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An operational model of lifelong living

Comprehensive, supportive care programs for low-income, traumatically brain-injured adults are in short supply in the United States. To create effective, community-based care alternatives for this population, national advocacy groups, caregivers, families, and concerned citizenry must piece together federal, state, county, municipal, and private funds. Since 1978 Accessible Space, Inc (ASI), a nonprofit organization based in Minneapolis-St. Paul, Minnesota, has been providing such services for persons with traumatic brain injuries and other disabilities, integrating affordable housing with vocational, social, case management, transportation, and other services required for lifelong living. The article reviews the design of the ASI system, its operation, and its funding mechanisms.