Impact of comprehensive day treatment on societal participation for persons with acquired brain injury

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Study assessing outcomes of comprehensive day treatment (CDT), a milieu-oriented approach to postacute brain injury rehabilitation, and identifying outcome predictors. Participants were 97 program graduates and 17 dropouts with acquired brain injury. Outcome measures examined included measures of independent living status and vocational independence, the Mayo-Portland Adaptability Inventory (MPAI-22), and goal attainment scaling (GAS). Predictors examined included age, education, severity of initial injury, time since injury, and preadmission MPAI-22. Results indicate that CDT improves societal participation even among persons with long histories of limited participation after brain injury. Relations of predictors to outcomes were not sufficiently strong to support patient selection.

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