Program directors from acute, subacute, or postacute programs nationwide were surveyed concerning the need for specialized traumatic brain injury (TBI) training for both professional and paraprofessional staff. Over three fourths of the programs currently use paraprofessional staff, with subacute programs reporting the most use of paraprofessionals. Most respondents endorsed specialized TDI training for professionals and even more so for paraprofessional staff. Certification was considerably less popular. Respondents would give greater preference in hiring and pay to professionals than to paraprofessionals with TBI training. While approximately half the respondents would rearrange staff work schedules, approximately two thirds would pay professional staff while attending training and three fourths would pay the travel costs associated with training. Preferences for training content and format were also explored.