BRAIN INJURY REHABILITATION - 4 - POSTACUTE REHABILITATION AND COMMUNITY INTEGRATION

This self-directed learning module highlights new advances in this top ic area. It is part of the chapter on brain injury rehabilitation in t he Self-Directed Physiatric Education Program for practitioners and tr ainees in physical medicine and rehabilitation. This article discusses behavioral and affective disorders, the neurophysiologic basis for an d rehabilitation of cognitive skills, effects of alcohol and illegal s ubstances on outcome after traumatic brain injury (TBI), family dynami cs after TBI, disorders of sexuality, return-to-work issues, and prese nt models for TBI rehabilitation. New advances covered in this article include treatment of depression and mania, pragmatic skills therapy, effects of acute and chronic alcohol use on pathophysiology of TBI, pr ofile of sexual dysfunction, and review of federal legislation pertain ing to TBI. (C) 1998 by the American Academy of Physical Medicine and Rehabilitation.