Ch 17: Families

Question 1

What percent of caregivers report caregiver burden?

Answer 1

90%

Question 2

What percent of parents report significant anxiety and depression after child’s TBI?

Answer 2

40%

Question 3

How often is family dysfunction reported post TBI?

Answer 3

25-74% of the time

Question 4

Family Systems Theory (FST)

Answer 4

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

Question 5

Resilience theory

Answer 5

Despite catastrophic events, there are always individuals and families who rise above the expected negative outcomes

Question 6

What percent of caregivers after TBI are parents to the survivor?

Answer 6

30%

Question 7

African American caregivers

Answer 7

Spend more hours per week caregiving

Increased risk for emotional distress

Less likely to use community supports

Less risk for divorce than white couples

Question 8

Columbian caregivers

Answer 8

Have more unmet family needs, especially in the area of emotional support

Question 9

American minorities

Answer 9

2x more likely to be unemployed after TBI, despite correcting for pre-injury work status, than white individuals

Question 10

What percent of individuals report having issues with substance misuse prior to injury?

Answer 10

50%

Question 11

Ways to help families reduce caregiver burden

Answer 11

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

Question 12

What are the most frequently reported post injury challenges to optimal family functioning?

Answer 12

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

Question 13

Whole family TBI treatment is based on what theories?

Answer 13

family systems theory, cognitive behavioral individual and familial approaches, resilience theory

Question 14

What do family centered services emphasize?

Answer 14

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

Question 15

What is the guiding framework for cognitive behavioral theory?

Answer 15

ABC philosophy
A-activating event-
B-belief- use existing belief to draw conclusions about the event
C-consequence of belief

Question 16

What does Brain Injury Family Intervention address?

Answer 16

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

Question 17

What is meant by the term joining?

Answer 17

process of forming a working alliance with families so that the family and professional can work together as a team

Question 18

What are techniques to use when working with families after brain injury?

Answer 18

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