The clinical and cost-benefits of investing in neurobehavioural rehabilitation: A multi-centre study

Abstract

Primary objective: The aim of this study was to investigate the cost-benefits of a residential post-acute neurobehavioural rehabilitation programme and its effects on care needs and social participation of adults with acquired brain injury.

Research design: Retrospective multi-centre design.

Methods and procedures: Data on occupation, adaptability and level of support required were collected at admission, discharge and 6-months follow-up. Cost analysis was performed on cost estimates based on level of support.

Main outcomes and results: Significant gains were observed in all areas of functioning, with individuals progressing towards higher levels of independence and more participation in society upon discharge.

Conclusions: Cost-benefits of up to £1.13 million were demonstrated for individuals admitted to rehabilitation within a year of sustaining a brain injury and of up to £0.86 million for those admitted more than 1 year after injury. Functional gains and reductions in levels of care required upon discharge were maintained 6 months later. These results demonstrate that post-acute neurobehavioural rehabilitation can have a positive impact on the lives of individuals with brain injury and that the associated costs are off-set by significant savings in the longer-term.

• Acquired brain injury
• economic appraisal
• functional ability
• healthcare
• social care

Acknowledgements

We would like to thank Ms. Lorraine Haye for her help in collating the data for this study as well as those too numerous to mention who assisted in the collection of these data.