Traumatic Brain Injury (TBI) is a major public health issue in Texas. According to the Centers for Disease Control, 144,000 Texas sustain a traumatic brain injury each year, one every 4 minutes. More than 381,000 Texans are living with TBI disability and more than 5,700 are permanently disabled by TBI each year. The prevalence of disability from TBI is greater than from AIDS, Alzheimer's, stroke, muscular dystrophy, cerebral palsy or spinal cord injury.