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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.


"More play increases brain plasticity and makes for better recovery post brain injury"
Professor Bryan Kolb; Canada
"Healthy teens are better at identifying strategies to deal with barriers. KIDS WITH ABI'S CAN'T!"
Shari Wade; USA
"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
"Intensive and individualized approaches work. A one-size-fits-all approach doesn't. You have to make it relevant to the child."
Recolo; United Kingdom
"Taking brain injured children home causes high stress for families. Disjointed services exacerbate family stress levels."
Deborah Andrews; New Zealand
"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
"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"
Vicki Anderson; Australia
"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
"There are problems with getting people into neuro-rehab centres. Those most in need are often those most excluded due to a lack of socio-economic resources."
Vicki Anderson; Australia
"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

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

Council for Disabled Children Lottery Funded