Acquired Brain Injury 2017 Provincial Conference

Presented by OBIA and Participating Community Associations

Concurrent Sessions

Session A: Thursday November 2, 201 10:45am – 11:45am

[ A1 ] Concussion Biomarker Research Study
Kim Gorgens, Ph.D., ABPP will highlight research and outline current progress of a novel inter-disciplinary research protocol at the University of Denver. The study examines ‘lower profile’ high impact sports and tracks Division I NCAA athletes from freshmen/women baseline through 12 months post-concussive injury on multiple dimensions including neurocognitive status, 3-D motion capture balance assessment, vision and circulating phospho-Tau protein levels using exosome purification technology.
Full Abstract Here

[ A2 ] Making a Difference Through Collaboration: Augmenting Social Work Counselling with Nutrition Counselling to Improve and Accelerate Treatment Outcomes
Angela Croft, MSW, RSW, Certified Life Coach and Kylie James, B.Sc. (OT), CNP will discuss how the connection between nutrition, mood, cognition, pain and other symptoms is well established in literature but is not commonly known or understood.  Collaboration in treating the complex issues related to ABI is crucial and it is increasingly important to include food and nutrition to augment the other treatment modalities.  Treatment outcomes will be highlighted, as well as, how the role of Social Work Counselling can support the work of the Nutritionist, which in turn supports the client’s capacity to decrease neuro-bio-psychological distress and increase overall health and wellbeing.
Full Abstract Here

[ A3 ] Bibliotherapy:  Healing One Text at a Time
Lisa Keenan, Ph.D., Kenneth Sroka, Ph.D. and Shannon King will discuss the outcome of their 5-year study of the effectiveness of therapeutic reading groups for continued recovery of ABI survivors and individuals with chronic pain and disability. This inter-disciplinary presentation will include qualitative data and provide detailed information on the development, mission statement, recruitment, reading selection and documentation for successful implementation in various settings. Full Abstract Here

[ A4 ] Vision and Acquired Brain Injury:  A Rehabilitative Approach
Tanya Polonenko, OD, FAAO will highlight key concepts of visual functional skills, visual rehabilitation, procedures of various exercises, how to incorporate vision therapy in a multi-disciplinary setting and current research on vision therapy and success with daily living.  This is a practical guide to the visual consequences of brain injury and vision rehabilitation.
Full Abstract Here

[ A5 ] Characterizing the Attentional Challenges Associated with Brain Injury: Differentiating Symptoms Across Various Diagnoses
Dawn Good, Ph.D., C.Psych. Despite increasing awareness about pediatric brain injury, misdiagnoses of attentional impairments that impede learning and behavioural presentations is a common clinical challenge.  Research has examined neuropsychological measures such as executive function, attention and processing speed, to differentiate these challenges, but consideration of reactivity, arousal state and mood have been considered less.  Distinct cognitive profiles are being identified for these deficits that will aid in appropriate appreciation, discrimination and, ultimately, better management of these varying difficulties.
Full Abstract Here

[ A6 ] 8:30 on a Wednesday Evening
Randy Vincent will share his story of trauma and shock after a crash caused by a woman who made the decision to drink and drive. After months in hospitals and extensive rehab, he returned to his community to pick up the pieces.  Through this presentation, Randy will share his secrets of success, his belief in the importance of physical, emotional and spiritual harmony and how to use community resources to promote lifelong rehab. Randy not only survived, he thrived.
Full Abstract Here

Session B: Thursday November 2, 2017 2:30pm- 3:30pm

[ B1 ] Wrangling the Concussion Beast:  Ontario Perspective
Corinne Kagan, BA, BPS.Cert and Judith Gargaro, BSc. MEd. There is a lack of consistency in concussion care, what care is appropriate and who should be providing it.  The newly-released Ontario Neurotrauma Foundation Standards for Post-Concussion Care in Ontario includes 15 standards with supplementary material and tools identifying the pathway of care, who should be delivering the care and the type of care that persons/families living with Persistent Concussion Symptoms (PCS) should receive. The implementation and education of the standards will be discussed, with a focus on the roles of persons living with PCS, family members and private and public care providers.
Full Abstract Here

[ B2 ] A Different Landscape:  Navigating Acquired Brain Injury in Northwestern Ontario
Tracey Onuliak, RPN, Chad Clower, SLP, M.Sc. and Adele Vaillant will highlight the different challenges and experiences of three brain injury survivors and their journeys through the healthcare system in Northwestern Ontario.  They will explore themes such as substance use, mental health and personal relationships and will provide information about the challenges of providing continuum of care services for people living with brain injury in Northwestern Ontario.
Full Abstract Here

[ B3 ] A Roadmap of Family Needs After Pediatric ABI: Clinical, Research and Family Perspectives
Caron Gan, RN, MScN, RP, RMFT and Lies Ferriman. When a child sustains an acquired brain injury (ABI), families must focus on both present and future needs as ABI has both an immediate and longer-term developmental impact on the child. Through the perspectives of a parent’s lived experience and a clinician/researcher, this presentation will raise awareness of the importance of family needs after pediatric ABI. The development and validation of the Family Needs Questionnaire- Pediatric (FNQ-P) will be described, including the partnership approach that was undertaken with front-line clinicians, family members and international partners. Through administration of the FNQ-P, families may become aware of possible future pathways and detours along their journey.
Full Abstract Here

[ B4 ] Making a Difference to Survivors by Training Everyday People to Understand and Support Individuals with Executive Dysfunction Following Brain Injury
Leslie Birkett, B.Sc.,OT, OT Reg.(Ont) and Deidre Sperry, M.Sc., S-LP(C).  Treatment for executive dysfunction is even less understood than assessment.  This leaves survivors in a difficult position, as successful treatment of executive function maximizes the individual’s success with many important tasks and life roles. This presentation will review the ICAN training approach used to incorporate the current knowledge of the complexity of executive functioning into real world living.  Participants will gain an understanding of the advantages of sharing methods of effectively supporting those with executive dysfunction with everyday people.
Full Abstract Here

[ B5 ] Diagnosis & Management of Tinnitus, Dizziness, Vertigo and other Otic Symptoms of TBI
Brenda Berge, Au.D., F-ADA. There are intimate neuroanatomical connections between the ears, eyes, jaw and the neck. Damage in these regions often result in radiating symptoms that are perceived by the patient as coming from the ears. This presentation will discuss the importance of the overlapping nature between audiology with dentistry, optometry, neurophysiology and psychology scope of practice when acting as a Collaborative Care Team.
Full Abstract Here

[ B6 ] A Message With a Difference
Sharon Campbell Rayment.  Sharon sustained her ABI in 2008 due to a horseback riding accident. She will share her story of how the very thing that caused her injury has transformed her feelings of frustration, depression and anger to those of confidence, happiness and peace.  She will combine the wisdom and experience with the horses with many interactive and fun modalities that she has researched and experienced for improving the effects of ABI.
Full Abstract Here

Session C: Thursday November 2, 2017 4:00pm-5:00pm

[ C1 ] Social Competence After Pediatric TBI
Keith Yeates, Ph.D., R.Psych., ABPP-CN  will review current models of social competence and their applicability to pediatric TBI, and summarize current research regarding the social outcomes of TBI.  Social development has critical implications for children’s functioning at home, in school, and in the community. Children with traumatic brain injury are at risk for poor social outcomes. In recent years, research has increased our understanding of the nature, basis, and consequences of the social problems associated with pediatric TBI. The session also will describe the implications of the existing knowledge base for clinical practice in terms of both assessment and intervention. Full Abstract Here

[ C2 ] Yoga Therapy:  A Holistic and Complementary Treatment for Individuals with an Acquired Brain Injury
Kristina Borho, MSc. OT, OT Reg.(Ont) will briefly review theory that guides a Yoga Therapist to select specific tools such as posture, conscious breathing, meditation, sound, intention setting and visualization to address unique symptoms of the individual. Case studies of individuals with ABI will be presented outlining the tools that were selected, how they were used and the observed and reported effect on the client. The presentation will begin and end with the participants being guided through a brief demonstration. Full Abstract Here

[ C3 ] Are You Ready for 2020?
Charles Gluckstein LLP will discuss the emerging technology in driverless vehicles that will revolutionize accessibility for accident victims.  Further, the topic will explore the impact on the legal, insurance and medical industry.  Other innovations that are emerging will also be discussed, as well as the impact on tort law and accident benefits law in general. Full Abstract Here

[ C4 ] Applying the Science of Happiness to Life After Brain Injury
Amanda Muise, BT, Roby Miller,B.A., B.S.T.,  Daniel O’Driscoll and Carolyn Lemsky,  Ph.D.,C.Psych ABPP-Cn will review, using an experiential approach, some of the central findings in the field of positive psychology and how they have been integrated into cognitive behavioural approaches to psychotherapy.  While the focus will be on introducing positive psychology through brief interactive exercises, preliminary findings of outcomes will be reviewed.
Full Abstract Here

[ C5 ] Disorganized, Disadvantaged, Disconnected:  Brain Injury and Social Assistance in Ontario, a Cross Community Collaboration
Jeff Chartier, Teryl Hoefel and Shelly Tsui will discuss the Transitional Support Initiative, a project that targets those with Cognitive Impairments living on Ontario Works income support.  The project focusses on barriers navigating the medical and income support system and how these barriers leave people disconnected from formal support and often in situations of extreme poverty. Case examples will be used to identify the struggles of the people involved and the impact this service has had. Full Abstract Here

[ C6 ]Looking Back-Moving Forward:  Navigating the Brain Injury World with Hope and Healing
Linda Lowery and Garrett Bell, mother and son, caregiver and survivor, share their journey of hope and healing.  Garrett shares his physical, emotional and social challenges moving through the world of catastrophic brain injury. Linda and Garrett will share their video “Surfing on Concrete” of Garrett’s rehab one year after his injury. Full Abstract Here

Session D: Friday November 3, 2017 9:40am- 10:40am

[ D1 ] Adopting Clinical Practice Guidelines in Community Settings: The Real Deal
Judith Gargaro, B.Sc,MEd,  Deborah Tang, B.Sc, Ph.D., C. Psych and Corinne Kagan, BA, BPS. Cert. Efforts are ongoing to integrate a new Clinical Practice Guideline (CPG) for the rehabilitation of adults with moderate to severe TBI into everyday practice, including acute, inpatient, outpatient and community-based rehabilitation settings. The Ontario Neurotrauma Foundation has been working with centres in setting implementation priorities and establishing individual and cross-site execution strategies and projects.   During this presentation, they will discuss the process for identifying priorities and the challenges and successes of implementing these guidelines using real world experience from Peel Halton Dufferin Acquired Brain Injury Services (PHD ABIS), a community-based service provider. Useful strategies and tools to support sustainable change within rehabilitation practice will be discussed.
Full Abstract Here

[ D2 ] Winds of Change:  The Ontario Concussion Care Strategy (OCCS)
Cindy Hunt, Dr.PH, MPH, RN. The OCCS seeks to further understand how to integrate patients/families into all aspects of research in the field of brain injuries, particularly concussion. She will inform participants about the OCCS: What is the OCCS? Who is involved? What is the vision? What has been achieved? How have patients/families been involved? What are the future plans? Secondly, she will invite participants to share thoughts and ideas to engage patients/families in the OCCS. Full Abstract Here

[ D3 ] Making Music:  Developing a Performance Group Within the TBI Community
Jennifer Sharp, SSW and Dan Washburn, Singer/Songwriter will present on the development of a unique program where participants from the Brain Injury Association of Quinte District perform in a band. They will review the benefits individuals have gained as well as strategies used. During the presentation they will share video clips of some of the groups performances. Full Abstract Here

[ D4 ] Bringing Occupational Therapy to Ukraine:  Soldiers Returning From the Warfront with TBI and PTSD
Natalie Zaraska, OT describes the steps being taken to introduce a new rehabilitation profession into the Ukrainian health care and educational system. A review of current issues including TBI and PTSD with the soldiers returning from the front.  The potential role of rehabilitation professions working with soldiers will be discussed and the need for the international community to assist in this process.  The need for further collaboration from North American partners to provide support in the establishment of an effective, outcome based rehabilitation system will be reviewed.
Full Abstract Here

[ D5 ] Broadening the Lens:  Integrating a Trauma Informed Perspective within Neuro-Rehabilitation
Tracy Martin, MSW, RSW and Veronica Takes, OT.  Over the past several decades, the field of trauma therapy has enhanced our understanding of the human experience.  Recognizing the impact of trauma is essential to meaningful service delivery and is of particular importance when working with people with ABI.   This presentation will share leading edge research findings in the field of trauma, offer an expanded understanding of trauma and incorporation of the trauma informed perspective in rehabilitation. Full Abstract Here

[ D6 ] A Clients Perspective on How To Be an Effective Clinician
Stephanie Vivier will present a collection of interviews with survivors: including all levels of severity, gender, socioeconomic status and culture.  Using real stories from their experience, a partnership will be created to bridge the gap between practice and perception.  Prior to injury, her 12-year career as a radio, television host and journalist has ingrained in her that stories move people, not statistics.  Using the stories of survivors, Stephanie provides a client’s perspective on how to be a more effective clinician. Full Abstract Here