Article

PURPOSE: To assess the effectiveness of a residential community reintegration
programme for participants with chronic sequelae of severe acquired brain injury
that hamper community functioning. DESIGN: Prospective cohort study. SUBJECTS:
Twenty-four participants with acquired brain injury (traumatic n = 18; stroke n =
3, tumour n = 2, encephalitis n = 1). Participants had impaired illness
awareness, alcohol and drug problems and/or behavioural problems. Intervention: A
skills-oriented programme with modules related to independent living, work,
social and emotional well-being. METHODS: The Community Integration
Questionnaire, CES-Depression, EuroQOL, Employability Rating Scale, living
situation and work status were scored at the start (T0), end of treatment (T1)
and 1-year follow-up (T2). Results: Significant effects on the majority of
outcome measures were present at T1. Employability significantly improved at T2
and living independently rose from 42% to over 70%. Participants working
increased from 38% to 58% and the hours of work per week increased from 8 to 15.
CONCLUSION: The Brain Integration Programme led to a sustained reduction in
experienced problems and improved community integration. It is concluded that
even participants with complex problems due to severe brain injury who got stuck
in life could improve their social participation and emotional well-being through
a residential community reintegration programme.

Langue : ANGLAIS