Provincial Acquired Brain Injury Conference

Presented by OBIA and Participating Community Associations

Concurrent Session C

Concurrent Session C
Thursday, November 7, 2019, 3:45pm – 4:45pm

C1 – New Pathways, Ongoing Challenges and Continued Breakthroughs: Revisiting Principles and Practices Supporting People with Complex Needs to Live Life to the Fullest Post-ABI

Joanna Hamilton, PhD, C.Psych., Chanth Seyone, MD, FRCPC, Barbara Claiman, MA, RRP,CVRP(F), Josh Andreas, Teryl Hoefel and Nicole McLeod will provide a framework for the development of community supports for individuals with highly complex needs and the outcomes of the use of these practices. The presentation includes a case study of one individual with a long history of significant behavioral and mental health challenges in addition to brain injury. This framework was initially presented eight years ago with a focus on interventions that were person-directed, collaborative, and pro-active. Interventions were designed to provide multiple and ongoing engagement in meaningful activities, and were developed to pre-empt problems. Essential to this framework is collaboration among all team members and, most importantly, the direct and ongoing involvement of the individual with brain injury in the day-to-day decision-making of life. This presentation will review the outcomes of having used this framework and these practices over the past eight years.

C2 – One Concussion, Three Perspectives: Pulling It All Together For A Successful Return To Work

Dee Sperry, MSc, S-LP(C) and Leslie Birkett, BSc, OT, OT Reg.(Ont). While percentages vary, the vast majority of studies indicate that following concussion most people achieve full symptom resolution in three to twelve months. For those individuals who do not achieve early and full symptom resolution, yet decide to attempt to return to their demanding career, often their first response is to try to work harder to make up for the challenges they experience. Ultimately, this approach will fail for it is not until they return to work that their real problems manifest. Subsequently, they turn to rehabilitation professionals for help. This presentation will discuss an interdisciplinary collaboration that includes the perspectives of the Occupational Therapist, Speech Language Pathologist and the person with the lived experience of life with a concussion. By respecting the unique contributions and perspectives of each individual, return to work can be successful.

C3 – The Challenge of Providing Service to those with TBI Inside the Walls and Those Guarding the Walls: The Prison Dilemma

Mary-Ellen Thompson, PhD will examine the significant challenges rehabilitation professionals face when working with prisoners as well as injured correctional officers. TBI among prisoners often results in cognitive, social, emotional and behavioral problems that make it difficult for prisoners to interact effectively with correctional officers, family members, and their legal team. Lack of effective treatment options within prison increase the probability of noncompliance, aggression, substance abuse, and recidivism. On the other side of the coin, correctional officers have PTSD rates that are between 19 to 40%, which are equivalent or greater than the rates of PTSD within the military population returning from service (Picinu, 2019). These injured correctional officers require rehabilitation, education, and support as they attempt to return to an environment that can often be hostile. Suggestions for successful rehabilitation strategies to use within these populations will be made.

C4 – Handling Complex Pediatric Brain Injury Cases

Charles Gluckstein, Lawyer will explore recent issues in complex pediatric brain injury litigation in Ontario. Over one million North American children sustain brain injuries each year. Many of these injuries occur in the context of traumatic events, such as motor vehicle accidents and medical malpractice. This presentation will provide attendees with an overview of issues relating to the standard of care, causation and damages in pediatric brain injury case. It will explore important practical aspects of running this type of litigation, including the need for having rehabilitation support worker care. Finally, this presentation will provide an overview of case law and the trends surrounding pediatric brain injury litigation in Ontario.

C5 – New Tools and Approaches to Empower People with ABI

Cindy Hunt, RN, DrPH, Alicja Michalak, RN, MScN and Ashley Andrew, MSW, RSW. One in three people experiencing a concussion will have persistent symptoms and need more care. Research shows that learning self-management can improve patient knowledge, confidence and improve coping ability and health. This session will shed light on the Learning about Managing Persistent Symptoms (LAMPS) App, which provides guidance on managing eating, sleeping, mood and exercise. Using InVision software participants will be able to interact and comment on the content and use of a new App. Also, an update of the findings of the OBIA 2017 survey on guiding brain injury research will be presented. There will be small group discussions related to a new brain injury-specific model for research engagement, based on the 2017 survey findings. The discussion will help inform the Ontario researchers in the CONNECT network.

C6 – Vision and Acquired Brain Injury: A Rehabilitative Approach

Tanya Polonenko, OD, FAAO, FCOVD and Lisa Griffiths, Professional Musician will use a combination of information, interactive participation and personal narration to explore key concepts of visual functional and processing skills, neuroplasticity, vision rehabilitation, procedures of various exercises, current research on vision therapy and success with daily living. This lecture will highlight the visual consequences of brain injury, how vision rehabilitation is forging new pathways within the brain and will provide a practical guide to vision rehabilitation from the perspectives of a Neuro-Optometrist and a concussion survivor who is currently undergoing vision therapy. Lisa Griffiths is an executive in the performing arts sector, a classical musician, and a busy mom of another ABI patient.