A conceptual model is presented for the assessment and treatment of cognitive-communication impairments in closed-head-injury patients. Neurobehavioral assessment is suggested in place of neuropsychological testing. Stages of cognitive recovery are outlined and are accompanied by treatment considerations which emphasize a systems approach. (JDD)

An active role is recommended for family members involved in rehabilitation of cognitive communicative impairments of head-injured individuals. The paper discusses family systems theory, dysfunctional family reactions to the cognitive communicative behaviors of the head-injured member, and methods of assisting the family to develop the…

Traumatically head-injured individuals who reach the higher stages of recovery typically exhibit cognitive communication disorders. Patient management requires, among other considerations, a focus on functional communication competency, an ecologic-systematic perspective, and use of compensatory techniques. A case study applies this management…