Improving Executive Functions After Traumatic Brain Injury (TBI): A Clinical Trial of the "Executive Plus" Program

Inclusion Criteria: At least 18 years old Having a TBI as a result of a blow to the head followed by a loss of consciousness or period of being dazed and confused or a period of post traumatic amnesia or clinical signs of altered neurological function; this information must be medically documented (e.g., emergency medical record, hospital record, neuroradiological report, or neurological exam or record of physician's visit within 24 hours of injury). At least three months post-injury English-speaking (treatment sessions will be conducted in English) Reporting executive dysfunction (by self or family) Willing and able to participate in and travel to the program daily for six months Oriented to time, place and person Having a full-scale intelligence quotient (IQ) of at least 75 Having a score on the Galveston Orientation and Amnesia Test of 75 or more Having communication skills adequate to participate in groups Having at least a sixth-grade reading level (for testing and use of written materials) Willing to complete questionnaires and interviews about mood, thinking skills, participation and the like Agree to participate, i.e., completion of informed consent and Health Insurance Portability and Accountability Act (HIPAA) documents Exclusion Criteria: Active substance abuse Active psychosis Active suicidality Disruptive or violent behavior to self or others Current cognitive rehabilitation (this does not include psychotherapy) No impairment on the Frontal Systems Behavior Scale (FRSBE) or Wisconsin Card Sorting Test (WCST)