Intervention and societal costs of residential community reintegration for patients with acquired brain injury: A cost-analysis of the Brain Integration Programme

AbstractChildren with acquired brain injury (ABI) experience deficits in attentional skills such as, sustained attention, distractability and impulsivity, which have the potential to influence all aspects of their functioning. The use of central nervous system (CNS) stimulants is gaining increasing popularity in adult ABI literature. CNS stimulants have been successfully utilised in the management of attentional problems in attention deficit-hyperactivity disorder and are believed to have their therapeutic effect by modulating neurotransmitter function in the neocortex, an area of the brain implicated in the neurobehavioural sequelae of ABI. Research into the use of CNS stimulants in paediatric ABI reports contradictory findings. We present the case of LI a 7-year-old boy with a history of ABI who underwent a trial of stimulant medication for management of attentional deficits. The case is discussed with regard to the efficacy of the pharmacological intervention and the design of objective protocols for stimulant trials.

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Supplemental Material for Comprehensive Community Reintegration Programming for Persons With Acquired Brain Injury

Professional Psychology Research and Practice ◽

10.1037/pro0000378.supp ◽

2021 ◽

Keyword(s):

Brain Injury ◽

Acquired Brain Injury ◽

Community Reintegration

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Community reintegration following acquired brain injury

Brain Injury ◽

10.1080/02699050701201631 ◽

2007 ◽

Vol 21 (2) ◽

pp. 231-257 ◽

Cited By ~ 67

Author(s):

Pat McCabe ◽

Corbin Lippert ◽

Margaret Weiser ◽

Maureen Hilditch ◽

Cheryl Hartridge ◽

...

Keyword(s):

Brain Injury ◽

Acquired Brain Injury ◽

Community Reintegration

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Barriers to Successful Community Reintegration Following Acquired Brain Injury (ABI)

International Journal of Disability Management ◽

10.1375/jdmr.6.1.49 ◽

2011 ◽

Vol 6 (1) ◽

pp. 49-67 ◽

Cited By ~ 6

Author(s):

Charmaine Mahar ◽

Kym Fraser

Keyword(s):

Brain Injury ◽

Empirical Support ◽

Acquired Brain Injury ◽

Psychosocial Aspects ◽

Community Reintegration ◽

Community Acceptance ◽

Cognitive Behavioural

The consequences of acquired brain injury are profound and debilitating. People who sustain these injuries experience alterations to the physical, cognitive, behavioural, and psychosocial aspects of their life. These changes are often difficult to understand and consequently, many of these people are unable to successfully reintegrate into their community. This article reviews the literature and provides the reader with an understanding of the repercussions of acquired brain injury with a view to promote community acceptance and successful community reintegration. While the review identified many factors that could impede successful reintegration the empirical support for a number of these areas is lacking. Therefore, opportunities for further research abound.

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Strategies to Facilitate Successful Community Reintegration Following Acquired Brain Injury (ABI)

International Journal of Disability Management ◽

10.1375/jdmr.6.1.68 ◽

2011 ◽

Vol 6 (1) ◽

pp. 68-78 ◽

Cited By ~ 2

Author(s):

Charmaine Mahar ◽

Kym Fraser

Keyword(s):

Brain Injury ◽

Management Strategies ◽

Acquired Brain Injury ◽

Executive Dysfunction ◽

Community Reintegration ◽

Service Access ◽

Emotional Lability ◽

Long Term Outcomes ◽

Rehabilitation Process

Acquired brain injury (ABI) is considered to be the primary cause of disability in our society. People with ABI face an array of challenges, which include emotional lability, disinhibition, irritability, distractibility, executive dysfunction, memory difficulties, inattention and noticeable changes to personality. Effective rehabilitation and community reintegration is considered essential for those with ABI but impeding the process is society's lack of knowledge and understanding. This is due in some part to the invisible nature of the disability. The focus of this article is to introduce the key areas that influence reintegration, being the rehabilitation process, service access and interventions. It is clear the reintegration process is greatly restricted by the lack of services and programs available to improve the long-term outcomes for people with ABI. To help facilitate successful community reintegration the article developed and lists a significant number of management strategies to assist those who are involved in the lives of people with ABI.

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