One challenge in more severe brain injury cases is residential placement.
Residential facilities that are designed to care for the elderly are not
suitable for the needs of traumatic brain injury survivors. And yet, for
lack of any better placement, there are large numbers of young, brain-injured
people who live in elder care facilities.
TBI patients need programs that help promote independence-such as more
advanced rehabilitation, daily recreation that challenges cognition, and
support for return to community. A recent study found that young TBI patients
who were moved from a residential elder care facility into a community-based
setting showed an increase in independence. This increased independence
was evident in daily living activities, social inclusion, and overall
The promotion of independence is not a goal of elder care facilities, and
yet it is a critical part of care for TBI patients, especially those who
are younger and may have many years of a potentially fulfilling life.
Winkler D, Farnworth L, Sloan S, & Brown T. Moving from aged care facilities
to community-based accommodation: Outcomes and environmental factors.
Brain Injury. (February 2011).