CSO provides case management services to individuals who have suffered traumatic brain injury resulting in mental and/or physical disabilities. Chronic and permanent disabilities caused by heart attack, stroke, car accident, violent crime, etc. affect individuals’ intellectual, physical and emotional functions as well as their abilities to retain gainful employment. Case Management is responsible for helping individuals to assess and adapt to “new” or different lifestyles by identifying “supports” that will be needed. Most often, individuals require rehabilitative therapies, in-home support services (housekeeping and personal care), meals on wheels, and ongoing advocacy to ensure safety and progress toward rehabilitation. CSO’s case managers call and visit service recipients on a monthly basis. Initially, they assess consumers’ needs for in-home supports, help develop Individual Service Plans and make service arrangements. Once services are in place, they continue to monitor implementation of the “plan” and the delivery of services. Each plan is reviewed on a yearly basis and is revised as necessary.