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Depression following Traumatic Brain Injury: Impact on post-hospital residential rehabilitation outcomes


Depression following traumatic brain injury: Impact on post-hospital residential rehabilitation outcomes.

The following research has been carried out and a need exists to better understand the impact of depression on functional outcomes following TBI.

A similar effect might be anticipated in community rehabilitation packages and we at Tania Brown Limited monitor levels of depression using the HADS to ensure our clients get the best outcomes from their rehab?


To evaluate the prevalence and severity of depression among a large group of chronic TBI adults; to determine the impact of depression on outcomes of post-hospital residential rehabilitation programs; and to assess effectiveness of post-hospital residential rehabilitation programs in treating depression.


820 adults with moderate to severe traumatic brain injury (TBI) were assigned to one of four groups based on MPAI- 4 depression ratings: (1) Not Depressed, (2) Mildly Depressed, (3) Moderately Depressed, and (4) Severely Depressed. Functional status was assessed at admission and discharge with the MPAI-4 Participation Index. Differences among groups were evaluated using conventional parametric tests. Rasch analysis established reliability and validity of MPAI-4 data.


Rasch analysis demonstrated satisfactory construct validity and internal consistency (Person reliability = 0.89-0.92, Item reliability = 0.99). Of the 820 subjects, 39% presented with moderate to severe depressive symptoms at admission, These subjects demonstrated significantly higher MPAI-4 Participation scores than the mild and not depressed groups. Depressed groups realized significant improvement in symptoms, but, those remaining depressed at discharge had significantly greater disability than those who improved.


Depressive symptoms had a deleterious impact on outcome. Remediation of symptoms during rehabilitation significantly improved outcomes.


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Anna Watkiss – Guest Speaker, Digby Brown Head Injury Information Day, Edinburgh


The Head Injury Information Day run by Digby Brown took place during Head Injury Awareness Week. Anna Watkiss was asked to present on the broad subject of relationships after brain injury. Her talk aimed to challenge health professionals working with individuals with acquired brain injury to consider the goal that many clients want to work on; that of forming a new relationship or being supported to maintain an existing relationship. Anna presented a whistle stop tour of how clients and health professionals supporting them, might work to maintain relationships, establish new relationships, support a client’s right to a sexual relationship and the use of dating apps/websites within the confines of capacity and supporting clients safely.

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Introducing Jackie Chappel – New Manager of Clinical Services



Jackie has recently joined Tania Brown Ltd as their Manager of Clinical Services. Jackie comes to Tania Brown with a wealth of clinical knowledge. She is a Senior Occupational Therapist with extensive experience as a Case Manager, having worked as a mentor for the past 5 years.

Jackie is highly skilled in managing clients who have sustained birth injury, acquired brain injury, spinal cord injury and complex orthopaedic injuries. She developed a special interest in managing cases where clients displayed challenging behaviours and managing clients with complex family dynamics.

We are extremely thrilled to have Jackie as a part of our team.

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Headway Wigan and Leigh – It’s BBQ time !!!!


BBQ Invite Final 2016

Dear All

Please be advised that Headway Wigan and Leigh will be holding their annual BBQ on Thursday 28th July.  from 1.00pm – 3.00pm. It will be held at Sunshine House, Wellington Road, Scholes, Wigan WN1 3SA; weather permitting we will be sitting outside in the garden area.

We will be serving burgers, sausages, vege burgers, chips and lot of other delicious goodies.

This is a free event. Please feel free to invite anyone that you think would benefit from our meetings.

Please RSVP to 0758 083 2106 or should you wish to attend.


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Farewell and Good Luck Kirsty !!!


TBL are proud, both also sad to say goodbye, as Kirsty is moving on from our company. Kirsty has been a valued member of our team who has received a fantastic opportunity for a new post working towards achieving her doctorate in Clinical Psychology. She will be working within the neurological and mental health unit within the NHS, doing on the ward assessments and therapy programmes with those suffering from mental health difficulties associated with neurological impairment. Kirsty is very fortunate to be offered this post and reports that in her time with our company she has gained such valuable experience and learnt so much. She said she will miss the team and the clients. Good luck Kirsty!


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We are currently recruiting !!




Would you like to join a dynamic, well established & expanding nationwide Company ?

Do you crave a challenge? Are you looking for a new way to use your clinical knowledge, with the freedom to use your own initiative to make a real difference?

Consider a career in Case Management. Case Management is a process devoted to the coordination, rehabilitation, care and support of people with complex clinical needs. It aims to facilitate their independence and improve their quality of life. This is usually conducted as part of the medico legal process.

You must be an experienced HCPC/PIN registered Nurse, OT, SALT, Physio, Social Worker.

Case Managers should have acquired knowledge and experience of working with clients either in a hospital or community environment. We are looking to recruit suitable candidates with experience of working with clients suffering from spinal injuries or traumatic and acquired brain injuries and children with complex needs.

Various options for employment are available with options to work from our office or to work flexibly from home on a self-employed basis with full professional support.

Capability Base


  • Must have a structured and logical thinking style that is comfortable operating both at a detail level and at a directional level
  • Must have excellent report writing skills and effective verbal communication
  • Must be able to build therapeutic relationship quickly and have strong interpersonal skills that will allow credibility to be built quickly with clients, solicitors and other external professionals
  • Must be able to demonstrate excellent time management skills and also co-ordinate others when working to deadlines
  • Must have excellent project management skills and the ability to supervise / manage both internal and external staff
  • Must to be able to apply new learning to work situation
  • Should be IT literate
  • Should have strong problem solving skills and the ability to manage difficult situations

Behavioural Characteristics

Must be a decision-maker, even in the absence of complete data, with the drive to clearly articulate those decisions

  • Must be able to remain calm even in challenging situations
  • Must be self-starting and proactive, willing to act on their own initiative
  • Should be a strong completer finisher with the tenacity to see complex tasks through to resolution
  • Flexible communication skills and an ability to network

Competitive remuneration

Full training provided.

To apply please forward an up-to-date CV, detailing which area you currently live in and include details of current salary/terms

Salary: Negotiable

Required experience:

  • Must have a minimum of 4 years experience within your field of expertise

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Message from Jill Blount – Senior Case Manager


Jill 010

Dear All

I am extremely excited to announce that I recently helped out with the Derby Headway Summer Fayre and we managed to raise £300.

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Welcome Emma Vail


Emma Vail

We are delighted to introduce Emma Vail, a new Case Manager in Scotland.

Emma qualified with an MSc in Physiotherapy in 2006 from the University of Essex.

Emma undertook a rotational clinical physiotherapist post at NHS Western Sussex Hospitals Trust.  Here she gained experience in a variety of clinical areas including, Neurology, Orthopaedics, HDU, ITU and In-patient Neurological Rehabilitation.  Working in the acute sector and community environment Emma dealt with complex orthopaedic traumas and neurological cases including complex orthopaedic traumas, acquired brain injuries, spinal cord injuries and amputations.

As well as her role as a Case Manager for Tania Brown; Emma also works in a neuro-musculoskeletal out-patient clinic as a specialist physiotherapist.

Take a look at Emma’s CV on our team page.

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Welcome Helen Spellman


Helen Spelllman

We are very pleased to introduce Helen Spellman, she is a new Case Manager in the Leeds,York. North Yorkshire area.

Helen is a Registered Nurse with 26 years of experience. She worked as a Staff Nurse for the NHS York Trust Learning Disability Services;   where she developed her skills of working with individuals with complex cognitive impairment and physical disability.

She has held varied positions during her career. She worked for Leonard Cheshire Disability in the brain injury rehabilitation unit, firstly as a Service Manager, and then she was promoted to the Group Manager of the Acquired Brain Injury Division.

Helen has also recently worked for Titleworth Neuro Ltd as Head of Neuro Services.

Take a look at Helen’s CV on our team page.




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Headway Wigan and Leigh – On the move


Headway Wigan and Leigh are moving their monthly drop in sessions to Sunshine House (Scholes). The centre is open to all the community and is a great place with a very friendly and inclusive feel. We believe that our members will benefit from the move; as it will give us access to weekly activities and offers a safe place to meet.

We had our re-launch day on the 29th January, which was a huge success!!

The event was opened by Dr Mullins who is the lead Neuropsychologist for the Taylor Unit in Leigh. Dr Michael Brown also performed a Memory workshop.

The Leigh Centurions came to see and show their support, they had photos taken with our members.

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