Acquired Brain Injury (ABI)
Acquired brain injury (ABI) is any type of injury to the brain that occurs after birth. It can result from trauma, hypoxia, infection, substance abuse, degenerative neurological disease, or stroke.
Impact of ABI
The impact depends not only on the cause, but also on which area of the brain suffers damage. ABI can affect a person’s physical, cognitive or emotional functions or, in some cases, all three. This can have serious consequences for the person's level of independence.
It is common for many people with ABI to experience increased mental and physical fatigue and some slowing down in the speed with which they process information and solve problems. They may experience changes in their behaviour and personality, physical and sensory abilities, or thinking and learning. These changes can result in significant implications for full participation in education, employment and other aspects of life. Relationships with families, friends and carers can also be affected by behavioural personality and changes.
Teaching Strategies
There is a range of inclusive teaching strategies that can assist all students to learn but there are some specific strategies that are useful in teaching a group which includes students with ABI. Strategies used will need to address the student’s specific physical, cognitive or emotional limitations or a combination of these.
They include:
- Provision of recorded lectures or a notetaker.
- Provision of clear, detailed information (both oral and written) about the structure of the course, practical arrangements, assessment requirements and deadlines.
- Clear course structure.
- The provision of specialist tuition support, e.g. language skills, structuring work.
- If group work is required, have clear expectations and instructions. If group-work proves too stressful, provide an alternative assessment method.
- Flexible delivery of teaching material via electronic media is particularly helpful for students who are unavoidably absent from class or who cannot participate in classes for extended periods of time.
- It may be helpful for the provision of individual orientation to laboratory equipment or computers to minimise the anxiety that is likely for some students in unfamiliar learning situations.
- Some students with ABI may be over-sensitive to what they perceive as criticism from others. They may prefer verbal to written feedback on assignments.
- Recording lectures will assist those students whose attentional processing is affected by their disability as well as those who, because of the effects of medication and/or short-term memory loss, may tend to misinterpret or misquote.
- Students who tire easily, may be frequently late or absent due to the distance between teaching venues.
- Academic activities which take place off-campus (such as industry visits, interviews or fieldwork) need to be accessible to people with a mobility disability.
- Students with a mobility disability may sometimes wish to use their own furniture, such as ergonomic chairs or sloped writing tables.
- Provision of assignment extensions and acceptance of class absence explanations due to disclosed condition, without the need for students to produce a medical certificate
- Students who are anxious about performing in front of others may prefer to video-record any presentations which are to be assessed or deliver a one-to-one presentation.
- Sometimes student behaviour may be challenging for teaching staff and other students. There are a range of strategies for addressing disruptive behaviour.
- Absences due to hospitalisation or the effects of changes to medication may affect the number of assignments students are able to complete satisfactorily.
Assessment Strategies
Students with ABI may need particular adjustments to assessment tasks. Once you have a clear picture of how the disability impacts on learning you can consider alternative assessment strategies.
In considering alternative forms of assessment, equal opportunity, not a guaranteed outcome, is the objective. You are not expected to lower standards to accommodate students with disability, but rather are required to give them a reasonable opportunity to demonstrate what they have learned.
- Students may benefit from the opportunity to look at the instructions and structure of examination papers before the exam so that any confusion can be dealt with and anxiety minimised.
- Some students may need extra time in examinations or require a separate room free from distractions. Take-home examinations may be an option for these students.
- A reader or an oral examination (either presenting answers on tape or participating in a viva) are alternatives to the conventional written paper. An oral examination is not an easy option for students. Extra time may be needed for the student to listen to and refine or edit responses. Allowance should be made for the fact that spoken answers are likely to be less coherent than written answers.
- For some students the combination of written and oral examination will be most appropriate. Assessment should be based on both the notes and the spoken presentation.
- Students may need to use a personal computer or a personal assistant in an examination. If so, it may be necessary to provide extra space for equipment, or a separate examination venue if the noise from equipment (e.g. a voice synthesiser) is likely to be distracting for other students.
- Provision of extra time in examinations for students who have reduced writing speed. Some students with an ABI may need rest breaks. Take-home examinations and split papers may be options, given that some students may need double time to complete examinations.
Related Resources
ADCET Webinars
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Video
ADCET Webinar: COVID-19 & Beyond: Perspectives from University Students
In this webinar a panel of university students with disability share how COVID-19 disruptions impacted on their studies. Hear about their challenges, the successful strategies and coping skills they used, the unexpected benefits they discovered, and what they want to take forward. Students also share their thoughts, insights and suggestions for on-line learning. (September 2020)
Download: Presentation (pptx) 3MBDownload: Transcript (doc)
Assistive Technology
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Web link
AudioNote: Notepad and voice recorder
Take notes with recorded audio. AudioNote combines the functionality of note-taking and voice recording apps to create a powerful tool that will save you time while improving the quality of your notes.
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Web link
Tobii DynaVox: Assistive technology for communication
Tobii Dynavox provides communication apps, speech generating devices, eye trackers and eye gaze-enabled devices for individuals with disabilities and special needs who require Augmentative and Alternative Communication (AAC). We have helped thousands of individuals with disabilities such as aphasia, autism, cerebral palsy, ALS, muscular dystrophy, Rett syndrome and spinal cord injury lead fuller and richer lives.
Weblinks and Articles
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Web link
AudioNote: Notepad and voice recorder
Take notes with recorded audio. AudioNote combines the functionality of note-taking and voice recording apps to create a powerful tool that will save you time while improving the quality of your notes.
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Web link
Brain Injury Australia
Brain Injury Australia (BIA) is the central clearinghouse of information and gateway to nationwide referral for optimising the social and economic participation of all Australians living with brain injury.
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Web link
Brain Injury Network of South Australia
A network for people with Acquired Brain Injury (ABI) their carers, vocational rehabilitation providers and other support services.
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Article
Disability in Australia: Disability Reports
Numerous publications and reports developed by the Australian Institute of Health and Welfare. Including, Disability in Australia: intellectual disability, Disability in Australia: acquired brain injury, Disability in Australia: multiple disabilities and need for assistance, Disability prevalence and trends and Disability associated with chronic diseases.
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Web link
NDIS & Further Education Pre-planning Toolkit
The NDIS Pre-planning Toolkit for people with disability entering Higher Education or Vocational Education and Training is designed to be used before you start a tertiary course at university or with a vocational education and training provider.
Your disability may mean you require extra support to complete your chosen course to ensure your participation is on the same basis as other students. These booklets will help you identify what supports you may need, who is responsible for providing them and how you can access them.
There are eight specific resources for the most prevalent disability types accessing further education and training.
(Published 2018. Revised 2021)
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Article
NDIS Pre-planning Toolkit for people with an Acquired Brain Injury entering Higher Education or Vocational Education and Training
This NDIS Pre-planning Toolkit is for people with an Acquired Brain Injury entering Higher Education or Vocational Education and Training. Your disability may mean you require extra support to complete your chosen course to ensure your participation is on the same basis as other students. This booklet will help you identify what supports you may need, who is responsible for providing them and how you can access them. (Published 2018. Revised 2021)
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Web link
Student Voice Video Blog
During 2020, the NCSEHE has invited students to share their challenges and celebrate their triumphs during, and beyond, the COVID-19 pandemic through a series of Student Voice video blogs.
Experienced online student Ashley Willcox hopes to share her practical and uplifting knowledge to help other students overcome the challenges presented by the COVID-19 pandemic.
Despite an acquired brain injury, Ashley’s outstanding accomplishments over a long period of study have culminated in a Masters of Teaching in Secondary Education at the University of Technology Sydney.
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Web link
Tobii DynaVox: Assistive technology for communication
Tobii Dynavox provides communication apps, speech generating devices, eye trackers and eye gaze-enabled devices for individuals with disabilities and special needs who require Augmentative and Alternative Communication (AAC). We have helped thousands of individuals with disabilities such as aphasia, autism, cerebral palsy, ALS, muscular dystrophy, Rett syndrome and spinal cord injury lead fuller and richer lives.
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Web link
Traumatic brain injury training kit
This on-line kit has been developed to assist staff working with people who have a traumatic brain injury. The kit includes 12 self-study modules for staff working with people with TBI as well as downloadable presenter notes for use by trainers who are running workshop sessions for staff working with people with TBI.
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Web link
Working with people with acquired brain injury (ABI)
This site is for helping people to learn about working with people with acquired brain injury (ABI). There are two Self-Study modules: 1. Introduction to ABI 2. Working with people with ABI.