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16 December 2010

Post accessive social policy in the rehabilitation of adolescents following TBI

Leszek Buliński

DOI: 10.12659/MSM.881322

Med Sci Monit 2011; 17(1): CR14-25

Abstract

Background: The aim of this research was to evaluate the effectiveness of the post-accessive Conduct Disorder Therapy Program administered within the “Academy of Life” in the reduction of behavioural disorder in adolescents following traumatic brain injury (TBI).
Material/Methods: 100 adolescents from Gdansk and adjacent areas, psychiatrically diagnosed with “frontal lobe syndrome” following a TBI, were examined. Group A included 50 participants examined and treated at the Reintegration and Training Center of the Foundation for Persons with Brain Dysfunctions. Group B comprised 50 people matched for age and sex, under treatment at the Gdansk Center for Neuropsychological Studies, Gdansk-Południe Non-Public Health Care Center. Group A used the above therapy programme, while group B did not. The studies included an analysis of documentation, neuro-imaging (CT or MRI), clinical interviews, the Mini-Mental State Examination and the Frontal Behavioural Inventory.
Results: The therapy program had a significant impact on conduct disorders, the most visible differences being within neurological disorders and the least visible within cognitive disorders. It also influenced the social reintegration of adolescents following TBI, as demonstrated by the greater increase in the percentage of participants from group A returning to school and hobbies practised before the accident.
Conclusions: The results indicate that the evaluated therapy program is effective in reducing behavioral disorders in adolescents following brain injury, and their reintegration into society.

Keywords: Mental Disorders - therapy, Cognition Disorders - therapy, Brain Injuries - rehabilitation, Behavior Therapy - methods, Adolescent, Poland, Public Policy, Questionnaires

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