|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.
"We need to harness the power of brain plasticity for treating children and young people with brain injury. Stressful experiences alter brain development of a child, especially at the key ages of 0-3 and at ages 10-16"
"We would like to see earlier identification and support for children with brain injuries to help them succeed in school."
"New parenting support intervention showed how parenting style is related to executive dysfunction in children and young people post brain injury. With support parents cope better so the child has a better recovery"
"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."
"NHS clinicians struggle with what intervention to priorities in pediatric neuro-rehabilitation due to limited clinical time and the complexity of needs. Children, clinicians, parents and schools all have different neuro-rehabilitation priorities"
"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."
"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"
"Poor parenting styles affects children's behavior; increased their learning disability; and had a negative impact on emotions; anxiety; anger management post brain injury"
"More play increases brain plasticity and makes for better recovery post brain injury"
"Rehabilitation interventions can lead to positive outcomes for children and their families if delivered in the familiar home environment and applied to everyday situations"