Abstract for presentation at 6th World Congress on Brain Injury

Objective: Coordination of Post-acute Comprehensive Day Treatment Rehabilitation Program for persons with Acquired Brain Injury to transfer compensation and behavioral management skills for adaptation within a community setting, specifically Community Based Adult Foster Care.
Methods:
Design: Case study.
Setting: Post-acute Comprehensive Day Treatment (CDT) outpatient program for persons with Acquired Brain Injury (ABI) and Community Based Adult Foster Care (AFC).
Sample: A program participant with history of ABI and in need of supervision to live in the community to participate in CDT.
Interventions: Comprehensive interdisciplinary team evaluation, assisting in the choice and match of AFC provider, family counseling, coordination in development, maintenance and carryover of compensation techniques and adaptive behavioral coping strategies to the community. Utilization of this innovative community based supported living situation of AFC to practice and generalize compensation techniques, communication, and social behavior skills into a community setting. Family and AFC provider interventions are coordinated with an ABI educational program to ensure understanding and appropriate environmental effective adaptations.
Main Outcome Measures: Admission, Discharge & 1 year follow up for independent living status, vocational status, Pre & Post Mayo Portland Adaptability Inventory (MPAI) scale scores, and Goal Attainment Scale (GAS).
Results: Improved independent living status, significant improvement on the MPAI scores, achievement of expected outcomes on GAS, and vocational outcome with ABI and in the community.
Conclusions: Successful carry over to family and community was evidenced by returning to a community living situation with increased independence, improved vocational activity (school), and improved social relationships.