Greg Dening (1931-2008)
In: History workshop journal: HWJ, Band 67, Heft 1, S. 292-296
ISSN: 1477-4569
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In: History workshop journal: HWJ, Band 67, Heft 1, S. 292-296
ISSN: 1477-4569
In: Journal of Scottish Historical Studies, Band 21, Heft 1, S. 75-77
ISSN: 1755-1749
In: Urban history, Band 23, Heft 3, S. 395-396
ISSN: 1469-8706
In: Community development journal, Band 49, Heft 2, S. 280-294
ISSN: 1468-2656
In: The British journal of social work, Band 52, Heft 2, S. 682-699
ISSN: 1468-263X
AbstractThe relationship between self-awareness (insight) and outcome following acquired brain injury (ABI) is well recognised, but evidence suggests that information regarding brain injury and its cognitive impact is not adequately conveyed to social workers, or appropriately considered when assessing support needs and a person's capacity to make decisions about their care. The Brain Injury Needs Indicator (BINI) provides a solution, by enabling the valid assessment of the needs of those with brain injuries living in a community setting. This paper investigated associations between impaired insight, functional outcome of brain injury, and level of risk, and validated the use of the BINI as an indicator of need. A high prevalence of severe disability (73 per cent) and low insight (30 per cent) was found in a sample of thirty individuals with ABI. The composite BINI score was the measure most strongly related with a clinical assessment of risk (rs = 0.72, N = 26). Self-report methods may underestimate support needs, especially in those with low levels of insight into their difficulties. The BINI, which combines outcome post-ABI with a measure of insight, provides a more accurate estimate of risk than either measure individually. It is important to include both areas in individual needs assessments.