The care needs of people affected by a brain injury often fall informally onto their parents, spouse or siblings. In Australia, 97% of people under 65 years with a brain injury live in households, whereas only 3% live in cared accommodation. Research by Pakenham et al. (2005) found these caregivers reported caring an average of 114 hours per week, and that half earn under $20, 000 per annum. The sudden and abrupt nature of brain injury places huge demands on family members, and comes at a personal cost to the primary carer.