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This book is an exploration of key systemic and socio-political considerations when working with people whose lives have been impacted by neurological injury and those who care for them. Expert contributors consider the impact of intersectionality across domains that include gender, sexuality, class, education, religion and spirituality, race, culture, and ability/disability. It offers relevant literature in the field of neuropsychology as well as clinical case studies that provide inspiration and key reflections for clinicians, neurological specialist therapists, and medical staff alike. Chapters discuss navigating intersectionality in couple therapy, hidden social inequalities in paediatric neurorehabilitation, racial microaggression in inpatient settings, and more. This book is essential for all health and social-care practitioners working in the field of brain injury and chronic illness who want to challenge the status quo and advocate for diversity and inclusion.
This book brings together narrative approaches and brain injury rehabilitation, in a manner that fosters an understanding of the natural fit between the two. We live our lives by narratives and stories, and brain injury can affect those narratives at many levels, with far-reaching effects. Understanding held narratives is as important as understanding the functional profile of the injury. This book explores ways to create a space for personal stories to emerge and change, whilst balancing theory with practical application. Despite the emphasis of this book on the compatibility of narrative approaches to supporting people following brain injury, it also illustrates the potential for contributing to significant change in the current narratives of brain injury. This book takes a philosophically different approach to many current neuro-rehabilitation topics, and has the potential to make a big impact. It also challenges the reader to question their own position, but does so in an engaging manner which makes it difficult to put down.
The Veterans Benefits Administration (VBA) provides disability compensation to veterans with a service-connected injury, and to receive disability compensation from the Department of Veterans Affairs (VA), a veteran must submit a claim or have a claim submitted on his or her behalf. Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans reviews the process by which the VA assesses impairments resulting from traumatic brain injury for purposes of awarding disability compensation. This report also provides recommendations for legislative or administrative action for improving the adjudication of veterans' claims seeking entitlement to compensation for all impairments arising from a traumatic brain injury.
Explains the treatments used in brain injury rehabilitation and covers new methods of rehabilitation, including complementary medicine theories.
In October 2011, the Institute of Medicine (IOM) released the report Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Evaluating the Evidence, assessing the published evidence for the effectiveness of using cognitive rehabilitation therapy (CRT) to treat people with traumatic brain injury (TBI). TBI has gained increasing attention in the past 15 years because of its status as the signature wound of American military conflicts in Iraq and Afghanistan. Growing numbers of U.S. service members are suffering traumatic brain injuries and are surviving them, given that (a) the majority of traumatic brain injuries are mild and (b) lifesaving measures for more severe injuries have significantly improved. People with any level of injury can require ongoing health care in their recovery, helping them to regain (or compensate for) their losses of function and supporting their full integration into their social structure and an improved quality of life. One form of treatment for TBI is CRT, a systematic, goal-oriented approach to helping patients overcome cognitive impairments. The Department of Defense (DoD) asked the IOM to evaluate CRT for traumatic brain injury in order to guide the DoD's use and coverage in the Military Health System. Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Evaluating the Evidence was the IOM's resulting study of the evidence. The report's conclusions revolved around the fact that there is little continuity among research studies of the effectiveness of different types of CRT, and there exist only small amounts of evidence (or, in many cases, none) demonstrating the effectiveness of using CRT to treat TBI—although the evidence that does exist generally indicates that CRT interventions have some effectiveness. The workshop brought together experts in health services administration, research, and clinical practice from the civilian and military arenas in order to discuss the barriers for evaluating the effectiveness of CRT care and for identifying suggested taxonomy, terminology, timing, and ways forward for CRT researchers. The workshop consisted of individuals and was not intended to constitute a comprehensive group. Select decision makers in the Military Health System and Veterans Affairs (VA) and researchers were invited to participate. The workshop was designed to spur thinking about (1) the types of research necessary to move the field forward toward evidence-based clinical guidelines, (2) what the translational pipeline looks like and what its current deficiencies are, and (3) considerations that decision makers may choose to use as they decide what research they will support and decide how they will balance the urgency of the need with the level of evidence for CRT interventions. Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Model Study Protocols and Frameworks to Advance the State of the Science summarizes the happenings of the workshop.
Despite the importance of the problem, strikingly little has been written about effective approaches to the treatment of individuals with mild to moderate brain injury. This book is designed for neuropsychologists, counseling and rehabilitation psychologists, and other rehabilitation professionals who work with individuals who have sustained brain injuries of mild to moderate severity. It provides a context for understanding and evaluating the common consequences of such injuries and offers both theoretical perspectives and practical suggestions for helping individuals to adjust to and compensate for residual difficulties. Early chapters focus on different domains of cognitive functioning, while later chapters describe clinical approaches to helping clients manage common emotional reactions such as depression, irritability, and anxiety. While the book acknowledges and discusses the controversy about the origins of persistent symptoms following mild brain injures, it does not focus on the controversy. Rather, it adopts a "what works" approach to dealing with individuals who have persistent symptoms and perceptions that contribute to disability and to emotional distress. Many of these individuals benefit significantly from neuropsychological intervention. Case examples throughout the book illustrate the adaptation of cognitive, cognitive-behavioral, and traditional psychotherapeutic approaches to individuals with mild to moderate brain injury. Self-regulation and self-management of both cognitive failures and emotional responses are described as appropriate and effective in this population.
Traumatic brain injury (TBI) remains a significant source of death and permanent disability, contributing to nearly one-third of all injury related deaths in the United States and exacting a profound personal and economic toll. Despite the increased resources that have recently been brought to bear to improve our understanding of TBI, the developme
The central focus of this book is traumatic brain injury ... This text is intended for practicing therapists, educators and students. Since it is practice oriented, the reader should be able to take much of the material and apply it directly to work with clients.-Pref.
Combining scientific expertise with psychotherapeutic acumen, this book is highly accessible and packed with clinical tools. Part I provides essential information on how acquired brain injury affects emotional functioning. Part II describes practical, specially tailored ways to treat anxiety, depression, and anger related to brain damage, and to help patients regain a sense of meaning and value in their lives. The book shows how standard psychotherapeutic interventions can be adapted for the brain-injured population, as well as which approaches may be contraindicated. It presents a biopsychosocial framework for assessment and treatment that integrates emotional support, cognitive-behavioral techniques, and acceptance- and mindfulness-based strategies.
Covering the full spectrum of rehabilitation after traumatic brain injury, this practical reference by Drs. Blessen C. Eapen and David X. Cifu presents best practices and considerations for numerous patient populations and their unique needs. In an easy-to-read, concise format, it covers the key information you need to guide your treatment plans and help patients relearn critical life skills and regain their independence. Covers neuroimaging, neurosurgical and critical care management, management of associated complications after TBI, pharmacotherapy, pain management, sports concussion, assistive technologies, and preparing patients for community reintegration. Discusses special populations, including pediatric, geriatric, and military and veteran patients. Consolidates today’s available information and guidance in this challenging and diverse area into one convenient resource.