Outcome of Different Treatment Mixes in a Multidimensional Neuropsychological Rehabilitation Program

Within a clinical demonstration program, three groups of traumatically brain injured patients were treated with three different mixes of treatment. Mix 1 included cognitive remediation, small-group interpersonal communication training, therapeutic community activities, and personal counseling. Mix 2 was similar to Mix 1 but stressed small-group interpersonal exercises and eliminated cognitive remediation. Mix 3 emphasized cognitive remediation and eliminated small-group interpersonal exercises. The efficacy of these treatment mixes was evaluated with performance on neuropsychological tests, improved independence in functional activities, measures of intra- and interpersonal functioning, and vocational outcome.