Provincial Acquired Brain Injury Conference

Presented by OBIA and Participating Community Associations

Concurrent Session D

Friday, November 8, 2019, 9:30am – 10:30am

D1 – Building Pathways to Integrated Care: A Model of Intensive Community Case Management for Clients with Co-occurring ABI, Mental Health, and/or Addictions Issues

Carolyn Lemsky, PhD, C.Psych., and Natalie Reitmeier, SSW. There is a growing awareness that people living with brain injury have an elevated risk of developing substance use disorders and mental health conditions, and that having a substance use disorder or mental health condition at the time of the injury often makes recovery more complicated. Commonly, problems emerge or worsen after acute rehabilitation services have ended. Ongoing substance use disorders, homelessness, involvement with the legal system, and a lack of social supports are common. This presentation will review how CHIRS’ Neuro-behavioural Intervention Team (NBIP) provides integrated care through evidence-based strategies within an integrated model of case management, and capacity building with community providers. Using case examples, we will illustrate the use of two foundational interventions, intensive case management and harm reduction, in the context of an adapted staged concurrent disorders model of care (Skinner, 2005). Attendees will learn how to set goals, engage partners and time interventions based on the clients’ engagement in care. We will also provide an overview of how the NBIP model manages risk through their team approach.

D2 – Supporting Individuals with Challenging Mood and Behaviours Following an ABI

Hiten Lad, PsyD, C.Psych., will explore some of the complexities and factors to consider when supporting individuals with an ABI who present with emotional and behavioural changes following an injury. The presentation will explore how ABI related emotional and behavioural changes impact an individual and family members; factors impacting emotional and behavioural changes following an ABI; challenges to supporting emotional and behavioural changes; and the different levels at which support needs to be considered. The presentation will further look at providing practical strategies for specific types of emotional and behavioural changes. Strategies will be discussed that are specific for healthcare providers and family members as well as for individuals who have sustained an ABI.

D3 – A Cognitive Assistive Technology to Increase the Safety and Independence of People Living with Severe TBI During Meal Preparation

Sareh Zarshenas, OT PhD Post-Doctoral Fellow University of Montreal. Our interdisciplinary team, in partnership with several other collaborators in the context of a living lab (DOMUS), recently developed an innovative cognitive assistant for cooking (COOK) to optimize independence and safety for meal preparation for individuals with TBI. One of the main goals of this project is to build on the study at the DOMUS lab in order to identify the perception of clinicians and managers working with individuals having sustained a TBI within the Ontario healthcare system regarding 1) the needs of individuals with TBI for meal preparation within their home environment and 2) essential conditions for the integration of COOK into a clinical context and residential/home settings in Ontario. For this purpose, several individual and focus group interviews were conducted with professionals in different disciplines and managers who work with TBI clients.

D4 – A Foot in Two Worlds; Bridging the Gap Between Private and Community Supports

Melissa Vigar, RSW, Teena Curtiss, Tanya Jewell, and Lauren Bellon will examine the benefits local brain injury associations can offer, with a focus on how rehabilitation professionals can access these programs. As well, how these services can compliment therapy goals, by setting up a pathway for survivors to access supports in conjunction with, or independent of, a private treatment team. We will cover what the various provincial associations offer, how to frame the need for these supports to lawyers and insurance providers, and how to help with a smooth transition to their groups and services. This presentation will include a talk from a survivor whose private treatment came to an end, and how they benefitted from peer connections in their community.

D6 – Using Comics to Rewrite Personal Narratives, Traditional Scripts and Contemporary Misrepresentations of Life with a Brain Injury

Kanika Gupta will present this interactive session filled with artwork and storytelling. Drawing parallels of living with the effects of a brain injury with the classic comic depictions of the superhero can reclaim the experience as one of strength and aspiration. Kanika will share her artistic process of how she brought this superhero to life. Her hope is that these comics help participants imagine what their inner superhero looks like and draw encouragement and strength from these reimagined heroes. She will speak to the importance of survivors, caregivers, clinicians and service providers of reframing narratives in creative and unconventional ways.