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Each year, an estimated 1.7 million brain injuries occur in the U.S.

Brain injuries, whether traumatic or acquired, can range from mild to severe. They can interfere with the way a person thinks, behaves and functions, leaving the individual unable to perform basic tasks. Brain injuries can affect memory, concentration, and communication. For some, recovery can take weeks or months. For others, it is a lifelong process. At the Brain Injury Rehabilitation Center (BIRC) - our team of rehabilitation experts work to help our clients maximize their skills, independence and quality of life.

Who may be appropriate for BIRC?

People ages 15 years and older who have an acquired neurological impairment due to a brain injury or head trauma AND results in changes in their cognitive skills. This may include closed or open head wound, stroke, anoxia, tumor or progressive disease.

Common deficits include:

  • Diminished attention
  • Increased distractibility
  • Slowed processing speed
  • Diminished tolerance for cognitive stimulation
  • Memory deficits
  • Reduced awareness, self monitoring and regulation
  • Altered executive function skills such as goal directed behavior, planning, organizing, time management, problem solving and quality management
  • Vision changes & perceptual difficulties
  • Balance difficulties
  • Low tolerance for light and noise
  • Reduced impulse control
  • Heightened anger & irritability
  • Lower frustration tolerance


After receiving a medical referral and records from the primary physician, benefits are checked and a comprehensive one-day transdisciplinary evaluation is scheduled.

The evaluation team consists of an MD, psychologist, physical therapist, occupational therapist and a speech/language pathologist with years of experience in brain injury rehabilitation. A post evaluation conference is then held to discuss any treatment recommendations. The prospective client and family members generally will attend this conference. This conference is also often attended by employers, medical providers and representatives of the insurer.

Each BIRC team member, in addition to being an expert in his/her own field, understands critical aspects of every other discipline represented on the team. The BIRC team members work together to formulate the treatment plan, establish measurable goals and monitor client progress.

Our team approach offers therapy tailored to individual needs and goals

Treatment plans are tailored to individual needs and goals. Multiple treatment programs are available including the Day Treatment Program, home and community based rehabilitation, outpatient services, and evaluations such as pre-driver’s assessments.

Day Treatment Program

The Brain Injury Rehabilitation Center (BIRC) at PRA provides comprehensive rehabilitation for adults with acquired brain injuries. BIRC is a CARF accredited program and has been a leading provider of rehabilitation services for adults with brain injuries since 1986.

Transition Services

The Brain Injury Rehabilitation Center’s (BIRC) unique Transition programs offer the ability for treatment to be tailored to meet the needs of clients before the start or after the completion of our Day Treatment program.

The Transition-In program is for clients who are about to start the BIRC Day Treatment program and need preliminary intervention in order to obtain a foundation of skills and strategies to support and optimize their participation in the full program.

Transition-In Program Focus

  • Home safety and supervision
  • Medication management
  • Endurance
  • Problem solving
  • Transportation
  • Day planner Use

The Transition-Out program is for clients who have completed the Day Treatment program and need continued intervention at a lesser frequency and intensity in order to promote the generalization of skills and strategies to their work, home, and community environments.

Transition-Out Program Focus

  • Independent functioning
  • Return to work
  • Generalization of strategies
  • Adjustment

Client and program goals involve increased daily functioning, independence, return to work, return to driving, return to meaningful life activities, identity reconstruction, emotional adjustment and improved quality of life.

BIRC is accredited by the Commission of the Accreditation of Rehabilitation facilities (CARF). CARF is the "Gold Standard" for rehabilitation facilities. It requires stringent and exacting standards of excellence in every aspect of professional conduct, treatment and business operations.

To discuss an initial comprehensive evaluation, simply call the BIRC case manager at 503.292.0765.