Group interactive structured treatment (GIST): a social competence intervention for individuals with brain injury.

Abstract:

BACKGROUND:Impairments in social competence are among the most prevalent sequelae of traumatic brain injury and present a major barrier to a person returning to a productive life. The recent increased incidence of TBI among military personnel and the subsequent difficulties these individuals face reintegrating into society accentuates the need for efficacious social competence treatment interventions for the TBI population. METHOD AND RESULTS:This paper outlines the theoretical model and clinical application of Group Interactive Structured Treatment (GIST) for Social Competence. GIST- Social Competence is a structured cognitive-behavioural group therapy model addressing the underlying cognitive, communicative and emotional impairments impeding social competence after TBI. A recent randomized control trial (RCT) funded by the National Institute on Disability and Rehabilitation Research demonstrated the efficacy of this programme. GIST integrates the principles of established cognitive-behavioural therapy, group therapy and holistic neuro-rehabilitation in a manualized 13 week intervention combining a structured curriculum with a group therapy format. The structured cognitive-behavioural approach allows even those with significant underlying deficits (including self-awareness, memory, problem-solving, etc.) to benefit from this intervention. CONCLUSION:The GIST model can be applied to other treatment areas in TBI rehabilitation. Clinical observations from application of GIST with military personnel are reviewed.

journal_name

Brain Inj

journal_title

Brain injury

authors

Hawley LA,Newman JK

doi

10.3109/02699052.2010.506866

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

1292-7

issue

11

eissn

0269-9052

issn

1362-301X

journal_volume

24

pub_type

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