We describe implementation of an adjustment group for inpatients with ABI, reflecting the opportunities and challenges of delivery and evaluation of real-world clinical service initiatives. Realising that others had similar issues – ‘I’m not the only one’-helped to normalise and make sense of the emotional reactions and experiences of ABI. Facilitating groups focussed on psychological consequences of ABI is an effective and feasible way of increasing access to psychological support for inpatients with ABI.