Article

Individuals with acquired brain injuries often display problematic behaviors,
such as impulsivity, disinhibition, lack of initiation, isolation, and
aggression, that impact their readiness to return to home and/or the community.
The occurrence and treatment of these behaviors is often complicated by
impairments in cognition and self-awareness, as well as by co-occurring issues
including substance abuse. Community reintegration for these individuals is a
goal that can be both hazardous and difficult to attain. This article briefly
reviews the literature and describes a treatment philosophy and methodology by
which an interdisciplinary team can employ evidence-based behavioral principles
and procedures to assess and promote behavioral stability toward the goal of
community readiness within a residential rehabilitation setting. Assessment
includes a comprehensive evaluation of individual strengths and barriers across
all disciplines as well as an analysis of the function of problematic behaviors.
Based upon these assessments and analyses, integrated interdisciplinary treatment
efforts then support the development and implementation of specific strategies
and tools to promote community readiness and ultimately reentry. These strategies
and tools are intended to provide direction and support to the client and include
prompts and cues to self-manage, as well as ways to assist clients and staff to
collect and reflect upon relevant data. Additionally, other methods of data
collection, techniques to develop self-management skills, and the use of
contingencies as part of a community reentry plan are discussed.

Langue : ANGLAIS