“…As a result, post-injury consequences not only affect the lives of individuals with TBI, but also their family members and the family system (Arango-Lasprilla, Quijano et al, 2010; Degeneffe et al, 2008; Dikmen et al, 2001; Draper et al, 2007; Gamboa et al, 2006; McCarthy et al, 2006). Caregivers of individuals with TBI often report financial difficulties, substance abuse, health problems, unemployment, burden, depression, anxiety, distress, decreased social support, decreased personal independence and decreased satisfaction with life (Chronister & Chan, 2006; Chronister, Chan, Sasson-Gelman, & Chiu, 2010; Degeneffe, 2001; Kolakowsky-Hayner, Miner, & Kreutzer, 2001; Marsh, Kersel, Havill, & Sleigh, 2002; Moules & Chandler, 1999; Rivera, Elliott, Berry, Grant, & Oswald, 2007; Verhaeghe, Defloor, & Grypdonck, 2005; Wade, Taylor, Drotar, Stancin, Yeates, & Min, 2002). While the decrease in caregiver quality of life is cause for concern in and of itself, the research literature demonstrates that family caregiver mental and physical health problems may also affect the functioning of the care recipient and the quality of care that caregivers can provide (Ergh, Hanks, Rapport, & Coleman, 2002; Verhaeghe et al, 2005; Weddell & Leggett, 2006; Vangel, Rapport, & Hanks, 2011).…”