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Navigation: SOS Sisson > Traumatic Injury Blog
Jack Sisson's TBI Blog
A hug is duct tape for the soul.
Sunday, March 04, 2012
Brain injury impairs financial decision making
Talk about coincidence. Jack and I were just discussing this very topic the other day. You'd think it would be pretty obvious that someone with a brain injury would need help with certain (many?) things, including finances, but Jack received none after his TBI. In fact, he faced problem after problem, including people professing to help but actually taking advantage. If you or a loved one has suffered a TBI, please remember that seeking help is not a weakness, but rather it is the smart thing to do.From The Jerasalem Post:
People who experience a traumatic brain injury show a marked decline in the ability to make appropriate financial decisions in the immediate aftermath and a continued impairment on complex financial skills six months later, according to new research from the University of Alabama at Birmingham.
In findings published in Research Psychology this week, the UAB team suggests that individuals with moderate to severe TBI will need assistance in managing their financial affairs, particularly immediately following the injury.
“It is likely that after moderate to severe TBI, most survivors will not be able to manage any aspect of their financial affairs,” said Daniel C. Marson, J.D., Ph.D., professor in the Department of Neurology, director of the division of neuropsychology and senior author of the study. “There will be an immediate need for education and identification of responsible parties to manage financial affairs and protect the economic resources and emotional well-being of those with TBI.”
Marson’s research team studied 24 persons with moderate to severe TBI and 20 healthy controls using the UAB-developed Financial Capacity Instrument. The FCI is a standardized method of evaluating performance on 18 financial tasks within nine domains and has two overall scores. Skills include such things as understanding a bank statement, balancing a checkbook, paying bills and counting coins and currency.
The team evaluated the TBI patients at the time of hospitalization following the injury and then again six months post-injury.
“At the time of hospitalization, participants with TBI performed significantly below the control group on the majority of financial variables tested using the FCI,” said Laura Dreer, Ph.D., assistant professor in the Department of Ophthalmology and the study’s first author. “After six months, those with TBI demonstrated improvement on both simple and complex financial skills, but continued to perform below the controls on complex financial skills and on both overall scores.”
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