Community integration after severe traumatic brain injury in adults
Open Access
- 1 December 2010
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Current Opinion in Neurology
- Vol. 23 (6), 688-694
- https://doi.org/10.1097/wco.0b013e3283404258
Abstract
Despite being the main cause of death and disability in young adults, traumatic brain injury (TBI) is a rather neglected epidemic. Community integration of persons with TBI was, until recently, insufficiently informed by clinical research. To bridge the gap between rehabilitation and community re-entry, the first task is to assess the person, using TBI-specific outcome measures. The second task is to provide re-entry programs, the effectiveness of which is assessed by those measures, using well designed studies. There are very few such studies. However, there are some effective comprehensive programs and others which are specifically targeted dealing mainly with return to work, behavior, and family issues. The complex psychological and environmental components of the disability require individualized and often long-term care. For persons with severe TBI trying to achieve the best possible community integration a new semiology is required, not just limited to medical care, but also involving social and psychological care that is tailored to the needs of each individual and family, living within his/her environment. Currently, only a minority benefit from well validated programs.Keywords
This publication has 44 references indexed in Scilit:
- Quality of life after traumatic brain injury: The clinical use of the QOLIBRI, a novel disease-specific instrumentBrain Injury, 2010
- Impact of age on long-term cognitive function after traumatic brain injury.Neuropsychology, 2010
- Anosognosia: clinical and ethical considerationsCurrent Opinion in Neurology, 2009
- Ethical and evidence-based practice in brain injury rehabilitationNeuropsychological Rehabilitation, 2009
- Treatment definition in complex rehabilitation interventionsNeuropsychological Rehabilitation, 2009
- Applicability of the ICF checklist to traumatically brain-injured patients in post-acute rehabilitation settingsJournal of Rehabilitation Medicine, 2007
- A systematic review of brain injury epidemiology in EuropeActa Neurochirurgica, 2005
- Structured Interviews for the Glasgow Outcome Scale and the Extended Glasgow Outcome Scale: Guidelines for Their UseJournal of Neurotrauma, 1998
- THE COMMUNITY INTEGRATION QUESTIONNAIRE A Comparative ExaminationAmerican Journal of Physical Medicine & Rehabilitation, 1994
- The Hospital Anxiety and Depression ScaleActa Psychiatrica Scandinavica, 1983