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dc.contributor.authorOlver, John-
dc.contributor.authorPonsford, Jennie-
dc.contributor.authorRoper, Monique-
dc.contributor.authorHarrington, Helen-
dc.identifier.citationNeuropsychol Rehabil. 2006 Jun;16(3):315-28en_US
dc.description.abstractIn 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.en_US
dc.publisherTaylor & Francis Onlineen_US
dc.subjectOne-on-One Therapyen_US
dc.subjectActivities of Daily Livingen_US
dc.subjectPost-Traumatic Amnesiaen_US
dc.subjectPersonal Autonomyen_US
dc.subjectBrain Injuriesen_US
dc.subjectCommunity Mental Health Servicesen_US
dc.subjectOrganization & Administrationen_US
dc.subjectPost-Acute Rehabilitationen_US
dc.subjectTraumatic Brain Injuryen_US
dc.subjectCommunity-Based Rehabilitationen_US
dc.subjectCentre-Based Therapyen_US
dc.subjectVocational Statusen_US
dc.subjectEmotional Adjustmenten_US
dc.subjectEmployment Outcomeen_US
dc.subjectGlasgow Coma Scaleen_US
dc.subjectMonash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Victoria, Australiaen_US
dc.titleEvaluation of a community-based model of rehabilitation following traumatic brain injury.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleNeuropsychological Rehabilitationen_US
dc.description.affiliatesMonash University, Australiaen_US
dc.type.studyortrialComparative Studyen_US
Appears in Collections:Neurosciences

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