Supporting Sustainable Independence Rather Than Short-Term Gains in ABI Reablement
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In acquired brain injury reablement, progress that appears rapid can sometimes mask fragile independence. When services focus too heavily on short-term achievements, people may be left without the resilience or confidence needed to sustain independence. Commissioners increasingly expect ABI providers to evidence long-term impact rather than quick wins.
This article examines how to support sustainable independence in ABI reablement. It should be read alongside Outcomes, Reablement & Independence and Workforce, Skill Mix & Practice Competence.
The risk of short-term outcome focus
Short-term targets may not reflect real-world challenges faced by people with ABI.
Commissioner and inspector expectations
Expectation 1: Long-term impact. Commissioners expect evidence that independence is sustained over time.
Expectation 2: Realistic planning. Inspectors expect providers to avoid setting people up to fail.
Operational example 1: Independence under pressure
A provider tested independence in unfamiliar settings to assess sustainability.
Building confidence and resilience
Confidence is a critical component of sustainable independence.
Operational example 2: Supported problem-solving
Staff encouraged problem-solving rather than intervening immediately.
Linking independence to risk awareness
Sustainable independence requires insight into personal risks.
Operational example 3: Risk-awareness coaching
Individuals were supported to identify and manage risks independently.
Evidencing sustainable outcomes
Providers should evidence:
- Consistency of independence over time
- Reduced reliance on staff prompts
- Improved confidence and decision-making
Why sustainability matters in ABI reablement
Lasting independence is the true measure of reablement success.
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