Our input is client centred and delivered in settings of primary importance to an individual, as this promotes transfer of skills and strategies acquired in therapy to real-life situations.

How we work

Who we work with

The Arbor team will work with clients who are in a community setting who have an acquired brain injury. This includes a wide range of presentations, including traumatic brain injuries, strokes and other non-degenerative neurological injuries.

​Where we work

Therapy sessions can be carried out in a variety of environments tailored to client needs:

  • ​Home
  • Vocational environments
  • Educational settings
  • Social groups
  • Community participation

Arbor aims to offer therapy sessions at times convenient to the client, and can be flexible with regularity and length of therapy appointments (within the demands of the service).

Please contact us to discuss your needs.

Typical Arbor therapy pathway

Assessment

Initial therapy needs assessment will be undertaken in collaboration with the referrer (usually case managers), possibly undertaken as a telephone conversation. This will be completed with one of Arbor’s directors, following which therapists will be assigned and will undertake their specialist initial therapy needs assessment.

  • Discipline specific assessment will be undertaken where indicated for rehabilitation purposes

Currently Arbor do not provide medico-legal assessments.

Goal setting

Arbor holds the clients’ values at its core and therefore all goals will be linked to values-based work. As part of the assessment process, clients and their families will undergo a goal-planning session:

  • Goals – short and long-term
  • GAS (Goal Attainment Scale) goals in collaboration with therapists
  • Goal based intervention and note writing

Therapy

Arbor therapists will undertake therapy based on collaborative client centred goals. For further information regarding specific therapies please see Our Services.

Therapeutic work will be overseen by a senior member of the team and all therapists will have regular clinical supervision in accordance with their professional regulatory bodies.

As an interdisciplinary team specialising in brain injury rehabilitation we meet regularly to discuss therapeutic work, therapeutic engagement, barriers to progress and to review progress towards goals. For further information regarding specific therapies please see Therapies.

Outcomes

Providing an evidence-based and measurable therapeutic intervention is at the core of our approach. Outcome measures will be completed by Arbor therapists, dependent on their initial assessment and opinion. These are individualised and will be completed following completion of therapeutic work and included in progress reports provided by the team.

Typical outcome measures undertaken may include:

  • Community Integration Questionnaire (CIQ)
  • ​Self-efficacy scale (SES)​
  • Goal Attainment Scaling (GAS) goals​
  • Satisfaction With Life Scale (SWLS)

And possibly other discipline specific outcomes as indicated.

I suffered a severe closed head injury in 1994 and had difficulty coping and learning to live with the various problems it gave me, placing me into a deep depression. I struggled with communication, remembering information and managing my behaviour. By working with Kesta and Sarah, I was taught coping strategies, learning techniques and the tools I need to help me deal with and understand the ‘new me’, helping me to move forward. Accepting the effects of my head injury and coming to terms with it is hard to do. Through their help and training, I now have the insight and tools I need to cope with my difficulties and deal with the challenges I face. Not only did I find the psychological and academic support extremely important, it was their care and understanding that helped me to adjust.

G, previous client,
Bristol

I had a RTC a year ago and sustained 2 bleeds to the brain, and a concussion amongst other injuries. I had a lot of rage, depression, stress, and self pity. I worked with Kesta and trusted her immediately she put me at ease so quickly and easily, now we have finished our sessions I am a totally new and confident person, she is nothing short of a miracle worker, she is such a lovely and caring person always had my interests at heart, I can’t praise her enough. She will always have a special place in my heart. Thank you Kesta, you’re absolutely fabulous.

T,
Bristol

I have worked with Dr Purt for several years in her capacity as neuropsychologist with a number of my brain injury clients. She has worked with clients and families with a variety needs.

Kesta is skilled at developing rapport with clients and their families using a clear, empathetic and client centred style. She works well with clients and families who are difficult to engage and assists them to develop appropriate goals to address their psychological and cognitive needs. Kesta is a valuable member of the multidisciplinary team and works clearly and collaboratively with others including professionals and care staff.

Lucy Callus,
Case Manager,
Bristol

An extremely thorough and comprehensive report and Sarah’s experience and professional knowledge shine through.

D.W.,
Occupational Therapist and Care Expert,
Somek & Associates,
UK

S suffered a brain haemorrhage which impacted both speech and comprehension. Sarah Gibbin works with S at home most weeks and S has improved greatly during this time. Sarah motivates by recognising interests and always changing the tasks before frustration sets in. S has a great relationship with Sarah and looks forward to her sessions, we would recommend Sarah to anyone.

S and family,
Bristol
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