Concept paper: Community based rehabilitation of the person with a severe brain injury

Brain Injury ◽  
1997 ◽  
Vol 11 (2) ◽  
pp. 143-154 ◽  
Author(s):  
E. A. FREEMAN
Keyword(s):  
Brain Injury ◽  
Severe Brain Injury ◽  
Community Based ◽  
Community Based Rehabilitation

A Preliminary Exploration of Goal-setting in Community-based Rehabilitation for People with Brain Impairment

2004 ◽  
Vol 5 (1) ◽  
pp. 30-41 ◽  
Author(s):  
Pim Kuipers ◽  
Glenys Carlson ◽  
Sandra Bailey ◽  
Anshu Sharma
Keyword(s):  
Brain Injury ◽  
Goal Setting ◽  
Service Provider ◽  
Service Providers ◽  
Acquired Brain Injury ◽  
Rehabilitation Service ◽  
Future Research ◽  
Training Experience ◽  
Community Based ◽  
Community Based Rehabilitation

AbstractCommunity-based rehabilitation for people with acquired brain injury (ABI) is largely driven by goals set in the course of rehabilitation by clients and service providers. A preliminary study investigating the perspectives and practice of experienced rehabilitation coordinators was undertaken to explore issues that influence goal-setting in community rehabilitation settings. Detailed interviews and subsequent rounds of clarification were conducted with six experienced rehabilitation coordinators. Key themes identified through inductive analysis include cognitive influences, other client influences, service provider influences and the client-service provider relationship in the goal-setting process. Based on the findings, a preliminary descriptive schema of goal-setting in a community-based rehabilitation service for people with acquired brain injury is suggested. Factors such as training, experience, and values of the rehabilitation coordinators are also discussed in terms of their influence on goal-setting. Some strategies to assist a person with ABI to identify and work towards achieving realistic goals are identified. Suggestions for enhancing community-based rehabilitation practices with people with ABI, and scope for future research are noted. This paper constitutes a general overview of goal-setting in community-based ABI rehabilitation.

Community-Based Rehabilitation Following Brain Injury: Comparison of a Transitional Living Program and a Home-Based Program

2012 ◽  
Vol 13 (1) ◽  
pp. 44-61 ◽  
Author(s):  
Kate Hopman ◽  
Robyn L. Tate ◽  
Annie McCluskey
Keyword(s):  
Brain Injury ◽  
Longitudinal Design ◽  
Community Integration ◽  
Self Awareness ◽  
Community Based ◽  
Significant Group ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Community Based Rehabilitation ◽  
Transitional Living

Background and aims: Community-based rehabilitation programs for people with a brain injury are diverse. Comparative program evaluation is required to identify optimal type, intensity and duration of programs. The aim of this study was to compare the effectiveness of two community-based rehabilitation programs using a set of standardised outcome measures.Methods: The study used a quantitative, multicentre, longitudinal design. Persons with severe traumatic brain injury (TBI,n= 39) and acquired brain impairment (n= 2) were recruited from two residential, transitional living programs (TLU;n= 21) and two home-based community rehabilitation programs (CR;n= 20). Participants were assessed via interview at program entry, 2 months and 6 months later using a broad range of standardised measures. The quantity and types of intervention provided to study participants were recorded. Results: No significant differences were identified between the TLU and CR groups at baseline or 6-month follow-up. Two significant group-by-time interactions were identified on the Community Integration Questionnaire (CIQ). First, the CR group had significantly greater changes in productivity (p= .003;d= 1.0) compared to the TLU group over time; by contrast, the TLU group showed significantly greater improvements in social integration (p= .007;d= .86). The TLU participants received up to five times more intervention than the CR participants. This finding is significant considering the similar levels of improvement in function made by both TLU and CR participants.Conclusions: Both TLU and CR groups improved on a range of measures. The TLU group however, received significantly more face-to-face interventions. Further examination of the relationship between participant contextual factors, such as coping style and self-esteem, and impairments such as challenging behaviour and decreased self-awareness, of people attending TLU and CR programs is required.

Community-based Rehabilitation Needs: Perceptions of Individuals with Brain Injury and Their Families in the Midwestern United States

2013 ◽  
Vol 19 (2) ◽  
pp. 155-163 ◽  
Author(s):  
Veronica I. Umeasiegbu ◽  
Brittany Waletich ◽  
Laura A. Whitten ◽  
Malachy Bishop
Keyword(s):  
Brain Injury ◽  
Family Involvement ◽  
Independent Living ◽  
Descriptive Analysis ◽  
Focus Group Interviews ◽  
Community Based ◽  
Community Based Rehabilitation ◽  
Group Interviews ◽  
Rehabilitation Needs ◽  
Age Range

This study investigated the rehabilitation and services needs, rehabilitation goals and barriers of individuals with brain injury (n = 81, males = 59%, females = 41%, age range 18 to 87), and their family members (n = 19; females = 75%, age range 18 to 65), (ethnicity = white = 89%). Data were collected using a survey instrument and focus group interviews. A descriptive analysis of the quantitative data was conducted, while content analysis was used to analyse the qualitative data. Results suggest that individuals with brain injury and their families experience many unmet needs across the domains of employment, independent living, financial resources and housing. Family involvement was found to be important to community participation after brain injury.

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