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Comprehensive Brain Injury Rehabilitation in Post-hospital Treatment Settings

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Handbook on the Neuropsychology of Traumatic Brain Injury

Part of the book series: Clinical Handbooks in Neuropsychology ((CHNEURO))

Abstract

The mission of comprehensive brain injury rehabilitation (CBIR) is to assist individuals with traumatic brain injury and their close others to resume full participation in family, work, and community life. In pursuing this goal, CBIR addresses the needs of participants holistically including cognitive and metacognitive impairments, neurobehavioral dysfunction, and interpersonal and affective issues, and identifies barriers and resources in their physical and social environments. Treatment is integrated and, in its most intensive form, relies heavily on developing a positive transdisciplinary therapeutic milieu with an emphasis on group treatment. This chapter describes characteristics of participants best suited for CBIR and reviews interdisciplinary team evaluations and the operation and care of the rehabilitation team. Important components of CBIR include the development of a therapeutic milieu and therapeutic alliance, dynamic group treatment, cognitive rehabilitation, and interventions to address impaired self-awareness as well as co-morbid and premorbid conditions. This chapter describes how to provide these components in an integrated fashion in collaboration with close others and how to further integrate treatment with transitional interventions, such as, vocational rehabilitation, work and independent living trials, and resource facilitation. Methods for systematic measurement of progress and outcome both in the individual case and at a programmatic level are recommended in a continuous quality improvement model.

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Acknowledgement

Preparation of this chapter was partially supported by the U.S. Department of Education National Institute on Disability and Rehabilitation Research (NIDRR) grant H133A120035.

Author information

Authors and Affiliations

  1. Physical Medicine and Rehabilitation, Indiana University School of Medicine and Rehabilitation Hospital of Indiana, Indianapolis, IN, USA

    James F. Malec Ph.D. (Professor and Research Director, Emeritus Professor of Psychology)

  2. Mayo Clinic, Rochester, MN, USA

    James F. Malec Ph.D. (Professor and Research Director, Emeritus Professor of Psychology)

Authors
  1. James F. Malec Ph.D.
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Correspondence to James F. Malec Ph.D. .

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Editors and Affiliations

  1. TIRR Memorial Hermann, Baylor College of Medicine, University of Texas Medical School at Houston, Houston, Texas, USA

    Mark Sherer

  2. Baylor College of Medicine/Harris Health System, Brain Injury Research Center, TIRR Memorial Hermann, Houston, Texas, USA

    Angelle M. Sander

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Malec, J.F. (2014). Comprehensive Brain Injury Rehabilitation in Post-hospital Treatment Settings. In: Sherer, M., Sander, A. (eds) Handbook on the Neuropsychology of Traumatic Brain Injury. Clinical Handbooks in Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0784-7_15

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