|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.
"When different organisations assess different aspects of a child's neuro-rehabilitation needs, everyone looks at things from a different perspective and highlight needs and conflicting priorities"
"Restoration of anatomical functions and relationships must be done within 2 months of brain injury"
"Parent-supported interventions after pediatric ABI bring reductions to the cost to society"
"Strength-based family intervention after pediatric ABI is essential. Parents need to be equipped with the skills to cope and advocate for the child."
"We would like to see earlier identification and support for children with brain injuries to help them succeed in school."
"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"
"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"
"Healthy teens are better at identifying strategies to deal with barriers. KIDS WITH ABI'S CAN'T!"
"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"