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Accommodation Outcomes and Transitions Following Community-Based Intervention for Individuals with Acquired Brain Injury

Published online by Cambridge University Press:  14 June 2012

Sue Sloan ,
Libby Callaway ,
Dianne Winkler ,
Kirsten McKinley  and
Carlo Ziino
Sue Sloan*
Affiliation:
Osborn Sloan & Associates Pty Ltd, Kew, Australia
Libby Callaway
Affiliation:
Department of Occupational Therapy, Monash University, Frankston, Australia
Dianne Winkler
Affiliation:
Summer Foundation Pty Ltd, Blackburn, Australia
Kirsten McKinley
Affiliation:
Osborn Sloan & Associates Pty Ltd, Kew, Australia
Carlo Ziino
Affiliation:
Osborn Sloan & Associates Pty Ltd, Kew, Australia
*
Address for correspondence: Sue Sloan, PO Box 2191, Kew, Victoria, 3101, Australia. E-mail: [email protected]
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Abstract

Objectives: To explore living situation, support and participation outcomes of people with severe acquired brain injury (ABI) residing in either home-like or disability-specific accommodation settings, who were provided with 3 years of occupational therapy intervention based on the Community Approach to Participation (CAP).

To examine transitions for a subgroup whose accommodation and support model changed during this 3-year period and identify factors critical to this change.

Method: Forty-three participants who had sustained severe to extremely severe ABI, and were an average of 6.73 years post-injury, were provided with CAP intervention over a 3-year period. Living situation and support model, participation levels and accommodation transition data were collected at four time points.

Results: Participants were living in a range of home-like and disability-specific accommodation settings at baseline. The disability-specific accommodation group had mainly noncompensable injuries and required a significantly higher level of daily support at all four time points. They also received higher total hours of support, which averaged 170.83 hours per week at baseline and did not change significantly over the 3 years. In contrast, 86% of the participants residing in home-like settings had compensable injuries and received an average of 91.46 hours of support per week at baseline. This reduced to 70.97 hours per week over the 3-year intervention period, a change that was statistically significant.

Conclusion: It is possible to achieve accommodation transitions to more independent, home-like situations many years post-injury and regardless of injury severity. Home-like settings provide scope to adjust support along a continuum to reflect gains in independence, community integration and role participation that the fixed models and hours of support in disability-specific accommodation do not. Over time, these gains can flow into a significant reduction in hours of support.

Keywords

brain injuryparticipationcommunityaccommodationtransition
Type
Articles
Information
Brain Impairment , Volume 13 , Issue 1: Transition to Community Living after Acquired Brain Injury , July 2012 , pp. 24 - 43
Copyright
Copyright © The Authors 2012

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