The problems facing a rehabilitation counselor in successfully working with survivors of brain trauma are myriad. This review examined evaluation techniques, rehabilitation therapies, and existing services that have proven effective with traumatic brain injury (TBI) clients. There is a gap in rehabilitation services that results in the TBI survivor having multiple difficulties. Most times survivors are discharged when medically stable or when insurance benefits are exhausted. Based on the research examined, the following recommendations are made: (1) major changes are needed in the health care system so that adequate rehabilitation is available to all survivors; (2) a state department for head injury could be established to provide such services as housing, case management, and employment services; (3) state rehabilitation agencies could relax their attitudes and requirements to allow more services to be provided in the behavioral and psychosocial areas; (4) rehabilitation agencies need to provide more in-depth training on TBI and counselors need to take full advantage of such training when available; (5) counselors need to become involved earlier in the process of rehabilitation in order to provide counseling and information to survivors and families; (6) families and survivors need to take part in local head injury support groups for peer support and information exchange; and (7) rehabilitation grants could be obtained to implement programs to address behavioral, psychosocial, cognitive, and community re-entry service needs for the TBI client. (LLL)