Brain Injury and Stroke

Each year in New York State, over 110,000 emergency department visits and close to 20,000 hospitalizations are the result of Traumatic Brain Injuries (TBI). Stroke, a non-traumatic or acquired brain injury, affects more than 795,000 people a year in the United States.

The impact of a brain injury is often life-changing for survivors, their families, and caregivers.

EPI offers counseling, training, and tailored programs for adults with brain injuries. We were one of the first agencies in New York to provide specialized TBI services, which despite their name, serve people with all types of acquired brain injuries. Building on our expertise, EPI developed innovative and highly personalized services to assist people with their recoveries.

If you are looking for information on services for children with brain injuries, please visit our OWPDD Services.

What are Traumatic and Acquired Brain Injuries?

An Acquired Brain Injury is an injury to the brain that occurs after birth and is not the result of hereditary, congenital, or degenerative conditions.

A Traumatic Brain Injury is caused by a blow or impact to the head that damages the brain. Common causes include vehicle accidents, falls, sports and firearm injuries.

A Non-traumatic Brain Injury is caused by an internal injury to the brain and common causes include stroke, infection, ingestion of toxic chemicals or drug overdose, lack of oxygen to the brain and near-drowning.


Brain injuries can be minor, resulting in temporary symptoms such as headaches or dizziness. They can also be serious, with permanent or long-lasting disabilities. A person who suffered a severe brain injury might experience a wide range of physical and psychological effects, including:

  • Confusion
  • Depression
  • Anxiety
  • Memory or concentration problems
  • Mood swings or agitation
  • Unusual or aggressive behaviors
  • Slurred speech
  • Loss of balance
  • Sensory problems


EPI Structured Day/Evening Program

EPI Structured Day and Evening Program provides an adult learning setting where people with cognitive impairment due to a brain injury are able to participate in meaningful and life-enhancing activities.

View Service

Independent Living Skills Training

Independent Living Skills Training (ILST) services are designed to improve or maintain the ability of people with brain injuries to live as independently as possible in the community.

View Service

Environmental Modifications / Assistive Technology

Environmental Modifications (E-Mods) are internal or external modification to the residence of a person with disabilities. The modifications are designed to increase a person’s independence in their own home while maintaining their health and safety.

View Service

Community Integration Counseling (CIC)

Community Integration Counseling focuses on the emotional effects of brain injury. The loss of physical and processing abilities can affect a person’s emotional well-being. The sense of loss, anger or frustration that is commonly experienced among survivors can inhibit the recovery process. This time-limited service is focused on assisting people to effectively manage the emotional difficulties associated with adjusting to life with a brain injury.

View Service


We are here to help. Get in touch with us if you have questions, need assistance or more information.


Phone (585) 442-6420