Neuropsychological rehabilitation in the community

doi:10.1017/CBO9780511544859.011

11 - Neuropsychological rehabilitation in the community

Published online by Cambridge University Press: 11 August 2009

Michael P. Barnes and

David Lamb ,

Jessica Grady and

Michael P. Barnes: Affiliation:
University of Newcastle upon Tyne
Harriet Radermacher: Affiliation:
University of Newcastle upon Tyne
Pamela Klonoff: Affiliation:
Barrow Neurological Institute, Phoenix, Arizona
David Lamb: Affiliation:
Barrow Neurological Institute, Phoenix, Arizona
Steven Henderson: Affiliation:
Barrow Neurological Institute, Phoenix, Arizona
Lauren Dawson: Affiliation:
Barrow Neurological Institute, Phoenix, Arizona
Jennifer Lutton: Affiliation:
Barrow Neurological Institute, Phoenix, Arizona
Jessica Grady: Affiliation:
Barrow Neurological Institute, Phoenix, Arizona
Harold Bialsky: Affiliation:
Barrow Neurological Institute, Phoenix, Arizona

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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 - 236

DOI: https://doi.org/10.1017/CBO9780511544859.011 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2003

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