ABSTRACT

Because it affects the organ that regulates all other bodily systems and creates the person, acquired brain injury (ABI) can affect all aspects of the person. For this reason, rehabilitation is best planned based on a very comprehensive, holistic assessment of the person's strengths and limitations as well as the social and physical environment in which they live. More specifically, a comprehensive assessment discovers who the person was before the injury (pre-injury history); current medical status including prior injuries; family and social context; educational and vocational history and aspirations; current and past history of psychopathology and substance use; details of the injury including associated non-brain injuries; and current strengths and weaknesses in cognitive, emotional, behavioural and physical functioning. A comprehensive assessment evaluates the degree and consistency with which the person understands and appreciates the problems arising from their injury and how these problems may interfere with their goals, that is, their self-awareness. The assistance or interference that they may receive from family and friends and other community resources in pursuing their goals is also assessed. The goal for most individuals applying for neuropsychological rehabilitation services is a return to full participation in family and community life. A comprehensive assessment details all potential personal and environmental resources that may contribute to and barriers that may interfere with the pursuit of this overarching goal.