Traumatic Brain Injury as an Invisible Disability: Institutional Barriers in Medical, Social and Financial Services in Finland

People who sustain traumatic brain injuries (TBIs) often experience unmet rehabilitation needs. The aim of our research was to explore how the invisible aspects of traumatic brain injury affect the experiences of survivors of TBI in accessing the necessary medical, social, and financial assistance....

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Main Authors: Olivia Emelie Engström, Hisayo Katsui, Lieketseng Ned
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Disabilities
Subjects:
Online Access:https://www.mdpi.com/2673-7272/5/1/18
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author Olivia Emelie Engström
Hisayo Katsui
Lieketseng Ned
author_facet Olivia Emelie Engström
Hisayo Katsui
Lieketseng Ned
author_sort Olivia Emelie Engström
collection DOAJ
description People who sustain traumatic brain injuries (TBIs) often experience unmet rehabilitation needs. The aim of our research was to explore how the invisible aspects of traumatic brain injury affect the experiences of survivors of TBI in accessing the necessary medical, social, and financial assistance. Using Giorgi’s descriptive phenomenological inquiry, we purposefully sampled 11 participants who had experienced TBI when aged 13–27 for interviews. The time since their injuries ranged from 7 to 37 years. Three key themes emerged: (1) lack of knowledge and guidance in medical services, (2) lack of social service assistance, and (3) battles with insurance companies. Our findings show that, due to the hidden nature of TBI-related disabilities and a general lack of societal knowledge about TBI outcomes, survivors face significant difficulties in accessing essential medical, social, and financial services. This study underscores the critical need to address the challenges faced by youth survivors of TBI, as their injuries occur during a pivotal developmental phase when they are developing psychosocial skills, pursuing education, and transitioning into the workforce. Delays or lack of proper medical, social, and financial support hinder rehabilitation and the successful reintegration of these youth into society.
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spelling doaj-art-00d06e378d8645638b2c6c7b5ebda4312025-08-20T03:43:02ZengMDPI AGDisabilities2673-72722025-02-01511810.3390/disabilities5010018Traumatic Brain Injury as an Invisible Disability: Institutional Barriers in Medical, Social and Financial Services in FinlandOlivia Emelie Engström0Hisayo Katsui1Lieketseng Ned2Disability Studies, Social and Public Policy, Faculty of Social Sciences, University of Helsinki, 00014 Helsinki, FinlandDisability Studies, Social and Public Policy, Faculty of Social Sciences, University of Helsinki, 00014 Helsinki, FinlandDivision of Disability and Rehabilitation Studies, Stellenbosch University, Stellenbosch 7602, South AfricaPeople who sustain traumatic brain injuries (TBIs) often experience unmet rehabilitation needs. The aim of our research was to explore how the invisible aspects of traumatic brain injury affect the experiences of survivors of TBI in accessing the necessary medical, social, and financial assistance. Using Giorgi’s descriptive phenomenological inquiry, we purposefully sampled 11 participants who had experienced TBI when aged 13–27 for interviews. The time since their injuries ranged from 7 to 37 years. Three key themes emerged: (1) lack of knowledge and guidance in medical services, (2) lack of social service assistance, and (3) battles with insurance companies. Our findings show that, due to the hidden nature of TBI-related disabilities and a general lack of societal knowledge about TBI outcomes, survivors face significant difficulties in accessing essential medical, social, and financial services. This study underscores the critical need to address the challenges faced by youth survivors of TBI, as their injuries occur during a pivotal developmental phase when they are developing psychosocial skills, pursuing education, and transitioning into the workforce. Delays or lack of proper medical, social, and financial support hinder rehabilitation and the successful reintegration of these youth into society.https://www.mdpi.com/2673-7272/5/1/18traumatic brain injury (TBI)invisible disabilityadvocacyphenomenology
spellingShingle Olivia Emelie Engström
Hisayo Katsui
Lieketseng Ned
Traumatic Brain Injury as an Invisible Disability: Institutional Barriers in Medical, Social and Financial Services in Finland
Disabilities
traumatic brain injury (TBI)
invisible disability
advocacy
phenomenology
title Traumatic Brain Injury as an Invisible Disability: Institutional Barriers in Medical, Social and Financial Services in Finland
title_full Traumatic Brain Injury as an Invisible Disability: Institutional Barriers in Medical, Social and Financial Services in Finland
title_fullStr Traumatic Brain Injury as an Invisible Disability: Institutional Barriers in Medical, Social and Financial Services in Finland
title_full_unstemmed Traumatic Brain Injury as an Invisible Disability: Institutional Barriers in Medical, Social and Financial Services in Finland
title_short Traumatic Brain Injury as an Invisible Disability: Institutional Barriers in Medical, Social and Financial Services in Finland
title_sort traumatic brain injury as an invisible disability institutional barriers in medical social and financial services in finland
topic traumatic brain injury (TBI)
invisible disability
advocacy
phenomenology
url https://www.mdpi.com/2673-7272/5/1/18
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AT lieketsengned traumaticbraininjuryasaninvisibledisabilityinstitutionalbarriersinmedicalsocialandfinancialservicesinfinland