Evaluation of Outcomes in Brain Injury Rehabilitation
Psychology Press Ltd (Verlag)
978-0-86377-648-9 (ISBN)
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The impetus for this Special Issue came from a series of meetings between clinicians and researchers working in varied UK neurological rehabilitation services. These meetings focused on the need to identify appropriate measures for defining and evaluating different forms of intervention for patients who have suffered a brain injury. The intention was also to identify measures which will ensure good communication between clinicians, purchasers, and service users. It soon became clear from the discussion that there was going to be no single solution to a complex problem. The patient group is very heterogeneous with an enormous diversity of needs and strengths, at different stages of recovery. Patients are offered treatments by teams with different specialisms, resources and constraints.
The papers comprised in this volume vividly delineate the many theoretical and practical issues which must be addressed in any attempts to capture, with sensitivity and accuracy, the critical changes occurring over successive phases of recovery and rehabilitation; they also document the international contributors' experience with a wide range of strategies and specific instruments.
The first five papers address, respectively:
The measurement implications of the World Health Organisation model for conceptualising different dimensions of outcome (Greenwood);
An example of a goal planning approach to rehabilitation, and related evaluation criteria (McMillan, Sparkes);
The development and application of a highly structured Goal Attainment Scaling procedure (Malec);
The creative solutions of a health economics team faced with the near-impossible task of comparing outcomes over a huge range of injury severity, time since injury, and rehabilitation services (Stilwell et al.);
A perspective on the requirements of health service purchasers (McCarthy).
In the second part of the volume, contributors relate their experience, solutions, and findings in four different types of rehabilitation setting (post-acute in-patient in-patient, cognitive-behavioural, out/day-patient, and community) which have correspondingly different foci of assessment.
S. Fleminger, J. Powell, Assessment of Outcomes after Brain Injury Rehabilitation. R. Greenwood, The Consequences of Brain Injury: Classification and Assessment of Outcome. T.M. McMillan, C. Sparkes, Goal Planning and Neurorehabilitation: The Wolfson Neurorehabilitation Centre Approach. J.F. Malec, Goal Attainment Scaling in Rehabilitation. P. Stilwell, J. Stilwell, C. Hawley, C. Davis, The National Traumatic Brain Injury Study: Assessing Outcomes Across Settings. M. McCarthy, Purchasing Neurorehabilitation in the United Kingdom National Health Service. H.G. Thwaites, R. Mundy, The Sensory Modality Assessment and Rehabilitation Technique (SMART) A Unique and Comprehensive Approach to the Assessment and Treatment of the Vegetative and Minimally Responsive Patient. J. McNeil, R. Greenwood, The Use of Disability Outcome Measures in a Neurological Rehabilitation Unit. L. Turner-stokes, Outcome Measures for In-patient Neurorehabilitation Settings. N. Pender, S. Fleminger, Outcome Measures on Inpatient Cognitive and Behavioural Units. P. Eames, Measuring Outcome: Development of an Approach. M. Oddy, D. Alcott, E. Francis, K. Jenkins, C. Fowlie, Methods of Evaluation in a Cognitive-behavioural Rehabilitation Programme for Brain Injury: The Experience of Ticehurst House and Unsted Park Hospitals. N. Alderman, J. Bentley, K. Dawson, Issues and Practice Regarding Behavioural Outcome Measurement Undertaken by a Specialised Service Provider. J.G. Beaumont, S.A.V. Connolly, M.J.C. Rogers, In-patient Cognitive and Behavioural Rehabilitation: Assessing the Outcomes. A. Bajo, J. Hazan, S. Fleminger, R. Taylor, Rehabilitation on a Cognitive Behavioural Unit is Associated with Changes in FAM, not FIM. W.H. Williams, J.J. Evans, B.A. Wilson, Outcome Measures for Survivors of Acquired Brain Injury in Day and Out-patient Neuro-rehabilitation Programmes. K. Beckers, J. Netz, V. Hömberg, The Measurement of Outcome in a Day-clinic Setting for Neurological Rehabilitation: Discrepancies Between Changes in FIM and Barthel Scores and Achievement of Treatment Goals. C. Caetano, A-L. Christensen, Outpatient/Day Patient Rehabilitation - The Center for Rehabilitation of Brain Injury, Copenhagen Denmark. J. Powell, Assessment of Rehabilitation Outcomes in Community/Outreach Settings. M.L. Russell, L.J. Powell, Measurement in a Peripatetic Community Based Head Injury Rehabilitation Service. A. Tyerman, Outcome Measurement in a Community Head Injury Service. Z. Groswasser, S. Melamed, E. Agranov, O. Keren, Return to Work as an Integrative Outcome Measure Following Traumatic Brain Injury. R.L. Wood, A. Worthington, Outcome Measures in Community Rehabilitation. J. Ponsford, J. Oliver, R. Nelms, C. Curran, M. Ponsford, Outcome Measurement in an Inpatient and Outpatient Traumatic Brain Injury Rehabilitation Programme.
| Erscheint lt. Verlag | 21.10.1999 |
|---|---|
| Reihe/Serie | Brain, Behaviour and Cognition |
| Verlagsort | Hove |
| Sprache | englisch |
| Themenwelt | Medizin / Pharmazie ► Medizinische Fachgebiete ► Neurologie |
| Medizin / Pharmazie ► Physiotherapie / Ergotherapie ► Rehabilitation | |
| ISBN-10 | 0-86377-648-5 / 0863776485 |
| ISBN-13 | 978-0-86377-648-9 / 9780863776489 |
| Zustand | Neuware |
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