Recovery Goals and Targets

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    Recovery Goals and Targets

    Short and long term recovery goals and targets are set in collaboration with the patient and are a key pillar of our care. Specific treatment interventions are commenced. These will largely fall in the following categories:

    Maximise internal strategies

    • Education
    • Targeted psychology/occupational interventions
    • Medication

    Optimise environment

    • Compensatory aids
    • Specialist nursing support

    Psychological interventions can include:

    • Brain Injury Awareness education

    • Reminiscence therapy

    • Emotional coping skills

    • Anger management

    • Relaxation skills

    • Drugs and alcohol interventions

    • Voices and visions group

    • Life Minus Violence (modules for Harmful Sexual Behaviour)

    • Trauma therapy

    • Cognitive Behaviour therapy

    • Personality assessment

    All of these therapies have been adapted for individuals with ABI and can be provided to individuals as well as small groups. Given the variation in cognitive impairment of our patients one to one provision is more common. This has obvious resource implications within a small service.

    Occupational Therapy and Nursing Interventions

    We have a unique staff group with integration of Occupational Therapy and nursing staff. We have Leadership from senior occupational therapists who have introduced ward based Technical Instructors who provide group and individual interventions.

    The provision of structured, meaningful activity is essential in the assessing and rehabilitation of our patients. All patients are provided with weekly and daily planners on admission and are supported to become increasingly independent in populating these and using these as compensatory aids.

    Our teams have integrated the coaching model into their daily practice. A focus on guidance, adaption and co-working with patients in our care. Allocated and enhanced coaching is used to offer more intensive intervention for those with increased needs.

    A culture of flexibility and bespoke adaption for the best patient care is so important to us. Positive Behaviour Support Plans are the cornerstones of our safe and positive direct practice. Built and constantly reviewed around the individual and their needs; focussed on achieving pragmatic validity that can be carried forward in transitioning care along the discharge pathway.

    The ABI service has been at the forefront of utilising and living the Relational Security Model since 2011. A model in secure care perfectly aligned to our view that therapeutic alignment with those we care for is the best way of ensuring safety is balanced with compassion and individualised care. 

    These interventions include:

    • Daily orientation, current affairs

    • Art therapy

    • Social skills

    • Personal care

    • pet therapy

    • cooking

    • music therapy

    • physical exercise

    • Vocational skills – woodwork, metal work, bike maintenance

    • Numeracy and literacy

    • IT / basic computing

    These activities are multipurpose – they assess and provide rehabilitation in engagement, cognitive functioning, social skills, motor skills and mental health; which in turn can lead to even more specific rehabilitation interventions provided by the Technical Instructors, support staff and the care team as a whole.

    We assess the success of these neurorehabilitation interventions e.g. independent living skills, quality of life and cognition using outcome measures.