Supporting an individual who has experienced a life changing condition such as traumatic brain injury to have knowledge, skills and confidence to self-manage is an aim for most healthcare
professionals. But this process requires creativity and a willingness to not hold all the answers. Often our practices and priorities within rehabilitation and other parts of the healthcare system
do not encourage professionals to think creatively and explore strategies and ideas together with individuals and their families.
Building Bridges after Brain Injury was a unique project to adapt Bridges stroke self-management programme to meet the needs of people with TBI and their families, starting first in an acute neurotrauma setting. We co-created new self-management tools and co-designed training for multi-disciplinary staff working in one London neurotrauma pathway. The project was funded by The Health Foundation UK and completed in November 2015. 70 patients with TBI received Bridges, most within the 1st 7 days post brain injury . More than 140 staff received training in Bridges self-management adapted for the acute neurotrauma context. Post implementation staff had changed their attitudes and beliefs about supporting people with TBI to self-manage, and gained knowledge, skills and confidence to integrate the approach into their everyday practice. Additional funding has now been secured to spread Bridges/TBI across other major trauma centres in London. Learning from this from project in TBI and previous work in stroke and other long term neurological conditions has shown that successful self-management support requires a whole systems approach. Professionals require confidence and knowledge about how to tailor support to the needs of different individuals and their families, and an awareness of organisational processes which can inadvertently foster dependency on rehabilitation. This presentation will end with a summary of the small steps which have helped us to get there.
A full report of the Health Foundation project can be found here:
More information about Bridges self-Management can be found here: