Traumatic Brain Injury (TBI) is an acquired injury to the brain caused by an external physical force, resulting in total or partial functional disability or psychosocial impairment, or both, that adversely affects a child’s educational performance. TBI has become known as the "silent epidemic." Approximately 6,000 Texas children are hospitalized each year due to TBI with 1,300 resulting in long-term disability. The impact of TBI is devastating and costly. There is no cure and the effects may be lifelong.