Neurobehavioral Rehabilitation

Changes in personality and behavior are familiar consequences of traumatic brain injury (TBI) and often represent a significant barrier to effective rehabilitation and a successful outcome. In the acute stages of recovery from TBI, it is common for a person to exhibit a variety of behavioral complications which are considered by many to be a normal phase of recovery. When these behaviors continue beyond the acute recovery phase, however, and form on-going negative patterns of interaction with others, very specialized treatment is required. These behaviors can be disturbing to families and staff, disruptive to therapy, jeopardize patient safety and negatively impact a patient's community re-entry and future quality of life.


Applied Behavior Analysis

Applied behavior analysis can be a powerful methodology for teaching people more positive ways of interacting with their environment and those around them. Centre for Neuro Skills provides a staff of Board Certified Behavior Analysts and over thirty-five years of experience in successfully treating patients with the most severe behavioral complications following their brain injury. Our behavior analysts complete in-depth assessments and detailed treatment plans to reduce challenging behaviors and increase positive behaviors. Staff members at both our clinic and residential locations are trained in behavior skills, crisis prevention, implementation of behavioral programming and regularly meet with behavior analysts to discuss the effectiveness of treatment plans.


Neurobehavioral Rehabilitation Program

Centre for Neuro Skills treats a variety of challenging and severe behaviors including:

  • Physical Aggression
  • Verbal Aggression
  • Self-Injurious Behavior
  • Lack of Initiation
  • Inappropriate Social Behavior
  • Noncompliance
  • Sexual Disinhibition
  • Property Destruction
  • Escape and Elopement


Our Neurobehavioral Rehabilitation Program is based on fundamentals of behavior analysis, such as precisely identifying a patient's challenging behaviors, any environmental and internal factors that might be contributing to the occurrence of the behaviors and responses to the behaviors that make it more likely to continue. Neurobehavioral treatment is most effective when it is integrated with a comprehensive brain injury rehabilitation program. Centre for Neuro Skills provides coordinated medical and behavioral programming so as to maximize learning and reduce reliance upon medication, however, some patients are optimized by a combination of the two. Neurobehavioral treatment provides a “meta-structure” within which the various therapeutic disciplines of brain injury rehabilitation are carried out. The goal is to reduce those behaviors that limit independence and increase positive behaviors that empower a person and enhance opportunities for community, social, and family interaction.


Neuro Behavior Program Emphasizes Community Re-Integration: Read more

Case Study: Overcoming Behavioral Struggles, a Woman Embraces Life Again: Read more

TBI and Behavior Articles: Read abstracts


CNS Behavior Publications

The use of noncontingent reinforcement and contingent restraint to reduce physical aggression and self-injurious behaviour in a traumatically brain injured adult, Persel, C.S. and Persel, C.H. (1997), Brain Injury, 11(10), 751-60. Read abstract

Persel, C.S., & Persel, C.H. (2010). The Use of Applied Behavior Analysis in Traumatic Brain Injury Rehabilitation. In M.J. Ashley (Editor), Traumatic Brain Injury: Rehabilitation, Treatment and Case Management. Third Edition. Boca-Raton, FL: CRC Press Inc. Read more


Neurobehavioral Rehabilitation

Neurobehavioral Treatment of Severe Behavior After Traumatic Brain Injury