ACC’s TBI strategy focuses on adults with a moderate to severe TBI. It provides both a clear direction for their treatment and rehabilitation, and ensures that the right systems and services are in place to support them.
Thousands of people each year experience some degree of TBI, which is identified by confusion or disorientation, loss of consciousness, post-traumatic amnesia and other neurological abnormalities resulting from externally inflicted trauma (to the brain, rather than an injury to the head). A formal definition can be found in the ACC2404 Evidence Based Best Practice Guidelines document – Traumatic Brain Injury: Diagnosis, Acute Management and Rehabilitation (PDF 2.4M).
For people with a TBI and their families/whanau, the impact of their injury can be life-changing and sometimes life long. Having the right systems, services and support in place can mitigate its impact on those involved.
ACC has taken an evidence-based, proactive approach to ensuring its services align with best practice by developing an overarching strategy for people with a TBI (focusing on adults with a moderate to severe TBI).
The strategy was developed with input from key stakeholders. The process included interviewing clients, families/whanau and carers to better understand their experiences; working with service providers and rehabilitation specialists to gain an understanding of the part they play in treatment and and rehabilitation; consulting with client organisations and undertaking literature and evidence-based research reviews.
The initial draft was made available for consultation, and feedback from stakeholders was incorporated into the final strategy.
For more information about the development of the strategy see TBI strategy background.
ACC’s TBI strategy (PDF 86K) aims to ensure that adults with a moderate to severe TBI achieve optimal outcomes because they receive best practice, outcome-focused treatment, rehabilitation and community support.
The strategy provides a clear direction for the development of an implementation plan which will ensure the key objectives of the strategy are delivered. It is a living strategy that will be updated regularly based on new evidence and best practice.
The strategy is broken down into four key objectives:
- Achieving optimal client outcomes – services will be meaningful for clients and the people who support them.
- Providing quality services – high quality traumatic brain injury services will be purchased, from initial care though to ongoing rehabilitation services and community support.
- Ensuring engaged providers – providers will be engaged and focused on achieving the right client outcomes, across the continuum of care.
- Maintaining ACC’s key role – ACC will continue to have an influential role in the traumatic brain injury and treatment rehabilitation system.
What about adults with a mild TBI and children?
In response to feedback received during the consultation phase of the strategy development, ACC is currently looking at what improvements can be made to services for adults with a mild TBI and children.
As the evidence behind treating TBI develops ACC must ensure its approach to service aligns with it. The new strategy will take a holistic approach to identifying and meeting client needs, with a view to making it broader, more comprehensive and durable.
Clients will benefit from the strategy because:
- a comprehensive view will be taken of their needs during their treatment, rehabilitation, ongoing care and maintenance
- early identification of a TBI will result in the right treatment and rehabilitation, at the right time, and the best outcome from the outset
- better screening and monitoring will ensure their treatment is meeting their needs throughout their rehabilitation, including revisiting client outcomes in consultation with the client, their family and/or carer
- clearer communication between agencies will promote consultation around specific outcomes such as timeliness of client transfers from one service to another
- International best practice, supported both by independent research and ACC’s experience in this field, underpins the strategy.
Last reviewed: 12 April 2016