While previous literature on brain injury reports high levels of stress and burden in primary caregivers, the impact on children has been overlooked. This paper reports on an in-depth, qualitative research project exploring the experiences of four children living with fathers with an acquired brain injury (ABI). The findings indicate that these children were negatively impacted and at risk of emotional and behavioural difficulties. The children reported a complexity of feelings associated with the trauma and multiple losses, including profound grief, social isolation and fear of family disintegration and violence. Despite the difficulties they faced, the children also demonstrated resilience and reported positive outcomes such as having greater independence. Although only a small pilot study, the current findings highlight the need for both clinicians and researchers to be more proactive in questioning their clients and families about the level of violence following ABI and that disclosure may be more likely to occur with on-going involvement and support. The study concludes that early intervention and systemic support is required to minimize the trauma for these children. Further research is recommended, not only to replicate these findings in a larger sample, but also to explore in-depth children's experience of living with a parent with a brain injury.

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Introduction: The Family To Family Link Up Program (f2f Link Up) is a pilot program aimed to promote connections between families who have a family member with an Acquired Brain Injury. Methods: A total of 46 families participated in the program coordinated by The Bouverie Centre in Melbourne Victoria. Link-Ups, involving one or several sessions with members from two or more families. Link-Ups were conducted by Victorian metropolitan and regional ABI workers who were trained as Link-Up facilitators. A co-operative inquiry action research methodology was used to provide insights into the development and implementation of the program. Qualitative and quantitative data were collected from families and facilitators on the effectiveness of the program and their experience of each Link Up session. Results: Evaluation of the program showed positive impacts for both families and facilitators and provided useful feedback on program implementation issues, benefits and constraints of the program. Conclusions: The opportunity to meet other families in brief, time-limited contacts with a trained facilitator is a useful and needed addition to a range of supports that might assist families caring for a member with an acquired brain injury.

Acquired brain injury profoundly challenges the identity of the affected person and family relationships. Narrative practices offer valuable therapeutic tools to assist families to face the enormous task of adjusting to an acquired disability. The integration of family therapy and group work provides multiple avenues for families to have their experiences validated and to support reconnection with strengths, values and goals. It is from this more empowered position that families can find ways to live their lives to the fullest, in spite of the difficulties.

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