Supporting Planning, Organisation and Follow-Through in ABI Daily Living
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Many people with acquired brain injury can express goals clearly but struggle to plan, organise and complete tasks. Executive function impairment affects daily living, independence and perceived motivation. Commissioners and inspectors expect ABI services to adapt support to these challenges rather than withdrawing opportunities.
This article explores how ABI services can support planning and follow-through in daily living. It should be read alongside Service Models & Care Pathways and Outcomes-Focused & Goal-Led Support.
What planning difficulties look like in ABI
Executive impairment may result in difficulty starting tasks, sequencing steps or completing activities.
Why motivation is often misjudged
Lack of follow-through is frequently misinterpreted as lack of motivation.
Commissioner and inspector expectations
Expectation 1: Adapted daily living support. Inspectors expect daily living tasks to be broken into manageable steps.
Expectation 2: Progression evidence. Commissioners expect evidence of increasing independence.
Operational example 1: Task sequencing supports
An ABI provider introduced step-by-step task prompts tailored to individual cognitive profiles.
Use of prompts and routines
Structured routines reduce reliance on memory and initiation.
Operational example 2: Visual and digital prompts
Services used visual checklists and digital reminders to support follow-through.
Balancing support and independence
Support should reduce over time as confidence and ability develop.
Operational example 3: Graduated withdrawal of prompts
Providers gradually reduced prompts as individuals demonstrated consistency.
Evidencing daily living outcomes
Providers should evidence:
- Improved task completion
- Reduced staff prompting
- Increased confidence and autonomy
Supporting everyday success
Well-designed support for executive function enables meaningful independence.
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