Traumatic Brain Injury Housing  Development Programs Consulting - Continued...

The key issues facing the development of the housing alternatives and programs necessary to support the traumatic brain injury community (as a whole) include:

	Service costs.  The biggest issue facing the traumatic brain injury community is the lack of affordable housing alternatives to service the resident load.  The use of MH/MR housing as a "stop-gap" has been a complete waste of resources and a complete programmatic failure in terms of TBI resident outcomes.
	Capital financing.  Capital financing is the biggest issue facing the industry as the cost of seed capital for a program that could provide the economies-of-scale necessary to undertake a large-scale community property still approach the total capital outlays associated with the small-scale (Type "A") facilities that have proven to be so problematic in the past.  The advent of fractional real estate financing makes the issue more manageable, but the progress remains agonizingly slow due to the lack of reliable underwriting data and benchmarks that can be applied to the evolving revenue and business operating models.
	Programming support.  The issue of the TBI program services necessary to create successful long-term resident experiences remains an issue.  The mix of personnel, resident-appropriate programming that has sufficient individualization to support the resident, but still provide the economies-of-scale that allow for affordability remains the most vexing issue of all as the models have to be sorted out between "lifestyle models" and "health care models" based upon the emerging resident socio-demographic profiles that are most likely to sustain long-term markets for these facilities.

To obtain more information on what can be done and how you can become involved in the development, capital financing, programming and/or operation of TBI facilities in the 21st century, please contact our offices.