ABSTRACT

This chapter reflects the authors' experience of leading neurobehavioural services, involving managing staff teams, delivering interventions and conducting research in this setting. It reviews the conceptual basis for this specialist type of rehabilitation and focuses on three approaches to behaviour as distinct but complementary strands that have been woven into the current fabric of neurobehavioural rehabilitation: operant conditioning, neuropsychology, and social learning theory. The chapter considers how this translates into clinical practice in terms of core features of service organisation and therapeutic procedures. It also reflects on factors that can facilitate or undermine effective neurobehavioural intervention. Neurobehavioural rehabilitation developed to meet the challenge of complex patterns of neurobehavioral disability and maximise personal autonomy. The chapter concludes with a review of the way neurobehavioural rehabilitation has developed in the past two decades with a view to how this is likely to influence future service provision.