Frequently Asked Questions
WHAT IS A CLUBHOUSE?
Clubhouses provide individuals with a brain injury the opportunity to participate in satisfying, purposeful activities in a supportive, community environment. Members maintain ownership over Clubhouse activities. The experience can improve quality of life, skills, and overall independence.
WHY IS THERE A NEED FOR A BRAIN INJURY CLUBHOUSE?
According to the Centers for Disease Control and Prevention approximately 1.7 million people sustain
a TBI each year in the United States. Many of these individuals need assistance reintegrating into the
community and finding a place where they can work towards their personal goals and contribute to
their families and communities. In North Carolina, a large military and veteran population exists that
have suffered a TBI as a result of serving in the wars in Iraq and Afghanistan. These service people
need ongoing support to reintegrate into our communities.
WHAT HAPPENS AT GATEWAY CLUBHOUSE?
A day at Gateway Clubhouse follows a work-ordered schedule which mirrors a work environment.
Members carry out all the tasks required to run the Clubhouse such as answering the phone, taking
daily attendance, general interior cleaning of the building, conducting tours, tending the garden, and
running the snack bar. Members also participate in monthly social activities, volunteer experiences and
community events to promote awareness of brain injury.
IS THERE STAFF AT THE CLUBHOUSE?
Yes, the Clubhouse is staffed by professionals who understand the scope of brain injury and are
trained to work with members. Staff work side by side with members to help them achieve goals and
do not deliver therapy. The functions and activities of the Clubhouse are member driven and guided
HOW DO I KNOW IF THE CLUBHOUSE IS RIGHT FOR ME?
The Clubhouse is a dynamic community where members make decisions and carry out the activities
that keep it going. If you need a place to “fit in” and be among others living with a brain injury while
working towards personal goals, the Clubhouse might be the place. Members should be independent
in self care and mobility and able to participate in Clubhouse activities with limited supervision.
WHAT IS THE FUNDING FOR THE GATEWAY CLUBHOUSE?
Currently the Gateway Clubhouse is funded by State TBI funds which are available to individuals that
have a traumatic brain injury and are determined eligible for services by their Local Management
Entity (LME). Public funding for individuals with an acquired brain injury is being researched and
currently in development; however, services are available on a self-pay basis.
WHAT IS THE DIFFERENCE BETWEEN AN ACQUIRED BRAIN INJURY AND A TRAUMATIC
A traumatic brain injury (TBI) is an injury to the brain caused by an external force after birth.
Common causes of a traumatic brain injury include gunshot wounds, motor vehicle crashes, assaults,
or falling and striking your head.
An acquired brain injury (ABI) includes all types of traumatic brain injuries and also brain injuries
caused after birth by cerebral vascular accidents (commonly known as stroke) and loss of oxygen to