Peter was 31 years old when he was assaulted outside his home. He was initially admitted to his local intensive care unit with a Glasgow Coma Scale of 6 and a CT scan revealed basal and temporal skull fractures with diffuse brain injury.
Peter was admitted to a secure rehabilitation service as a result of some of the challenging behaviours he exhibited following injury. From there he needed a service which would enable him to benefit from rehabilitation and become part of the local community.
When Peter arrived at Christchurch Group, he was only able to access the community in a wheelchair. He relied on staff for all meal preparation and domestic activities, as well as requiring support for everyday tasks such as morning routines. Peter was verbally abusive at times to both staff and residents and was often inappropriately disinhibited in his behaviour. Peter did not appreciate the impact this had on others or the risks to which he exposed himself.
Peter’s programme within Christchurch Group was focussed on community rehabilitation. Clear goals were agreed:
- Being able to regulate his behaviour so that it would not put him at risk
- Socialise within accepted social customs and practices
- Improve his mobility
Peter has achieved these goals and is now able to live more independently by:
- Accessing the community without the physical assistance of others
- Conversing with people when out and about
- Managing his compulsive behaviours and avoiding difficult situations; and
- Preparing his own meals most days
Peter has made considerable progress with domestic activities and is now able to complete most tasks himself, requiring help only to carry his laundry to and from his room. Peter now has many positive social relationships. He initiates playing cards or sits and chats with fellow residents. He will often seek out the company of others.