|Physical||Communication||Cognitive||Behavioural / Emotional|
Following a brain injury, many people experience impairments in their executive functioning, affecting their sense of judgment and insight. Lack of insight can result in a person with a brain injury placing themselves in situations of danger which they do not perceive. They may not understand another person’s ill intentions or even potential for hostility towards them.
When the ability to make good choices is impaired, some people are particularly susceptible to the influence of friends and family. For people with a brain injury, peer influence can be a major factor that can have both positive and negative effects.
A person with a brain injury may lose contact with their friends pre-injury and then seek new relationships resulting in them being under more pressure to ‘fit in’.
Substance or alcohol abuse can be a potential problem for individuals following a brain injury. Some people may turn to alcohol or drugs to cope with pain, depression, or anxiety, but often these substances only make the problems worse and interfere with a person’s recovery.
Risk taking does seem to naturally improve with time post-injury as part of the ongoing recovery process. Rehabilitation can be undertaken to help a person with a brain injury to identify risks and dangers and develop strategies to mitigate or deal with them.
"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"
"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"
"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"
"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"
"Case management for children and young people post acquired brain injury is 'pivotal' to successful outcomes and must be local"
"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 after paediatric ABI bring reductions to the cost to society"
"When different organisations assess different aspects of a child's neuro-rehabilitation needs, everyone looks at things from a different perspective and have conflicting priorities"
"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."