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Do outreach brain injury services improve outcome in adults with a brain injury compared with the provision of information?

Prepared by:

Irena Gordon
Occupational Therapist
Illawarra Brain Injury Service

Bronwyn Jones
Occupational Therapist
Western Region Injury Management

Date:

January 31, 2002

Review Date:

January 31, 2004

Clinical Question:

Do outreach brain injury services improve outcome in adults with a brain injury compared with the provision of information only?

Clinical Scenario:

Rural brain injury units, as part of the NSW statewide Brain Injury Rehabilitation Program, provide outreach services to individuals with a traumatic brain injury. What evidence is there that this model of service delivery improves outcome, compared with a model of service delivery that provides information only?

Clinical Bottom Line:

The provision of outreach community base rehabilitation services to clients with a brain injury may improve practical functioning in terms of psychological wellbeing and activities of daily living. No significant improvements were made in the areas of socialisation and employment (NB- majority of participants were not employed prior to participation in the study). It is acknowledged that there are a significant number of variables outside the control of the client and / or therapist regarding both employment and socialisation (e.g. accessibility of the environment, availability of opportunities), impacting on these results.

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