What Positive Risk-Taking Really Means in Acquired Brain Injury Services

Positive risk-taking is a core expectation in acquired brain injury services, yet it is frequently misunderstood or applied inconsistently. In ABI contexts, risk decisions are complicated by impaired insight, impulsivity, emotional dysregulation and fluctuating capacity. Commissioners and inspectors expect providers to evidence risk enablement that supports autonomy without exposing people to unmanaged harm.

This article explores what positive risk-taking genuinely means in ABI services. It should be read alongside Positive Risk-Taking & Risk Enablement and Service Models & Care Pathways.

Why positive risk-taking matters in ABI services

ABI support often involves balancing recovery, independence and safety over long periods. Overly restrictive practice can stall progress, while unmanaged risk can cause harm.

Commissioner and inspector expectations

Expectation 1: Proportionate risk enablement. Inspectors expect risk to be assessed individually, not avoided through blanket restrictions.

Expectation 2: Clear decision rationale. Commissioners expect providers to document why risks are enabled and how they are mitigated.

Operational example 1: Supporting independence safely

An ABI service enabled an individual to resume independent travel through staged planning, environmental checks and time-limited supervision.

Distinguishing positive risk from unmanaged risk

Positive risk-taking involves anticipation, mitigation and review, not acceptance of harm.

Operational example 2: Risk enablement plans

A provider introduced individual risk enablement plans linked to personal goals, improving clarity and staff confidence.

Embedding positive risk into daily practice

Staff must understand why risks are enabled and how to respond when circumstances change.

Operational example 3: Staff briefing tools

A service used concise risk briefings during handovers, improving consistency and safety.

Evidencing positive risk-taking

Providers should evidence:

  • Individualised risk assessments
  • Clear mitigation strategies
  • Regular review and learning

Positive risk-taking as recovery-focused practice

In ABI services, positive risk-taking supports recovery, dignity and long-term outcomes when delivered with structure and oversight.


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Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd β€” bringing extensive experience in health and social care tenders, commissioning and strategy.

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