ABSTRACT
This chapter considers how acceptance and commitment therapy (ACT), delivered in a group format, can be a cost-effective way to address the diverse range of co-morbid psychological issues that can emerge following brain injury. ACT may be particularly well suited to supporting adjustment and psychological wellbeing after brain injury due to its emphasis on the development of psychological flexibility and on fostering of value-based living in the face of enduring disabilities. The chapter draws on our experience of using ACT groups to outline how they may be designed and implemented to achieve the best outcomes. The key considerations covered include timing of delivery and content and group structure as well as practical issues and maintaining fidelity to the ACT model. The role of peer support within ACT groups is also considered.
