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http://hdl.handle.net/11434/1054
Title: | Evaluation of a community-based model of rehabilitation following traumatic brain injury. |
Epworth 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 Rehabilitation Community Mental Health Services Organization & Administration Post-Acute Rehabilitation Standards Traumatic Brain Injury ADL Community-Based Rehabilitation Centre-Based Therapy Vocational Status Emotional Adjustment Employment Outcome Strengths Weakness PTA Glasgow Coma Scale GSC TBI 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. |
URI: | http://hdl.handle.net/11434/1054 |
DOI: | 10.1080/09602010500176534 |
PubMed URL: | https://www.ncbi.nlm.nih.gov/pubmed/16835154 |
ISSN: | 0960-2011 1464-0694 |
Journal Title: | Neuropsychological Rehabilitation |
Type: | Journal Article |
Affiliated Organisations: | Monash University, Australia |
Type of Clinical Study or Trial: | Comparative Study |
Appears in Collections: | Neurosciences Rehabilitation |
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