Traumatic brain injury is associated with a variety of problems in cognitiv
e functioning that may be related to substance use and that may influence r
ecovery. This pilot study of 591 inmates in medium and minimum-security pri
sons examined self-reports of head injury, mental health problems, and heal
th service utilization in three groups: no head injury, one head injury, an
d two or more head injuries. The group with multiple head injuries reported
significantly more emergency room visits, more hospital admission, and num
ber of hospital stays when compared with those with no head injury. This pr
eliminary analysis reflects a need for additional research on brain injury
among substance misusers.