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Traumatic Brain Injury (TBI) is the most common cause of disability and death in the United States. More than one million children receive brain injuries each year. There has been little research conducted specifically with students with TBI and their parents and caregivers. This paper reports on specific data from a case study conducted in one urban elementary school to understand the perspectives of parents, caregivers, students with TBI, and school staff on the transition process from hospital or rehabilitation center to school. The setting for the study was an elementary school located in a large urban school district. The paper focuses on the perspectives of participants who were four African American males with TBI, their parents and caregivers.