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The basic attention and executive skills are the building blocks and the very foundation of all higher cognitive functioning. We start all of our patients at this foundations level regardless of the severity of injury or impairment or the person's level of intellectual functioning. Whether a patient's IQ is 65 or 165 this is where it all begins. The exercises in Foundations I are designed to train visual and auditory attention skills and integrate these skills with some very basic executive functioning. The tasks address focusing, shifting, sustaining and dividing attention in addition to tracking and targeting. The executive skills demands involve simple discrimination, initiation, inhibition and differential responding.
If a person's skills in these areas are truly intact they will progress very rapidly through these programs to the next stages. If the skills are not intact, and in most cases you will find at least subtle problems, then it may take a little tedious work but the outcome of the whole cognitive rehabilitation process may depend on what is accomplished at this level. |