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Early Intervention
Head and Spinal Cord

Case Mangement
Residential Program

Head and Spinal Cord Injuries

Richland/Lexington Disabilities and Special Needs provides services for people with traumatic brain injury and spinal cord injury and similar disabilities.

We have Case Managers specifically trained to work with people who have traumatic brain injuries, spinal cord injuries, or similar disabilities and their families.


To be eligible for these services, all four of the following requirements must be met at the time of applying for eligibility.

1.  The condition is attributed to a physical impairment, including head injury, spinal cord injury or both, or a similar disability, regardless of the age of onset, but not associated with the process of a progressive degenerative illness or dementia, or a neurological disorder related to aging;

2.  The condition is likely to continue indefinitely without intervention;

3.  The condition results in substantial functional limitations in at least two of these life activities: self-care, receptive and expressive communication, learning, mobility, self-direction, capacity for independent living, economic self-sufficiency; and

4.  The condition reflects the person's need for a combination and sequence of special interdisciplinary or generic care or treatment or other services which are lifelong or of extended duration and are individually planned or coordinated.


The following definitions come from the South Carolina Code of Laws.

Traumatic brain injury - an insult to the skull or brain caused by an external physical force.   The injury may produce a diminished or altered state of consciousness resulting in impairment in cognitive abilities or physical functioning, as well as behavioral and/or emotional functioning.  This does not include cerebral vascular accidents (strokes) or aneurysms.


Spinal cord injury - an acute traumatic lesion of neural elements in the spinal canal, resulting in any degree of deficit in sensory, motor and life functions.  The deficit may be temporary or permanent.


"similar disability" The South Carolina Code of laws does not define a similar disability, but stipulates that a similar disability:
  • is not limited by early age of onset
  • is not a condition that culminates in death or worsens over time
  • is not dementia
  • is not a neurological disorder related to aging

Muscular Dystrophy, Multiple Sclerosis, cancer, tumors, Parkinson's Disease and other primary medical conditions DO NOT qualify as a "similar disability."

Applying for Services

If you or your family member have a severe disability as a result of traumatic brain injury, spinal cord injury, or both, or a similar disability, you may apply for services by calling the HASCI Division Information and Referral at 1-866-867-3864.  

Links to other HASCI Resources

Links to:

Centers for Disease Control - Traumatic Brain Injury

Shepherd Center - Traumatic Brain & Spinal Cord Injury

Richland/Lexington Disabilities and Special Needs Board
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