Assessing support needs for people with traumatic brain injury: the care and needs scale (CANS)

  title={Assessing support needs for people with traumatic brain injury: the care and needs scale (CANS)},
  author={Robyn L Tate},
  journal={Brain Injury},
  pages={445 - 460}
  • R. Tate
  • Published 1 January 2004
  • Medicine, Psychology
  • Brain Injury
Background: After traumatic brain injury (TBI), many individuals have support needs, but the variety, frequency and intensity of such needs vary widely. Currently available scales do not assess all facets of required supports and the eight-category Care and Needs Scale (CANS) was developed in order to capture the range of support needs. The aim of the present study was to examine the sensitivity and validity of the CANS. Method: Using a sample of 67 people who sustained severe TBI 20-26 years… 
A longitudinal study of support needs after severe traumatic brain injury
Support needs after severe TBI are prevalent, varied, and change over time, which have implications for care-giving and service delivery.
Reliability of the Care and Needs Scale for Assessing Support Needs After Traumatic Brain Injury
The excellent inter-rater and test-retest reliability findings from this present study indicate that the CANS is a reliable and valid instrument for application in clinical practice.
Validity and responsiveness of the care and needs scale for assessing support needs after traumatic brain injury.
Long-Term Outcome Following Traumatic Brain Injury
It is suggested that high care needs do not necessarily preclude participants from leading active lives and participating in valued life roles, and the importance of social support in facilitating participation in activity and the potential issues for caregiver burden should be acknowledged.
Changes in Care and Support Needs Following Community-Based Intervention for Individuals With Acquired Brain Injury
With a long term approach and contextualised intervention targeted at skill development in the areas that underpin personally valued participation, increased role performance and community integration can be achieved by people with severe ABI, even many years post injury.
Community integration questionnaire: Outcomes of people with traumatic brain injury and high support needs compared with multiple matched controls
Normative CIQ data has enabled meaningful comparisons of the community integration of adults with chronic TBI to the general population in Australia, and evidence makes clear with numeric precision that individuals with TBI and high support needs are much less integrated than their non-TBI counterparts despite living in the community for many years.
Outcome instruments in moderate-to-severe adult traumatic brain injury: recommendations for use in psychosocial research
These recommendations provide a coherent framework along with identified outcome instruments to guide psychosocial research in moderate-to-severe TBI, enabling data-pooling and comparison across studies and research settings facilitating consistent measurement across the lifespan.
Development and validation of the Paediatric Care and Needs Scale (PCANS) for assessing support needs of children and youth with acquired brain injury
Preliminary evidence for the validity of the PCANS for assessing support needs after paediatric ABI is found and PCANS support extent and intensity scores were able to distinguish between sub-groups dichotomized by VABS and KOSCHI scores.
Assessing Care and Support Needs for Children With Acquired Brain Injury: Normative Data for the Paediatric Care and Needs Scale (PCANS)
Abstract Introduction: The Paediatric Care and Needs Scale (PCANS) was developed to address the dearth of scales currently available for measuring support needs of children with acquired brain injury
Changes in supervision needs following participation in a residential post-acute brain injury rehabilitation programme
Reductions in supervision needs following PABIR can be found, even after accounting for the impact of spontaneous neurological recovery both at the group and individual level.


Measuring psychosocial recovery after traumatic brain injury: psychometric properties of a new scale.
The results suggest that the SPRS has sound psychometric properties, being a reliable, stable, sensitive, and valid instrument that is potentially useful in both clinical and research settings.
Disability rating scale for severe head trauma: coma to community.
The DR Scale is more sensitive than the Glasgow Outcome Scale in detecting and measuring clinical changes in individuals who have sustained severe head trauma and can be used to help identify patients most likely to benefit from intensive rehabilitation care within a hospital setting.
Service Utilization following Traumatic Brain Injury
In this study, people with TBI used services well beyond the early stage of recovery and psychosocial disability may be a better predictor of service use than physical and cognitive disability alone.
Functional Measures After Traumatic Brain Injury: Ceiling Effects of FIM, FIM+FAM, DRS, and CIQ
Celling effects for the FIM, FIM+FAM, and two of the three CIQ subscales indicate that these measures are not as sensitive to changes, especially in the community, as may be needed to assess progress in areas most commonly causing dysfunction for the TBI population.
Assessing traumatic brain injury outcome measures for long-term follow-up of community-based individuals.
Moves that appeared to contribute little to assessing functional status of a TBI sample years postinjury were the FIM, FIM+FAM, SRS, GOS, and LCFS, while measures that showed a range of deficits across participants were DRS employability, the NFI, PCRS, and the R-CHART cognition subscale.
Measuring psychosocial recovery after brain injury: change versus competency.
Supervision rating scale: a measure of functional outcome from brain injury.
  • C. Boake
  • Medicine, Psychology
    Archives of physical medicine and rehabilitation
  • 1996
Validation of the Service Obstacles Scale for the traumatic brain injury population.
Results indicate good internal consistency and criterion-related validity of the Service Obstacles Scale, and comparisons are made with regard to family needs and respondents' post-injury life quality.
Conducting statewide needs assessments for persons with traumatic brain injury.
  • J. Corrigan
  • Psychology
    The Journal of head trauma rehabilitation
  • 2001
The context of the HRSA-funded needs assessments is summarized and the methods of needs assessment utilized are contrasted, including exemplary qualitative and quantitative methods, and the diversity of theoretical models employed in designing assessments and interpreting findings.
Community Supports for Individuals with Challenging Behavior after Brain Injury: An Analysis of the New York State Behavioral Resource Project
Many individuals with behavioral impairments can be supported successfully in community settings, so long as those supports are flexibly implemented to meet the changing needs of those individuals.