It really is estimated that greater than one particular million adults inside the UK are presently living using the long-term consequences of brain injuries (Headway, 2014b). Rates of ABI have elevated considerably in recent years, with estimated increases more than ten years ranging from 33 per cent (Headway, 2014b) to 95 per cent (HSCIC, 2012). This increase is on account of a number of things including improved AZD3759 custom synthesis emergency response following injury (Powell, 2004); much more cyclists interacting with heavier traffic flow; improved participation in dangerous sports; and bigger numbers of really old folks in the population. In accordance with Nice (2014), probably the most frequent causes of ABI inside the UK are falls (22 ?43 per cent), assaults (30 ?50 per cent) and road visitors accidents (circa 25 per cent), although the latter category accounts for a disproportionate variety of a lot more extreme brain injuries; other causes of ABI include sports injuries and domestic violence. Brain injury is much more popular amongst men than women and shows peaks at ages fifteen to thirty and over eighty (Good, 2014). International data show comparable patterns. For example, within the USA, the Centre for Disease Handle estimates that ABI affects 1.7 million Americans every single year; young children aged from birth to 4, older teenagers and adults aged over sixty-five have the highest rates of ABI, with guys extra susceptible than women across all age ranges (CDC, undated, Traumatic Brain Injury in the United states: Truth Sheet, available on the internet at www.cdc.gov/ traumaticbraininjury/get_the_facts.html, accessed December 2014). There is certainly also increasing awareness and concern in the USA about ABI amongst military personnel (see, e.g. Okie, 2005), with ABI prices reported to exceed onefifth of combatants (Okie, 2005; Terrio et al., 2009). Whilst this short article will concentrate on present UK policy and practice, the difficulties which it highlights are relevant to several national contexts.Acquired Brain Injury, Social Work and PersonalisationIf the causes of ABI are wide-ranging and unevenly distributed across age and gender, the impacts of ABI are similarly diverse. Some 
individuals make a very good recovery from their brain injury, whilst others are left with considerable ongoing issues. In addition, as Headway (2014b) cautions, the `initial diagnosis of severity of injury just isn’t a trusted indicator of long-term problems’. The potential impacts of ABI are well described each in (non-social function) academic literature (e.g. Fleminger and Ponsford, 2005) and in individual accounts (e.g. Crimmins, 2001; Perry, 1986). Having said that, offered the restricted consideration to ABI in social operate literature, it really is worth 10508619.2011.638589 listing a few of the frequent after-effects: physical difficulties, cognitive troubles, impairment of executive functioning, changes to a person’s behaviour and changes to emotional regulation and `personality’. For a lot of individuals with ABI, there is going to be no physical indicators of impairment, but some might expertise a array of physical issues which includes `loss of co-ordination, muscle rigidity, paralysis, epilepsy, difficulty in speaking, loss of sight, smell or taste, fatigue, and sexual problems’ (Headway, 2014b), with fatigue and headaches becoming specifically prevalent following cognitive activity. ABI may possibly also cause cognitive troubles which include problems with journal.pone.0169185 memory and decreased speed of facts processing by the brain. These physical and cognitive aspects of ABI, while challenging for the person concerned, are comparatively easy for social workers and others to conceptuali.