Behavior Functional Rehabilitation Activity Manual

Behavior Functional Rehabilitation Activity Manual

Barbara Messenger, M.Ed., ABDA and Niki Ziarnek, M.S, CCC, SLP/L
Brain injury rehabilitation manual with functional activities for adolescents and adults on social skills, interpreting cues, assertiveness, communication, anger management, and vocational interests.  
Item: BFRM
Price: $70.00
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Full Description

This manual teaches a therapeutic style of interaction using a step-by-step format. Someone with little or no experience working with persons that have disabilities can pick up these manuals and immediately be able to interact in a therapeutic manner while facilitating independence.

Can be used by any caregiver - including direct care staff, nurses, therapists, family, teachers, and aides. They can be used with children or adults with any kind of neurological conditions involving social, cognitive and behavioral challenges. Very useful for inpatient and outpatient rehabilitation programs, community programs, residential settings, schools and even at home.

This manual features worksheets and data forms for tracking performance and outcomes, with full instructions for administration. Each activity has a documentation form for easy inclusion in clinical records.

Includes over 145 activities and documentation sheets on...

  • social skill awareness
  • self responsibility
  • interpreting cues
  • assertiveness/group interaction
  • social skill acquisition üinitiation and conversations
  • social responses and self-esteem
  • verbal/nonverbal communication
  • telephone and restaurant etiquette
  • time and anger management
  • vocational skills
ISBN# 1-931117-21-7
Pages 178 pages, 8 1/2 x 11, softcover, perfect bound, plus CD for worksheets.
Year 2004


Barbara A. Messenger, M.Ed., ABDA

Ms Messenger is currently working as a Behavior Rehabilitation Therapist at the Center for Comprehensive Services (CCS), MENTOR Network, with survivors of traumatic brain injury. She is a certified disability analyst and has a federal certification in rehabilitation counseling. She has 5 years experience as a psychotherapist providing individual, group and marital counseling and 12 years experience as a vocational rehabilitation counselor providing vocational counseling, job seeking skills training, case management and expert testimony.

Niki Ziarnek, M.S., CCC, SLP/L

Ms Ziarnek is a speech-language pathologist in the Personal Intervention Program at the Center for Comprehensive Services, a residential brain injury rehabilitation facility. She has worked in the NeuroBehavioral Program for seven years, and has experience as a direct care staff, rehabilitation therapist, case manager, and most recently as a speech-language pathologist.



About The Authors

Social Skill Acquisition

  • Initiating Conversations
  • Body Posture and Personal Space
  • Appropriate Conversation Topics
  • Listening Skills
  • Listening Skills Exercise
  • Appropriate Social Responses
  • Influencing People by Persuasion
  • Learning to Compromise
  • Identification of Problem Communication Areas
  • Initiation
  • Verbal Skills Worksheet
  • Positive Attitude 1
  • Positive Attitude 2
  • Group Interaction Worksheet 1
  • Group Interaction Worksheet 2
  • Social Introductions
  • Social Interaction Exercise 1
  • Social Interaction Exercise 2
  • Social Interaction Exercise 3
  • Learning about Me Exercise 1
  • Learning about Me Exercise 2
  • Goal Setting
  • Goal Planning Exercise
  • Appropriate Social Skills
  • Appropriate Social Skills Story
  • Identifying Body Signals and Feelings
  • Sexuality and Appropriate Behavior
  • Social Skills Training
  • Social Skills Worksheet 1
  • Social Skills Worksheet 2

Social Skills Awareness

  • Awareness of Nonverbal Communication
  • Identifying Non-Verbal Cues Worksheet
  • Understanding Emotions
  • Empathy
  • Empathy Exercise
  • Identification of Feelings
  • Identification of Feelings Worksheet 1
  • Identification of Feelings Worksheet 2
  • Identification of Feelings Worksheet 3
  • Identification of Feelings Worksheet 4
  • Self-Monitoring Feelings
  • Self-Responsibility
  • Self-Responsibility Exercise
  • Beliefs and Assumptions Exercise
  • Time Management Strategies
  • Time Management Exercise 1
  • Time Management Exercise 2
  • Time Management Exercise 3
  • Tips for Improving Your Social Skills 1
  • Tips for Improving Your Social Skills 2
  • Tips for Improving Your Social Skills 3
  • Good Manners Quiz
  • Social Skills Comprehension Worksheet 1
  • Social Skills Comprehension Worksheet 2
  • Social Skills Comprehension Worksheet 3
  • Social Skills Comprehension Worksheet 4
  • Social Skills Comprehension Worksheet 5
  • Social Skills Comprehension Worksheet 6
  • Social Skills Group Interaction Exercise


  • Awareness of Aggressive Behaviors
  • Living Skills
  • Living Skills Worksheet
  • Tips for Being Assertive
  • Assertiveness Awareness Exercise
  • Assertiveness Exercise
  • Self-Monitoring Worksheet
  • Learning How To Say “NO”
  • Tips for Avoiding Procrastination
  • Tips for Getting Organized
  • Goal Setting Worksheet


  • Low Self-Esteem Worksheet
  • Strategies for Building Self-Esteem
  • Self-Esteem Uniqueness Worksheet
  • Self-Esteem Awareness Worksheet 1
  • Self-Esteem Awareness Worksheet 2
  • Self-Esteem and Support System Worksheet
  • Developing a Support System
  • Identifying Support Systems
  • Problem Solving Exercise
  • Asking For Help
  • Making Friends
  • Maintaining Friendships

Anger Management

  • Identifying Signs of Anger
  • Identifying Signs of Anger Exercise
  • Relaxation to Manage Anger
  • Positive Self-Management Strategies
  • Positive Self-Management Strategies Exercise
  • Self-Monitoring Anger
  • Strategies for Developing Self Control
  • Anger Control/Replacement Behaviors

Changing Behavior

  • Daily Behavioral Journal
  • Identifying Appropriate Behavior
  • Appropriate Behavior Worksheet 1
  • Appropriate Behavior Worksheet 2
  • Understanding and Addressing Shyness
  • Setting Behavioral Goals
  • Coping Skills Worksheet
  • Attitude Awareness Worksheet
  • Conflict Resolution Exercise
  • Cognitive-Behavioral Problem-Solving Strategy
  • Replacement Behavior Worksheet 1
  • Replacement Behavior Worksheet 2
  • Replacement Behavior Worksheet 3
  • Replacement Behavior Worksheet 4
  • Replacement Behavior Worksheet 5
  • Replacement Behavior Worksheet 6

Stress Management

  • Stress Management Skills
  • Stress Reduction Strategies
  • Stress Awareness Exercise 1
  • Stress Awareness Exercise 2

Community Skill Acquisition

  • Telephone Skills - Asking for information
  • Finding Telephone Numbers
  • Telephone Etiquette - Answering the Telephone
  • Telephone Etiquette - Placing a Call
  • Restaurant Etiquette 1
  • Restaurant Etiquette 2
  • Appropriate Behavior in Stores and Shops
  • Selecting Leisure Activities
  • Community Safety Skills


  • Actively Watching Television: Assertiveness
  • Actively Watching Television: Non-Verbal Cues
  • Actively Watching Television: Friendship Skills
  • Actively Watching Television: Behavior
  • Learning from Watching Television 1
  • Learning from Watching Television 2
  • Learning from Watching Television 3

Vocational Skills

  • Preparing for an Interview
  • Presenting Yourself in the Interview
  • Self-Monitoring after the Interview
  • Job Application Skills 1
  • Sample Employment Application
  • Job Application Skills 2
  • Sample Employment Application
  • Job Requirements Chart
  • Assessing Your Job Skills
  • Assessing Your Interests/Preferences
  • Responding to an Advertisement
  • Creating A Resume
  • Sample Resume

Living with Brain Injury

  • Tips for Living Life after Brain Injury
  • Understanding Brain Injury Worksheet
  • Rehabilitation Goals Worksheet

Special Topics

  • Medication Survey
  • Depression Survey
  • Alcohol Abuse Survey
  • Alcohol and Drug Addiction Survey

6 Extra Functional Rehabilitation Activity Documentation Forms


Sample excerpt. Preview only – please do not copy


Importance of Functional Rehabilitation

During seven years of providing brain injury rehabilitation in a residential facility in numerous capacities including direct care staff, rehabilitation therapist, case manager and speech pathologist, I learned the importance of functional rehabilitation. Functional rehabilitation involves teaching basic skills that are related to the everyday activities which are needed for individuals to become more independent with a variety of tasks. It has been my experience that direct care staff tend to view their role as one of making sure basic needs are met regardless of an individual’s participation in meeting these needs, as opposed to teachers who facilitate learning new skills. When staff or family members interact in a way that only ensures basic needs are met, without a focus on increasing independence, the opportunity for providing functional rehabilitation is lost. The individual with a disability does not learn the necessary skills to become independent because these tasks are done for the individual.

A tremendous need was realized- how do we as clinicians teach direct care staff how to provide functional therapy? The skill of knowing how to teach basic everyday activities, ones that are taken for granted by a person without a disability, in a positive therapeutic manner, is very much a learned skill. However, learning how to interact in a way that teaches others how to perform activities more independently takes experience, time, appropriate models, and a willingness to learn how to interact differently.

Step-by-Step Approach to Therapeutic Tasks

The purpose of this manual is to teach this therapeutic way of interacting through the step-by-step format. This gives a caregiver, even one without models of how to interact in this teaching manner, all the tools needed to help individuals become more independent. Someone with little or no experience working with persons with disabilities can pick up this manual and immediately be able to interact in a therapeutic manner, while instantly facilitating independence. The goal is to generalize this interaction style to other areas and activities. By using this approach, direct care staff will develop an array of tools and methods for effective rehabilitation.

Functional Rehabilitation Activities are therapeutic tasks designed to facilitate an individual’s independence with activities of daily living. The activities are implemented by caregivers and consist of step-by-step instructions for teaching specific tasks. Caregiver refers to direct care staff, family, teachers, etc., who work with individuals with special needs. Throughout the manual, caregivers are referred to as “staff”. The activities are divided into four areas: cognition, behavior, activities of daily living, and leisure. Each activity targets a specific skill area and describes the task. The procedure takes the caregiver step-by-step through completion of the activity, beginning with simply asking the individual to participate in the task. Next, tasks are broken down into simple steps. One of the most important features of each activity is to provide verbal praise and positive reinforcement for the individual’s efforts regardless of accuracy or successful completion. Any form of participation should be reinforced.

Activities for all Disabilities and Settings

These activities are useful for children or adults who have experienced any type of disability. The majority of these activities provide basic everyday fundamental skills that are appropriate for habilitation or rehabilitation. This manual was initially written for use with persons with acquired brain injury. By the time it was finished, we realized that the skills taught are appropriate for adults or children with many other types of disabilities or those who simply lack skills in particular areas. Throughout this manual, the individual completing the activity is referred to as “participant”.

Many people with disabilities may not receive formal rehabilitation to the extent needed to become independent with these skills. Families are often unsure how to help their loved one become more independent. The activities included in this manual are appropriate for use in the home setting, as well as rehabilitation programs, residential programs, outpatient facilities, schools, etc.

The activities in this manual were created by conceptualizing how, as clinicians, we teach these skills. The activities are designed to be an extension of clinical therapy goals, while promoting positive quality therapeutic interactions between caregiver and the individual. The manual may be used in a variety of ways. Individuals may choose which activities to complete in a specific area or the caregiver may suggest activities that are daily activities.

I hope you find these activities useful and that through their use you are able to facilitate independence by providing functional rehabilitation through positive interactions.
Niki Ziarnek