|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.
"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"
"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"
"Taking brain injured children home causes high stress for families. Disjointed services exacerbate family stress levels."
"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 need to harness the power of brain plasticity for treating children and young people with brain injury. Stressful experiences alter brain development of a child, especially at the key ages of 0-3 and at ages 10-16"
"Rehabilitation interventions can lead to positive outcomes for children and their families if delivered in the familiar home environment and applied to everyday situations"
"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"
"Brain development is complex and prolonged. Brain plasticity is influenced by a range of factors. Plasticity provides a base for neuro-rehab therapies and treatment"
"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"
"Intensive and individualized approaches work. A one-size-fits-all approach doesn't. You have to make it relevant to the child."