The Current Practice of Neuropsychological Rehabilitation in the United Kingdom

Objective: To describe the clinical practice of British neuropsychologists working in brain injury rehabilitation using a questionnaire based on Wilson's (2002) model. Assessment, treatment, and evaluation practices were surveyed together with theories and models influencing clinical practice. Participants: 54 clinical neuropsychologists took part. Measures: Responses to 20 questions were calculated, providing descriptive statistics. Results: All participants reported assessing the cognitive, emotional, and psychosocial consequences of brain injury. Fifty-seven different models and theories in eight categories were cited by clinicians as influencing their clinical practice. Cognitive behavior therapy (CBT) was alluded to most frequently. Most clinicians had access to information on gross structural brain damage from CT scans; few had access to other imaging techniques such as fMRI. Conclusions: clinical neuropsychologists in the United Kingdom use a range of theoretical approaches in their work; CBT is the most popular, and all parts of Wilson's synthesized model are used by some people.