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Title: Evaluation of a community-based model of rehabilitation following traumatic brain injury.
Authors: Olver, John
Ponsford, Jennie
Roper, Monique
Harrington, Helen
Keywords: One-on-One Therapy
Activities of Daily Living
Post-Traumatic Amnesia
Personal Autonomy
Brain Injuries
Community Mental Health Services
Organization & Administration
Post-Acute Rehabilitation
Traumatic Brain Injury
Community-Based Rehabilitation
Centre-Based Therapy
Vocational Status
Emotional Adjustment
Employment Outcome
Glasgow Coma Scale
Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Victoria, Australia
Issue Date: Jun-2006
Publisher: Taylor & Francis Online
Citation: Neuropsychol Rehabil. 2006 Jun;16(3):315-28
Abstract: In recent years there has been a growing trend towards community-based post-acute rehabilitation for individuals with traumatic brain injury (TBI), as opposed to the traditional centre-based model, based on the premise that these individuals will learn more effectively in settings where they usually have to perform. In the present study, outcomes at two years post-injury in 77 individuals with TBI, treated within the community were compared on measures of activities of daily living (ADL), vocational status, and emotional adjustment with those of 77 TBI patients individually matched for gender, age, education, occupation, post-traumatic amnesia (PTA) duration, Glasgow Coma Scale (GCS) score and time in inpatient rehabilitation, who had attended the hospital for outpatient therapy. There were no significant differences between groups in terms of employment outcomes or independence in personal or domestic ADL. However those treated in the community were less likely to be independent in shopping and financial management and reported more changes in communication and social behaviour. Due to constraints of time and resources, these patients had received fewer one-on-one therapy sessions and thus treatment costs were somewhat lower. Attendant care costs were also lower in the community treatment group. Strengths and weaknesses of community-based post-acute rehabilitation are discussed.
DOI: 10.1080/09602010500176534
PubMed URL:
ISSN: 0960-2011
Journal Title: Neuropsychological Rehabilitation
Type: Journal Article
Affiliated Organisations: Monash University, Australia
Type of Clinical Study or Trial: Comparative Study
Appears in Collections:Neurosciences

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