CENTER

SOUTHWEST ADA CENTER AT ILRU

CENTERS FOR INDEPENDENT LIVING TRAINING AND TECHNICAL ASSISTANCE CENTER (CIL T&TA CENTER)

CENTERS FOR INDEPENDENT LIVING A NATIONAL TRAINING AND TECHNICAL ASSISTANCE PROGRAM

CENTERS FOR INDEPENDENT LIVING TRAINING AND TECHNICAL ASSISTANCE CENTER (CIL T&TA CENTER)

REHABILITATION RESEARCH AND TRAINING CENTERS

DISABILITY REHABILITATION RESEARCH PROJECTS

CENTERS FOR INDEPENDENT LIVING/TECHNICAL ASSISTANCE

AMERICANS WITH DISABILITIES ACT PARTICIPATION ACTION RESEARCH CONSORTIUM (ADA PARC): ADVANCING PARTICIPATION EQUITY FOR PEOPLE WITH DISABILITIES

DISABILITY AND REHABILITATION RESEARCH PROGRAM

DISABILITY AND REHABILITATION RESEARCH PROGRAM: MULTICENTER EVALUATION OF MEMORY REMEDIATION AFTER TRAUMATIC BRAIN INJURY WITH DONEPEZIL (MEMRI-TBI-D

TEXAS MODEL SPINAL CORD INJURY SYSTEM

TEXAS TBI MODEL SYSTEM OF TIRR

TEXAS MODEL SPINAL CORD INJURY SYSTEM - IN THE PROPOSED TEXAS MODEL SPINAL CORD INJURY SYSTEM (TMSCIS) PROJECT, TIRR-MEMORIAL HERMANN (TIRR) WILL OUR KEY PARTNERS, THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER (UTHEALTH) AND THE UNIVERSITY OF MONTANA (UM), AND OTHER STAKEHOLDERS TO CONDUCT INNOVATIVE SCI RESEARCH TO IMPROVE OUTCOMES AND ADVANCE REHABILITATION METHODS, PROCEDURES, AND TECHNOLOGIES. TIRR PROVIDES A COMPREHENSIVE SYSTEM OF CARE FOR PERSONS WITH SCI EXTENDING FROM EMERGENCY MEDICAL SERVICES TO INTENSIVE ACUTE MEDICAL CARE; COMPREHENSIVE INPATIENT AND OUTPATIENT REHABILITATION; PSYCHOSOCIAL SERVICES; AND LONG-TERM FOLLOW-UP. THE OVERARCHING GOALS OF THE TMSCIS ARE TO IMPROVE HEALTH AND FUNCTION AND COMMUNITY LIVING AND PARTICIPATION AMONG PERSONS WITH SCI. TMSCIS RESEARCH IS HYPOTHESIS-DRIVEN WITH WELL-ARTICULATED AIMS AND EXPECTED OUTCOMES TO MAXIMIZE THE POSITIVE IMPACT ON PERSONS WITH SCI, THE FIELD OF RESEARCH, AND PUBLIC POLICY. AS ONE OF THE FOUR ORIGINAL SCI MODEL SYSTEMS CENTERS WITH FUNDING BEGINNING IN 1973, WE HAVE A LONG-TERM RECORD OF EXCELLENCE IN CLINICAL CARE FOR PERSONS WITH SCI. TIRR HAS BEEN RANKED AMONG THE TOP FIVE REHABILITATION HOSPITALS IN THE NATION FOR ALL 27 YEARS THAT U.S. NEWS & WORLD REPORT HAS PROVIDED THESE RANKINGS, WITH A CURRENT RANKING OF #3.TMSCIS IS POSITIONED TO CONTINUE ITS HIGH LEVEL OF CONTRIBUTIONS TO THE NATIONAL SCI DATABASE IN THE UPCOMING FUNDING CYCLE. USING A COMMUNITY-BASED PARTICIPATORY RESEARCH APPROACH IN OUR PROPOSED SITE-SPECIFIC PROJECT , LIVING LONGER AND STRONGER WITH SCI, WE WILL PARTNER CLOSELY WITH TWO TEAM MEMBERS WITH LIVED EXPERIENCE AGING WITH SCI, A 6-MEMBER COMMUNITY ADVISORY BOARD OF PEOPLE AGING WITH SCI, AND A MEDICAL ADVISORY BOARD ON AGING AFTER SCI, TO CONDUCT A CLINICAL TRIAL OF A GROUND-BREAKING, MULTI-SESSION HEALTH PROMOTION GROUP INTERVENTION DESIGNED TO ADDRESS THE AGING-RELATED HEALTH NEEDS OF PEOPLE WITH SCI. THE PROGRAM WILL BE DELIVERED IN THE ONLINE VIRTUAL WORLD OF SECOND LIFE. OUR INN OVATIVE APPROACH WILL RESPOND TO THE UNIQUE, AND PREVIOUSLY UNADDRESSED, HEALTH AND FUNCTION AND COMMUNITY LIVING AND PARTICIPATION NEEDS OF PEOPLE AGING WITH SCI. THE OBJECTIVES ARE TO CONDUCT A RANDOMIZED CONTROLLED TRIAL TESTING THE INTERVENTION COMPARED TO A CONTROL GROUP WITH A NATIONAL SAMPLE OF 192 MEN AND WOMEN WITH SCI WHO ARE AT LEAST 45 YEARS OF AGE OR WHO ARE AT LEAST 15 YEARS POST-INJURY. WITH ASSESSMENTS AT THREE TIME POINTS (PRE-INTERVENTION, POST-INTERVENTION, AND SIX-MONTH FOLLOW-UP), WE WILL USE GENERAL LINEAR MIXED MODELS (GLMM) TO EXAMINE THE IMMEDIATE AND LONGER TERM EFFICACY OF THE INTERVENTION AND MECHANISMS THROUGH WHICH THE INTERVENTION INFLUENCES PHYSICAL, PSYCHOLOGICAL, AND SOCIAL HEALTH OUTCOMES. IN ADDITION, WE WILL USE QUALITATIVE AND QUANTITATIVE METHODOLOGIES TO CONDUCT FORMATIVE AND SUMMATIVE EVALUATIONS OF THE PROGRAM. THE OBJECTIVE OF OUR PROPOSED COLLABORATIVE MODULE PROJECT IS TO EXAMINE THE RELATION OF STANDARD OPIOID ADMINISTRATION, AT THE SCENE OF INJURY AND ACUTE CARE, TO A) MOTOR FUNCTIONING AT REHAB DISCHARGE AND B) DEPRESSION AND PAIN OUTCOMES AT 1-YEAR POST INJURY. WITH RODENT MODELS DEMONSTRATING NEGATIVE IMPACTS OF EARLY OPIOID ADMINISTRATION ON MOTOR RECOVERY, PAIN, AND DEPRESSION, THIS CUTTING-EDGE PROPOSED PROJECT IS THE FIRST PROSPECTIVE INVESTIGATION OF THE RELATION BETWEEN EARLY OPIOID ADMINISTRATION AFTER INJURY AND SUBSEQUENT OUTCOMES IN PEOPLE WITH SCI. THIS INNOVATIVE RESEARCH COULD RESULT IN A HIGH LEVEL OF CLINICAL SIGNIFICANCE AND COULD INFORM LATER INTERVENTION STRATEGIES AND ACUTE PAIN MANAGEMENT PROGRAMMING. TMSCIS WILL DEVELOP KNOWLEDGE TRANSLATION MATERIALS IN VARIOUS ACCESSIBLE MEDIA DESIGNED TO REACH CONSUMERS, CLINICIANS, AND RESEARCHERS TO INFORM HEALTH-RELATED DECISION-MAKING OF PERSONS WITH SCI AND THEIR MEDICAL SERVICE PROVIDERS. OUR PROPOSED RESEARCH ADDRESSES CRITICAL HEALTH-RELATED NEEDS OF PEOPLE WITH SCI WITH THE POTENTIAL TO EXERT A SUSTAINED AND POWERFUL INFLUENCE ON CLIN

ADA PARTICIPATION ACTION RESEARCH CONSORTIUM (ADA PARC) 2022-2027 - OVER 31 YEARS SINCE THE ADA WAS PASSED, PEOPLE WITH DISABILITIES CONTINUE TO EXPERIENCE PARTICIPATION DISPARITIES IN COMMUNITY LIVING (CL), COMMUNITY PARTICIPATION (CP) AND ECONOMIC EQUITY (EE). THESE DISPARITIES UNFOLD AT NATIONAL, STATE AND CITY LEVELS, DIRECTLY AFFECTING PARTICIPATION RIGHTS, CHOICE, AND CONTROL. STARK DISPARITIES HAVE BEEN FURTHER BROUGHT TO THE FOREFRONT WITH THE COVID PANDEMIC. PUBLIC HEALTH DISPARITIES RESEARCH HAS APPLIED THE SOCIAL DETERMINANTS OF HEALTH (SDH) FRAMEWORK TO EXAMINE HOW ENVIRONMENTAL FACTORS INFLUENCE HEALTH DISPARITIES OF OTHER UNDERREPRESENTED POPULATIONS, SUCH AS BY RACE, ETHNICITY, AND INCOME. RESEARCH THAT HAS INCLUDED DISABILITY HAS STUDIED IT AS A NEGATIVE OUTCOME, RATHER THAN EXAMINING WHETHER PEOPLE WITH DISABILITIES AS A SOCIETAL GROUP HAVE EQUITABLE ACCESS TO HEALTH AND PARTICIPATION OPPORTUNITIES LIKE ANY OTHER SOCIETAL GROUP, THE LEVEL OF DISPARITIES THEY EXPERIENCE, AND THE EXTENT TO WHICH ENVIRONMENTAL FACTORS AT THE MICRO (IMMEDIATE), MESA (NEIGHBORHOOD AND COMMUNITY) AND MACRO (POLICY, SYSTEMS, ECONOMIC, AND SOCIOCULTURAL) LEVELS AFFECT THOSE DISPARITIES OR AFFORD OPPORTUNITIES. THIS TYPE OF EQUITY RESEARCH EXAMINES TO WHAT EXTENT WHERE YOU LIVE, AND THE LEVEL OF ACCESS TO OPPORTUNITIES AND RESOURCES YOU HAVE, IMPACT YOUR EVERYDAY PARTICIPATION, AND DIRECTLY INFORMS POLICY, SYSTEMS, AND COMMUNITY LEVEL ACTIONS SPECIFIC TO PEOPLE WITH DISABILITIES AND TO THE ADA. ADA PARC WILL BUILD ON MANY YEARS OF PARTICIPATORY ACTION RESEARCH (PAR) DONE IN COLLABORATION AND PARTNERSHIP WITH A CONSORTIUM OF TEN 10 ADA CENTERS, THE ADA KNOWLEDGE TRANSLATION (KT) CENTER, AND A NATIONAL NETWORK OF DISABILITY ORGANIZATIONS AND COMMUNITIES. WE PROPOSE TO STRENGTHEN THIS CONSORTIUM, AND INCREASE ITS IMPACT ON COMMUNITY ACTIONS TARGETED AT ADDRESSING DISPARITIES, OVER THE NEXT 5 YEARS BY COLLABORATING ON THE FOLLOWING PAR INITIATIVES: - EXAMINE EXISTING PARTICIPATION DISPARITIES USING LARGE POPULATION LEVEL DATASETS, COMPARING PEOPLE WITH AND WITHOUT DISABILITIES, ON 53 INDICATORS OF PARTICIPATION (CL, CP, AND EE) TO DOCUMENT THE MOST CURRENT DISPARITIES FINDINGS, AND TRENDS OVER TIME; - ANALYZE FINDINGS SPECIFIC TO PEOPLE WITH DISABILITIES FROM UNDERREPRESENTED COMMUNITIES AND INTERSECTING IDENTITIES BY RACE, ETHNICITY, AGE, ECONOMIC STATUS, GENDER, SEXUAL ORIENTATION, AND GENDER IDENTITY, TO DOCUMENT DISPARITIES OF DIVERSE PEOPLE WITH DISABILITIES AND COMMUNITIES; - ANALYZE FINDINGS SPECIFIC TO THE IMMEDIATE AND LONG TERM IMPACT OF COVID ON THE PARTICIPATION OF PEOPLE WITH DISABILITIES LIVING IN COMMUNITY AND INSTITUTIONAL SETTINGS; - VALIDATE AND SHARE PARTICIPATION EQUITY SCORECARDS THAT SUMMARIZE DISPARITIES ACROSS SDH INDICATORS, AND ALLOW STAKEHOLDERS TO COMPARE DISPARITIES AT STATE AND CITY LEVELS; - REVISE AND EXPAND THE EXISTING IMMEDIATE ACCESS, INTERACTIVE ADA PARC WEBSITE (ADAPARC.ORG) TO REPORT THESE FINDINGS IN MULTIPLE, ACCESSIBLE FORMATS FOR DIFFERENT STAKEHOLDERS TO UTILIZE IN ACTIONS, AND EVALUATE THE KT IMPACT WITH WEBSITE USERS; - COLLABORATIVELY DESIGN AN ONLINE, PEER MENTORING INTERVENTION PROGRAM TO CREATE CITIZEN SCIENTISTS AND CHANGE AGENTS FROM DIVERSE DISABILITY GROUPS AND COMMUNITIES WHO WILL LEARN HOW TO MAKE SENSE OF THIS DISPARITIES RESEARCH, AND USE ADA PARC FINDINGS TO ADVOCATE FOR SYSTEMS AND POLICY CHANGES AT NATIONAL, STATE AND COMMUNITY LEVELS. THIS INTERVENTION, REFERRED TO PEN (PARTICIPATION EQUITY NAVIGATORS), WILL BE EVALUATED IN A STUDY WITH 200 DIVERSE PARTICIPANTS WITH DISABILITIES TO DETERMINE ITS FEASIBILITY, ACCESSIBILITY, OUTCOMES, AND KT IMPACT FOR INDIVIDUAL PARTICIPANTS AND DIVERSE COMMUNITIES THEY REPRESENT; AND, - DELIVER TRAINING AND KT ACTIVITIES TO WIDELY DISSEMINATE ADA PARC FINDINGS TO DISABILITY COMMUNITY AND KEY STAKEHOLDERS INVOLVED IN ADA IMPLEMENTATION AND SYSTEMS CHANGE.

DISABILITY AND REHABILITATION RESEARCH PROGRAM

TIRR MEMORIAL HERMANN/BAYLOR COLLEGE OF MEDICINE/UT HEALTH COLLABORATIVE TBI MODEL SYSTEM - IN ADDITION TO CONTRIBUTING TO THE OVERALL TRAUMATIC BRAIN INJURY MODEL SYSTEMS (TBIMS) GOAL OF UNDERSTANDING AND IMPROVING LONGITUDINAL OUTCOMES FOR INDIVIDUALS WITH TRAUMATIC BRAIN INJURY (TBI), OUR TBI MODEL SYSTEMS HAS THE FOLLOWING OVERALL GOALS: (1) IMPROVING MENTAL HEALTH MONITORING AND TREATMENT FOR INDIVIDUALS WITH TBI; AND (2) CONTRIBUTING KNOWLEDGE REGARDING INDIVIDUAL HEALTH PERCEPTIONS THAT CAN REFLECT DIFFERENT SOCIAL DETERMINANTS OF HEALTH AND THAT CAN IMPACT COMMUNICATION BETWEEN PEOPLE WITH TBI AND THEIR HEALTHCARE PROFESSIONALS, AS WELL AS OVERALL HEALTH AND PARTICIPATION OUTCOMES. OUR LOCAL RESEARCH PROJECT IS A STUDY TO TRACK TEMPORAL PATTERNS OF EVERYDAY NEUROBEHAVIORAL SYMPTOMS (EMOTIONS, FATIGUE, COGNITIVE CHALLENGES, SUBSTANCE USE) THAT OFTEN DEVELOP INTO MENTAL HEALTH CONDITIONS ACROSS THE FIRST YEAR AFTER TBI, AND TO DETERMINE PATTERNS IN THESE SYMPTOMS THAT PREDICT A DIAGNOSIS OF DEPRESSION OR ANXIETY AT 1-YEAR POST-INJURY. TRACKING IS CONDUCTED VIA A MOBILE HEALTH PLATFORM DEVELOPED SPECIFICALLY WITH AND FOR PERSONS WITH TBI, ALLOWING FOR COLLECTION OF DATA ON EMOTIONAL AND BEHAVIORAL SYMPTOMS IN EVERYDAY LIFE. HAVING A RECORD OF REPEATED ASSESSMENTS OF EMOTIONAL AND BEHAVIORAL FUNCTIONING IN THEIR DAILY LIVES CAN HELP PERSONS WITH TBI TO TRACK MENTAL HEALTH AND TO SEEK HELP AS NEEDED. THE USE OF MOBILE APP TECHNOLOGY, WITH ABILITY TO CAPTURE SYMPTOMS IN REAL TIME RATHER THAN RETROSPECTIVELY, AND IN A PERSON’S DAY-TO-DAY ENVIRONMENT COULD PROVIDE MORE ACCURATE DIAGNOSIS BASED ON FREQUENCY AND DURATION OF SYMPTOMS. TO ADDRESS OUR SECOND GOAL, WE WILL CONDUCT A COLLABORATIVE MODULE PROJECT THAT WILL VALIDATE A MEASURE OF HEALTH PERCEPTIONS FOR PERSONS WITH TBI. THIS MEASURE – THE MULTIDIMENSIONAL HEALTH PERCEPTIONS QUESTIONNAIRE (MHPQ) – WAS DEVELOPED AND VALIDATED IN A GENERAL POPULATION, WITH BOTH ENGLISH AND SPANISH SPEAKERS, USING PATIENT-CENTERED OUTCOMES TECHNIQUES. IT CAPTURES SEVERAL AREAS CONSIDERED TO BE IMPO RTANT SOCIAL DETERMINANTS OF HEALTH, INCLUDING ANTICIPATED DISCRIMINATION, SPIRITUAL HEALTH BELIEFS, BELIEFS ABOUT SOCIAL AND EMOTIONAL WELL-BEING, TRUST IN HEALTHCARE PROVIDERS, HEALTH SELF-EFFICACY, AND PERCEIVED HEALTH LITERACY. OUR STUDY AIMS TO VALIDATE THIS MEASURE FOR DIVERSE PERSONS WITH TBI AND TO CONDUCT LATENT PROFILE ANALYSIS TO DETERMINE PROFILES OF INDIVIDUALS WITH REGARD TO THESE IMPORTANT HEALTH PERCEPTIONS THAT MAY CONTRIBUTE TO EFFECTIVENESS OF COMMUNICATIONS BETWEEN PERSONS WITH TBI AND THEIR HEALTHCARE PROVIDERS. WE WILL ALSO EXPLORE THE RELATIONSHIP BETWEEN HEALTH PERCEPTIONS AND PARTICIPATION OUTCOMES AFTER TBI. LIKE OUR PROPOSED PROJECT ON MENTAL HEALTH, THIS PROJECT HAS THE POTENTIAL TO IMPROVE COMMUNICATION BETWEEN PERSONS WITH TBI AND THEIR HEALTHCARE PROVIDERS. PROVIDERS COULD USE THESE HEALTH PERCEPTIONS PROFILE AS A BASIS FOR TAILORING THEIR RECOMMENDATIONS AND INSTRUCTIONS TO THE INDIVIDUAL HEALTH BELIEFS AND PERCEPTIONS OF THEIR PATIENTS AND CLIENTS. OUR TBIMS HAS A SPECIFIC DISSEMINATION PLAN TO PRESENT EFFECTIVE AND USABLE INFORMATION TO OUR TARGET AUDIENCES, INCLUDING INDIVIDUALS WITH TBI, THEIR CARE PARTNERS, AND THEIR HEALTHCARE PROFESSIONALS. OUR EXPERTISE WITH DISSEMINATION TO CULTURALLY DIVERSE AUDIENCES, INCLUDING SPANISH SPEAKERS, WILL FACILITATE UPTAKE AND IMPLEMENTATION ACROSS TRADITIONALLY UNDERSERVED RACIAL AND ETHNIC MINORITY GROUPS.

CENTERS FOR INDEPENDENT LIVING/TECHNICAL ASSISTANCE

TRAUMA-FOCUSED TREATMENT AND SERVICES FOR GREATER HOUSTON'S CHILDREN AND ADOLESCENTS - MEMORIAL HERMANN HEALTH SYSTEM (MHHS), IS THE LARGEST, NON-PROFIT, INTEGRATED HEALTH SYSTEM IN GREATER HOUSTON, SERVING OVER 2 MILLION PATIENTS ACROSS 320 SITES IN SOUTHEAST TEXAS. OUR 14 HOSPITALS, ANCHORS WITHIN THEIR RESPECTIVE COMMUNITIES, COVER HOUSTON’S METROPOLITAN SERVICE AREA WITH A POPULATION OF 6.37 MILLION. MHHS’ BEHAVIORAL HEALTH SERVICES (BHS) PROVIDES QUALITY BEHAVIORAL HEALTH SERVICES TO CHILDREN, ADOLESCENTS, AND ADULTS THROUGH A CONTINUUM OF PROGRAMS THAT SPAN 11 HOSPITALS AND OVER 13 COMMUNITY SETTINGS. ALMOST 50% OF OUR PATIENT POPULATION IS UNINSURED AND LOW-INCOME. WE OFFER TRAUMA-INFORMED CARE FOCUSING ON MEDICAID, UNINSURED/LOW-INCOME, AT-RISK CHILDREN AND ADOLESCENTS LIVING IN OUR FOUR COUNTY CATCHMENT AREA: HARRIS, MONTGOMERY, BRAZORIA AND FORT BEND. OUR GRANT PROGRAM PROVIDES A CONTINUUM OF SERVICES FROM SCREENING AND COMPREHENSIVE ASSESSMENT TO TREATMENT AND PREVENTION TO OUR TARGET POPULATION. WE CAPITALIZE UPON THE PATIENT FLOW FROM OUR EMERGENCY DEPARTMENTS, OUR MENTAL HEALTH CRISIS CLINICS, AND OTHER BHS PROGRAM. GRANT-FUNDED TRAUMA-FOCUSED BEHAVIORAL HEALTH CLINICIANS WILL BE EMBEDDED INTO OUR MENTAL HEALTH CRISIS CLINICS, BENEFIT FROM THE EXISTING INTERDISCIPLINARY CARE TEAM, TO OFFER TRAUMA-INFORMED CARE TO AT-RISK CHILDREN AND YOUTH. WE LEVERAGE TECHNOLOGY TO OFFER IN-PERSON OR VIRTUAL CARE. REFERRALS WILL BE GENERATED FROM OUR PARTNERS, WHICH INCLUDE THE HARRIS CENTER AND TRI-COUNTY BEHAVIORAL HEALTH (LOCAL MENTAL HEALTH AUTHORITIES) AND THREE SCHOOL DISTRICTS (HUMBLE, SPRING BRANCH AND NEW CANEY ISDS). OUR OVERALL GOAL IS TO INCREASE ACCESS TO TRAUMA-INFORMED CARE FOR VULNERABLE CHILDREN AND ADOLESCENTS AND IMPROVE PATIENT SYMPTOMOLOGY. OUR GRANT OBJECTIVES OVER THE FIVE YEAR PERIOD ARE: 1) TO SCREEN 5,000 CHILDREN AND ADOLESCENTS ACROSS OUR HEALTH SYSTEM FOR CURRENT OR HISTORICAL TRAUMA; 2) TO ENROLL AND TREAT 625 CHILDREN AND ADOLESCENTS USING TRAUMA FOCUSED- COGNITIVE BEHAVIORAL THERAPY (TF-CBT) OR TRAUMA AND GRIEF COMPONENT THERAPY (TGCT) TO REDUCE PATIENT SYMPTOMOLOGY BY 20%; AND 3) TO OFFER 2 EDUCATIONAL SESSIONS PER YEAR TARGETING PARENTS AT OUR PARTNER SCHOOLS TO HELP THEM UNDERSTAND TRAUMA AND WHAT STEPS THEY CAN TAKE TO PREVENT TRAUMA IN THEIR CHILDREN. WE DEDICATE TIME FOR OUTREACH AND TO ENGAGE NEW STAKEHOLDERS TO ENSURE OUR COMMUNITY IS INFORMED OF THIS INVALUABLE GRANT PROGRAM.

DISABILITY AND REHABILITATION RESEARCH PROGRAM

CENTERS FOR INDEPENDENT LIVING/CENTER FOR INDEPENDENT LIVING TRAINING AND TECHNICAL ASSISTANCE RECOVERY ACT

DEVELOPMENT AND PILOT TESTING OF EHEALTH PROBLEM-SOLVING TRAINING (EPST) FOR ADULTS WITH TRAUMATIC BRAIN INJURY

DISABILITY REHABILITATION RESEARCH PROJECTS

SUPPORTING THE POST-IMELDA BEHAVIORAL HEALTH CARE NEEDS OF ADULTS IN HARRIS AND MONTGOMERY COUNTY

STATEWIDE INDEPENDENT LIVING COUNCIL TRAINING AND TECHNICAL ASSISTANCE CENTER (SILC T&TA)

HEALTH CARE AND OTHER FACILITIES

STATEWIDE INDEPENDENT LIVING COUNCIL TRAINING AND TECHNICAL ASSISTANCE CENTER

STATEWIDE INDEPENDENT LIVING COUNCIL TRAINING AND TECHNICAL ASSISTANCE CENTER

UNDERSTANDING INTERPERSONAL VIOLENCE AGAINST PEOPLE WITH SCI AND ITS PSYCHOSOCIAL IMPACTS

FIELD INITIATED PROJECTS PROGRAM: THE RELATIONS AMONG PAIN, DEPRESSION, AND RESILIENCE AND THEIR PREDICTION OF LIFE SATISFACTION IN MEN AND WOMEN WI

DISABILITY REHABILITATION RESEARCH PROJECTS

TRANSFER FROM 90DPHF0016 TO MEMORIAL HERMANN HEALTH SYSTEM

REHABILITATION RESEARCH AND TRAINING CENTERS (RRTCS) PROGRAM

DISABILITY REHABILITATION RESEARCH PROJECTS

INDEPENDENT LIVING ARRA GRANTS

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE FACILITIES AND OTHER CONSTRUCTION