C. Working with services  Next k)

i) Key messages summary

k) Pathways for life after an ABI (including rehab, moving into community, etc)

Unique individuals mean that service pathways are unique. At the same time staff need to be aware of typical service pathways; local barriers to pathways and strategies for dealing with pathway barriers.

I) Case management 'for life' as required

As noted above people who have damage to the frontal lobe of the brain often have difficulty with planning and coordinating. One of the consequences of this is that often people who have frontal lobe damage are also the ones who need ongoing case management. In these situations the case manager's roles is to act as their frontal lobe by adding the structure needed to make sense of different situations.

m) The family, community and support staff are where change happens

Change happens in the day to day. If a person without an ABI goes to see a psychologist a lot of progress can be made in the interview. The person generates their own plans for integrating therapy in day to day life. If a person with an ABI goes to see a psychologist, and they have for example problems with planning, coordinating, memory then they will need additional support for these impairments in order to make progress. The support will be to provide day to day strategies, processes and systems - e.g. putting memory aids in place to enable a person with ABI to integrate the therapy into their everyday life.

n) Part of a team - who's who - including accessing specialist assessments

Working with a person with an acquired brain injury often means being part of a team. It is important to understand everyone's role. There can be different teams at different stages in the process: acute care staff and family and friends; rehabilitation team; community living team.

o) Working with the services network

The services network of people with ABI is imperfect. There are some great parts. There are good parts. There are missing parts. The primary drivers for working with the services network are:

  • What are the person with ABI's goals?
  • What does the person with ABI want in order to achieve their goals?

The approach is: Do what it takes - to meet the goals of the person with the ABI
The priorities for services are:

  • Generalist services where possible
  • Disability services where necessary
  • Specialist ABI services where necessary.




ii) Summary: Graphic

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