Programs and Problems in the Field of Adult Rehabilitation

Author(s):  
Roy I. Brown
Keyword(s):  
1988 ◽  
Vol 9 (2) ◽  
pp. 249-263 ◽  
Author(s):  
E Anne Hughson ◽  
Roy I Brown
Keyword(s):  

2021 ◽  
Author(s):  
◽  
Janneke Van't Klooster

<p>Violence has serious implications for both the victim and the wider community. The current adult rehabilitation programmes accept violent offenders ranged from 20 years and older. This age range could have serious rehabilitation consequences, as a twenty year olds violence and violence related goals may differ substantially to a 70 year old. For this reason an understanding of the development of violence and violence related goals can aide rehabilitation and punitive policies. A review of recent research highlights there are many methodological and empirical gaps in the development of violence whereby the current research aimed to assuage this issue. The current research used grounded theory to develop a model on the development of violence over the life-course. For this research twelve men currently incarcerated at Rimutaka Prison in a violence rehabilitation unit were interviewed. This method developed two models. The “Influences on violence development” model outlines how environment and personal choices had an impact on the development of violence. The “development of violence” model outlines the increasing severity and frequency of violence over time, and the increasing complexity of violence related goals. This model is nested within the influences on violence development model. Comparing the current models to Loeber et al's (1993) pathways model, and Sampson and Laub's life-course perspective on offending, has found support for both models. Thus this model's theoretical value lies within its ability to draw together other areas of research and provide a holistic understanding of both how and why violence develops. One implication of these models is the understanding of the varying influences of environment on violence, upon both different individuals and different ages. This implies that rehabilitation should perhaps follow a more individual based focus. There are many limitations to the research, the most salient one being lack of saturation in the model and low sample size.</p>


2011 ◽  
Vol 36 (4) ◽  
pp. 291-296 ◽  
Author(s):  
Mohammad M. Al-Qattan

For children between 5–10 years of age with zone II flexor tendon lacerations, the literature recommends a modified early mobilization programme under the supervision of a hand therapist but the fingers are immobilized between physiotherapy sessions. We report on a series of children between 5–10 years of age with flexor tendon lacerations (n = 54 fingers) in zone II repaired with a six-strand core suture (three separate ‘figure of eight’ sutures) and actively mobilized immediately after surgery similar to adult rehabilitation programmes with no immobilization between the physiotherapy sessions. The average follow-up for the study group was 13 months (range 7–25 months). There were no ruptures. The final outcome was excellent in 46 fingers (85%) and good in the remaining eight fingers (15%) using the Strickland–Glogovac criteria.


2018 ◽  
Vol 19 (3) ◽  
pp. 235-245 ◽  
Author(s):  
C. G. Quinn ◽  
L. A. Rabin ◽  
G. C. Sprehn

Purpose: Older adults have an increased likelihood of requiring rehabilitative care due to cognitive and physical risk factors. Research has found a link between executive functioning performance and functional outcomes; however, there is a dearth of research on the assessment of judgement ability. In the current pilot study, we investigated the clinical utility of the Test of Practical Judgment (TOP-J) in an older adult rehabilitation sample.Methods: Inpatients of mixed diagnoses (n= 25, mean age = 72.60) completed the TOP-J and Functional Independence Measure (FIM). We assessed TOP-J performance in the entire sample and in those with intact vs. impaired global cognition (on the Mini-Mental State Examination; MMSE). Correlational analyses were conducted between the TOP-J, MMSE and relevant FIM items.Results: TOP-J performance fell between the means typically observed in individuals with mild cognitive impairment and mild Alzheimer's disease. Participants with intact global cognition obtained significantly higher TOP-J scores than those with impaired global cognition. Moderate to strong positive correlations emerged between TOP-J, MMSE and FIM items of problem solving, comprehension and memory.Conclusions: Results provide support for the clinical utility and validity of the TOP-J among older adults in the rehabilitation setting. Administering the TOP-J may help identify patients at risk for future injury and facilitate role transitions.


1995 ◽  
Vol 49 (3) ◽  
pp. 214-220 ◽  
Author(s):  
J. G. Northen ◽  
D. M. Rust ◽  
C. E. Nelson ◽  
J. H. Watts

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