|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.
"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"
"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"
"Parent-supported interventions after pediatric ABI bring reductions to the cost to society"
"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."
"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."
"Case management for children and young people post acquired brain injury is 'pivotal' to successful outcomes and must be local"
"Rehabilitation interventions can lead to positive outcomes for children and their families if delivered in the familiar home environment and applied to everyday situations"
"Poor parenting styles affects children's behavior; increases their learning disability; and has a negative impact on emotions; anxiety; anger management post brain injury"
"Positive and coordinated neuro-rehab interventions for children and young people is proven to bring health improvements; improve independence; reduces the need for sheltered living; decreases vulnerability; decreases drop-out rates in schools; decreases youth offending"