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Guidelines for Acquired Brain Injury and Traumatic Brain Injury Accommodations

Who is Considered a Qualified Student with a Disability?

In order to provide quality services to students with disabilities, Texas State requires a student to provide verification of disability to the Office of Disability Services (ODS) at the time services are requested.  A student who has an existing diagnosis or documentation of a Neurocognitive Disorder such as an Acquired Brain Injury (ABI) or Traumatic Brain Injury (TBI), which has been completed by a certified professional (e.g., psychologist, psychiatrist or physician) within the last five years may submit this documentation to ODS for consideration.  In certain cases, updated information may be required.  This information will be used to establish the need for appropriate accommodations.

The disabilities addressed in this guideline include Acquired Brain Injury and Traumatic Brain Injury.  A student must meet the criteria outlined in this guideline to qualify for services and accommodations at Texas State.  In certain cases, accommodations may be recommended on the basis of other evidence of acquired brain injury.

A student needing documentation of ABI or TBI can receive referral from ODS.  It is the responsibility of the student, not ODS to pay for the cost of an evaluation.

Students should keep a copy of any disability documentation provided to the ODS for their own records.  The ODS will maintain a student's file no longer than ten years after graduation or the last semester services are requested.

What is ABI and TBI Disability Criteria?

The characteristics of ABI may be grouped into three general domains; inattention/impulsivity, slowed processing and impaired memory.  Each student with ABI has a unique set of traits and characteristics.  The following list of characteristics may be associated with ABI: inattention, distractibility, slow rate of processing information, impaired memory, poor concentration, irritability, or poor impulse control.

The characteristics of TBI may be grouped into a major or mild neurocognitive disorder due to a traumatic brain injury.  Each student with TBI has a unique set of traits and characteristics.  The following list of characteristics may be associated with TBI: loss of consciousness, posttraumatic amnesia, disorientation and confusion, or neurological signs (neuroimaging, seizures, worsened seizures, visual difficulties, anosmia, and hemiparesis).

Required Documentation

The diagnostic report should include the following information:

  • A Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) diagnostic code and disorder name
  • Psychological test results used to support the diagnosis
  • Learning areas impaired by the disorder
  • Academic accommodations recommended by the examiner
  • The time period for which academic accommodations are recommended
  • Examiner's name, address, phone number and credentials to include professional license number

Recommended Documentation

  • Medical evaluation noting medication prescribed, if any, and its effects and side effects
  • Neurological/neuropsychological evaluation


How are Accommodations and Support Services Determined?

Within 30 working days of receiving the diagnostic evaluation or report, the ODS will review the need for accommodations and support services based on the individual's disability documentation and disability-based need.  The ODS will notify the student after determining appropriate accommodations in accordance with Section 504 of the 1973 Rehabilitation Act, the Americans with Disabilities Act of 1990 and Amendments Act of 2008, and university policy and procedure.