Allison Saltrese, a Clinical Case Manager in South-West England, first heard about the Brain Injury Needs Indicator (BINI) at a free seminar for professionals organised by The Woodmill, the Brain Injury Rehabilitation Trust (BIRT) service in Devon. Allison spoke with us about her experience of using the BINI:
“I’ve been using the BINI since April 2016 because it is user-friendly and straightforward. I have found it to be very helpful in engaging brain-injured people, their families, support workers and colleagues in other agencies. Completion of the BINI provided an unexpected benefit in the management of one client; it provided a visual resource that enabled his support team to develop a deeper insight into his perspective.
"Clarification of how the support team viewed the situation was also powerful in contributing to the framework for building team understanding; it provided an 'independent' mechanism that enabled all participants in this process to be heard. The BINI has been particularly valuable in contributing to an approach involving multiple sources of evidence regarding risk. Using the BINI saves time by its straightforward evaluation system and the scope it offers to identify and explore other issues. How clients respond to the BINI can be helpful; for example, on one occasion the client was unable to retain the information to answer three of the questions. This provided a useful opportunity to explore other aspects of need.
I would encourage other professionals working with people with acquired brain injury to register to access it.
"I have shared the BINI with colleagues working in statutory services and independent practice. I have found that the clear approach the BINI offers has been helpful, particularly in the context of seeking support from limited public resources. I have also used the BINI as a tool to introduce some of the hidden challenges of acquired brain injury to colleagues who are unfamiliar with the complexity of this client group.
"I think the BINI is a valuable tool and will continue to use it in my practice. I would encourage other professionals working with people with acquired brain injury to register to access it. I also look forward to hearing other people’s experience of the BINI to broaden my knowledge of its use.”