The Brain Injury Rehabilitation Trust (BIRT) offers services to individuals with a range of needs following acquired brain injury.

We carry out a comprehensive assessment of the factors that affect social participation. Our programmes reduce risks, enable behaviour change and help people build skills. We support our service users to overcome their problems in a constructive and rewarding way. This means encouraging and motivating them to achieve their personal goals.

In BIRT’s Outcome Report 2017 you can find out how our service users changed between admission and discharge in their:

  • supervision needs
  • accommodation needs
  • occupational and recreational activity
  • social engagement.

After care and treatment with BIRT most individuals are discharged into the community, or to an environment with less support.

We plan discharges to destinations where the progress made during rehabilitation can be maintained or developed. Where appropriate, we provide a home for life, with ongoing clinical support to manage risks, prevent relapses and enable continued social engagement.

New Profiles

The unique BIRT approach to outcomes evaluation has identified three profiles of individuals, based on their rehabilitation needs.

Profile

Rehabilitation mostly needed for

Rehabilitation less likely to be needed for

Usual outcomes include

1

Physical and communication problems

Long term memory or
carrying out simple instructions

50% likely become independent, and 20% likely return to education or work

2

Thinking and memory problems. Carrying out practical tasks.

Physical problems.

Only a small proportion (about 20%) is likely to require ongoing care.

3

Mobility, thinking, communication,
non-verbal expression and
comprehension, personal care.

Difficulties are often apparent in
most areas.

78% likely to move to supported living.

The three clinical profiles help inform service users, family members and professionals about what to expect in terms of speed and extent of progress during rehabilitation. On the basis of the new profiles, our teams will be working together with commissioners to review how we deliver our services, and identify the best ways of maximising cost and clinical effectiveness.

Several studies have shown that the neurobehavioural approach to rehabilitation adopted by BIRT leads to reduced risks, supervision needs, increased social participation, and reduced care costs over time.

View the outcomes for our service users in 2017 for each of the profiles below:

Rehabilitation outcomes trends

Annual reporting of rehabilitation outcomes over the years has shown some insightful changes:

There has been a gradual increase of referrals of service users with a stroke.

The proportion of individuals over 50 years-old has been increasing, and this group now accounts for half of the people served.

In the past four years, the proportion of individuals admitted directly from hospital has significantly increased.

The time since injury on admission has decreased.

Taken together these patterns demonstrate that while we continue to specialise in the care and treatment of those with acquired brain injury within a neurobehavioural approach, the population we serve is more mixed, presenting with a wider range of needs. The patterns also show BIRT’s role in supporting early discharge from hospital.

Research and Development

Goal monitoring and achievement

SMART goals are set and regularly monitored with every service user. Challenges remain in obtaining standardised measures* that can accurately describe goal achievement across all the types of services we provide, and that reflect the aspirations of each individual service user we support.

In trying to adapt to this challenge, we have introduced centralised monitoring of number of goals set and achieved across all our services. We believe that this can be improved further and will continue to work towards identifying the most appropriate training and standardised measurement methods of psychosocial goal achievement in community
settings.

Continuous professional development and research

BIRT Conference

The BIRT Conference 2017 was held in Glasgow. Held over 2 days, it attracted over 250 delegates, and its varied programme included 26 national and international speakers.

Ongoing research

  • 13 active projects
  • 4 completed, including:
    • New measure of outcome
    • Clinical trial of prompting app

Visit www.birt.co.uk/research for more information.

Tests for neuropsychologists

We are updating the BIRT Memory and Information Processing Battery (BMIPB).

  • 4 new sub-tests have been added
  • 435 participants of all ages have taken part
  • 110 participants took the test twice

We hope to publish the new version of the BMIPB at the end of 2018.

BIRT is one of the few specialist brain injury rehabilitation providers to publish its outcome data. The data reported in this document reflects the outcomes achieved by service users admitted or discharged from BIRT in 2017. Our hope is that commissioners, referrers, families and other stakeholders will use this information when choosing a provider and in benchmarking for excellence in brain injury rehabilitation.

The Brain Injury Rehabilitation Trust provides a continuum of care for people with acquired brain injury. Through our range of specialist services, we aim to support people to function more independently in the wider community and to develop their lives in the ways they choose.