ABSTRACT
Traditional standardized assessment instruments have been modified, used in nontraditional ways, and, in some cases, have been supplanted by other assessment approaches. Vocational specialists, noting the serious limitations of traditional vocational evaluation tools with the head injury population, advocate the use of on-the-job evaluation techniques. The Community Mobility Training Program was developed in response to the need for a consistent method by which to teach brain-injured clients the necessary skills for community reintegration. The majority of clients in the program have sustained severe closed-head injuries resulting in cognitive sequelae, including memory loss; perceptual limitations; difficulty in absorbing, interpreting, and integrating environmental and social information; the inability to process the "gestalt" of a given situation; limited insight; unrealistic self-expectations; and behavioral disinhibition. The program is structured around six levels of progressively increased expectations, responsibilities, and privileges.
