Suggestions to Improve Positive Interactions:

• People with TBI may digress or change course during a conversation.
  Redirect them using appropriate cues and reinforcers.

• Be redundant.
  Never assume understanding or memory from a previous session. Always repeat the purpose, duration, and guidelines for each meeting. Summarize previous progress and then restate where the previous meeting left off.

• It must be understood.
  that because the consequences of TBI are so psychologically overwhelming, most persons experience pervasive denial. This is perfectly normal. The timing and method of confrontation about deficits should be carefully coordinated with the interdisciplinary TBI treatment team and case manager.

• Present educational points in the most effective cognitive and sensory mode.
  This information is best obtained from a TBI team member known as a Cognitive Specialist.

• Accentuate positive gains using frequent social praise.

VSA arts of Nevada Please direct questions and comments about VSA arts of Nevada to meh@vsan.reno.nv.us

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