Poor Initiation

Physical	Communication	Cognitive	Behavioural / Emotional

Poor initiation is a possible consequence of brain injury. The person may have difficulty starting things unless prompted or assisted by others. They may be aware that something needs to be done but do not make a start on it. This can be frustrating for others.

The use of structure and routine assists with initiation of tasks. Following a predictable and known routine together with the breaking down of activities into manageable steps assists a person with a brain injury to be able to start to initiate tasks for themselves. The use of checklists, reminders in a mobile telephone or planners all help. Start with routines that are familiar and link tasks that would occur together or in consequence of the preceding task.

Again, this is something that can improve in time.

"Positive and coordinated neuro-rehab interventions for children and young people is proven to bring health improvements; improve independence; reduces the need for sheltered living; decreases vulnerability; decreases drop-out rates in schools; decreases youth offending"

Eric Hermans; Netherlands

"Children and young people have poor social competence post brain injury due to reduced cognition, executive functions, and emotional control. As a result they are twice as likely to have mental health issues in the future"

James Tonks; University of London

"Too often children and young people with ABI are discharged from hospital without specialist brain support that they and their families need to overcome lifelong challenges"

Andrew Ross; former Chief Executive of the Children's Trust

"Rehabilitation interventions can lead to positive outcomes for children and their families if delivered in the familiar home environment and applied to everyday situations"

Cerebra; United Kingdom

This is the best support plan we have ever seen that will deliver the best outcomes for this young person. The costings are 'spot on' and realistic'. Direct Payments Team.

"Families need to be properly supported as 'resilience' is key to delivering successful outcomes for children and young people."

Roberta De Pompeii; USA

"Different 'experts' involved in paediatric neuro-rehabilitation come from different organisational cultures which causes conflict and has a negative effect on the outcomes for the child."

Barbara O'Connell; Ireland

"With support parents cope better so the child has a better recovery"

Andrea Palacio-Navarro; Spain

"Taking brain injured children home causes high stress for families. Disjointed services exacerbate family stress levels."

Deborah Andrews; New Zealand

"More play increases brain plasticity and makes for better recovery post brain injury"

Professor Bryan Kolb; Canada

OUR MISSION: To work to remove inequalities for children & young people affected by acquired brain injury; and provide effective support to their families that makes a real difference to their lives.