The psychosocial deficits, such as loneliness, decreased social interaction, and depression following TBI, can have a negative impact on recovery and community reintegration. These psychosocial needs can be persistent and can last years following the injury. This article provides a literature review and recommendations for treatment of these psychosocial needs to increase the effectiveness of treatment. This article makes three main recommendations. The first is to be prepared to call upon other rehab specialists, such as psychiatrists and psychologists, to help address the needs of the client. The second is to understand that small psychological problems can quickly cascade into a much larger problem if they are not treated properly. The third recommendation is for rehab specialists to focus a lot of energy during intervention on maintaining the psychological health of the individual.

Morton, M. V., & Wehman, P. (1995). Psychosocial and emotional sequelae of individuals with traumatic brain injury: a literature review and recommendations. Brain injury, 9(1), 81-92.

This is a presentation that covers the OT/PT code of ethics for the state of Ohio. This presentation discusses the purpose of the code of ethics, what the code of ethics consists of and provides case-study examples. This is a helpful resource because it gives some more insight to the ethics of our profession in Ohio, and also discusses what may happen if the code is violated.

http://webcache.googleusercontent.com/search?q=cache:AalmnuQzwzEJ:otptat.ohio.gov/LinkClick.aspx%3Ffileticket%3DKmk0LNuK7Tg%253D%26tabid%3D77+&cd=10&hl=en&ct=clnk&gl=us&client=safari

This article seeks to determine if there is a need for more education to be provided to fieldwork educators. This study found that there needs to be resources available to help fieldwork educators utilize clinical reasoning and how they transfer their knowledge of OT principles and theory into their everyday practice. For many experienced OTs clinical reasoning and determining intervention comes natural and can't always explain their reasoning. In order for fieldwork educators to be more effective with their students, they need to be able to explain how they reached their conclusions and made particular decisions in practice.

Fieldwork supervision: More education is warranted.
Cohn, Ellen S.; Frum, Deborah C.
American Journal of Occupational Therapy, Vol 42(5), May 1988, 325-327

This is a resource that helps to outline some of the ways to maintain professionalism when working with individuals that have sustained a TBI. Maintaining a professional relationship with clients in this sort of setting can be difficult, especially when you are working with the same individuals everyday for extended periods of time. This resource outlines how to set limits in the therapist-client relationship and things such as how to recognize when boundaries are being crossed.

https://www.health.qld.gov.au/abios/behaviour/professional/boundaries_pro.pdf

Due to the negative impact on rehabilitation by self-awareness issues caused by TBI, this article discusses the best ways to measure self-awareness. It is important to assess a person's lack of self-awareness because it can increase our understanding of the phenomenon, and to then allow us to evaluate possible strategies for clinical intervention with patients who lack such self-awareness.This article suggests using multiple methods to assess a person's awareness that include questionnaires and interviews to fully understand the level of a person's lack of self-awareness.

Fleming, J. M., Strong, J., & Ashton, R. (1996). Self-awareness of deficits in adults with traumatic brain injury: how best to measure?. Brain Injury, 10(1), 1-16.

This webpage by the AOTA gives suggestions for possible interventions to help reach desired goals for adults with TBI. As with many diagnoses, not all TBI are the same and every individual responds to different interventions in different ways, but this gives a baseline for possible intervention.

http://www.aota.org/about-occupational-therapy/patients-clients/disabilityandrehabilitation/tbi.aspx

One of the most debilitating deficits faced by those who have suffered a TBI is a lack of self-awareness, such as a lack of understanding of deficits, abilities, and actions. Self-awareness is crucial because it is the first building block on the way to goal-setting, accepting constructive feedback, and progress in rehabilitation. This article discusses one of the possible interventions to help improve self-awareness as well as social skills. The authors of this article found that integrative videogame-based group therapy can improve self-awareness, social skills, and behaviors among individuals with chronic TBI, and the approach is considered effective and motivating.

http://www.jneuroengrehab.com/content/12/1/37

This article discusses the theoretical rationale and clinical reasoning that underlies decision making for therapeutic intervention for those who have suffered a TBI and the use of Cognitive Rehabilitation Therapy. It discusses the various aspects of assessment, goal setting, and treatment. It is very helpful because it touches on some of the difficult questions, like whether or not an individual who has suffered a TBI has the higher cognitive functioning to set their own goals for a more client-centered approach to intervention. This article also goes through the various recovery models of TBI and addresses similarities that can be seen in all to help with the development of treatment plans.

http://www.hersenwerk.nl/downloads/clinical-reasoning-crt-neurorehabilitation.pdf