A prospective study to evaluate a new residential community reintegration programme for severe chronic brain injury: the Brain Integration Programme.
OBJECTIVE
To assess the effectiveness of a residential community reintegration programme for participants with chronic sequelae of severe acquired brain injury that hamper community functioning.


METHODS
Prospective cohort study.


METHODS
Twenty-four participants with acquired brain injury (traumatic n = 18; stroke n = 3, tumour n = 2, encephalitis n = 1). Participants had impaired illness awareness, alcohol and drug problems and/or behavioural problems.


METHODS
A skills-oriented programme with modules related to independent living, work, social and emotional well-being.


METHODS
The Community Integration Questionnaire, CES-Depression, EuroQOL, Employability Rating Scale, living situation and work status were scored at the start (T0), end of treatment (T1) and 1-year follow-up (T2).


RESULTS
Significant effects on the majority of outcome measures were present at T1. Employability significantly improved at T2 and living independently rose from 42% to over 70%. Participants working increased from 38% to 58% and the hours of work per week increased from 8 to 15.


CONCLUSIONS
The Brain Integration Programme led to a sustained reduction in experienced problems and improved community integration. It is concluded that even participants with complex problems due to severe brain injury who got stuck in life could improve their social participation and emotional well-being through a residential community reintegration programme.
Rehabilitation Centre Groot Klimmendaal, Arnhem, The Netherlands. g.geurtsen@grootklimmendaal.nl
G J
GJ
Geurtsen
J D
JD
Martina
C M
CM
Van Heugten
A C H
AC
Geurts
D000293:Adolescent; D000328:Adult; D001930:Brain Injuries / Q000523:psychology / Q000534:rehabilitation*; D002908:Chronic Disease; D003153:Community Health Services / Q000458:organization & administration*; D004651:Employment; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D011446:Prospective Studies; D011788:Quality of Life; D012917:Social Adjustment