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.


"Thousands of children and young people living in the UK today without the help and support that can make a huge difference to their lives"
Dalton Leong; Chief Executive of the Children's Trust
"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
"Families need to be properly supported as 'resilience' is key to delivering successful outcomes for children and young people."
Roberta De Pompeii; USA
"We would like to see earlier identification and support for children with brain injuries to help them succeed in school."
Dalton Leong; Chief Executive of the Children's Trust
"NHS clinicians struggle with what intervention to prioritise in paediatric neuro-rehabilitation due to limited clinical time and the complexity of needs. Children, clinicians, parents and schools all have different neuro-rehabilitation priorities"
Recolo; United Kingdom
"We are impressed with the progress you have made with the individual we referred to you."  Social Worker    
"Our 10 year study proves that family-led home-based neuro-rehab interventions deliver the best outcomes for children and young people"
Lucia Braga; Brazil
"With support parents cope better so the child has a better recovery"
Andrea Palacio-Navarro; Spain
"We need to harness the power of brain plasticity for treating children and young people with brain injury, especially at the key ages of 0-3 and at ages 10-16"
Professor Bryan Kolb; Canada
"When someone has a brain injury, early access to local, specialist rehabilitation is crucial to ensure the maximum recovery and make significant savings to the state in health costs"
Headway; United Kingdom

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.

Council for Disabled Children Community Funded Charity Excellence Lottery Funded Youth Foundation BBC CiN