The Multicontext Approach to Cognitive Rehabilitation

Book excerpt: This text provides practical information, tools and resources for implementation of the Multicontext Approach (MC) in cognitive rehabilitation. The Multicontext approach is uniquely designed to promote and enhance cognitive strategy use, self-awareness and self-monitoring skills across everyday activities in a way that maximizes functional outcomes for people with cognitive impairments due to acquired brain injury and other health conditions. Assembled by a leading worldwide expert in cognitive rehabilitation, this is the first comprehensive volume that integrates Multicontext treatment principles, evidence and guidelines all in one place and provides "how to" information to guide clinical practice and research. Organized into 3 sections, the first part provides foundational knowledge and clinical examples of the impact of cognitive impairments on functional performance and includes tools for observing, analyzing, and interpreting cognitive performance within daily life activities. The second part provides in-depth coverage of the Multicontext approach including theoretical concepts, strategies to address different cognitive performance problems, and detailed guidelines for using a structured metacognitive framework, guided learning techniques, and structuring treatment activities along a transfer continuum to optimize generalization or carryover of learning. The final part of the book provides additional clinical scenarios and case examples to illustrate how the Multicontext approach can be tailored to meet individual needs across a wide range of clinical problems and settings as well as within interprofessional teams. This landmark publication is an essential resource for occupational therapy practitioners, students, clinical neuropsychologists, researchers, and other healthcare professionals who work within the field of cognitive rehabilitation in inpatient, outpatient or community-based settings. In a large-size format for easy photocopying, this invaluable book features an extensive appendix with a full of a range of learning exercises and reflective activities, summaries, observational tools, training guides, clinical examples, treatment forms and worksheets that can be reproduced for clinical practice to enable readers to carry out these methods with their clients. Purchasers obtain access to a Web page where they can download and print reproducible materials from appendices.