|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.
"Thousands of children and young people living in the UK today without the help and support that can make a huge difference to their lives"
"Healthy teens are better at identifying strategies to deal with barriers. KIDS WITH ABI'S CAN'T!"
"Rehabilitation interventions can lead to positive outcomes for children and their families if delivered in the familiar home environment and applied to everyday situations"
"Positive and coordinated neuro-rehab interventions for children and young people is prove to bring health improvements; improve independence; a decline in the need for sheltered living; decreases vulnerability; decreases drop-out rates in schools; decreases youth offending"
"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"
"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"
"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."
"Intensive and individualized approaches work. A one-size-fits-all approach doesn't. You have to make it relevant to the child."
"We would like to see earlier identification and support for children with brain injuries to help them succeed in school."
"Our 10 year study proves that family-led home-based neuro-rehab interventions deliver the best outcomes for children and young people"