Dr Ivan Pitman, Consultant Clinical Neuropsychologist with the Brain Injury Rehabilitation Trust (BIRT) has delivered one in a series of courses in Neuropsychologically Informed Rehabilitation (NIR) Assisted by Amy Needham and Catrin Davies, Linkworkers, this training is provided by The Disabilities Trust’s Forensic In-Reach Brain Injury Service (FiBiS)

NIR is an innovative approach to the care, treatment, support and rehabilitation of individuals within mental health, forensic and homeless settings to break the repeated cycle of negative outcomes that is often observed in more ‘traditional’ care and approaches. NIR is not about a whole new way of working, but provides a framework, language and approaches to communicate, implement and enhance the good practice that already exists in complex care and rehabilitation settings. This approach is designed to support care and custodial staff who directly deal with the most difficult individuals to develop their skill and knowledge, to increase their motivation, improve their job satisfaction and support their resilience.

14 staff in Forensic Psychology completed the training programme which runs over eight modules and is based on classroom teaching with videod role-play based learning. Each particpant is provided with a course manual. Skills development and understanding is monitored across the programme by the course leaders’ observation and a brief test at the end of each module. The training modules include:


  • The brain - an overview
  • The Coaching Model
  • Brain, Behaviour and Rehabilitation
  • Neuropsychological Impairments
  • Compensatory Systems
  • Changing Behaviours
  • Monitoring and Ensuring Change
  • Planning For My Patient

There was a great deal of positive feedback from the trainees:

“Really enjoyed discussion around the brain and impact of injury”

“Trainer knowledgeable and gave good examples to illustrate principles. Also supported us through role plays. Course did what is said on the tin.”

“The first day was very informative and thought provoking. I found the role plays and the discussions that went with them the most useful. Thinking through your own case was also a helpful exercise.”

If you would like to know more about Neuropsychologically Informed Rehabilitation (NIR), the training programme or other services provided by the Forensic in-reach Brain injury Service (FiBiS) then please contact us at fibis@thedtgroup.org alternatively contact Elizabeth Wilce (Project Manager) on 07515 993748