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Acquired Brain Injuries

Specialist Support for Adults with Acquired Brain Injuries

Acquired brain injury changes everything. The person is still there. At High View Care Services, we support adults to rebuild their lives, their independence and their sense of who they are, at whatever pace is right for them.

Acquired Brain Injuries

What is an acquired brain injury?

An acquired brain injury (ABI) is any injury to the brain that occurs after birth, as opposed to conditions that are congenital or developmental. The most common causes include traumatic brain injury following accidents or assault, hypoxic brain injury caused by a reduction of oxygen to the brain, stroke, and a range of neurological conditions and illnesses.

The effects of an acquired brain injury vary significantly depending on the nature, location and severity of the injury, and the area of the brain affected. They may include difficulties with memory, attention, concentration and executive function, the ability to plan, make decisions and manage behaviour. They may also include emotional and psychological changes, difficulties with communication, physical impairments and challenges with the ordinary tasks of daily life.

Acquired brain injury rarely presents alone. It frequently comes alongside mental health conditions, personality disorders, substance misuse histories and complex social circumstances. Supporting it effectively requires a team that can hold all of that complexity at once, not address it piece by piece.

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20+

Years of specialist expertise

Acquired Brain Injuries

Who is this service for?

We support adults with a wide range of acquired brain injuries, including traumatic brain injury, hypoxic brain injury, stroke and neurological conditions. Many of the people who come to us have one or more co-occurring conditions alongside their brain injury: mental health diagnoses, personality disorders, substance misuse histories, or significant cognitive, emotional and social difficulties.

The clients who come to High View Care Services have often not been able to make progress in standard settings. They may have been told that their needs are too complex. Some have spent extended periods in hospital or psychiatric units. Some have been through placements that have broken down. Some have histories that have led other providers to say no.

None of that changes how we approach them. We see the person beyond the diagnosis. We believe in their potential. And we have the structure, the expertise and the genuine commitment to help them move forward.

OUR HOMES

Find the right home for your loved one.

Our four specialist homes across South East London offer structured, therapeutic environments for adults with acquired brain injury, mental health, comorbidities and complex needs. Each one is calm, purposeful and focused on real progress and stability.

Acquired Brain Injuries

A genuinely specialist approach to brain injury rehabilitation

At High View Care Services, we take a biopsychosocial approach to acquired brain injury rehabilitation. This means addressing not only the physical and cognitive effects of brain injury, but also the psychological, emotional and social impact. Everything is coordinated through one team working from a shared plan.

Our Transdisciplinary Team (TDT) includes Clinical Psychologists, Neuropsychologists, Occupational Therapists, Physiotherapists, Social Workers and specialist Neurorehabilitation Coaches. Together, they provide a continuous system of support, with Neurorehabilitation Coaches embedding therapeutic strategies into clients’ everyday lives, 24 hours a day.

Neuropsychology supports cognitive assessment and provides individual strategies for memory, attention, emotional regulation and behavioural difficulties. Occupational Therapy focuses on everyday living skills, including personal care, budgeting, domestic tasks, meaningful activities and preparation for greater independence. Physiotherapy supports mobility and physical rehabilitation, while our wider psychosocial approach helps clients rebuild their identity, relationships and self-awareness, manage relapse risks and prepare for life beyond rehabilitation.

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4

CQC-regulated specialist homes

Acquired Brain Injuries

The right pathway for every client

We recognise that not every client is working towards the same outcome. Our services therefore offer two distinct but flexible pathways:

  • Rehabilitation Pathway: For clients working towards greater independence, community participation and, where appropriate, progression into transitional living, outreach support or their own home.
  • Wellbeing Pathway: For clients who need ongoing specialist support to consolidate the progress they have made, maintain stability and reduce the risk of deterioration or placement breakdown.

Whether someone is progressing towards independent living or requires a stable, supportive environment to maintain their wellbeing, we provide the right pathway around their individual needs, abilities and goals.

Each plan is reviewed fortnightly, adapted as the person’s needs change and communicated openly with clients, families, commissioners and referrers.

TESTIMONIALS

What people say about us...

I really like High View Care Services. They have helped my loved one so much. I was very worried about him, but he has done incredibly well here. The team are very patient with him.

Family Member

Son of Resident

Shola is very hardworking and proactive. He is always willing to help whenever I visit, and I am very happy with the support provided by the staff.

Family Member

Son of Resident

High View Care Services feels like home. I have never had that before.

High View Client

Son of Resident

I like the staff and I am happy here. I enjoy being involved and would like to help decorate the Christmas tree.

High View Client

Son of Resident

I have been singing the praises of High View to my colleagues, particularly regarding its support for people with alcohol-related brain injury.

Healthcare Professional

Family member

We, as the Local Authority, could not have achieved these positive outcomes without the invaluable support and collaboration of the staff team at High View Care Services and our colleagues from the ICB. Their commitment, professionalism and ongoing involvement have been instrumental in achieving the best possible outcomes for the individuals we support.

Local Authority Professional

Son of Resident

The important questions

What types of acquired brain injury do you support?

We support adults with traumatic brain injury, hypoxic brain injury, stroke, and a range of neurological conditions that affect cognitive, emotional and physical function. We work with people across a wide spectrum of presentation and complexity. If you are unsure whether someone's specific diagnosis falls within our remit, please get in touch and we will talk it through with you.

What areas of the brain can be affected, and what does that mean practically?

The effects of brain injury depend on the area of the brain involved. Frontal lobe injuries often affect problem-solving, behaviour, reasoning and emotional regulation. Temporal lobe injuries may affect memory, language comprehension and sequencing. Damage to the parietal lobe can affect sensory processing and spatial awareness. Injuries to the occipital lobe affect vision and perception, while brain stem and cerebellar injuries can affect breathing, coordination, balance and motor function. Our Trans-disciplinary Team (TDT) assesses each client's specific pattern of strengths and difficulties at the start of their placement and builds their support plan accordingly.

How do you support clients with both a brain injury and a mental health condition?

Many of the people we support carry both an acquired brain injury and one or more co-occurring mental health conditions. Our Trans-disciplinary Team (TDT) is specifically built to address both. Clinical Psychologists and Neuropsychologists work with the cognitive and emotional consequences of brain injury and with the mental health conditions that frequently accompany it, all within a single integrated support plan.

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