Outcomes of post-acute rehabilitation for persons with brain injury.
OBJECTIVE
To examine the impact of multifaceted rehabilitation services on functional outcomes after traumatic brain injury (TBI) for individuals with significant physical and cognitive difficulties, as well as those with added behavioural complications.


METHODS
Cohort, non-randomized, intervention study with a pre-test-post-test, follow-up design.


METHODS
Community integrated post-acute rehabilitation centre.


METHODS
Individuals with primarily severe TBI receiving post-acute neurorehabilitation services (NR, n = 129) as well as similarly impaired individuals with additional antagonistic/disruptive behaviours receiving neurobehavioural services (NB, n = 76).


METHODS
Multi-faceted behavioural and cognitive therapy methods delivered individually and in groups.


METHODS
The Functional Area Outcome Menu (FAOM), a behaviourally anchored 5-step scale rated by rehabilitation teams at three time periods.


CONCLUSIONS
The rehabilitation treatment model achieved significant functional gains of approximately 1.5 levels for neuropsychologically-impaired adults with and without associated behavioural and substance problems.
Braunling-McMorrow
Debra
D
MENTOR ABI, Carbondale, IL 62902, USA. debra.mcmorrow@thementornetwork.com
Dollinger
Stephen J
SJ
Gould
Melinda
M
Neumann
Tony
T
Heiligenthal
Ryan
R
D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D003072:Cognition Disorders / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D010043:Outcome and Process Assessment, Health Care; D015397:Program Evaluation; D012047:Rehabilitation Centers; D016896:Treatment Outcome; D055815:Young Adult