ABSTRACT

This chapter explores the notion that the comprehensive assessment of communication skills after traumatic brain injury (TBI) requires that the process should go beyond testing of specific skills and observation in various settings to include information elicited from as many other sources as possible. The move away from aphasia testing in communication after TBI has been extensively documented. The literature on TBI, both in general and with reference to communication, shows evidence of a degree of uncertainty on the part of practitioners regarding the status of client self-report. The idea that TBI rehabilitation requires at least some level of teamwork has reached a degree of general acceptance across all disciplines involved in the process. The fields of both TBI and speech pathology have seen an increase in the design and dissemination of assessment tools aimed at investigating behaviour arising in "real-life" settings.