Outpatient treatment for an adult with traumatic brain injury

In this case, occupational therapy was invaluable for continuity of care and facilitating the earliest possible successful return to work. The major goal of rehabilitation was for Aaron to prepare to go back to work by relearning or refining all the necessary physical, cognitive, emotional, and perceptual skills. This specialized occupational therapy plan meant that unnecessary services, and therefore unnecessary expenditures, were avoided. Occupational therapy intervention allowed for open communication between the family, the employer, the insurance carrier, and the physician. Throughout treatment, the insurance carrier received regular monthly reports supplemented with periodic telephone updates. The carrier commented favorably on the initial evaluation, believing the information to be comprehensive and relevant. The occupational therapist provided the family with medical information to decrease confusion over medical terminology, provided support as appropriate within the context of treatment, and demonstrated ways that the family could become more involved in Aaron's rehabilitation. Through the weekly treatment sessions and direct observation, Marie was able to more fully understand the scope of her husband's disability. It is interesting to contrast the hospital findings and the findings of the private therapist. Aaron had been diagnosed as having severe visual-spatial deficits on the standardized, clinical tests; however, he showed only limited deficits when tested in functional situations in the familiar home environment 2 weeks later. This contrast demonstrates occupational therapy's unique role in the home setting, where the therapist is able to use relevant and meaningful activities directly related to the client's roles, hobbies, interests, and cultural experiences. The flexibility possible at home should enhance cooperation and success.(ABSTRACT TRUNCATED AT 250 WORDS)