Male case study
Sam
Sam, a man in his late twenties, sustained a severe head injury
following a serious road accident in which he was the driver of a motorbike. He
was admitted to Elm Park twelve months later with significant behaviour problems,
including aggressive outbursts, disinhibition, deficits in executive functions,
poor initiation, poor insight, verbal perseveration and impaired mobility. His own
issues focussed on his limited mobility and it was important to him to improve his
independence. On admission to Elm Park, Sam was included in the structured day of
group and daily living activities. He was assessed by the specialist brain injury
team and the initial treatment programme implemented was based on a behaviour modification
approach. The focus of this approach was to address his behavioural problems consistently.
He was able to tackle his problem solving, planning and memory issues with the help
of specialist group and individual sessions. Importantly for Sam, a functional walking
programme and daily exercise sessions were instigated to concentrate on his mobility.
After sixteen months of intensive rehabilitation at Elm Park it was agreed that
Sam required a transitional living placement to consolidate the gains he had made.
He was transferred to Community Rehabilitation and Supported Living (CRSL) in Essex.
The focus for community based rehabilitation at CRSL Essex was to increase Sam's independence in the community. He attended a local college and a local Headway group successfully. His insight improved through the interaction with others in these groups and he learned effective coping skills to manage the physical deficits that remained. His independence and mobility improved markedly enabling him to live successfully in the local community.
To consolidate these independence skills, a graded discharge to an independent living placement was planned. Nearly four years after his admission to CRSL Essex, Sam moved into his own house with the support of an outreach package. In Sam's case the individual rehabilitation programme he followed enabled him to move from requiring twenty-four hour care to address his physical and cognitive needs to living independently with a visiting support worker.
Case studies are based on real events, but names have been changed to protect the identity of the individuals involved.
The focus for community based rehabilitation at CRSL Essex was to increase Sam's independence in the community. He attended a local college and a local Headway group successfully. His insight improved through the interaction with others in these groups and he learned effective coping skills to manage the physical deficits that remained. His independence and mobility improved markedly enabling him to live successfully in the local community.
To consolidate these independence skills, a graded discharge to an independent living placement was planned. Nearly four years after his admission to CRSL Essex, Sam moved into his own house with the support of an outreach package. In Sam's case the individual rehabilitation programme he followed enabled him to move from requiring twenty-four hour care to address his physical and cognitive needs to living independently with a visiting support worker.
Case studies are based on real events, but names have been changed to protect the identity of the individuals involved.
Brain injury units
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Northamptonshire |
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Brain Injury Services,
Northants Tel: 01908 543 131 |
| Essex | |
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Brain Injury Services,
Essex Tel: 01206 231055 |
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