ABSTRACT
Mark J. Ashley, Rose Leal, Zenobia Mehta, Jessica G. Ashley, and Matthew J. Ashley
Cognitive rehabilitation for people with acquired brain injury rst became a clinical focus in the late 1970s. The sequelae of acquired brain injury were increasingly recognized as medical science became pro cient at life-preserving practices following severe injury to the brain. Larger numbers of people survived traumatic and nontraumatic events alike that resulted in injury to the brain. Rehabilitation services were largely restricted to those rendered in an acute hospital setting, whereas available discharge settings consisted of the home, psychiatric hospitals, or skilled nursing facilities. The level of restitution of physical and communicative de cits achieved was not suf cient to allow for a return of many of these individuals to independent and productive lifestyles.
