Strengths-based approaches to working with individuals with traumatic brain injury are rare. Perhaps this is partly because of severe cognitive impairment, but medicalized approaches that highlight deficits are also influential. The article describes Circles of Support, an community-based intervention based that works from a position of strength. This article argues that Circles of Support fall clearly into strengths-based approaches, as supported by reference to the work of Saleebey, de Shazer, and McKnight, as well as literature on empowerment approaches to disability. Selected findings of a 3-year evaluation study illustrate the included conceptual arguments.
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References
1.
AdamsN. (1996). “Positive outcomes in families following traumatic brain injury (tbi). Australia and New Zealand Journal of Family Therapy17(2): 75–84.
2.
BogdanR., & TaylorS. (1987). Towards a sociology of acceptance: the other side of the study of deviance. Journal of Social Policy, 16(3) 34–39.
3.
BogdanR., & TaylorS. J. (1989). Relationships with severely disabled people: the social construction of humanness. Social Problems, 36(2), 135–148.
4.
BondM. R. (1984). The psychiatry of closed head injury. In BrooksN.Closed head injury: Psychological, social and family consequences (pp. 148–178). Oxford: Oxford University Press.
5.
CondeluciA. (1995). Interdependence: The Route to Community.Orlando, FL: Paul M. Deutsch Company.
6.
CondeluciA. (1996). Beyond Difference.Delray Beach, FL: St. Lucie Press.
7.
CondeluciA. (1998). Inclusion: human services and culture. Community Rehabilitation Acquired Brain Injury2(1), 15–20.
8.
CondeluciA., & Gretz-LaskyS. (1987). Social role valorization: a model for community reentry. Journal of Head Trauma Rehabilitation2(1) 49–56.
9.
DawsonD. R., & ChipmanM. (1995). The disablement experienced by traumatically brain-injured adults living in the community. Brain Injury, 9(4), 339–353.
10.
de ShazerS. (1985). Keys to solution in brief therapy.New York: W.W. Norton.
11.
de ShazerS. (1988). Clues: Investigating solutions in brief therapy.New York: W.W. Norton.
12.
de ShazerS. (1991). Putting Difference to Work.New York: W.W. Norton.
13.
ElsassL. (1991). Behaviour following traumatic head injury: a prospective study. Unpublished doctoral dissertation, Melbourne, Australia, La Trobe University.
14.
FalveyM. A., ForestM., PearpointJ., & RosenbergR. L. (1994). All My Life's a Circle: Using the Tools Circles, MAPS and PATH.Toronto: Inclusion Press.
15.
ForestM., & PearpointJ. (1994). Common Sense Tools: MAPS and CIRCLES. In PearpointJ., ForestM., and SnowJ.The Inclusion Papers: Strategies to make inclusion work (40–51). Toronto: Inclusion Press.
16.
GoldD. (1995). Attempts to create relationships in the lives of students with disabilities: the case of circles of friends.Unpublished doctoral dissertation in Special Education. New York: Syracuse University.
17.
HandyC. (1989). The Age of Unreason.London, Arrow Books.
18.
HillH. (1997). Re-inventing identity. Dulwich Centre Newsletter4, 36–40.
19.
HillH. (1999). Traumatic brain injury: The view from the inside. Brain Injury, 13(11), 839–844.
20.
IfeJ. (1997). Realising the purpose of social work for stakeholders—Maintaining the vision and making a difference in a world of change. 25th Australian Association of Social Workers National Conference, Canberra, Australia.
21.
KosciulekJ. F. (1997). Relationship of family schema to family adaptation to brain injury. Brain Injury, 11, 821–830.
22.
KozloffR. (1987). Networks of social support and the outcome from severe head injury. Journal of Head Trauma Rehabilitation, 2(3), 14–23.
23.
LezakM. D. (1978). Living with the characterologically altered brain injured patient. Journal of Clinical Psychiatry, 39(7), 592–598.
24.
LezakM. D. (1988). Brain damage is a family affair. Journal of Clinical and Experimental Neuropsychology, 10(1): 111–123.
25.
McKnightJ. (1995). The Careless Society.New York, Basic Books.
26.
McKnightJ. (1999a). Regenerating community. In ComptonB. R., and GalawayB.Social Work Processes (pp. 429–434). Pacific Grove, CA: Brooks/Cole.
27.
McKnightJ. (1999b). Do no harm: Policy options that meet human needs. In ComptonB. R., and GalawayB.Social Work Processes. (pp. 476–481) Pacific Grove: Brooks/Cole.
28.
McKnightJ., & KretzmannJ. P. (1996). Mapping community capacity.Evanston, IL: Institute for Policy Research.
29.
NochiM. (1997). Dealing with the ‘void’: Traumatic brain injury as a story. Disability & Society, 12(4) 533–555.
30.
O'BrienJ., & O'BrienC. L. (1993). Unlikely alliances: Friendships and people with developmental disabilities. In AmadoA. N.Friendships and Community Connections between People with and without Developmental Disabilities. (pp. 9–39) Baltimore, MD: Paul H. Brookes.
31.
O'BrienP. (1997). Human services: Creating or alleviating disability? In O'BrienP., & MurrayR.Human services: Towards partnership and support. (pp. 64–81) Palmerston North, New Zealand, The Dunmore Press.
32.
OliverM. (1996). Understanding disability: From theory to practice.Basingstoke, Macmillan.
33.
OlverJ. H. (1995). Brain injury: The need to assess outcome. Current Opinion in Neurology, 8, 443–446.
34.
PearpointJ. (1992). From behind the piano: The building of Judith Snow's unique circle of friends.Toronto: Inclusion Press.
35.
PerleszA. (1999). Complex responses to trauma: challenges in bearing witness. A.N.Z. Journal of Family Therapy, 20(1), 11–19.
36.
PerleszA., FurlongM., & McLachlanD. (1992). Family work and acquired brain damage. A.N.Z. Journal of Family Therapy13(3), 145–153.
37.
PonsfordJ., SloanS., & SnowP. (1995). Traumatic Brain Injury: Rehabilitation for Everyday Adaptive Living.Hove, Lawrence Erlbaum Associates.
38.
PrigitanoG. P. (1988). Work, love, and play after brain injury: observations from the neurosciences, art and literature. 13th Annual Conference of the Australian Society for the Study of Brain Impairment. Melbourne, Australian Society for the Study of Brain Impairment.
39.
Qualitative Solutions and Research (1997). Non-numerical unstructured data indexing searching and theorizing (Revision 4) (NUD*IST 4) [Computer software]. Melbourne, Qualitative Solutions and Research.
40.
RacinoJ. A., & WilliamsJ. M. (1994). Living in the community: an examination of the philosophical and practical aspects. Journal of Head Trauma Rehabilitation9(2), 35–48.
41.
ResnickC. (1993). The effect of head injury on family and marital stability. Social Work in Health Care18(2), 49–62.
42.
RichardsT., & RichardsL. (1995). Using hierarchical categories in qualitative data analysis. In KelleU.Computer-aided Qualitative Data Analysis (pp. 80–95). London: Sage.
43.
RowlandsA. (1999). Can't buy me love: The impact of circles of support for adults with acquired brain injury. Unpublished doctoral dissertation, Newcastle, Australia, University of Newcastle.
44.
RowlandsA. (1995). What is it really like to live with acquired brain injury? 12th World Congress of International Federation of Physical Medicine and Rehabilitation, Sydney, Auscript.
45.
SaleebeyD. (1999). The strengths perspective: Principles and practices. In ComptonB. R., and GalawayB. (Eds.). Social Work Processes. (pp. 14–23). Pacific Grove, CA: Brooks/Cole.
46.
SaleebeyD. (1996). The strengths perspective in social work practice: Extensions and cautions. Social Work, 41, 296–305.
47.
SerioC. D., KreutzerJ. S., & WitolA. D. (1997). Family needs after traumatic brain injury: A factor analytic study of the Family Needs Questionnaire. Brain Injury, 11(1), 1–9.
48.
ShardlowS. (1998). Values, ethics and social work. In AdamsR., DominelliL., & PayneM. (Eds.). Social work: Themes, issues and critical debates (pp. 23–33). Basingstoke, United Kingdom: Macmillan.
49.
StraussA. L. (1987). Qualitative Analysis for Social Scientists.Cambridge, Cambridge University Press.
50.
StraussA., & CorbinJ. (1990). Basics of Qualitative Research: Grounded Theory Procedures and Techniques.Newbury Park, CA: Sage.
51.
TateR. L., LulhamJ. M., BroeG. A., StrettlesB., & PfaffA. (1989). Psychosocial outcome for the survivors of severe blunt head injury: the results from a consecutive series of 100 patients. Journal of Neurology, Neurosurgery, and Psychiatry, 52, 1128–1134.
52.
ThomsenI. V. (1984). Late outcome of very severe blunt head trauma: A 10–15 year second follow-up. Journal of Neurology, Neurosurgery, and Psychiatry47, 260–268.
53.
TurnerG. W. (Ed.) (1987). The Australian Concise Oxford Dictionary of Current English.Melbourne, Australia: Oxford University Press.
54.
UditskyB. (1993). Natural pathways to friendships. In AmadoA. N.Friendships and Community Connections between People with and without Developmental Disabilities. (pp. 85–95). Baltimore: Paul H. Brookes.
55.
WertheimerA. (Ed.). (1995). Circles of support: Building inclusive communities.Bristol, United Kingdom: Circles Network UK.
56.
WillerB. S., AllenK., AnthonyJ., & CowlanG. (1993). Circles of support for individuals with acquired brain injury.Buffalo, NY: Rehabilitation Research and Training Center on Community Integration of Persons with Traumatic Brain Injury.
57.
WillerB., AllenK., DurnanM. C., & FerryA. (1990). Problems and coping strategies of mothers, siblings, and young adult males with traumatic brain injury. Canadian Journal of Rehabilitation2(3), 167–173.
58.
WillerB., & CorriganJ. D. (1994). Whatever it takes: a model for community-based services. Brain Injury, 8, 647–659.
59.
WilliamsJ. M. (1991). Family support. In WilliamsJ. M., & KayT.Head Injury: A Family Matter (pp. 299–312). Baltimore: Paul H. Brookes.
60.
ZeiglerE. A. (1989). The importance of mutual support for spouses of head injury survivors. Cognitive Rehabilitation, 7(3), 34–37.
