title: A description of cognitive rehabilitation at Sunnaas Rehabilitation Hospital--balancing comprehensive holistic rehabilitation and retraining of specific functional domains.
abstract: BACKGROUND
  Measures of cognitive rehabilitation should include comprehensive holistic rehabilitation as well as interventions targeting specific cognitive functions; it is however not clear how this knowledge should be put into practice.
  
  
  OBJECTIVE
  To describe services provided at the cognitive rehabilitation unit at Sunnaas Rehabilitation Hospital (SRH), a regional rehabilitation centre in Norway.
  
  
  METHODS
  Cognitive rehabilitation programs offered at SRH are described. For all patients served in 2011 and 2012, epidemiological and hospitalization related data were retrieved. Results from a patient satisfaction survey are presented.
  
  
  RESULTS
  The services include individual holistic cognitive rehabilitation as well as group programs. 307 individual patients were served in 355 hospitalizations; 68.1% were male; age ranged from 18 to 78 years. The largest patient groups were stroke (46.6%) and traumatic brain injury (33.0%). Mean length of stay was 36.9 days. Median time post injury was 0.8 years (range 16 days - 14 years). More than 90% of the patients were satisfied with the services they received to a large or very large extent.
  
  
  CONCLUSIONS
  Providing cognitive rehabilitation that encompasses both a holistic approach and targets specific cognitive functions is challenging. More research is warranted to illuminate further how cognitive rehabilitation services should be designed and conducted in practice.
authors.affiliation: Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
authors.forename: Frank
authors.initials: F
authors.lastname: Becker
authors.affiliation: Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway Department of Special Needs Education, University of Oslo, Oslo, Norway.
authors.forename: Melanie
authors.initials: M
authors.lastname: Kirmess
authors.affiliation: Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway Department of Psychology, University of Oslo, Oslo, Norway.
authors.forename: Sveinung
authors.initials: S
authors.lastname: Tornås
authors.affiliation: Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway Department of Psychology, University of Oslo, Oslo, Norway.
authors.forename: Marianne
authors.initials: M
authors.lastname: Løvstad
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy; D005260:Female; D006694:Holistic Health; D006801:Humans; D008297:Male; D008875:Middle Aged; D009664:Norway; D012047:Rehabilitation Centers; D055815:Young Adult
keywords: Cognitive rehabilitation; stroke; traumatic brain injury