It is estimated that greater than a single million adults within the UK are at the moment living together with the long-term consequences of brain injuries (Headway, 2014b). Rates of ABI have improved significantly in current years, with estimated increases more than ten years ranging from 33 per cent (Headway, 2014b) to 95 per cent (HSCIC, 2012). This raise is as a result of a range of factors such as enhanced emergency response following injury (Powell, 2004); additional cyclists interacting with heavier site visitors flow; increased participation in harmful sports; and larger numbers of extremely old folks in the population. As outlined by Nice (2014), one of the most popular causes of ABI inside the UK are falls (22 ?43 per cent), assaults (30 ?50 per cent) and road visitors accidents (circa 25 per cent), though the latter category accounts to get a disproportionate number of far more extreme brain injuries; other causes of ABI include things like sports injuries and domestic violence. Brain injury is far more common amongst men than females and shows peaks at ages fifteen to thirty and over eighty (Nice, 2014). International data show equivalent patterns. For example, within the USA, the Centre for Disease Handle estimates that ABI affects 1.7 million Americans every single year; young children aged from birth to four, older teenagers and adults aged more than sixty-five have the highest rates of ABI, with men far more susceptible than women across all age ranges (CDC, MedChemExpress APD334 undated, Traumatic Brain Injury in the United states: Reality Sheet, offered on line at www.cdc.gov/ traumaticbraininjury/get_the_facts.html, accessed December 2014). There’s also MedChemExpress FGF-401 rising awareness and concern inside the USA about ABI amongst military personnel (see, e.g. Okie, 2005), with ABI prices reported to exceed onefifth of combatants (Okie, 2005; Terrio et al., 2009). While this article will focus on existing UK policy and practice, the troubles which it highlights are relevant to quite a few national contexts.Acquired Brain Injury, Social Function and PersonalisationIf the causes of ABI are wide-ranging and unevenly distributed across age and gender, the impacts of ABI are similarly diverse. Some people make a fantastic recovery from their brain injury, while other people are left with important ongoing troubles. Furthermore, as Headway (2014b) cautions, the `initial diagnosis of severity of injury will not be a trustworthy indicator of long-term problems’. The possible impacts of ABI are effectively described each in (non-social perform) academic literature (e.g. Fleminger and Ponsford, 2005) and in personal accounts (e.g. Crimmins, 2001; Perry, 1986). Nevertheless, offered the restricted attention to ABI in social work literature, it truly is worth 10508619.2011.638589 listing a few of the widespread after-effects: physical issues, cognitive troubles, impairment of executive functioning, modifications to a person’s behaviour and changes to emotional regulation and `personality’. For a lot of folks with ABI, there is going to be no physical indicators of impairment, but some may perhaps expertise a selection of physical troubles which includes `loss of co-ordination, muscle rigidity, paralysis, epilepsy, difficulty in speaking, loss of sight, smell or taste, fatigue, and sexual problems’ (Headway, 2014b), with fatigue and headaches becoming specifically common following cognitive activity. ABI may well also bring about cognitive difficulties for example problems with journal.pone.0169185 memory and decreased speed of information processing by the brain. These physical and cognitive aspects of ABI, while challenging for the person concerned, are comparatively quick for social workers and other individuals to conceptuali.It truly is estimated that more than a single million adults in the UK are currently living together with the long-term consequences of brain injuries (Headway, 2014b). Prices of ABI have enhanced significantly in current years, with estimated increases more than ten years ranging from 33 per cent (Headway, 2014b) to 95 per cent (HSCIC, 2012). This increase is resulting from a range of aspects such as improved emergency response following injury (Powell, 2004); much more cyclists interacting with heavier site visitors flow; enhanced participation in harmful sports; and bigger numbers of really old persons inside the population. In line with Good (2014), essentially the most popular causes of ABI inside the UK are falls (22 ?43 per cent), assaults (30 ?50 per cent) and road visitors accidents (circa 25 per cent), even though the latter category accounts for a disproportionate number of much more serious brain injuries; other causes of ABI include things like sports injuries and domestic violence. Brain injury is additional typical amongst men than ladies and shows peaks at ages fifteen to thirty and more than eighty (Good, 2014). International data show comparable patterns. For example, in the USA, the Centre for Illness Manage estimates that ABI affects 1.7 million Americans each year; young children aged from birth to 4, older teenagers and adults aged more than sixty-five have the highest prices of ABI, with males additional susceptible than ladies across all age ranges (CDC, undated, Traumatic Brain Injury inside the United states of america: Truth Sheet, out there online at www.cdc.gov/ traumaticbraininjury/get_the_facts.html, accessed December 2014). There is certainly also growing awareness and concern inside the USA about ABI amongst military personnel (see, e.g. Okie, 2005), with ABI rates reported to exceed onefifth of combatants (Okie, 2005; Terrio et al., 2009). Whilst this article will concentrate on current UK policy and practice, the issues which it highlights are relevant to lots of national contexts.Acquired Brain Injury, Social Work and PersonalisationIf the causes of ABI are wide-ranging and unevenly distributed across age and gender, the impacts of ABI are similarly diverse. Some individuals make a good recovery from their brain injury, whilst other folks are left with considerable ongoing difficulties. Moreover, as Headway (2014b) cautions, the `initial diagnosis of severity of injury is just not a reliable indicator of long-term problems’. The possible impacts of ABI are properly described each in (non-social operate) academic literature (e.g. Fleminger and Ponsford, 2005) and in personal accounts (e.g. Crimmins, 2001; Perry, 1986). However, given the restricted attention to ABI in social work literature, it truly is worth 10508619.2011.638589 listing some of the widespread after-effects: physical issues, cognitive issues, impairment of executive functioning, alterations to a person’s behaviour and alterations to emotional regulation and `personality’. For many men and women with ABI, there is going to be no physical indicators of impairment, but some may well practical experience a array of physical issues which includes `loss of co-ordination, muscle rigidity, paralysis, epilepsy, difficulty in speaking, loss of sight, smell or taste, fatigue, and sexual problems’ (Headway, 2014b), with fatigue and headaches being especially prevalent immediately after cognitive activity. ABI may possibly also cause cognitive difficulties like issues with journal.pone.0169185 memory and decreased speed of information processing by the brain. These physical and cognitive elements of ABI, whilst difficult for the person concerned, are somewhat simple for social workers and other people to conceptuali.