Problem Solving

Physical	Communication	Cognitive	Behavioural / Emotional

The term “problem solving” is used to describe how we deal with everyday difficulties. When we problem solve we apply a set of rules to everyday problems to solve them quickly and successfully. After brain injury, problems often seem to pile up and people may feel so overwhelmed that they may give up trying to solve their problems.

Persons with a brain injury or their families may get conflicting advice from other family members, friends, and professionals making it even more difficult to decide what steps to take. Survivors and families often find that resources are limited after brain injury. Money is a problem for those who stop working. Support from friends and outside family members may also be hard to find.

Signs that someone may have difficulty with problem solving are:

Individuals with TBI may not recognize there is a problem, which is the first step in problem-solving.
They may have trouble analysing information or being flexible in the way they think.
They may have difficulty deciding the best solution, or get stuck on one solution and not consider other, better options.
They may make quick decisions without thinking about the consequences, or not use the best judgment.

Strategies for problem solving:

A speech therapist or psychologist experienced in cognitive rehabilitation can teach an organized approach for daily problem-solving.
Work through a step-by-step problem-solving strategy in writing
Define the problem
List possible solutions
List the pros and cons of each solution
Pick a solution to try
Evaluate the success of the solution
Try another solution if the first one doesn’t work.

"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

Child 1 - Aged 14 and 3 years after a traumatic brain injury

	2019	2020	Change
REASONING	301/800	426/800	+ 125
MEMORY	181/800	304/800	+ 123
ATTENTION	463/800	573/800	+ 110
COORDINATION	47/800	309/800	+ 262
PERCEPTION	158/800	374/800	+ 216

"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

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

Deborah Andrews; New Zealand

"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"

Claire Willis; 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

"We are medical practitioners. The real experts are the parents. Over the last 35 years they have taught me everything I know"

Lucia Braga; Brazil

"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

"Case management for children and young people post acquired brain injury is 'pivotal' to successful outcomes and must be local"

Deborah Andrews; New Zealand

"Strength-based family intervention after pediatric ABI is essential. Parents need to be equipped with the skills to cope and advocate for the child."

Caron Gan; 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.