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Identifying substance abuse treatment components in traumatic head injury rehabilitation programs / Victoria Kate Renfrew

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Identifier	Thesis 1542
Author	Renfrew, Victoria Kate
Title	Identifying substance abuse treatment components in traumatic head injury rehabilitation programs / Victoria Kate Renfrew
Publisher	Central Connecticut State University
Date	1998
Resource Type	Master's Thesis
Notes	This research established that the rehabilitation process of individuals who have sustained a traumatic brain injury (TBI) would be incomplete without integrating substance abuse treatment components into head injury rehabilitation programs. The National Head Injury Foundation's Task Force (1988) demonstrated that substance abuse, particularly alcohol use and abuse is strongly implicated as the cause of most head injuries. Task Force (1988) argued that after rehabilitation, the head injury survivor's chances of substance use and abuse continues to be a real threat undermining rehabilitative efforts. More importantly, Task Force (1988) also found that despite the relationship between substance abuse and TBI, head injury rehabilitation programs appear to be lacking program development to specifically address the issue of substance abuse. This thesis argued that there needs to be an increase in program development to meet the needs and demands of the TBI population and to improve rehabilitation outcomes. Firstly, through an extensive literature review the relationship between substance abuse and TBI both pre and post TBI rehabilitation is identified as an existing problem. Secondly, four national model TBI head injury programs in Ohio, Minnesota, Pennsylvania and Texas are explored and their exemplary substance abuse treatment components are identified and discussed at length. Thirdly, the research determines the extent to which TBI facilities in Connecticut have developed and integrated substance abuse treatment components into their head injury programs. A specifically designed questionnaire was mailed to nineteen of Connecticut's head injury facilities. Thirteen facilities returned the questionnaire. The results indicated that although 62% of Connecticut's head injury facilities attempted to integrate some aspects of substance abuse treatment into their programs, their efforts appeared to be insufficient in comparison to the four national model programs. This thesis recommended that Connecticut should integrate the following substance abuse treatment components and make them a permanent part of the rehabilitation process: (1) Standardized substance abuse assessment instruments for TBI clients. (2) TBI clients should be listened to first before family, friends, referral agencies and employers. (3) TBI clients participating in Alcohol Anonymous (AA) and Narcotics Anonymous (NA) need to be accompanied to group meetings and given help processing group events and selecting sponsors. TBI clients should also be encouraged to use Brain Injury/Addictive Disorders 12-Step Workbook. (4) Motivational Counseling should be used more frequently, this treatment approach recognized and validates the stages of change through which the TBI client may progress with his/her attitude towards substance abuse. (5) Vocational counseling should incorporate stringent substance abuse policies required for program participation. (6) Family services should be improved with special help given to codependency and enabling issues. (7) Skill training such as stress management, relapse prevention, role playing and assertiveness training should be emphasized. (8) Staff training should be given special time and attention. This thesis concluded that substance abuse treatment components should be integrated not only into Connecticut's head injury rehabilitation programs but to TBI rehabilitation programs worldwide. Finally, future research on substance abuse and TBI program development is recommended and encouraged.
Subject	Substance abuse -- Treatment Head -- Wounds and injuries -- Treatment
Department	Department of Counseling and Family Therapy
Advisor	Rosenberg, Judith H., 1950-
Type	Text
Digital Format	application/pdf
Language	eng
OCLC number	42531455
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Identifying substance abuse treatment components in traumatic head injury rehabilitation programs / Victoria Kate Renfrew

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