Ch 17: Families Flashcards
What percent of caregivers report caregiver burden?
90%
What percent of parents report significant anxiety and depression after child’s TBI?
40%
How often is family dysfunction reported post TBI?
25-74% of the time
Family Systems Theory (FST)
Takes a positive view of families, assuming that every family has the strength and capacity to solve problems and make positive changes
*most successful when therapist makes family believe that he/she believes in them
Resilience theory
Despite catastrophic events, there are always individuals and families who rise above the expected negative outcomes
What percent of caregivers after TBI are parents to the survivor?
30%
African American caregivers
Spend more hours per week caregiving
Increased risk for emotional distress
Less likely to use community supports
Less risk for divorce than white couples
Columbian caregivers
Have more unmet family needs, especially in the area of emotional support
American minorities
2x more likely to be unemployed after TBI, despite correcting for pre-injury work status, than white individuals
What percent of individuals report having issues with substance misuse prior to injury?
50%
Ways to help families reduce caregiver burden
help family to set realistic expectations, assist families in developing a hopeful or progress focused attitude, encouraging caregivers to rely on other family members for support
What are the most frequently reported post injury challenges to optimal family functioning?
communication difficulties, changes in mood and emotional health of family members and person with TBI, unequal sharing of household responsibilities, lack of access to services or resources that could help us combat brain injury consequences
Whole family TBI treatment is based on what theories?
family systems theory, cognitive behavioral individual and familial approaches, resilience theory
What do family centered services emphasize?
person with brain injuries, families and rehab providers are partners; care must be comprehensive; care must be tailored to the person with the injury and their family’s strengths, needs, priorities, and values
What is the guiding framework for cognitive behavioral theory?
ABC philosophy
A-activating event-
B-belief- use existing belief to draw conclusions about the event
C-consequence of belief
What does Brain Injury Family Intervention address?
effects of brain injury on individual and family, understanding recovery, implementing problem solving and goal setting, managing stress and intense emotions, identifying strategies for optimal recovery
What is meant by the term joining?
process of forming a working alliance with families so that the family and professional can work together as a team
What are techniques to use when working with families after brain injury?
active listening
normalizing- letting families know that their concerns are normal
positive reframing- helping families to develop a generally positive perspective
psycho-education- provide relevant educational materials
resource referral