Purpose: This retrospective case series utilized clinical data mining (CDM) to understand the potential key components in an integrated treatment approach delivered by speech-language pathologists (SLPs) treating adolescents experiencing persistent cognitive effects postconcussion. The first purpose was to describe the profiles of students treated…

Survivors of brain injury from trauma and stroke often lose their sense of identity and face a series of lifelong obstacles that challenge their ability to integrate back into their communities and live meaningful and productive lives. Their stories provide powerful accounts of these challenges, which can inform clinical decision-making. Arguably,…

The Pediatric Test of Brain Injury (PTBI) is designed to assess neurocognitive, language, and literacy abilities that are relevant to the school curriculum of children and adolescents recovering from brain injury. The PTBI is intended to help clinicians establish baseline levels of cognitive-linguistic abilities in the acute stages of recovery,…

A mild traumatic brain injury (TBI) constitutes the overwhelming majority of brain injury cases in children and adolescents. This article focuses on cerebral concussion, which can be viewed as a subset of mild TBI, which, until recently, has received limited attention in the pediatric assessment literature. Few extant measures appropriate to this…

The Shock Trauma Center of the Maryland Institute for Emergency Medical Services Systems instituted a comprehensive speech-language pathology program to provide acute intervention for communicative disorders in a critical/intensive care environment. This article provides a profile of the Center, a review of communicative impairments, and examples…

This article presents a family-centered perspective in rehabilitation of individuals with cognitive-communicative impairments following traumatic brain injury (TBI). The approach focuses on capacity rather than dysfunction in families and includes family members as collaborators in rehabilitation. Suggestions for understanding family responses to…

Discusses how treatment of memory disorders resulting from traumatic brain injury must extend beyond intervention strategies focusing on deficit reduction to embrace models centering on disability reduction. Disability oriented approaches that emphasize rehearsal and encoding strategies and the use of memory aids are described. (Author/CR)

Cognitive-communicative intervention with children and adults with head injuries should emphasize such aspects of cognitive functioning as the knowledge base and the executive system. Assessment and intervention should focus on realistic goal setting, planning, self-directing and initiating, self-inhibiting, self-monitoring, self-evaluating,…

This examination of the impact of the head-injured student's cognitive-communicative deficits upon school performance and interpersonal relationships focuses on: the educator's perspective regarding the head-injured student, specific cognitive-communicative deficits, typical classroom behaviors of the student, teaching strategies, useful…