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Clinical Rehabilitation
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Late rehabilitation for closed head injury: clinical psychologists' interventions

Ilona McDowell

Rehabilitation Medicine Unit, Astley Ainslie Hospital, Edinburgh

Shirley Anderson

Astley Ainslie Hospital, Edinburgh

Claire Wilson

Astley Ainslie Hospital, Edinburgh

Brian Pentland

Astley Ainslie Hospital, Edinburgh

Ian Robertson

MRC Applied Psychology Unit, Cambridge

Neuropsychologists have been criticized for concentrating upon the assessment and recording of the psychological consequences of head injury while providing little, if any, direct intervention to assist in the rehabilitation of traumatically brain- injured people. The authors describe the experience of a clinical psychologist's attempt to provide a comprehensive outpatient service to a group of head-injury survivors discharged from a rehabilitation unit. Of 54 patients, 50 were seen at least once by the psychologist while 22 were seen on four or more occasions. A substantial part of the workload was accounted for by contacts with relatives or other principal carers, with more than half of the carers being seen. Another major activity was liaising with other professionals or agencies; in eleven patients, six or more contacts of this nature proved necessary. The authors concluded that there was an indication for the provision and careful evaluation of an expanded psychological service for people in their first two years after head injury.

Clinical Rehabilitation, Vol. 9, No. 2, 150-156 (1995)
DOI: 10.1177/026921559500900210
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