Behavior adjustments in traumatic brain injury

Conway, Jim; Schaub, Chris; Yody, Barbara

doi:10.1016/s1061-9259(99)80106-4

Cited by 4 publications

(3 citation statements)

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“…The same clinical guidelines report that behavioural problems appear likely to be chronic. Indeed, persistent, overt, challenging behaviours in this population are well documented (Baguley, Cooper, & Felmingham, 2006;Brooks et al, 1986;Conway, Schaub, & Benson-Yody, 1999;Fahy, Irving, & Millac, 1967;Guercio & McMorrow, 2002;Thomsen, 1992;Watson et al, 2001). Behaviour management remains the biggest challenge to service providers in Australia (Ponsford, 2001).…”

Section: Lifelong Consequences Of Brain Injurymentioning

confidence: 99%

“…Nevertheless, there are many examples of individuals making substantial behavioural improvements many years postinjury as a result of behavioural and environmental interventions (Conway et al, 1999;Feeney, Ylvisaker, Rosen, & Greene, 2001;Gardner et al, 2003;Guercio & McMorrow, 2002;Manchester, Hodgkinson, & Casey, 1997;Peters, Gluck, & McCormick, 1992). With appropriate supports, many clients with challenging behaviour can be well managed in community or 'homelike' settings (such as one's own home, or family home), rather than large institutional settings (Carnevale, 1996;Feeney et al, 2001;Todd, Loewy, Kelly, & Simpson, 2004).…”

Section: Neurobehavioural Disability and Challenging Behaviourmentioning

confidence: 99%

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Long-Term Accommodation and Support for People With Higher Levels of Challenging Behaviour

Kelly¹,

Winkler

2007

Brain Impairment

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T he purpose of the present article is to describe the issues associated with providing lifelong accommodation and support to people with severe brain injury, neurobehavioural disability, and overt challenging behaviours. In particular, the article focuses on two groups of people within an Australian context: (a) those who live in community settings but whose behaviour is not adequately managed even by specialist outreach behaviour management services, and (b) those who are confined to aged care residential facilities and who show challenging behaviour. These groups bring to the fore different lifelong behaviour management issues. At present, if community-based clients seriously offend or have an adequate psychiatric diagnosis, they may be placed in heavily secured psychiatric units or prison. Otherwise, by default, they will reside in less restrictive options such as family homes and shared supported accommodation. We will argue that the current service system lacks the ability to apply appropriate structure and control to many clients with serious challenging behaviours, and propose that specialised facilities would make an important addition to the service system. Conversely, young clients confined to residential aged care facilities live in impoverished environments that often contribute to challenging behaviour that can be enormously disruptive, distressing, and unsafe. We will review the recent Australian State and Federal Government initiative aimed at transitioning some young people out of nursing homes, and we raise considerations for future service development. There are many individuals with the potential to make significant gains in a tightly structured setting before returning to the community, while others will manage well with long-term placement in a setting designed for residents with neurobehavioural disability. Case studies and service data are used to support these arguments, and key elements of accommodation and rehabilitation models for those in need of long-term neurobehavioural support are described.

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Section: Lifelong Consequences Of Brain Injurymentioning

confidence: 99%

Section: Neurobehavioural Disability and Challenging Behaviourmentioning

confidence: 99%

Long-Term Accommodation and Support for People With Higher Levels of Challenging Behaviour

Kelly¹,

Winkler

2007

Brain Impairment

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“…In reviewing the broader literature, a number of approaches have been advanced for the management of challenging behaviours after ABI. The success of specialised neurobehavioural units in reducing challenging behaviours for particular individuals has been frequently documented (Conway, Schaub, & Yody, 1999;Eames & Wood, 1985;Fluharty & Glassman, 2001). However, such facilities are not available to the vast majority of clients with ABI.…”

mentioning

confidence: 99%

Managing Challenging Behaviours: Getting Interventions to Work in Nonspecialised Community Settings

Todd¹,

Loewy²,

Kelly³

et al. 2004

Brain Impairment

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T he ABI Behaviour Consultancy (the Consultancy) is a community-based service specialising in the management of challenging behaviour following acquired brain injury (ABI). Although there are many accounts in the literature of behaviour management techniques, very few describe how to tailor and implement programs to work in nonspecialised community settings where a client's environment has little structure and few resources. The Consultancy is often called upon to manage situations where existing behaviour interventions have not been successful, often because of incorrect assumptions about the client with ABI or because of unrealistic expectations of the setting. The Consultancy has developed a six-stage framework for the management of challenging behaviours that includes site visit, crisis management, engagement, intervention, education, and ongoing review. Case examples are used to illustrate each of these stages.

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Traitements non pharmacologiques des troubles du comportement des traumatisés crâniens graves. Revue commentée de la littérature

Fayol

2003

Annales de Réadaptation et de Médecine Physique

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Behavior adjustments in traumatic brain injury

Cited by 4 publications

References 0 publications

Long-Term Accommodation and Support for People With Higher Levels of Challenging Behaviour

Long-Term Accommodation and Support for People With Higher Levels of Challenging Behaviour

Managing Challenging Behaviours: Getting Interventions to Work in Nonspecialised Community Settings

Traitements non pharmacologiques des troubles du comportement des traumatisés crâniens graves. Revue commentée de la littérature

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