Date of Award

2026

Document Type

Scholarly Project

Degree Name

Doctor of Occupational Therapy (OTD)

Department

Occupational Therapy

First Advisor

Dr. Roberta Carrlson

Abstract

Purpose: Individuals with acquired brain injury (ABI) frequently experience psychosocial and cognitive challenges, including depression, anxiety, emotional dysregulation, and identity changes which can significantly impact rehabilitation outcomes and participation in daily occupations. Despite this, outpatient rehabilitation clinicians may feel underprepared to recognize and address these concerns within their scope of practice. The purpose of this scholarly project was to develop an educational onboarding program to support interdisciplinary rehabilitation staff in identifying and responding to psychosocial needs of individuals with ABI, while promoting trauma-informed and patient-centered care.

Methodology: A literature review was conducted to examine common psychosocial and cognitive outcomes following ABI and their impact on rehabilitation engagement. The Person-Environment-Occupation (PEO) model was used to guide program development and support clinical reasoning related to occupational performance. A needs assessment was conducted through site-specific observations, staff discussions, and review of current onboarding practices. This was combined with the literature review to identify gaps in knowledge, confidence, and mental health support resources within the outpatient ABI setting.

Results: The Bridge-ABI program was developed to provide foundational education to outpatient rehabilitation staff regarding psychosocial and cognitive challenges following ABI. The program included a structured educational presentation and a supplemental clinical guide designed for both clinician reference and patient education. Topics included emotional regulation, cognitive changes, anxiety management strategies, depression and grief, identity loss, returning to work, an self-efficacy. The materials incorporated trauma-informed communication strategies and practical tools to support clinicians in recognizing emotional distress and facilitating appropriate referrals when needed.

Conclusion: The Bridge-ABI program aims to enhance clinician confidence and competence in addressing psychosocial aspects of ABI recovery within outpatient rehabilitation settings. By equipping clinicians with education, strategies, and resources the program promotes a more holistic approach to care that supports both emotional well-being and occupational participation. This project contributes to the field of occupational therapy by providing a structured, evidence-informed resource that can be implemented in clinical practice to improve patient engagement, support interdisciplinary care, and address an often under-recognized aspect of brain injury rehabilitation.

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