ABSTRACT

The need for specialist rehabilitation services after traumatic brain injury (TBI) continues to emerge and was given especial emphasis during the 1990s, most recently in the UK by the British Society for Rehabilitation Medicine (1998) and in the US with a NIH Consensus Development Conference (1998). The development of interest follows advances in surgical and medical techniques that increase rates of survival (Miller, 1991); increasing awareness of the incidence and prevalence of the condition (Kraus & McArthur, 1996); definition of the physical, cognitive, emotional, and behavioural sequelae; and linkage of these impairments with the nature, time course, and longterm effects on daily routines and family life (Brooks et al., 1987a,b; Oddy et al., 1985; Olver et al., 1996; Thomsen, 1987).