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Accessing crisis intervention services after brain injury: a mixed methods study.

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Limited funding, training, and stigma are key barriers preventing individuals with acquired brain injury from accessing crisis intervention services. Improving provider education and interagency collaboration is crucial for better access.

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Area of Science:

  • Neuroscience
  • Public Health
  • Health Services Research

Background:

  • Acquired brain injury (ABI) presents unique challenges for individuals seeking crisis intervention.
  • Access to appropriate and timely services is often hindered by various systemic and individual factors.

Purpose of the Study:

  • To empirically identify and understand the perceived barriers to accessing crisis intervention services for individuals with acquired brain injury.
  • To inform the development of targeted strategies to improve service accessibility.

Main Methods:

  • A mixed-methods approach using a two-phase action research design.
  • Phase one involved a quantitative survey distributed to 226 providers (110 responses).
  • Phase two included qualitative focus groups with 25 participants to explore survey findings in depth.

Main Results:

  • Quantitative data identified significant barriers including funding, coexisting diagnoses, and limited self-advocacy for individuals with ABI.
  • Organizational barriers included funding, inadequate training, and limited system resources.
  • Qualitative findings corroborated funding as a major barrier and highlighted individual, family, and external stigma.

Conclusions:

  • There is a critical need for accessible, cost-effective training for providers on ABI-specific issues.
  • Interagency collaboration and cross-training are essential to improve risk assessment and provider confidence.
  • Developing interprofessional teams and leveraging virtual care can enhance service access and strengthen provider relationships.