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Information & Education

Awareness of Deficits

Persons with brain injury not only have to deal with the normal stages of change, but they may have limited awareness of their deficits. This means that the presentation of information and types of skills taught will vary based on the person's ability to self-reflect. When persons we serve have a limited ability to self-reflect, they will have difficulties understanding why they need to modify their substance use patterns. They will not be able to use coping strategies independently and the family will need to take more responsibility for providing cues and structuring the environment to promote sobriety. As individuals become better able to self-reflect and to anticipate future difficulties, they can become more independent in the use of strategies. There is more about levels of awareness in the Assessment section later in this manual.


This website has been funded with financial assistance from Grant #H133A120086 awarded by the U.S. Department of Education, National Institute on Disability Rehabilitation Research (NIDRR) to the Ohio Valley Center for Brain Injury Prevention and Rehabilitation for the current funding period of 10/01/2012 - 09/30/2017.