Rehabilitationists face challenges in developing a comprehensive theoretical and treatment framework in their approaches to traumatic brain-injured patients. Historically, psychological explanations and treatments have dominated the rehabilitation approaches of these patients. Psychopharmacologic approaches have been neglected and relegated a secondary role. It is physicians' current challenge even if the integration of the two methodologies for the betterment of patients may be difficult to achieve.
Although there is almost certainly a bright and promising road for physicians to follow in their attempts to aid the TBI survivor with his or her disabilities, current economic trends in health care are threatening to block significant progress down this road. Physicians who care for the TBI victim and survivor must become aggressive in their support of these new options. They must push aggressively forward on this task because their ability as professionals to develop such innovative treatment integration in the future appears to be coming under increasing constraints. There may not be much opportunity to do so later if the present chance is lost. If physicians are successful in taking up this challenge, the next decade should provide increased recovery and promise for victims of this terrible malady: traumatic brain injury.
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