Book contents
- Frontmatter
- Contents
- 1 Background to community neurological rehabilitation
- 2 Neurological rehabilitation – basic principles and models of delivery
- 3 Models of disability
- 4 Concepts of community
- 5 The views of disabled people
- 6 Outcome measures and research in the community
- 7 Evidence base for community neurological rehabilitation
- 8 Lessons from the south
- 9 Other aspects of community neurological rehabilitation
- 10 Community rehabilitation in childhood: concepts to inform practice
- 11 Neuropsychological rehabilitation in the community
- 12 The way forward
- Index
- References
11 - Neuropsychological rehabilitation in the community
Published online by Cambridge University Press: 11 August 2009
Book contents
- Frontmatter
- Contents
- 1 Background to community neurological rehabilitation
- 2 Neurological rehabilitation – basic principles and models of delivery
- 3 Models of disability
- 4 Concepts of community
- 5 The views of disabled people
- 6 Outcome measures and research in the community
- 7 Evidence base for community neurological rehabilitation
- 8 Lessons from the south
- 9 Other aspects of community neurological rehabilitation
- 10 Community rehabilitation in childhood: concepts to inform practice
- 11 Neuropsychological rehabilitation in the community
- 12 The way forward
- Index
- References
Summary
Introduction
Recovery from brain injury is an extended and arduous process. It is estimated that a full 18 months or more are required to obtain the maximum benefit of natural recovery following a traumatic brain injury (TBI) (Dikmen et al., 1995), while recovering from a stroke can continue for many years (Speach and Dombovy, 1995). Acute rehabilitative efforts for those who have suffered neurological insult typically begin once a patient is judged to be medically stable and transferred to an inpatient rehabilitation unit. Multidisciplinary programmes provide ongoing medical care and seek to address deficits in basic activities of daily living such as orientation, mobility, feeding and communication. Also, an initial assessment of gross cognitive skills is typically conducted. Depending upon progress and perceived need, patients are either discharged home or transferred to a postacute rehabilitation programme. Malec and Basford (1996) provide a hierarchy of the types of brain injury-rehabilitation programmes, with a basic division into subacute and postacute categories. The subacute rehabilitation setting provides long-term residential care for those with such severe deficits that they cannot meaningfully participate in further rehabilitative efforts. These types of people typically include those who require coma management or whose severe behavioural problems preclude ongoing rehabilitation and demand a very intensive level of management.
Malec and Basford (1996) further stratify postacute rehabilitation programmes, with the most restrictive being neurobehavioural programmes.
- Type
- Chapter
- Information
- Community Rehabilitation in Neurology , pp. 212 - 236Publisher: Cambridge University PressPrint publication year: 2003
References
, and (1998). Predicting late outcome for patients with traumatic brain injury referred to a rehabilitation programme: a study of 508 Finnish patients 5 years or more after injury. Brain Injury 12, 95–107CrossRefGoogle ScholarPubMed
(1996). Reflections on the evolution of the therapeutic milieu concept. Neuropsychological Rehabilitation 6, 327–43CrossRefGoogle Scholar
Ben-Yishay, Y. (2000). Postacute neuropsychological rehabilitation: a holistic perspective. In International Handbook of Neuropsychological Rehabilitation, ed. A-L. Christensen and B. P. Uzzell, pp. 127–35. New York: Plenum PublishersCrossRef
and (1993). Cognitive remediation in traumatic brain injury: update and issues. Archives of Physical Medicine and Rehabilitation 74, 204–13Google ScholarPubMed
Ben-Yishay, Y. and Prigatano, G. P. (1990). Cognitive remediation. In Rehabilitation of the Adult and Child with Traumatic Brain Injury, ed. M. Rosenthal, E. R. Griffith, M. R. Bond and J. D. Miller, 2nd edn, pp. 393–409. Philadelphia: F. A. Davis
, , and (1987). Relationship between employability and vocational outcome after intensive holistic cognitive rehabilitation. Journal of Head Trauma Rehabilitation 24, 33–43Google Scholar
Christensen, A-L. (2000). Neuropsychological postacute rehabilitation. In International Handbook of Neuropsychological Rehabilitation, ed. A-L. Christensen and B. P. Uzzell, pp. 151–63. New York: Plenum PublishersCrossRef
, , , and (1992). Psychosocial outcome following individualized neuropsychological rehabilitation of brain damage. Acta Neurologica Scandinavica 85, 32–8CrossRefGoogle ScholarPubMed
Christensen, A-L. and Uzzell, B. P. (2000). International Handbook of Neuropsychological Rehabilitation. New York: Plenum Publishers
Condeluci, A., Cooperman, S. and Seif, B. A. (1987). Independent living: settings and supports. In Community Re-entry for Head Injured Adults, ed. M. Ylvisaker and E. M. R. Gobble, pp. 301–47. Boston, MA: College-Hill Press
, , and (1991). Brain injury: analysis of outcome in a post-acute rehabilitation system, Part I: General analysis. Brain Injury 5, 111–25CrossRefGoogle Scholar
, and (2000). Acute impact of severe traumatic brain injury on family structure and coping responses. Journal of Head Trauma Rehabilitation 15, 1113–22CrossRefGoogle ScholarPubMed
Daniels-Zide, E. and Ben-Yishay, Y. (2000). Therapeutic milieu day programme. In International Handbook of Neuropsychological Rehabilitation, ed. A-L. Christensen and B. P. Uzzell, pp. 183–93. New York: Plenum PublishersCrossRef
, , and (1995). Neuropsychological outcome at 1-year post head injury. Neuropsychology 9, 80–90CrossRefGoogle Scholar
, , , and (1995). Outcome of intensive rehabilitation after severe brain injury: a long term follow-up study. Brain Injury 10, 631–50CrossRefGoogle Scholar
and (1992). Follow-up at twelve and thirty months of persons with traumatic brain injury engaged in supported employment placements. Journal of Applied Rehabilitation Counseling 23, 48–50Google Scholar
(1997). Postacute neurorehabilitation: roles and responsibilities within a national information system. Archives of Physical Medicine and Rehabilitation 78 (Suppl. 4), S17–25CrossRefGoogle ScholarPubMed
and (1987). Cognitive rehabilitation and community readaptation: outcomes from two program models. Journal of Head Trauma Rehabilitation 2, 51–63CrossRefGoogle Scholar
(1998). Case management and supported employment: a good fit. Journal of Case Management 7, 10–17Google ScholarPubMed
and (2001). The changing face of publicly funded employment services. Journal of Head Trauma Rehabilitation 16, 94–106CrossRefGoogle ScholarPubMed
and (2000). Preliminary outcomes analysis of a long-term rehabilitation program for severe acquired brain injury. Archives of Physical Medicine and Rehabilitation 81, 1447–56CrossRefGoogle ScholarPubMed
, , , and (1994). Stability and functional outcomes following transitional living programme participation: 3-year follow-up. Brain Injury 8, 439–47CrossRefGoogle ScholarPubMed
, and (1995). Analysis of demographic and functional subacute (transitional) rehabilitation data. Brain Injury 9, 563–73CrossRefGoogle ScholarPubMed
and (1975). Assessment of outcome after severe brain injury damage. Lancet 1, 480–7CrossRefGoogle Scholar
and (1991). Outcomes of community re-entry programs for brain injury survivors, Part 1: Independent living and productive activities. Brain Injury 5, 141–54CrossRefGoogle Scholar
Kaipio, M-L., Sarajuuri, J. and Koskinen, S. (2000). The INSURE program and modifications in Finland. In International Handbook of Neuropsychological Rehabilitation, ed. A-L. Christensen and B. P. Uzzell, pp. 247–58. New York: Plenum PublishersCrossRef
, and (1996). Use of a comprehensive programmeme of external cueing to enhance procedural memory in a patient with dense amnesia. Brain Injury 10, 17–25Google Scholar
(1997). Individual and group psychotherapy in milieu oriented rehabilitation. Applied Neuropsychology 4, 107–18CrossRefGoogle Scholar
, , , and (1989). Cognitive retraining after traumatic brain injury and its role in facilitating awareness. Journal of Head Trauma Rehabilitation 4, 37–45CrossRefGoogle Scholar
Klonoff, P. S., Lamb, D. G., Chiapello, D. A. et al. (1997). Cognitive retraining in a milieu-oriented program. In Theoretical Foundations of Clinical Neuropsychology for Clinical Practitioners, ed. M. E. Maruish and J. A. Moses, pp. 219–36. Mahwah, NJ: Lawrence Erlbaum
Klonoff, P. S., Lamb, D. G., Henderson, S. W., Reichert, M. V. and Tully, S. L. (2000a). Milieu-based neurorehabilitation at the Adult Day Hospital for Neurological Rehabilitation. In International Handbook of Neuropsychological Rehabilitation, ed. A-L. Christensen and B. P. Uzzell, pp. 195–213. New York: Plenum Publishers
, and (2000b). Outcome from milieu-based neurorehabilitation in patients with traumatic brain injury at up to eleven years postdischarge. Archives of Physical Medicine and Rehabilitation 81, 1535–7CrossRefGoogle Scholar
, and (2001). Outcomes from milieu-based rehabilitation at up to 11 years post-discharge. Brain Injury 15, 413–28CrossRefGoogle ScholarPubMed
, and (2001). Long-term life quality and family needs after traumatic brain injury. Journal of Head Trauma Rehabilitation 16, 374–85CrossRefGoogle ScholarPubMed
Luria, R. A. (1963). Restoration of Function after Brain Injury. New York: MacMillan
Luria, R. A. (1974). The Working Brain. London: Penguin Press
and (1996). Postacute brain injury-rehabilitation. Archives of Physical Medicine and Rehabilitation 77, 198–207CrossRefGoogle ScholarPubMed
and (1993). Evaluation of an innovative cost-effective program for brain injury patients: response to need for flexible treatment planning. Brain Injury 7, 71–5CrossRefGoogle Scholar
, and (2000). Information needs of families when one member has a severe brain injury. International Journal of Rehabilitation Research 23, 295–301CrossRefGoogle Scholar
Miller, L. (1993). Psychotherapy of the Brain-injured Patient: Reclaiming the Shattered Self. New York: W. W. Norton
North, P., Passadori, A. and Millemann, P. (2000). The Delta Group experience: TBI in France. In International Handbook of Neuropsychological Rehabilitation, ed. A-L. Christensen and B. P. Uzzell, pp. 273–81. New York: Plenum PublishersCrossRef
, and (1996). Outcome following traumatic brain injury: A comparison between 2 and 5 years after injury. Brain Injury 10, 841–8CrossRefGoogle ScholarPubMed
, , et al. (1999). Characteristics and outcomes of a home and community-based neurorehabilitation programme. Brain Injury 13, 535–46Google ScholarPubMed
, and (1999). Impact of traumatic brain injury on the family: a critical review. Rehabilitation Psychology 44, 6–35CrossRefGoogle Scholar
Prigatano, G. P., Fordyce, D. J., Zeiner, H. K. et al. (1986). Neuropsychological Rehabilitation after Traumatic Brain Injury. Baltimore: Johns Hopkins University Press
, , et al. (1994). Productivity after neuropsychologically oriented milieu rehabilitation. Journal of Head Trauma Rehabilitation 9, 91–102CrossRefGoogle Scholar
, and (2000). Doing it with mirrors: a case study of a novel approach to neurorehabilitation. Neurorehabilitation and Neural Repair 14, 73–6CrossRefGoogle ScholarPubMed
, , and (1992). Mayo Medical centre Brain Injury Outpatient program: treatment procedures and early outcome data. Mayo Clinical Process 67, 767–74CrossRefGoogle Scholar
and (1995). Recovery from stroke: rehabilitation. Baillieres Clinical Neurology 4, 317–38Google ScholarPubMed
Trexler, L. E. (2000). Empirical support for neuropsychological rehabilitation. In International Handbook of Neuropsychological Rehabilitation, ed. A-L. Christensen and B. P. Uzzell, pp. 137–50. New York: Plenum PublishersCrossRef
Trexler, L. E., Eberle, R. and Zappalá, G. (2000). Models and programs of the Center for Neuropsychological Rehabilitation: fifteen years experience. In International Handbook of Neuropsychological Rehabilitation, ed. A-L. Christensen and B. P. Uzzell, pp. 215–29. New York: Plenum PublishersCrossRef
Uzzell, B. P. (2000). Neuropsychological rehabilitation. In International Handbook of Neuropsychological Rehabilitation, ed. A-L. Christensen and B. P. Uzzell, pp. 353–69. New York: Plenum PublishersCrossRef
, and (1998). Community-based training after acquired brain injury: preliminary findings. Brain Injury 12, 215–24CrossRefGoogle ScholarPubMed
Wehman, P. and Kreutzer, J. S. (1990). Vocational Rehabilitation for Persons with Traumatic Brain Injury. Rockville, MD: Aspen Publishers
, , , and (1995). Return to work for persons with severe traumatic brain injury: a data-based approach to program development. Journal of Head Trauma and Rehabilitation 10, 27–39Google Scholar
(1995). Aspects of workplace and return to work for persons with brain injury in supported employment. Brain Injury 9, 301–13CrossRefGoogle ScholarPubMed
, and (1999). Residential and home-based postacute rehabilitation of individuals with traumatic brain injury: a case control study. Archives of Physical Medicine and Rehabilitation 80, 399–406CrossRefGoogle ScholarPubMed
Wilson, B. A., Evans, J., Brentnall, S. et al. (2000). The Oliver Zangwill Center for Neuropsychological Rehabilitation: a partnership between health care and rehabilitation research. In International Handbook of Neuropsychological Rehabilitation, ed. A-L. Christensen and B. P. Uzzell, pp. 231–46. New York: Plenum PublishersCrossRef