The article discusses the multifactorial causation of behavior disorders after head injury, arguing that management strategies must be based on an understanding of their general nature and on specific knowledge of the individual's history and injury. (DB)

The article discusses secondary education for head-injured adolescents with recommendations for their reentry into secondary schools and; postsecondary education for head-injured young adults with recommendations for entry into postsecondary institutions. Three case studies illustrate applications of such recommendations as staff training…

This article examines legal and ethical issues in the rehabilitation of the head-injured client, particularly the use of guardianship. Several models of rehabilitation goal setting are discussed, with a particular emphasis upon an educational model for the relationship between provider and client. Changes in guardianship procedures are suggested.…

The article discusses special considerations in applying standard token economy techniques to behavior change with the head injured with examples of token economies at three rehabilitation facilities. (DB)

The article examines the role of drug treatment stressing the need to treat disorders of brain function rather than direct behavior control. Treatment principles concern classification, dosage, monitoring effects, timing of therapy, the distinction between passive and active disorders as well as syndromal, manipulative, ritualistic, cyclothymic,…

The parent of a head injured young adult recounts her family's problems learning to cope and gives other examples of the effects of head injuries on sons and daughters, husbands, and wives. Successful and unsuccessful patterns of family coping are noted. (DB)

The study compared computer assisted cognitive retraining of 47 patients with severe closed head injury with comparable noncomputerized treatment techniques. Results on neuropsychological tests did not support the increased effectiveness of the computer assisted cognitive therapy. (DB)

The article considers eight values and factors that enter into decisions regarding resource allocation for persons with brain injury including the quality of life, moral culpability of the brain-injured person, the social contribution of the person, allocation of family and societal responsibilities, justice, the nature of health care, and…

A model for evaluating traumatically brain-injured adults' competency to consent to rehabilitative interventions is presented. Assessment foci are capacity to understand and reason. Judgments regarding competency should be based on best observed performance under optimal conditions in a rehabilitative context that promotes patient self…

The Neuro-Cognitive Education Project (NEP), a cognitive reeducation program for the head-injured child, was evaluated. Results indicated differential increases on certain measures of adaptive functioning among the intervention group but little improvement in cognitive functioning. (DB)

Redefinition of placement to include not only competitive employment but sheltered and volunteer employment as well as training on the job setting can increase the probability of success for head-injured adults. Preplacement preparation and placement selectivity can increase the chances for placement success as illustrated in two case histories.…

A framework is presented for intervention with families of traumatic brain injured patients. Described are family assessment strategies; levels of intervention (permission, limited information, specific suggestions, and intensive therapy); and intervention techniques in the areas of family education, counseling, marital/sexual counseling, family…

Described is an individual-placement supported-employment program for persons with traumatic brain injury. A referral pool of 32 persons is analyzed in terms of demographics, neuropsychological test performance, occupational history, occupational status, etc. Also described are program procedures, data management systems, and the role of…

Potential hazards and dangers of using the token economy approach to behavior change with head injured individuals are identified and it is suggested that the injured person's active awareness of reinforcement contingencies may sometimes be deleterious. (DB)

The management of behavior disorders in brain injured persons in a day rehabilitation setting is discussed including the role of the family and methods of behavior change such as modeling and shaping. Four cases demonstrating effective use of behavioral approaches are offered. (DB)