Freeman E A
National Brain Injury Foundation, Hughes, Australia.
Brain Inj. 1997 Feb;11(2):143-53. doi: 10.1080/026990597123746.
Community-based rehabilitation (CBR) recognizes that in the secure, loving environment of his/her own home, the person with a brain injury and the family, provided with support and guidance, can effectively augment or supersede hospital-based rehabilitation. This paper will explore the methods used to establish a rehabilitation programme in the home, the initial moves, the family dynamics, the advantages, and some of the programmes required for the restoration of function of sensory, cognitive and motor abilities. The mobilization of the therapy workforce, including the use of extended family and trained volunteers from the community, is explained. The importance of volunteer meetings and the continuing education of the family and volunteers is emphasized. Respite care for the family and the aim of returning the family towards normality is considered. The enormous cost/benefit of the community-based rehabilitation is detailed, and comparative costs between this method and hospital-based rehabilitation are provided.
社区康复（CBR）认识到，在安全、充满爱的家庭环境中，脑损伤患者及其家庭在获得支持和指导的情况下，能够有效地增强或取代基于医院的康复。本文将探讨在家中建立康复计划所使用的方法、初步举措、家庭动态、优势以及恢复感觉、认知和运动能力功能所需的一些计划。文中解释了治疗人员的调动，包括利用大家庭成员和社区中经过培训的志愿者。强调了志愿者会议以及对家庭和志愿者进行继续教育的重要性。考虑了为家庭提供临时护理以及使家庭恢复正常生活的目标。详细阐述了社区康复的巨大成本效益，并提供了这种方法与基于医院的康复之间的成本比较。
