Part I Aspects of service delivery: head injury - the challenge: principles and practice of service organisation, M. Anne Chamberlain; the epidemiology of head injury, Alan Tennant; a national service - coma to community, Zeev Groswasser; a regional service - developing a head injury service, Mike Barnes; a rural service - developing rehabilitation in the community, Chris Evans; an urban community service - head injury using occupational therapy to meet the challenge of community reintegration, David Hughes, et al ; a home-based service - a community rehabilitation programme, Miroslav Palat and Miroslav Palat Jr; a clinically and neurophysiologically led postacute rehabilitation programme, Anne-Lise Christensen and Thomas Teasdale. Part Two Recent initiatives in traumatic brain injury rehabilitation - principles and practice of treatment, Vera C. Neumann; evaluation of memory rehabilitation - many questions and some answers, Ina J Berg, Betto G Deelman and Marthe Koning-Haanstra; slow information processing and the use of compensatory strategies, L Fasotti and F Kovacs; introduction to behavioural techniques for rehabilitation of brain-injured adults, Ann Goodman-Smith; he's no longer the same person - how families adjust to personality change after head injury, Michael Oddy; making group work work, D. Prichard and E. Berard; developing communications skills: a group therapy approach, Janet Cockburn and Jacqueline Wood. Part Three Measurement: the principle and practice of measuring outcome, Alan Tennant and M. Anne Chamberlain; Disability - the functional independence measure, Alex Chantraine and Eric Berard; handicap as a measure of outcome following head injury, Alan Tennant, David Hughes, Elizabeth Ward, Heather Warnock and M. Anne Chamberlain; a score of zero? assessment of functional skills after severe head injury, Agnes Shiel, Sandra Horn, M. Watson, Lindsay McLellan and Barbara Wilson; choosing outcome measures, Richard Body and Maggie Campbell. Part Four Reflections, M. Anne Chamberlain, Vera C. Neumann and Alan Tennant.