Ontario Neurotrauma Foundation

Clinical Practice Guideline

For the rehabilitation of Adults with Moderate to Severe TBI

Ontario Neurotrauma Foundation INESSS


June 23, 2022:  Given the closure of ONF and the fact that this guideline has a national scope and international reach, we are rebranding so the new title of the guideline will be “Canadian Clinical Practice Guideline for Rehabilitation of Adults with Moderate to Severe TBI”.

Check out the Ukrainian Translation of the guideline under RESOURCES.

September 1, 2021: As of April 1, 2021, the Ontario Ministry of Health Long Term Care is directly funding the INESSS-ONF Guideline team to continue providing the most up-to-date recommendations and resources.

This Fall, the INESSS-ONF Guideline is committed to the real-time update of Section 2: Assessment and Rehabilitation of Brain Injury Sequelae.

Keep an eye out for updated recommendations (and tools!) within the following sections!

  • Cognitive Functions (J)
  • Cognitive Communication (K)
  • Psychosocial/Adaptation Issues (Q),
  • Neurobehavioural and Mental Health (R)
  • Substance Use Disorders (S)
  • Sexuality, Relationships & Intimacy (NEW SECTION!)

June 23, 2020: The INESSS-ONF Clinical Practice Guideline for the Rehabilitation of Adults with Moderate to Severe TBI is currently undergoing an update and is in the process of becoming a "living" guideline.

February 3, 2020: The patient version of the guideline is now available for download in PDF format. This 15-page handbook describes the rehabilitation of adults with moderate to severe traumatic brain injury and includes links to helpful resources for patients and their families. This document is based directly on the clinical practice guideline and was created with input from experts and people with lived experience. Click here to download or print. 

September 28, 2017: New content has been added to the sections on ''Tools and resources'' as well as on ''Key indicators''. The ''Tools and resources'' tab offers suggestions of tools and resources that can be used to support the implementation of the recommendations in each section of the guidelines. The ''Key indicators'' tab proposes examples of indicators that can be used to monitor the implementation of specific recommendations in each section of the guidelines. Downloadable PDF document with all Key indicators and Tools and resources are also available.

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Download Full Guideline PDF


Download Patient Handbook PDF