Community integration after severe traumatic brain injury in adults

Department of Neurological Rehabilitation, Raymond Poincaré University Hospital, Garches, France.
Current opinion in neurology (Impact Factor: 5.31). 10/2010; 23(6):688-94. DOI: 10.1097/WCO.0b013e3283404258
Source: PubMed


Despite being the main cause of death and disability in young adults, traumatic brain injury (TBI) is a rather neglected epidemic. Community integration of persons with TBI was, until recently, insufficiently informed by clinical research.
To bridge the gap between rehabilitation and community re-entry, the first task is to assess the person, using TBI-specific outcome measures. The second task is to provide re-entry programs, the effectiveness of which is assessed by those measures, using well designed studies. There are very few such studies. However, there are some effective comprehensive programs and others which are specifically targeted dealing mainly with return to work, behavior, and family issues. The complex psychological and environmental components of the disability require individualized and often long-term care.
For persons with severe TBI trying to achieve the best possible community integration a new semiology is required, not just limited to medical care, but also involving social and psychological care that is tailored to the needs of each individual and family, living within his/her environment. Currently, only a minority benefit from well validated programs.

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Available from: Jean Luc Truelle, Feb 15, 2014
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    • "Medical treatment is becoming ever more advanced with ever-increasing numbers of survivors, rehabilitation programs are becoming more and more standardised [14] [30] [34] and the clinical factors correlated with RTW are better understood [2] [15] [17] [25] [26] [29] [39]. However, RTW rates remain quite low [10] [21] [28] [32] [35] [37]. In addition to rehabilitation, several types of vocational support have been proposed to facilitate RTW in TBI. "
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