Getting better after A brain injury
by Dr. Mark Kiefner, Clinical Director, Goodwill NeuroRehab Services
An estimated 2 million people suffer from traumatic brain injuries in the United States each year. In the state of Maine, an estimated 2400 individuals experience brain injuries every year. It has long been established that comprehensive treatment of acquired brain injury during the initial two years following brain injury results in significant gains and the best outcomes. We have conducted outcome studies since 1996 and have presented these studies at national conferences including the International Neuropsychological Society and the National Academy of Neuropsychology.
Our outcome data is focused on three areas: effectiveness, efficiency and durability of treatment.
- Regarding effectiveness, our clients showed statistically significant improvement in physical ability, functional skills, and residential status. This statistically significant effect allowed most clients who entered with moderate impairments to be discharged with only mild impairments.
- In regard to efficiency, the average length of treatment has declined over time. This means that treatment is increasingly cost effective. Our average length of treatment is approximately 7 months.
- In terms of durability, at 90 day follow up, 87% of clients maintained or improved upon therapy benefits. Moreover, 50% had developed sufficient skills in treatment that they continued to make improvements even after discharge. This is consistent with the goals of rehabilitation and appropriate discharge planning.
Another study addressed the question of whether rehabilitation improves outcomes 24 months or longer after an injury. That study indicated that comprehensive NeuroRehabilitation treatment, even 24 months after injury, results in functional improvement and increased independence. There were improvements in functional abilities, psychosocial adjustment, and participation in the community. Additionally, there was a significant increase in individuals able to live independently: that is, with less support from community agencies.
What all of this suggests is that with the appropriate treatment and follow-through, many people with brain injuries can continue to make improvements in their functioning for years after the injury.
Learn more about Goodwill NeuroRehab Services.
