What do kids with Acquired Brain Injury want? Mapping neuropsychological rehabilitation goals to the International Classification of Functioning, Disability and Health

Robyn McCarron, Suzanna Watson, Fergus Gracey

Research output: Contribution to journalArticle

3 Citations (Scopus)
12 Downloads (Pure)

Abstract

Objective: To increase understanding of the community neuropsychological rehabilitation goals of young people with acquired brain injuries (ABIs). Method: Three hundred twenty-six neuropsychological rehabilitation goals were extracted from the clinical records of 98 young people with ABIs. The participants were 59% male, 2-19 years old, and 64% had a traumatic brain injury. Goals were coded using the International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY). Descriptive statistical analysis was performed to assess the distribution of goals across the ICF-CY. Chi-squared and Cramer's V were used to identify demographic and injury-related associations of goal type. Results: The distribution of goals was 52% activities and participation (AP), 28% body functions (BF), 20% environmental factors (EF), and <1% body structures (BS). The number of EF goals increased with age at assessment (V =.14). Non-traumatic causes of ABIs were associated with more EF goals (V =.12). There was no association between sex or time post-injury and the distribution of goals across the ICF-CY. Conclusions: Young people with ABIs have a wide range of community neuropsychological rehabilitation goals that require an individualized, context-sensitive, and interdisciplinary approach. Community neuropsychological rehabilitation services may wish to ensure they are resourced to focus intervention on AP, with increasing consideration for EF as a young person progresses through adolescence. The findings of this research support models of community neuropsychological rehabilitation that enable wellness by combining direct rehabilitative interventions with attention to social context and systemic working across agencies.

Original languageEnglish
Pages (from-to)403-412
Number of pages10
JournalJournal of the International Neuropsychological Society
Volume25
Issue number4
DOIs
Publication statusPublished - 1 Apr 2019

Keywords

  • :Education
  • emotions
  • environment
  • family
  • friendships
  • participation
  • relationships
  • social

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