Bởi vì bệnh viện và các chương trình phục hồi chức năng dưới áp lực ngày càng trở nên hiệu quả hơn và tạo ra nhiều tiền hơn ở mức giá thấp hơn, và bởi vì quản lý chăm sóc đặt ra các giới hạn thêm về bản chất, chiều dài, và vùng phủ sóng của dịch vụ "không cần thiết", | 30 The Family System Marie M. Cavallo . Thomas Kay . The Family System Homeostasis and Involvement Because hospitals and rehabilitation programs are under increasing pressure to become more efficient and generate more money at lower rates and because managed care sets more limits on the nature length and coverage of nonessential services non-reimbursed services and programs such as family education and involvement of families in team meetings of necessity decline. It can no longer be assumed that families of persons with traumatic brain injury TBI will be attended to and given what they need. It is our hope that this chapter will serve as an introduction to service providers across disciplines to sensitize them to the needs of families so that that the role of family therapy can be spread out and shared across the rehabilitation team and into the community. The effect of TBI on the family system merits study for five important reasons. 1. TBI inevitably causes profound changes in every family system. 2. These changes dramatically influence the functional recovery of the person with brain injury. 3. The effect of TBI continues over the life cycle of the family long after the initial adjustment to disability is made. 4. The lives of individual family members may be profoundly affected by a brain injury in another family member. 5. Family assessment and intervention are crucial at all stages of rehabilitation and adjustment after TBI even when a pathological response is not present. TBI is an event that affects and alters an entire family not only the person with the injury. Families are systems with sets of relationships and roles that develop to maintain an effective balance in the day-to-day world. This homeostasis is broken at the moment one person in the family sustains a brain injury. The struggle of the family to right itself and reestablish a new homeostasis after TBI in one member is parallel to the process of rehabilitation and adjustment in the .
