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Our Mission


To develop, implement and monitor a comprehensive system of statewide supports to address the needs of people with neurotrauma injury and their families.

Circle of Supports Models

Circle of Support Models: the intent of this section is to educate the public and interested parties about various potential strategies that foster self-determination for individuals with disabilities.

What are Support Groups or Caregiver Support Groups?

Self-help and family support groups are composed of people who share information, experiences and common problems. They are a good source of information about resources available to patients and their families. Often a health care professional is invited as a guest speaker.

  • Starting a Support or Discussion Group This is taken from the National Spinal Cord Injury Association website and can be applied to other disabilities as well.
  • The attached file was an e-mail response obtained from participants using the Federal TBI Program TBISERVE, and those on the Brain Injury Association of America's StarWB Yahoo Group. Identities have been protected for confidentiality.
  • Microboards: a group of people coming together to support one person. The story of how micro-boards started in British Columbia, Canada.
  • Governing Boards: Group of people with a common interest coming together to support a number of people with disabilities. Governing Board also looks for natural supports and can be a support structure. They may or may not elect to use a Fiscal Intermediary. Information on governing boards in Massachusetts is provided.
  • Self-Directed Support Corporation and its use in the Medicaid Waiver Program of one state.
  • Fiscal Intermediary: see sample entitled “The California Self-determination Pilot Project”.
  • Creative Individual Budgeting Template Guidebook: the Center for Self-Determination provides training focused on financial tools to creatively address a meaningful and important life (attached is information on purchasing their guidebook).
  • "Moving On": RTC's Personal Futures Planning Workbook for Individuals with TBI and Facilitator's Manual. This is a link with the Research and Training Center on Community Integration of Individuals with Traumatic Brain Injury.

Self-Determination Literature:

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e-mail: ntrauma@doh.hawaii.gov

Maintained by the Developmental Disabilities Division
Developmental Disabilities Services Branch  |  2201 Waimano Home Road  |  Pearl City, Hawaii 96782

O'ahu (808) 453-6151  |  Hawai'i 974-4000  |  Maui 984-2400  |  Kaua'i 274-3141  | Moloka'i, Lana'i 1-800-468-4644
(All islands, use extension: 3-6151)