ABSTRACT
Aggression as an outcome of acquired brain injury (ABI) has potentially devastating consequences. Studies examining prevalence are confounded by methodological problems; and the lack of a standardised definition of aggression remains a key problem. However, evidence shows aggressive behaviour is an enduring characteristic of ABI for many survivors. Management using methods from new learning theory is well documented. Neurobehavioural rehabilitation services are optimised to accommodate conditions that support new learning, and they are best placed to manage survivors whose aggressive behaviour carries most risk. Other neurological services have some capacity to successfully manage less risky aggressive behaviour; practical recommendations and case examples are described to help illustrate what is required. It is strongly advised that behaviour support plans are implemented by clinicians and carers operating as a transdisciplinary team, in the context of a person-centred ‘relentlessly positive’ therapeutic milieu.
