Using Structured Communication Approaches to Reduce Distress in ABI
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Unstructured or inconsistent communication can increase anxiety and behavioural distress for people with acquired brain injury. Predictable, structured communication approaches help individuals understand expectations and reduce cognitive load. Commissioners and inspectors increasingly expect ABI services to evidence structured communication strategies.
This article explores structured communication approaches in ABI services. It should be read alongside Cognition, Behaviour & Executive Function Support and Quality, Safety & Governance.
What structured communication looks like
Structured communication uses consistent language, routines and formats.
Commissioner and inspector expectations
Expectation 1: Predictability. Inspectors expect communication to reduce uncertainty and distress.
Expectation 2: Consistency. Commissioners expect structured approaches to be embedded across teams.
Operational example 1: Consistent daily language
Staff used agreed phrases and routines to support understanding.
Reducing distress through structure
Clear expectations help prevent escalation.
Operational example 2: Structured choice-making
Staff presented limited, clear choices using consistent formats.
Embedding structured approaches
Training and reinforcement are essential.
Operational example 3: Communication frameworks in practice
Providers embedded structured communication frameworks into staff training.
Evidencing structured communication
Providers should evidence:
- Consistent communication frameworks
- Reduced distress incidents
- Improved engagement and participation
Why structure supports safety
Structured communication underpins predictable, person-centred support.
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