title: Three-year follow-up results of a residential community reintegration program for patients with chronic acquired brain injury.
abstract: OBJECTIVE
  To evaluate outcomes of a residential community reintegration program 3 years after treatment on independent living, societal participation, emotional well-being, and quality of life in patients with chronic acquired brain injury and psychosocial problems hampering societal participation.
  
  
  METHODS
  A follow-up assessment 3 years after treatment was compared with the 1-year follow-up assessment in a prospective cohort study.
  
  
  METHODS
  A tertiary rehabilitation center for acquired brain injury.
  
  
  METHODS
  Of the 67 patients assessed at the 1-year follow-up, 63 subjects (94%; 42 men; mean age at admission to treatment 24.7y; mean time postonset 5.1y) were available at the 3-year follow-up and taken into account in the analyses.
  
  
  METHODS
  A structured residential treatment program directed at improving independence in domestic life, work, leisure time, and social interactions.
  
  
  METHODS
  Community Integration Questionnaire, Employability Rating Scale, living situation, school, work situation, work hours, Center for Epidemiological Studies-Depression scale, and the World Health Organization Quality of Life Scale Abbreviated (5 scales).
  
  
  RESULTS
  There were no significant differences for any of the outcome measures between the 1-year and 3-year follow-up assessment.
  
  
  CONCLUSIONS
  These results indicate that the established significant and clinically relevant improvements after a residential community reintegration program remain stable in the long term.
authors.affiliation: Department for Acquired Brain Injury, Rehabilitation Medical Center Groot Klimmendaal, Arnhem, The Netherlands. herendubbel@yahoo.com
authors.forename: Gert J
authors.initials: GJ
authors.lastname: Geurtsen
authors.forename: Caroline M
authors.initials: CM
authors.lastname: van Heugten
authors.forename: Juan D
authors.initials: JD
authors.lastname: Martina
authors.forename: Antonius C
authors.initials: AC
authors.lastname: Rietveld
authors.forename: Ron
authors.initials: R
authors.lastname: Meijer
authors.forename: Alexander C
authors.initials: AC
authors.lastname: Geurts
mesh_terms: D000293:Adolescent; D000328:Adult; D020208:Brain Injury, Chronic / Q000523:psychology* / Q000534:rehabilitation*; D004651:Employment; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D057187:Independent Living; D008297:Male; D008603:Mental Health; D015397:Program Evaluation; D011788:Quality of Life; D012917:Social Adjustment; D058992:Social Participation; D011795:Surveys and Questionnaires; D055815:Young Adult