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Addressing Brain Injury in Under-Resourced Settings: A Practical Guide to Community-Centred Approaches
Ross Balchin, Rudi Coetzer, Christian Salas, Jan Webster
Routledge | A Psychology Press Book / Softcover / 2017-10-01 / 113890340X
Traumatic Brain Injury
reg price: $51.95 our price: $ 46.76 (may be subject to change)
264 pages
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Many of the world’s population have no access to appropriate diagnostic, neurorehabilitative or support services following brain injury. Addressing Brain Injury in Under-Resourced Settings: A Practical Guide to Community-Centred Approaches tackles this unacceptable gap in service provision, by empowering the reader in the provision of basic care, education and support for patients with brain injuries and their families.

Written for an audience who does not necessarily have any prior knowledge of the brain, neurorehabilitation, or brain injuries/pathologies, this practical guide first examines the global context of brain injury, considering the cross-cultural realities across communities worldwide. The book goes on to explore the reality of brain injury and how to work with its consequences, offering practical knowledge and advice in a user-friendly, richly illustrated format. It provides easily digestible information about the brain, including its normal functioning and the ways it can be damaged through injury and disease. The book also covers basic skills on how to identify neurological difficulties and provide basic rehabilitation input and support. The final section of the book gives guidance on how to provide services, including working with organizations and communities, volunteering, initiating and developing community-based projects and programmes, and caring for patients and their families from emergency to recovery to rehabilitation.

It is an invaluable resource for community health workers (CHWs), voluntary sector workers and professional healthcare providers (including nurses, social workers, occupational therapists, neurologists, neurosurgeons and other medical practitioners) who work with brain-injured patients around the world. It will also be important reading for policy developers, fund-raising organizations and those who work with global humanitarian initiatives.


"I think this an exciting and timely proposal. It is an innovative and practical idea to present complex material that is usually the domain of specialists in a manner that makes it accessible to people without background knowledge but who are faced with dealing with people with brain injuries." Skye McDonald, School of Psychology, UNSW, Australia

"The authors sound like they are trying to present important academic information in a pragmatic/ practical manner to be used by a wide audience. [Scholarship will be] outstanding… I can imagine it would appeal globally" Trevor Powell, Consultant Clinical Neuropsychologist, UK

"I think the scholarship with be excellent as the authors have good credentials both academically and in terms of their experience in under-resourced countries… a practical hands-on guide would be useful throughout the under-resourced world at the level of relatively under-educated health workers and lay volunteers and family members. A book about health policy would be useful internationally in universities for all levels of health professionals as well as those involved in health policy and programming." Jill Winegardner, Oliver Zangwill Centre, UK

Table of Contents

Section 1: Under-resourced Settings: The Global Reality

1: Introduction: Brain Injury in the global context

2: Communities and cross-cultural realities

Section 2: Understanding Brain Injury and Working with its consequences

3: How the Brain works

4: The Injured Brain: Trauma and Diseases

5: How to recognise whether a patient is orientated

6: How to recognise and deal with memory problems

7: How to recognise and deal with language problems

8: How to recognise and deal with spatial cognition problems

9: How to recognise and deal with executive control problems

10: How to recognise and deal with mood problems, emotional dysregulation and other psychiatric presentations

11: How to recognise and deal with socio-emotional problems

12: How to recognise and deal with sleep problems

13: Understanding patients’ medications and medical investigations

Section 3: How to Provide Services in Under-resourced Settings

14: Patients’ Needs: The continuum of care

15: Emotional adjustment to brain injury: How to facilitate the process

16: How to educate and train community volunteers in the basic principles of neuropsychological rehabilitation

17: transferable technology: Helpful tools

18: working with NPO’s/ NGOs, Charities and other Global Organisations

19: How to initiate and develop community-based projects and programmes

20: Community-based public health projects for preventing brain injury

21: Sustainability and Activism

About the Authors

Ross Balchin is a Clinical Neuropsychologist based at Groote Schuur Hospital in Cape Town, South Africa, and an Honorary Research Associate in the Division of Neurosurgery at the University of Cape Town. Dr Balchin also works with the Neuropsychoanalysis Foundation in New York as an independent contractor. He has formerly held both the National Research Foundation (NRF) NPPD and the Claude Leon Foundation postdoctoral fellowships.

Rudi Coetzer is a Consultant Neuropsychologist, and Head of the North Wales Brain Injury Service, Betsi Cadwaladr University Health Board NHS Wales. He is an Honorary Senior Lecturer in Clinical Neuropsychology in the School of Psychology, Bangor University. Dr Coetzer is on the British Psychological Society Division of Neuropsychology Specialist Register.

Christian Salas is a Clinical Neuropsychologist and a Psychoanalytic Psychotherapist. He is a researcher at the Cognitive and Social Neuroscience Laboratory (Universidad Diego Portales) and Training Teacher at the Dynamic Psychotherapy Unit (J.H. Barak Psychiatric Institute), both in Santiago, Chile.

Jan Webster is an independent Organization Development Consultant in the international charity sector. She founded The ComaCARE Trust in 2005 at Groote Schuur Hospital in Cape Town and served as Director for ten years, during which time she started its HeadsUP! community brain-injury rehabilitation programme. She has successfully promoted public brain awareness through cofounding an official World Design Capital 2014 project called Brainstorm the City. In 2007 Jan became an Ashoka Fellow in recognition of her social entrepreneurship.

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