ABSTRACT

Brain injury rehabilitation, like travel plans, comes in many formats and permutations, but all have an end destination. Rehabilitation's end destination, in the very broadest sense, is to increase independence and facilitate adjustment. This chapter focuses on the reader's attention to the gulf between theory and practice, at both a clinical and a social policy level. It is recognised that the richness and variety of human experience brings with it its own challenges, and that personalisation of rehabilitation is necessary if it is to address the needs of the client with Acquired brain injury (ABI). The chapter focuses on clinical experiences and approaches to addressing such challenges with clients with ABI in a specialist service and the neuropsychological principles underpinning this specific approach. The ever-present challenge for brain injury rehabilitation is to develop effective strategies that enhance executive system functioning and make community living and gainful activity a realistic goal for clients.