|Physical||Communication||Cognitive||Behavioural / Emotional|
Acquired brain injury may affect social judgement as a result of disinhibition or an inability to be able to read social clues. Disinhibition is a lack of restraint which is shown as disregard for social conventions, impulsivity, and poor risk assessment.
Disinhibited behaviour occurs when people no longer follow the social rules about what or where to say or do something. They may present as rude, tactless or even offensive. A person with a brain injury may make a comment without realising its impact on others or make a joke that is inappropriate in the context.
A person with a brain injury may enter another person’s ‘personal space’ without being aware that it is uncomfortable for them. They may not understand the ‘rules of conversation’ and talk without letting the other person speak, over-talk another person, or have difficulty staying ‘on topic’ which can be frustrating for others.
People with impaired social judgement may have other more problematic behaviours, such as verbal or physical aggression, socially inappropriate behaviour, sexual disinhibition, wandering, and repetitive behaviour.
With support and rehabilitation, social problems do improve for people with acquired brain injury but it is necessary for them to understand that there is an issue and be prepared to work on it.
"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."
"Case management for children and young people post acquired brain injury is 'pivotal' to successful outcomes and must be local"
"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."
"Parent-supported interventions after pediatric ABI bring reductions to the cost to society"
"More play increases brain plasticity and makes for better recovery post brain injury"
"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"
"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 are medical practitioners. The real experts are the parents. Over the last 35 years they have taught me everything I know"
"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"