title: Cognitive rehabilitation after severe traumatic brain injury: a pilot programme of goal planning and outdoor adventure course participation.
abstract: OBJECTIVE
  To describe and evaluate a pilot community based rehabilitation programme for severe brain injury.
  
  
  METHODS
  A prospective repeated-measures design with a single convenience sample was conducted.
  
  
  METHODS
  Eleven participants with a history of severe brain injury completed the programme, which featured an outdoor adventure course, skill development and goal-based learning. In the first stage, practical activities facilitated the development of social skills, group cohesiveness and community integration. The second stage was a 9-day outdoor adventure course, which included physically challenging activities such as camping, bushwalking, abseiling, caving and high rope work. The third stage encouraged individuals to work on the personal goals they had developed.
  
  
  RESULTS
  Over 80% of stated goals were achieved; suggesting that such a programme may be effective in enabling clients to attain specified goals.
  
  
  CONCLUSIONS
  The programme shows promise as a form of community rehabilitation.
authors.affiliation: Brain Injury Rehabilitation Service, Westmead Hospital, Sydney, NSW, Australia. awalker@biru.wsahs.nsw.gov.au
authors.forename: Alexandra J
authors.initials: AJ
authors.lastname: Walker
authors.forename: Margaret
authors.initials: M
authors.lastname: Onus
authors.forename: Margaret
authors.initials: M
authors.lastname: Doyle
authors.forename: Jennifer
authors.initials: J
authors.lastname: Clare
authors.forename: Kathleen
authors.initials: K
authors.lastname: McCarthy
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001930:Brain Injuries / Q000534:rehabilitation*; D003072:Cognition Disorders / Q000534:rehabilitation*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003156:Community Mental Health Services / Q000458:organization & administration*; D005260:Female; D006040:Goals; D006801:Humans; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation