|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.
"NHS clinicians struggle with what intervention to prioritise in paediatric neuro-rehabilitation due to limited clinical time and the complexity of needs. Children, clinicians, parents and schools all have different neuro-rehabilitation priorities"
"Strength-based family intervention after pediatric ABI is essential. Parents need to be equipped with the skills to cope and advocate for the child."
"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"
"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"
"We would like to see earlier identification and support for children with brain injuries to help them succeed in school."
"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"
"We are medical practitioners. The real experts are the parents. Over the last 35 years they have taught me everything I know"
"There are problems with getting people into neuro-rehab. Those most in need are often those most excluded due to a lack of socio-economic resources."
"Often families don't have the financial capability to access services. We need to rethink how we deliver neuro-rehab services to children and young people"
"We need to harness the power of brain plasticity for treating children and young people with brain injury, especially at the key ages of 0-3 and at ages 10-16"