Responding to a crisis
Brain injury can sometimes result in behaviour that is dangerous to the person with the injury and those around them.
Read moreTraumatic brain injuries often result in damage to the frontal lobe. This area of the brain used in reasoning, problem solving and controlling our more basic impulses and emotions such as anger. An individual who has sustained a brain injury has often lost these skills. This means they may have trouble controlling their response to feelings of anger. This can result in violent outbursts with minimal provocation and little warning. In many cases, brain injury affects social judgement and the ability to know what is appropriate in different situations.
Examples include:
Brain injury also affects self-awareness. This means that a person may feel justified in saying others were responsible for provoking their anger.
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While allowances need to be made for changes brought on by a brain injury, actual violence requires an immediate and consistent response and should never be tolerated.
Family members should respond to inappropriate behaviours as soon as they emerge. This will prevent a pattern of family abuse becoming established in the home. Ignoring angry outbursts and not setting limits can lead to a cycle of violence developing.
There are a variety of strategies available for families to minimise the chances of domestic violence occurring. The strategies within the positive behaviour support approach include:
Remember that brain injury affects memory and self-awareness. A person with brain injury may not remember past violent behaviour and their actions should not be taken personally. Try to find out what triggers the behaviour and avoid or minimise these in the future.
Behaviour specialists are available if rehabilitation has already finished. There are many strategies available such as:
Have a family meeting whereby all members are trained to treat aggressive behaviour consistently within a positive behaviour support plan.
Carers and family members need to maintain support systems so that they always have trusted people to talk to. Joining a local support group is a great way for carers to connect with families who are in similar situations.
Carers need to remove themselves from a potentially violent situation the moment they no longer feel safe. They may use language such as: ‘you’re getting upset, we are leaving for a few minutes so you can calm down. I will return when your anger is under control.’
It is important to maintain a safe environment by removing potential weapons or dangerous objects. This includes objects that could be thrown or used to damage property. An easy-to-access list of emergency phone numbers should also be part of any safety plan.
Brain injury is never an excuse for domestic violence. If violence still occurs despite professional support and a positive behaviour support plan, the next option is to either contact police and report the abuse, or request a restraining order.
Contact Synapse on 1800 673 074 for information about available support and advice. This includes information on legal, emergency accommodation, restraining orders and appropriate support for the person with the brain injury.
Brain injury can sometimes result in behaviour that is dangerous to the person with the injury and those around them.
Read moreChallenging and complex behaviours are common following a brain injury where there is damage to areas of the brain that control impulses and regulate emotions.
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