Abstract
Behavioral Dyscontrol Following Acquired Brain Injury: Effectiveness of Post-hospital Neurobehavioral Intensive Programs
Highlights
Patients in neurobehavioral intensive (NBI) programs tend to be injured longer than the typical neurorehabilitation patients, with the injury onset to program admission interval often averaging greater than five years6
The present study addressed two questions: 1) Is post-hospital NBI programming effective in reducing disability resulting from acquired brain injury at the moderate to severe levels?, and 2) What are the variables that predict functional outcome?
The study group was comprised of 219 adults with acquired brain injury who were discharged from six programs across five states that were designed to treat brain injured individuals exhibiting impulsivity along with verbal and/or physically aggressive behavior
Summary
Patients in NBI programs tend to be injured longer than the typical neurorehabilitation patients, with the injury onset to program admission interval often averaging greater than five years. As time elapses without appropriate care, symptoms may worsen as survivors learn maladaptive ways of coping. Improved access to NBI programs would likely reduce: 1) the long-term burden of care (e.g., reduced need for supervision), 2) the risk to patient and caregiver, and 3) overall disability with more favorable outcomes. In order to achieve improved access, the effectiveness of these programs for treating the challenging symptoms of behavioral dyscontrol following brain injury, must be demonstrated. The present study addressed two questions: 1) Is post-hospital NBI programming effective in reducing disability resulting from acquired brain injury at the moderate to severe levels?, and 2) What are the variables that predict functional outcome?
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