It’s estimated that more than 1 million adults inside the UK are currently living with the long-term consequences of brain injuries (Headway, 2014b). Rates of ABI have elevated significantly in current years, with estimated increases over ten years ranging from 33 per cent (Headway, 2014b) to 95 per cent (HSCIC, 2012). This boost is due to a variety of variables which includes improved emergency response following injury (Powell, 2004); more cyclists interacting with heavier website traffic flow; enhanced participation in risky sports; and larger numbers of incredibly old people today in the population. Based on Good (2014), by far the most typical EPZ004777 side effects causes of ABI inside the UK are falls (22 ?43 per cent), assaults (30 ?50 per cent) and road traffic accidents (circa 25 per cent), even though the latter category accounts to get a disproportionate variety of far more serious brain injuries; other causes of ABI include sports injuries and domestic violence. Brain injury is extra typical amongst men than girls and shows peaks at ages fifteen to thirty and over eighty (Nice, 2014). International data show similar patterns. One example is, inside the USA, the Centre for Disease Manage estimates that ABI impacts 1.7 million Americans every year; youngsters aged from birth to four, older teenagers and adults aged more than sixty-five have the highest rates of ABI, with men more susceptible than girls across all age ranges (CDC, undated, Traumatic Brain Injury in the United states: Reality Sheet, accessible on the web at www.cdc.gov/ traumaticbraininjury/get_the_facts.html, accessed December 2014). There’s also escalating awareness and concern inside the USA about ABI amongst military personnel (see, e.g. Okie, 2005), with ABI rates reported to exceed onefifth of combatants (Okie, 2005; Terrio et al., 2009). Whilst this short article will concentrate on existing UK policy and practice, the problems which it highlights are relevant to lots of national contexts.Acquired Brain Injury, Social Function and PersonalisationIf the causes of ABI are wide-ranging and unevenly distributed across age and gender, the impacts of ABI are similarly diverse. A number of people make an excellent recovery from their brain injury, whilst other folks are left with important ongoing troubles. Moreover, as Headway (2014b) cautions, the `initial diagnosis of severity of injury isn’t a dependable indicator of long-term problems’. The potential impacts of ABI are nicely described both in (non-social operate) academic literature (e.g. Fleminger and Ponsford, 2005) and in personal accounts (e.g. Crimmins, 2001; Perry, 1986). On the other hand, given the restricted attention to ABI in social function literature, it really is worth 10508619.2011.638589 listing some of the prevalent after-effects: physical difficulties, cognitive troubles, impairment of executive functioning, adjustments to a person’s behaviour and modifications to emotional regulation and `personality’. For many men and women with ABI, there will likely be no physical indicators of impairment, but some might expertise a array of physical issues such as `loss of co-ordination, muscle rigidity, paralysis, epilepsy, difficulty in speaking, loss of sight, smell or taste, fatigue, and sexual problems’ (Headway, 2014b), with fatigue and headaches being specifically frequent immediately after cognitive activity. ABI may also trigger cognitive troubles like problems with journal.pone.0169185 memory and reduced speed of data processing by the brain. These physical and cognitive aspects of ABI, whilst challenging for the person concerned, are comparatively quick for social workers and other people to conceptuali.