ABSTRACT
Acceptance and commitment therapy (ACT) approaches may play a useful role in supporting people following brain injury. However, these approaches may not be appropriate for all – geographical, racial, ethnic and cultural barriers and disparities in accessing rehabilitation and treatment exist across the world. This chapter has been written by professionals working in the UK and Uganda; the authors will discuss pertinent issues in their countries to highlight the breadth of the challenges faced in terms of access to and availability of services supporting people following brain injury. This chapter will consider some of the potential challenges of applying ACT principles, considering issues of culture, language, spirituality and religion at institutional and individual levels. We will discuss the importance of working in a flexible and culturally sensitive way, alongside culturally competent peers within communities.
