|Physical||Communication||Cognitive||Behavioural / Emotional|
A brain injury may result in post-injury personality changes resulting in outbursts of anger, confusion, and unpredictable behaviour. Moods can change suddenly as a result of impaired
executive function. A brain injury may also disrupt the production and function of neurotransmitters that have a role in mood and thought regulation. A person may also struggle with loss of control over their life, loss of previous abilities, loss of work, difficulties with relationships etc. There is often a great deal of adjustment to deal with following a brain injury. Depression may therefore occur as a result of the consequences of the brain injury. It is important to understand the underlying causes of mood change for them to be dealt with effectively.
It may assist to help to identify new goals and to help to work towards them. Try to provide opportunities for positive experiences by engaging in activities the person enjoys. Try to maintain social contact with supportive friends and family. Try to exercise and spend time outdoors. Try to work on focussing on remaining strengths and abilities rather than what has been lost. A rehabilitation psychologist or neuropsychologist may help to develop other strategies to achieve these goals.
It may be necessary for a G.P. to prescribe medication to assist with depression or post-traumatic stress, although the mechanism of brain injury usually means that the person suffering a brain injury has no recollection of the events surrounding the injury.
"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"
"Strength-based family intervention after pediatric ABI is essential. Parents need to be equipped with the skills to cope and advocate for the child."
"More play increases brain plasticity and makes for better recovery post brain injury"
"Often families don't have the financial capability to access services. We need to rethink how we delivery neuro-rehab services to children and young people"
"We are medical practitioners. The real experts are the parents. Over the last 35 years they have taught me everything I know"
"Parent-supported interventions following pediatric ABI bring reductions to the cost to society"
"Families and professionals spend time focusing on the negative aspects of ABI. Families need to be properly supported as 'resilience' is key to delivering successful outcomes for children and young people."
"Rehabilitation interventions can lead to positive outcomes for children and their families if delivered in the familiar home environment and applied to everyday situations"
"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"
"Participation in teen sports and normal activities leads to improved quality of life for children and young people post brain injury and helps to maximise outcomes"