The Understanding Brain Injury Group was initially constructed to increase an individual's insight into their brain injury, however this is now only part of its purpose. Other objectives include education, identifying difficulties the brain injury has caused, feelings about these changes and what can be done to cope with the changes.

Factors that should be considered before starting a group include the facilitators, the size of the group, length of each session, group mix (gender, age, disability) and reasons to exclude people from the group. Each of these is considered within this chapter. Other things to think about include where the group will take place, inclusion of a space for aide memoires to be posted, the idea of using a flip-chart with different coloured pens to record the group's ideas and also the use of a plastic model of the brain.