|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.
"Families and professionals spend time focusing on the negative aspects of ABI. Families need to be properly supported as 'resilience' is key to delivering successful outcomes for children and young people."
"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"
"Parent-supported interventions after pediatric ABI bring reductions to the cost to society"
"Healthy teens are better at identifying strategies to deal with barriers. KIDS WITH ABI'S CAN'T!"
"Poor parenting styles affects children's behavior; increases their learning disability; and has a negative impact on emotions; anxiety; anger management post brain injury"
"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."
"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"
"Taking brain injured children home causes high stress for families. Disjointed services exacerbate family stress levels."
"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"
"Different 'experts' involved in pediatric neuro-rehabilitation come from different organisational cultures which causes conflict and has a negative effect on the outcomes for the child."