Multi-disciplinary team of clinicians who assess the needs of a person living with an ABI by facilitating their needs and developing a rehabilitation programme

Clinical support for the person with the acquired brain injury to reach his or her goals.

The neuro-rehabilitation team is a multi-disciplinary team responsible for assessing the individual needs of a person with an acquired brain injury, and developing a tailored neuro-rehabilitation programme and support, specific to the needs of the person, to facilitate their brain injury recovery and help them live as independent a life as possible. This programme is referred to as the Individual Rehabilitation Plan (IRP).

Neuro-Rehabilitation team meetings provide a forum for the various members of the team to review progress including identifying blocks to rehabilitation progress and developing ways to minimise or overcome them.

Brain Aware gives carers an opportunity to share their reality of living with an acquired brain injury in the family, in a safe place.

The neuro-rehabilitation team consists of:

  • Person with an ABI (the client)
  • Family member/carer
  • Local Services Manager
  • Case Manager
  • Rehabilitation Assistant – Key worker
  • Clinical Team Members

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The Local Services Manager (LSM)

Working as part of the Neuro-Rehabilitation Team and managing a team of Rehabilitation Assistants, the LSM takes the lead in the provision of person-centred services, linking with families and the wider community. LSMs support individuals with acquired brain injuries to live valued lives in their communities by ensuring the individual’s IRP is followed in such a way that facilitates the achievement of his or her goals.

LSMs manage Assisted Living residences and/or co-ordinates Home and Community services in their area.

The Case Manager

The Case Manager is the single point of contact for an individual with an acquired brain injury and his or her family. The Case Manager will seek out and coordinate appropriate resources, monitor progress and communicate with the person with an acquired brain injury, the family/carer and other professionals including statutory and non-statutory agencies.
For more on what the Case Manager does, click here.

The Rehabilitation Assistant

Rehabilitation Assistants are important members of the neuro-rehabilitation team. They are highly trained brain injury specialists who provide support and assistance to the person with an ABI in becoming more independent. Their work is influenced by the recommendations that form the Individual Rehabilitation Plan where the client has outlined their goals and objectives.

Social Work/Home Liaison

When a family member suffers an acquired brain injury, the lives of the whole family have been changed. The Social Worker or Family Support Worker provides support both to the person with the acquired brain injury and his or her family as they struggle to cope with the trauma of watching a loved one suffer the effects of brain injury. This support can take many forms, including counselling, teaching coping skills, exploring the challenges of acquired brain injury, dealing with grief or loss, workshops on relationships and sexuality, advocacy, family law and legal support.

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Clinical Psychologist

Clinical Psychologists use both specialist and neuropsychological knowledge and their general training in clinical psychology to:

  • Carry out detailed assessments of cognition, emotion, behaviour and social competence
  • Advise on the management of difficulties due to cognitive deficits

  • Provide psychotherapeutic input to address the emotional impact of the injury and the deficits caused by the injury.

  • Devise and implement training programmes.

  • Facilitate personal, family and social adjustment.

  • Liaise with educational agencies and employers to advise on a return to education or work

  • Advise on long-term care and rehabilitation

Occupational Therapist (OT)

The Occupational Therapist aims to recover or maintain the daily living or work skills of a person affected by an acquired brain injury. They evaluate the upper-body functioning, fine motor skills, eye-hand coordination and cognitive functioning and communication skills of the person with an acquired brain injury, with the goal of enabling him or her to participate in activities of daily living.

A personal rehabilitation programme is developed which may include exercises, self-care activities, communication, cognitive training and education. Modifying the environment or adapting the activity perhaps with the use of technology is some of the strategies the OT uses to help the individual reach his or her goals.

The OT may make recommendations for the Individual Rehabilitation Plan in the areas of goal-setting, independent living skills, returning to work, returning to driving, equipment needs and personal care.


Physiotherapists evaluate the movement of the person with the acquired brain injury, including muscle strength, muscle tone, posture, coordination, endurance and general mobility. An individual rehabilitation plan is created to help the person with an acquired brain injury gain functional independent.

Speech and Language Therapist (SLT)

If the person with an ABI is suffering with speech and language difficulties, the Speech and Language Therapist will work with them to help them gain optimal communication skills.

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