This report is based on a qualitative research study which utilized a nominal group process to identify major life stressors for parents of children with traumatic brain injuries (TBI). It focuses first on effects of TBI on siblings and then on effective interventions. The first section uses quotes from participating parents to identify their personal needs, their need to understand their other children's pain, their desire for specific help, their concerns about explaining brain injury to brothers and sisters, questions about direct involvement by the siblings with the TBI child, and the need to balance their lives. The second section provides specific recommendations based on the research with parents and a literature review. These include the following: (1) give honest, simple, and concrete explanations and model involvement; (2) actively create opportunities for sisters and brothers to express themselves; (3) find informal (friends, neighbors and relatives) and formal (counselors) sources of support; (4) consider a sibling support group; and (5) work on balancing needs, interests, and time. The third section lists resources including two associations, three books, and two videotapes. (DB)