23/04/2026
When a support team tells us someone is “refusing care” or “getting aggressive” - our first question isn’t how do we manage this. It’s what is the brain actually doing here?
After ABI, what looks like non-compliance is almost always something else. Reduced insight. Cognitive overload. Impaired initiation. An inability to process what’s being asked, when it’s being asked, in the way it’s being asked.
We’ve walked into homes where someone was labelled difficult and found a setup that was impossible for them to succeed in.
Our assessment looks at the full picture: the cognitive demands of each task, where the breakdown actually occurs, and what needs to shift, the environment, the communication approach, the sequence, the people involved.
Then we work with the team to make those changes practical. Not a report that sits in a folder. Strategies that actually get used.
When the approach matches the brain, a lot of the “behaviour” disappears.
If escalation is increasing and no one’s sure why, that’s exactly the kind of referral we want. Send us a message or email - we’ll talk it through before you even lodge a referral.