Enhancing treatment effectiveness for psychosocial disorders after severe traumatic brain injury

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Motor vehicle accidents are a major cause of severe traumatic brain injury (TBI) leading to lifelong, crippling disability. In NSW alone, there are approximately 770 new cases of severe brain injury each year. These people require extensive inpatient rehabilitation and many go on to rely upon community resources for the rest of their lives. The social and economic cost of such injury is cumulative. TBI is mainly experienced by young adults (18-24 years of age) who have normal life expectancy and each year more casualties are added to this social burden. Adults with TBI frequently experience a reduction in social skills. Loss of social skills presents major obstacles to reintegration into the community by making the sufferer more taxing and less rewarding to interact with socially. This loss of social skills limits their ability to maintain pre-injury relationships, and often creates an off-putting first impression on potential new acquaintances that interferes with their ability to establish new relationships. The following project is designed to develop and evaluate a treatment program to enhance the TBI individual's ability to create a good first impression on meeting new acquaintances - e.g., potential employers, work colleagues, customers, and social acquaintances - and to engage in behaviour that is mutually rewarding. The project will inform current theoretical approaches to remediation, providing an examination of the modifiability of social skills deficits that are the result of underlying cognitive impairments. It will provide a systematic, integrated social skills treatment approach for both individuals and groups where there are currently very few. The identification and refinement of successful treatment techniques will increase the efficiency of brain injury rehabilitation in Australia, improve the quality of life for sufferers of TBI and their families, reduce cost of rehabilitation and reduce reliance upon community resources in the long term.