Brain Injury Basics

Brain Injury Basics has been developed by the Edmonton Brain Injury Relearning Society who have been providing services since 1993.
The underlying premises of Brain Injury Basics are that to be effective in community based rehabilitation there must be an understanding of the following four factors.

the person*s interests, skills, and abilities both before and after his/her brain injury.

the type, severity and effects of the person's brain injury.

the demands of the activity or task the person chooses to do.

the characteristics and demands of the environment in which an activity or task takes place.

Brain Injury Basics stresses the importance of developing individualized strategies that fit for the person, the environments he/she is involved in, and the activities the person finds meaningful. In community based rehabilitation, developing and using strategies is a way of working towards increased independence for the brain-injured person and compensating for lost or affected skills. Using a team approach while working in partnership with the person and treating him/her with dignity and respect is of the greatest importance when developing and using strategies.

The three sections of the manual provide a basis for addressing the four factors listed above through community based rehabilitation. The three sections of the manual are:

Brain Basics provides information on the brain itself; the types of damage that may occur to the brain and explains professional terminology in plain language. A general description of some of the effects of brain injury most commonly observed in a community based setting follows. The last part of the Brain Basics section provides a number of general strategies for assisting an individual who has experienced a brain injury. In a sense, these strategies also provide information on the complexity of the effects of brain injury, but do not take individual characteristics and personality factors into account. General strategies are presented for the areas of attention; memory; lack of insight and denial of disability; poor emotional control; sexuality; agitation, anger and aggression; depression and withdrawal; difficulty carrying out a plan of action; difficulty understanding what others are saying; difficulty saying what you want to say; and impulsiveness and difficulty holding back.

Toolbox for the Community, provides more specific strategies and tools for community based rehabilitation. Using these tools is a way to analyse activities and tasks in relation to the individual's past and present skills, capacity and interests. The tools are meant to be used across home and community settings to create a picture of strengths, challenges and environmental factors that have an impact on the person's present skills and abilities. The tool are used in "Real Life" complex community environments as compared to structured rehabilitation settings. Cognitive Coaching (adapted with permission from the "Art of Cognitive Coaching) is presented as a way of working with people that increases critical thinking skills and assists them in regaining and exerting a sense of personal power and control over their lives (empowerment) This section of the manual provides specific teaching strategies, memory and organization strategies, behavior analysis strategies, and includes sample worksheets, checklists, ideas and tools, information gathering logs, and an observation form.

Community Networks, addresses the development of the community as a partner in the rehabilitation process. The skills discussed in this part of the manual are helpful in finding supportive, meaningful environments that provide individuals with a way to contribute to the community in a fulfilling way. Topics included in this section are preparing for community entry, locating opportunities in the community, educational opportunities, confidentiality and the community, and professional boundaries. Specific ideas and strategies for volunteering are provided e.g. finding, contacting, the interview, evaluating the "fit" of the site, enhancing success for both the individual and the site, as well as bringing closure.

Taken together, the three sections of the manual provide a basis for addressing the four factors listed above. They also provide an information base for community based rehabilitation. "Hands-on" training and experience are important components that are not addressed in this manual. For the strategies and information to be used effectively, a practicum or training period is necessary and complementary.

Information presented in easy to read format, lots of suggestions and ideas for implementing strategies. Will provide insights into assisting an individual with an brain injury versus an individual with a developmental disability. Stresses empowerment, personal choice and the development of critical thinking skills or cognitive coaching. The Cognitive Thinking concept has been adapted for use with persons with brain injuries.

Available from:

Edmonton Brain Injury Relearning Society
311 Royal Alex Place
10106 - 111 Avenue Edmonton, Alberta
need postal code
Telephone: (780) 477-7575
Fax: (780) 471-4288
E-mail: info@ebirs.ab.ca

Description of Resource: Coil bound manual,75 pages

Approximate Cost: $59.99 (Canadian)

Links: The Centre for Cognitive Thinking www.cognitivecoaching.com