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Traumatic brain injury (TBI) can significantly affect academic performance in a wide range of areas including, working memory, language processing, attention, and internalizing and externalizing behaviors. This chapter will discuss characteristics associated with TBI, and provide a series of high- and low-tech strategies teachers can implement in their classrooms to help students who have experienced brain trauma to succeed through academic challenges. In addition, the benefits and weaknesses of certain technologies used by students with TBI in school and at home will be discussed.

While often considered a low incidence disability, traumatic brain injuries (TBIs) among students are anything but low incidence occurrences. Furthermore, educators are often at times not made aware that a student is injured; when informed, the information provided is generally limited or incomplete at best leaving educators unsure regarding what is needed for the student. In this chapter, information on TBI and its effects on students is provided. We also explore the history of inclusion, mechanisms for service delivery, accommodations and modifications for injured students, and transitioning and reintegrating students post-injury. Lastly, we provide a review of common barriers to service delivery and offer both proactive and reactive strategies to overcome those barriers.

Traumatic brain injury (TBI) is unique among areas of eligibility for students with disabilities in federal special education legislation, not in what is assessed, but why the assessment is taking place. If not for the injury, most individuals with TBI would be unlikely to come to the attention of special educators. Few education training programs appear to allocate sufficient attention to the category, so we present background information regarding prevalence, recovery, and outcomes before summarizing advice from the literature regarding assessment of individuals with TBI in schools. Although educators are unlikely to be involved in the initial diagnosis of TBI, they can be important collaborators in promoting recovery or detecting a worsening condition. Almost every assessment tool available to educators is likely to be of value in this endeavor. These include both formal and informal approaches to assessment. Working with individuals with TBI requires sensitivity and compassion.

Young children under the age of five are particularly overrepresented in traumatic brain injury (TBI) due to accidents and falls. To remediate the problems, confronting young children with TBI, is critical that they are introduced to opportunities to be placed in general education classrooms at the earliest possible point. The purposes of this chapter are to (1) describe causes, symptoms, and challenges following TBI (e.g., physical, emotional, and cognitive difficulties), (2) distinguish mild TBI (MTBI) from other mild categories of disability, (3) identify classroom interventions and strategies, and (4) identify parenting strategies that may provide essential support for them in adjusting to and managing their young child’s difficulties.

This chapter provides an overview on the traditions and values of teaching students with traumatic brain injury (TBI). First, we discuss the prevalence, identification, and characteristics associated with TBI and how those characteristics affect learning, behavior, and daily life functioning. Next, we focus on instructional and behavioral interventions used in maintaining the traditions in classrooms for working with students with TBI. Findings from a review of the literature conclude that there are no specific academic curriculums designed specifically for teaching students with TBI; however, direct instruction and strategy instruction have been shown to be effective educational interventions. Current research on students with TBI is predominately being conducted in medical centers and clinics focusing on area of impairments (e.g., memory, attention, processing speed) rather than academic achievement and classroom interventions. Finally, we conclude with a list of accommodations and a discussion of recommendations for future work in teaching students with TBI.

Safeguarding people who have sustained a traumatic brain injury (TBI) requires not only knowledge of safeguarding practice and procedures, but also the implications of a brain injury. This paper provides an introduction to the nature and impact of TBI upon individuals and their families. Drawing on anonymised case material and practice experience, it explores how the sequelae of TBI, in particular cognitive, emotional and behavioural changes can produce potential safeguarding issues. The person with TBI's potential vulnerability to different forms of abuse is then considered and the relevance of the legislative framework explored. The paper then summarises key points for safeguarding practice in this complex field. It concludes by emphasising that gaining knowledge of how TBI impacts on individuals and their families is essential to understand their risk of abuse. In doing so, it also highlights that simplistic dichotomies between victim and perpetrator can ignore the complexity of the interactions in which safeguarding occurs.

Traumatic Brain Injury (TBI) is the most common brain injury and the leading cause of disability in children in the United States (Schilling & Getch, 2012). In addition to physical and cognitive rehabilitation, a family and their child need socio-emotional supports during school re-entry after brain injury. This chapter presents an understanding of the experience of school re-entry for children with TBI from the perspective of the parents. Their narratives of the preinjury, injury, and postinjury experience are framed in the medical and social models as well as special education. Findings suggest that throughout the process, community is a constant while parents’ advocacy roles shift with regard to their child’s holistic care. Academic research in this area is limited given TBI is a hidden disability representing a broad spectrum of diagnosis, where the individual may have no obvious physical effects even though the injury may have a significant impact on their behavior and daily life. This chapter will propose interventions for educators to use with consideration of cultural and familiar traditions.

The purpose of this paper is to examine the research into prevalence of acquired brain injury in non-ABI specialist services, the impact of the invisible aspects of executive impairment and loss of insight upon functioning and to question how this is assessed and managed by generalist services.

A literature search was undertaken to identify where people with an ABI may come in to contact with services that are not specifically designed to meet their needs.

ABI is prevalent amongst users of a variety of community, inpatient and criminal justice services. The common albeit invisible consequences of ABI complicate assessment, service use and or treatment particularly in the context of a lack of under pinning knowledge and experience amongst the staff in non-specialist ABI services. As a consequence risks to children and adults are increased, opportunities for rehabilitation and growth are lost and human potential squandered. Addressing the first stage in this process, developing knowledge of the consequences of ABI and how to assess need, is a pre-requisite for change.

An absence of basic underlying knowledge of the consequences of ABI impacts upon assessment and so limits the effectiveness of services. A consequence of this is manifest in the over-representation of people with an ABI to be found in non-specialist settings.

–Little research is undertaken from a social and community perspective into the impact of ABI over the longer term for those who have no contact with specialist services and yet, quite clearly by their use of other services, have unidentified, unrecognised and un-responded to needs.

Psychological factors such as post-traumatic stress and depression may play an important role in the recovery after whiplash injuries. Difficulties in psychosocial functioning with limitations in everyday life may dominate for some time after the injury. Our study therefore investigates the relationships between pain, post-traumatic stress, depression, and community integration. A set of questionnaires was answered by 191 persons (88 men, 103 women) five years after a whiplash injury to assess pain intensity (visual analogue scale, VAS), whiplash-related symptoms, post-traumatic stress (impact of event scale, IES), depression (Beck depression inventory, BDIII), community integration (community integration questionnaire, CIQ), life satisfaction (LiSat-11). One or more depressive symptoms were reported by 74% of persons; 22% reported scores that were classified as mild to severe depression. The presence of at least one post-traumatic symptom was reported by 70% of persons, and 38% reported mild to severe stress. Total scores of community integration for women were statistically significantly higher than for men. The total VAS score was correlated positively to the IES (r=0.456, P<0.456), the BDI (r=0.646, P<0.001), and negatively to the CIQ (r=-0.300, P<0.001). These results highlight the view that a significant proportion of people experience both pain and psychological difficulties for a long time after a whiplash injury. These findings should be taken into consideration in the management of subjects with chronic whiplash symptoms and may support a multi-professional rehabilitation model that integrates physical, psychological, and psychosocial factors.

This paper sets out to provide a brief guide to brain function and the main causes of brain dysfunction likely to be encountered in social care and neurodisability practice. For the first issue of Social Care and Neurodisability, it was felt that such an overview paper serving both as a self‐contained aide memoire, and as a ‘signpost’ for other relevant resources, would be a useful tool to sit alongside any subsequent articles published in the Journal and provide some relevant brain function context. We have drawn on clinical experience, key references and the growing area of internet‐based resources in order to provide what is hopefully an accessible paper in the spirit of the ubiquitous ‘Made Simple’ series.