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National Disability Services

National Disability Services. All Ireland Acquired Brain Injury Conference, Great Southern Hotel, Dublin. 28/29th th September 2006. Acquired Brain Injury Definition.

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National Disability Services

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  1. National Disability Services All Ireland Acquired Brain Injury Conference, Great Southern Hotel, Dublin. 28/29thth September 2006

  2. Acquired Brain Injury Definition Damage to the brain, which occurs after birth and is not related to a congenital or degenerative disease. These impairments may be temporary or permanent and cause partial or functional disability or psychosocial maladjustment. (W.H.O. Geneva 1996)

  3. Data • 11,000 per year require hospital admission for Traumatic Brain Injury. • Of whom 1,000 suffer moderate to severe injury, requiring acute rehabilitation • 6,000 registered on the NP&SDD with a primary diagnosis of Acquired Brain Injury

  4. Current Provision in Republic • Historically developed from a low, poorly resourced base. • Fragmented approach to provision, often based on emerging need rather than within an agreed and co-ordinated framework. • Structural blockages e.g. health boards and voluntary providers. • Lack of equity across the system.

  5. Contd… • Much good practice developed and continues, to include: • Establishment of ABI Teams • Appointment of ABI service development officers and co-ordinators • Establishment of stroke rehabilitation programme at N.R.H.

  6. Contd… • Targeted funding towards development of residential and associated services • A very dynamic and committed voluntary provider sector • Need to establish a process of linking all such initiatives to provide a seamless continuum of care

  7. Where We Want To BeKey Principles • Timing and availability of appropriate services to facilitate optimal outcomes • Need for facilitated access to health and other services which requires transdisciplinary and cross-agency working • Key Worker Approach • Promotion of early and ongoing specialist care and rehabilitation

  8. Contd… • Development of community based services, where gains achieved through therapeutic interventions are reinforced via routine activities of daily living • Clear policies and procedures for management of care • Clear pathways of referrals and provision • Clear guidelines around responsibilities for care and funding of the continuum of provision • Strong monitoring and accountability in all aspects of planning and delivery

  9. Framework for provision • A strong National Strategy • Disability Act 2005 • EPSEN Act 2004 • Multi-annual Investment Package (2006-2009) • Government Sectoral Plans • A single national delivery system – HSE • The development of a national rehabilitation strategy that will underpin the future nature and direction of service delivery

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