Our complex care and wellbeing service is for people who can’t be safely discharged into other settings. In 2019-2020, seven in 10 people admitted into our rehabilitation centres were discharged within 25 weeks or less, depending on the severity of their problems. But in some situations, people with more complex needs require ongoing care and support. They will move onto supported living services or may be discharged at a later stage.

When Frank* arrived at the hospital, he could not communicate or remember where he was or why he was there. He also could not control his emotions and would get frustrated. Our teams worked with him to set personal goals for his rehabilitation, but he found this difficult. Frank also slept badly which made him feel irritated. He found it hard to take part in the different therapies as he was tired.

How rehabilitation helped Frank

Staff monitored Frank’s sleep to see how it could be improved and discovered that Frank’s sleep pattern was not tuned to day-and-night. He had a 25-hour circadian rhythm which meant he did not feel awake during the day and sleepy at night. The team worked with him to restore a 24-hour cycle.

With restorative sleep he became more resilient and less irritable. A few years since admission, the team felt it was not in his best interests to continue to support his complex needs in a hospital environment. So, we built Frank a home for life. For the past five years, he has lived in one of our continuing care services. He gets on well with his care team and visitors. He plays his music, which helps him to express how he is feeling.

Find out more about Frank’s story and how are services are making a difference to people with brain injuries http://www.thedtgroup.org/media/163991/the-disabilities-trust-birt-outcome-report-2019-2020.pdf?fbclid=IwAR3X9xf_NBIRA04Nxoh4wfiwyH0L9XuE0yS9KI3XUdgbhA4SS4AIGWBh4Y0

*this is a fictitious name to protect the person’s identity. This anonymised case study is included with the permission of Frank’s legal guardian.