Our Service User, a 24-year-old male, was admitted after a car collided with him. He sustained a head injury and was brought to the emergency department unconscious. His Glasgow Coma Scale (GCS) score was 4/15.

CT imaging revealed a traumatic brain injury (TBI) with a frontal lobe contusion and evidence of intracranial haemorrhage requiring surgery. Initial management included stabilisation, monitoring for intracranial pressure, pain management, and seizure prophylaxis, followed by admission to the neuro-observation unit.

Post-acute assessment showed him to have non-verbal memory deficits, poor concentration, irritability, and emotional lability.

While in the hospital, a multidisciplinary rehabilitation plan was initiated, and a support worker was assigned to help with the required therapies. Cognitive therapy, physiotherapy for balance and coordination, occupational therapy for daily living skills, and psychological counselling to support emotional regulation, and speech and language therapy to help with verbal exercises and swallow deficit.

Family education emphasised safety, gradual return to activities, and monitoring for behavioural changes.

With consistent therapy, the service user has demonstrated gradual improvement in attention, memory, and emotional control. Through ongoing support we have achieved significant improvements and he been identified for an intensive therapy programme at a rehabilitation unit