skip to main content
Washington State Institute for Public Policy

All of WSIPP's research is published on our website. The Publications page includes every report we've released—from our founding in 1983 to the present. Each report entry includes the title, publication date, abstract, any available supplemental materials, and a downloadable PDF.

WSIPP reports are not updated after publication, and any report older than two years is designated with an “Archived” label.

To explore our benefit-cost and meta-analytic findings, please visit the Benefit-Cost section of the website.

Use the search fields below to find specific publications that match certain criteria. If you want to find other information on our website that is not publications, you can use the search field in the navigation bar at the top, or click here to search the entire website.

Use the dropdown to select the field in which you would like to perform a keyword search.

Input the keyword you would like to search by in the textbox.

You can put multiple words inside quotes "like this" to indicate that you only want results where the entire phrase is found.

You can use the minus symbol "( - )" to indicate you only want results without the indicated word, such as: "teacher -substitute".


Select a publication author(s) to filter results by author. Once selected, you may remove an author from the search by clicking the "x".
"ANY of these authors" will return all results that include any of the authors you specified in your search criteria.

"ALL of these authors" will return only those results that include every author you specified in your search criteria.


Select a topic(s) to filter results by topic. Once selected, you may remove a topic from the search by clicking the "x".
"ANY of these topics" will return all results that include any of the topics you specified in your search criteria.

"ALL of these topics" will return only those results that include every topic you specified in your search criteria.


Select a date range if you would like to only see results published during a specified time period.

Publications

Found 1 results

Traumatic Brain Injury and Long-Term Services and Supports in Washington State

Open Publication PDF

Benjamin MacCormack-Gelles, Amani Rashid - June 2025

Long-term support services (LTSS) include a range of resources to help people with chronic conditions maintain their quality of life. These services can be adapted to meet the specific needs of adults who have sustained a traumatic brain injury (TBI).

We conducted a review of Medicaid programs states use to provide LTSS. Programs that specifically target adults with brain injury are more likely to offer employment and behavioral support. Facility-based services are commonly provided in group home settings and may specify transitional or lifelong support goals. Many states integrate participant self-direction into community-based TBI services. Several states are carefully integrating adults with complex chronic conditions, such as TBI, into managed LTSS.

We used administrative data to estimate the incidence of TBI in Washington, demographics of adults with TBIs, and healthcare outcomes. Older adults are most vulnerable to TBIs, but younger adults represent a large proportion of total injuries. Medicaid-insured adults are hospitalized for TBI at a higher rate than privately insured adults. Privately insured adults account for a larger proportion of TBIs diagnosed in outpatient settings. Rates vary across counties but are not correlated with rurality at that scale.

Download:   Report    Executive Summary  
Related:
Legislation