Assessing and treating non-compliance in brain-injured clients.
Assessment of non-compliance has been discussed. This included exploration of reinforcement contingencies, age appropriateness, cultural background and social background. Several perspectives on this have been addressed. Memory deficits are also critical when assessing non-compliance. Specifically, when the TBI person has severe memory deficits. Consequence management and antecedent control techniques have shown to be highly effective in promoting participation. Additionally, non-compliance should not necessarily be viewed as non-desirable, in fact, the client may be communicating preferred and non-preferred interests. It is important to recognize individual talents, interests and preferences. This is a significant point when you consider that TBI survivors had pre-injury lifestyles, i.e. full-time employment, a working social network, and preferred interests and activities.
Zencius
A H
AH
Florida Department of Health and Rehabilitative Services, Miami 33128.
Lane
I
I
Wesolowski
M D
MD
D000647:Amnesia / Q000523:psychology / Q000534:rehabilitation; D001521:Behavior Therapy / Q000379:methods; D001925:Brain Damage, Chronic / Q000523:psychology* / Q000534:rehabilitation*; D001930:Brain Injuries / Q000523:psychology* / Q000534:rehabilitation*; D006801:Humans; D009042:Motivation; D012050:Rehabilitation, Vocational / Q000523:psychology; D012931:Social Environment; D016312:Treatment Refusal / Q000523:psychology*