A group approach to the long-term rehabilitation of clients with acquired brain injury within the community

There is much literature documenting the extensive problems of living with a disability as experienced by clients with stroke and traumatic brain injury. The aphasia literature discusses the feelings of loss of role and reduced self-worth and productivity that result from aphasia. These difficulties can lead to avoidance, withdrawal, and isolation (Brumfitt, 1996; Parr, Byng, Gilpin, & Ireland, 1997). Hartley (1995) quotes breakdown in relationships and social isolation as some of the devastating long-term effects of traumatic brain injury. The need for long-term follow-up in the community is discussed widely. For example, Hersh (1998) talks about "traversing the plateau" with people with chronic aphasia and Hartley (1995) discusses the long-term needs of those living with the consequences of brain injury.