Summary

  1. There is Level 1a evidence that self-awareness training improves an individual's awareness of their disability following ABI.
     
  2. There is Level 2 evidence to suggest that mentoring or working with a resource facilitator aids in the recovery from a TBI and the successful integration into society.
     
  3. There is Level 2 evidence suggesting that social peer mentoring programs do result in improvements in perceived social support.
     
  4. There is Level 2 evidence that intensive outpatient rehabilitation for ABI - whether based in the hospital, clinic, or community - improves levels of independence. These effects were maintained one to three years later.
     
  5. There is Level 3 evidence that community-based life skills training improves community integration and independence following ABI.
     
  6. There are Level 4 evidence that community-based rehabilitation programs that use a peer or supported relationship model of intervention have positive effects on social integration.
     
  7. There is Level 2 evidence that the injury severity, recovery, disability, and impairment of the injured individual are correlated with the degree of caregiver burden.
     
  8. There is Level 1b evidence that caregivers supported through a telehealth program showed greater improvements in psychological outcomes and coping strategies than those receiving standard care.
     
  9. There is Level 2 evidence that educational programs provided to caregivers and their families reduce burden and service obstacles.
     
  10. There is Level 2 evidence that a social work liaison reduces caregiver burden, and improves caregiver satisfaction and mastery.
     
  11. There is Level 2 evidence that programs providing education in combination with problem solving training are more effective in reducing dysfunctional problem solving than educational material alone.
     
  12. There is Level 1b evidence that more intensive and structured rehabilitation therapy improves satisfaction with community integration and perceived quality of life compared to standard multidisciplinary rehabilitation.
     
  13. There is Level 2 evidence that coping skills training improves perceived self-efficacy and alleviates emotional distress compared to standard care.
     
  14. There is level 2 evidence that comprehensive case management improves life satisfaction more than standard care for individuals dealing with substance abuse issues post TBI.
     
  15. There is level 4 evidence that community-based support programs improve measures of self-efficacy leading to a greater sense of personal competency.
     
  16. There is Level 2 evidence that cognitive strategies increase the proportion of patients who successfully return to full time vocational activities following brain injury.
     
  17. There is Level 1b evidence that resource facilitation programs improve vocational outcomes post ABI when compared to standard care.
     
  18. There is Level 3 evidence that supported employment strategies post ABI result in improvements in competitive job placement and retention.
     
  19. There is level 4 evidence that vocational rehabilitation strategies are more effective when they are implemented earlier following the injury.
     
  20. There is Level 4 evidence that community reintegration programs post ABI result in increased employability, independence, and participation.
     
  21. There is Level 4 evidence that participation in a multidisciplinary rehabilitation program increases the number of patients that return to driving post ABI.