|Physical||Communication||Cognitive||Behavioural / Emotional|
A person with disinhibition is likely to do or say things without considering the consequences and impacts of their actions. Normally, we have a ‘filter’ which allows us to understand these potential consequences. Following brain injury a person may become disinhibited and may do and say things most of us would steer away from. For example they may blurt out what comes to mind, share private information, pass insulting comments, not following social rules such as swearing in front of others, being sexually disinhibited, and not being able to control other urges such as intake of alcohol.
This can be upsetting for family and friends and also a potential source of conflict with others which is potentially dangerous for the individual. It can be very difficult to control because of the persons lack of self-awareness. Most people can and do re-learn socially-appropriate ways of behaving, though some, may continue to make inappropriate remarks or be over-familiar.
"Case management for children and young people post acquired brain injury is 'pivotal' to successful outcomes and must be local"
"Often families don't have the financial capability to access services. We need to rethink how we delivery neuro-rehab services to children and young people"
"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"
"Intensive and individualized approaches work. A one-size-fits-all approach doesn't. You have to make it relevant to the child."
"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"
"Children and young people have poor social competence post brain injury due to reduced cognition, executive functions, and emotional control. As a result they are twice as likely to have mental health issues in the future"
"We are medical practitioners. The real experts are the parents. Over the last 35 years they have taught me everything I know"
"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."
"We would like to see earlier identification and support for children with brain injuries to help them succeed in school."
"Parent-supported interventions following pediatric ABI bring reductions to the cost to society"