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University of Nebraska-Lincoln  University of Nebraska-Lincoln
University of Nebraska-Lincoln  TBI Homepage



Rehabilitation Team
 

Rehabilitation professionals need to be aware of the roles and responsibilities of team members so they can collaborate effectively to assist a TBI survivor in living independently.  The composition of professionals on the rehabilitation team is dictated on an individual basis and depends on a person's needs.  Tanchak and Sawyer (1995, p. 67) define professional involvement: 
 

Speech-Language Pathologist
aCoordinates team
aAssesses understanding of language, use of language, and interaction patterns of different communication partners
aAssesses muscle control for speech, pronunciation of speech sounds and prognosis for improvement
aAssesses reading comprehension (Fletcher, 1997)
aAssesses auditory comprehension (Fletcher, 1997)
aEvaluates ability to sequence (Fletcher, 1997)
aEvaluates use of nonverbal communication
aDetermines appropriate vocabulary for use with AAC systems
aRecommends types of specialized communication aids and techniques
Occupational Therapist
aEvaluates muscle control of different body parts with and without special equipment
aEvaluates hand functioning (Fletcher, 1997)
aEvaluates fine motor abilities (Fletcher, 1997)
aAssesses visual acuity, visual scanning, visual perception, and visual fields
aAssesses seating
aActivities of daily living (ADL)
aInstrumental activities of daily living (IADL)
Physical Therapist
aAssesses seating and positioning
aEvaluates muscle strength, range of movement, flexibility, balance, and coordination
aAssesses mobility issues and system transportation
Family and TBI Survivor 
aCenter of the team (Dawes, 2000)
aFinalizes team decisions to fit needs of the individual (Dawes, 2000)
aReinforcement, maintenance, and training of technology  (Dawes, 2000)
aReinforces, maintains, and trains the survivor 
aJoins treatment session to facilitate generalization (Jaffe, Mastrilli, Molitor, & Valko, 1985)
aProvides significant background information (Jaffe et al., 1985)
aEstablishes good relationship with staff (Jaffe et al., 1985)
Adding  non-traditional team members could help improve the groups problem solving skills (e.g., Educator, Special Educator, Recreation Therapist, Psychologist, Audiologist, Nursing Staff, Dietician) and offer valuable insights (Dawes, 2000).