A functional scale was developed to evaluate gains made by head-injured clients involved in an intensive home-based rehabilitation program. The scale was designed to assess achievement in areas of practical daily skills that can be correlated with rehabilitation outcome. This research project assessed functional changes in head-injured clients with the expectation of their being able to decrease their dependence on caretakers. This article discusses the development of a home-based rehabilitation program, the creation of the functional scale, and the results of the project.