TRAUMATIC BRAIN INJURY RECOVERY? How much a person will improve is unknown; therefore, Maximize the amount of Improvement that is possible! How severe was initial injury? Length of time of recovery Maximizing Dependent on: HOSPITAL REHABILITATION HAVING A PLAN AT HOME FOR IMPROVING

Brain Injury – Motivational Based Improvement JARVIS REHABILITATION METHOD (JRM) CREATING INTERNAL MOTIVATION FOR IMPROVEMENT TRAUMATIC BRAIN INJURY Pre-Post Dimension Assessment Engagement in Life SOCIAL DIMENSION COGNITIVE DIMENSION PHYSICAL DIMENSION PSYCHOLOGICAL DIMENSION

Pre-Post Dimension Assessment- Engagement in Life SOCIAL DIMENSION (sample question) ____ When frustrated, I demonstrate self-control or self- regulation in social situations? 1. Never 2.Seldom 3.Sometimes 4.Almost Always 5.Always

Pre-Post Dimension Assessment- Engagement in Life COGNITIVE DIMENSION (sample question) ____ I can focus my attention and concentration to understand things? 1. Never 2.Seldom 3.Sometimes 4.Almost Always 5.Always

Pre-Post Dimension Assessment- Engagement in Life PHYSICAL DIMENSION (sample question) ____ I can do everyday specific physical requirements to bath, dress, and eat? 1. Never 2.Seldom 3.Sometimes 4.Almost Always 5.Always

Pre-Post Dimension Assessment- Engagement in Life PSYCHOLOGICAL DIMENSION (sample question) ____ I feel a purpose and productivity in my life? 1. Never 2.Seldom 3.Sometimes 4.Almost Always 5.Always

SOCIAL and COGNITIVE DIMENSION STRATEGIES LIVING LIFE AGAIN HAVING OTHER INTEREST SHARING IMPROVEMENT WITH OTHERS CHANGING THINKING COMPUTER AND HOBBIES IMPROVE THINKING SKILLS VERBALIZATION

PHYSICAL and PSYCHOLOGICAL DIMENSION STRATEGIES BEING CONSISTENT RECORDING ACCOMPLISHMENTS MOVING ON WITH YOUR LIFE VISUALIZING MAKING EVERYDAY COUNT NEVER GIVING UP ACCEPTING THE PROGRESS IS VERY SLOW HAVING PATIENCE BELIEVING

Brain Injury – Motivational Based Improvement JARVIS REHABILITATION METHOD (JRM) CREATING INTERNAL MOTIVATION FOR IMPROVEMENT TRAUMATIC BRAIN INJURY INJURY 2007 JA

Brain Injury – Motivational Based Improvement JARVIS REHABILITATION METHOD (JRM) CREATING INTERNAL MOTIVATION FOR IMPROVEMENT TRAUMATIC BRAIN INJURY INJURY 2006 SK

Brain Injury – Motivational Based Improvement JARVIS REHABILITATION METHOD (JRM) CREATING INTERNAL MOTIVATION FOR IMPROVEMENT TRAUMATIC BRAIN INJURY INJURY 2005 CM

Brain Injury – Motivational Based Improvement JARVIS REHABILITATION METHOD (JRM) CREATING INTERNAL MOTIVATION FOR IMPROVEMENT TRAUMATIC BRAIN INJURY INJURY 2000 BJ

Brain Injury – Motivational Based Improvement JARVIS REHABILTATION METHOD (JRM) CREATING INTERNAL MOTIVATION FOR IMPROVEMENT TRAUMATIC BRAIN INJURY INJURY 1997 RL

Brain Injury – Motivational Based Improvement JARVIS REHABILITATION METHOD (JRM) CREATING INTERNAL MOTIVATION FOR IMPROVEMENT TRAUMATIC BRAIN INJURY INJURY 1991 JB

Summary Improvement for every TBI Survivor is different and possible. Survivors benefit from a plan for improvement after traditional therapy. Although improvement is very slow, it can be measured by the degree of engagement in life. As increased engagement is realized, the Survivor is encouraged and motivated.

Questions to follow up on for TBI Survivors:  Do younger Survivors have more cognitive difficulties acquiring functional living than an older person who has more in depth experiences and education? This may or may not be due to lack of acquired knowledge in long term memory.   Do younger Survivors have a more difficult time getting knowledge into long term memory because of deficiencies in short term memory? Older Survivors already have a certain amount of knowledge in their long term memory.   How does attitude effect improvement for the TBI Survivor? How does a TBI Survivor overcome negative thoughts about possible improvement?

Questions to follow up on for TBI Survivors:  How much is Social progress influenced by Physical progress? Interpersonal relationships?   What are specific reasons for the high divorce rate among TBI Survivors? (95%)   What most important aspects of faith that have the most influence on improvement. For example, Profession of faith only? Attendance only? Leadership role? Active participation through small group support?   Are Caregivers a more accurate judge of improvement of the TBI Survivor?