The article examines rehabilitation of the behavior disordered head injured with an emphasis on eventual community reintegration. Discussed are behavioral issues, cognitive issues, a program model of a rural behavioral unit, behavior management, the role of counseling, community reentry, cognitive management, vocational issues, and reentry…

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)

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.…

Traumatically head-injured individuals who reach the higher stages of recovery typically exhibit cognitive communication disorders. Patient management requires, among other considerations, a focus on functional communication competency, an ecologic-systematic perspective, and use of compensatory techniques. A case study applies this management…

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 usefulness of videotaping therapeutic sessions in rehabilitation settings and provides suggestions for rehabilitation professionals contemplating videotaping in light of the patient's legal and ethical right to privacy. (Author/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,…

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…

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…

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)

Forty-five parents or spouses of head-injured patients were studied to: (1) determine differences among various family types on clinically relevant dimensions of family functioning, based on Olson's Circumplex model, and (2) establish the validity of three assessment methods. Results showed family functioning to be an important factor in recovery.…

Two head-injured patients were treated for memory difficulties and two for temper control problems. The patients were taught memory aids and anger management strategies in a program emphasizing the role of relatives as co-therapists in ameliorating rehabilitation problems. Three obstacles to progress (denial, guilt, and family roles) are…

An active role is recommended for family members involved in rehabilitation of cognitive communicative impairments of head-injured individuals. The paper discusses family systems theory, dysfunctional family reactions to the cognitive communicative behaviors of the head-injured member, and methods of assisting the family to develop the…

The National Head Injury Foundation was established to address financial and personal issues involved with brain injury. The Foundation's action agenda emphasizes prevention, public awareness, public policy, public attitudes, social-political action, professional growth, information/referral, guidance on research needs, and a forum for diverse…

Described is a neurodevelopmental team assessment system called Interdisciplinary System to Plan Early Childhood Treatment (INSPECT). INSPECT monitors the status and progress of young brain-injured children by combining and synthesizing the results of norm-based, adaptive curriculum-based, and clinical judgment scales. A case profile illustrates…