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What is holistic neuropsychological rehabilitation? A description of the core components of the programme at the Oliver Zangwill Centre.
Bateman, A., Psaila, K., Brentnall, S., Evans, J., Gartland, D., Gracey, F., Keohane, C., Machin, C., Megoran, R., Mohammed, S., O'Dell, J., WILSON, B.A. & Yeates, G.
Brain Impairment, 6(2), 155-156
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Objective: To describe the 'core components' of the rehabilitation programme offered at the Oliver Zangwill Centre. We propose that interdisciplinary formulation represented graphically for feedback to clients is one of the innovative components of the overall approach to holistic rehabilitation. Method: Notes were taken from a series of discussions that were convened to enable review of the mission statement and description of the programme. Results: The team revised the mission statement and description of the service. Aims of rehabilitation at OZC were stated to be: to enable the client to gain awareness and understanding of the consequences of brain injury; and to enable the client to adopt compensatory strategies. It is aimed that therapeutic encounters structured around clients' goals relate to functional activities, social participation and vocational domains. To date, goals have been categorised under the headings of 'understanding brain injury', 'managing activities of daily living', 'recreational activities' and 'work or study plans'. Core components describe how we seek to achieve these aims, through offering a therapeutic milieu, providing opportunity to discover and learn compensatory strategies and skills, involvement of the family in the therapeutic process, where appropriate, providing psychological therapy, systemic and cognitive-analytic approaches, functional and vocational activities and feedback in the centre and in the client's community, providing frequent repeated contact with an experienced interdisciplinary team that has a shared team understanding of the neuropsychological consequences of brain injury. The clinicians work closely with each other and the client on assessment, formulation and goal planning, therapeutic activities, and reviewing progress. Conclusion: Shared team understanding is represented by interdisciplinary formulation that includes cognitive, emotional, physical, linguistic, social and functional domains. Understanding is enabled through a range of activities including opportunities to share findings from assessment and goal planning meetings. Poster given at the Conference on Neuropsychological Rehabilitation, July 11-12, 2005, Galway Ireland.