|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.
"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"
"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"
"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"
"Pediatric neuro-rehabilitation cannot be delivered in isolation. The needs of the child have to be looked at both holistically and within the context of the family unit. Parents need to be empowered to be parents in post-acute pediatric neuro-rehabilitation following brain injury"
"We are medical practitioners. The real experts are the parents. Over the last 35 years they have taught me everything I know"
"Intensive and individualized approaches work. A one-size-fits-all approach doesn't. You have to make it relevant to the child."
"Our 10 year study proves that family-led home-based neuro-rehab interventions deliver the best outcomes for children and young people"
"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"