Acquired Brain Injury 2017 Provincial Conference

Presented by OBIA and Participating Community Associations

Concurrent Sessions

Session A:Thursday November 12, 2015 10:45am – 11:45am

[ A1 ] Loss of Sense of Self and Social Role after Brain Injury: The Task of Finding New Identity DOWNLOAD PRESENTATION
Rolf B. Gainer, Ph.D. will present on how the loss of a sense of self for individuals living with a brain injury is a common experience. Following injury, individuals are confronted with an emotionally charged negative self-evaluation. They experience significant problems in the resumption of their pre-injury social role and their return to effective functioning in their relationships. This presentation utilizes data from a long-term outcome study conducted in a community-based rehabilitation program to identify the post-rehabilitation needs of people with brain injury and the related psychological distress and the services which assist them with maintaining stability, independence and participation in the years following rehabilitation.

[ A2 ] Survive to Thrive: Motivating Adolescents with Brain Injury to Become Independent DOWNLOAD PRESENTATION
Leslie Birkett, BSc., OT Reg.(Ont.) and Deidre Sperry, MSc., SLP will discuss how adolescence is almost synonymous with words like reckless, risk taking, irritable and impossible. A brain injury interrupts this normal developmental trajectory. Typically the adolescent survivor does not understand the consequences of his/her injury and desires the same freedoms and level of responsibility as prior to injury.

[ A3 ] Why the Elephant and the Mouse Need to Work Together: ABI and Mental Illness DOWNLOAD PRESENTATION
Judith Gargaro, BSc., MEd., Pam Nir, MSW, Tim Godden, MSW, RSW and Sylvain Roy, Ph.D., C.Psych will discuss their recently conducted ABI screening projects with persons seeking addiction treatment; those served by community mental health services; and those on the caseload of an inner-city ACT team.

[ A5 ] BrainEx 90: Using a Circuit Training Group Model of Treatment to Promote Recovery After Mild Traumatic Brain Injury DOWNLOAD PRESENTATION
Shannon McGuire, BHSc. (PT) and Becky Moran, OT Reg. (Ont.) will discuss the increased awareness of persistent symptoms after mild traumatic brain injury (mTBI) which has led to more people seeking treatment to help improve their symptoms. At Parkwood Institute, in order to provide more efficient service delivery and reduce wait times, a circuit training occupational therapy and physiotherapy group called BrainEx 90 was developed and initiated.

[ A6 ] Olympian and Survivor: One Woman’s Journey to Healing and Recovery
Kimberly Orr and Judy Quance, BSc. Psych. Ms. Orr who is a survivor will tell her motivating and inspiring story of rehabilitation and recovery. Ms. Orr was an Olympic athlete and knew the resilience of the human body as she put herself through rigorous training. Following her serious car accident, Ms. Orr needed to draw on that strength and resilience. Ms. Quance will offer her perspective on Ms. Orr’s journey to integrate into a productive role that was both satisfying and healing.

Session B- Thursday November 12, 2015 2:30pm- 3:30pm

[ B1 ] Recognizing the Symptoms of Mental Illness Following Concussions: A Need for Improvement DOWNLOAD PRESENTATION
Michael Cusimano, MD, Ph.D. and Stanley Zhang, BM, CRA will present the results of a cross-sectional survey conducted among 6937 members of the sports community in Canada. Participants were asked to identify the symptoms of a concussion. The proportion of identified symptoms (categorized as physical, cognitive, mental health-related and overall) as well as participant factors associated with symptom recognition were analyzed.

[ B2 ] Employment Success: Supportive Vocational Rehabilitation
Thea Aldrich CVE, RRP, CVP, PVE and Leslie Allen, RT will co-present on the numerous studies that demonstrate the strong relationship between unemployment and mental health. TBI survivors are shown to have high incidences of mood or anxiety disorders, yet less than 40% aged 18 – 64 are working. Studies prove that supportive Vocational Rehabilitation services can dramatically improve return-to-work success and improve overall health.

[ B3 ] Navigating Everyday Ethics in ABI: An Innovative Approach
Clare Brandys, Ph.D., C.Psych, Diana Brouwer, MSW, RSW, Michelle Busse, Psy.D., C. Psych (Supervised Practice) and Michael Milligan, BST will discuss clinical service delivery in the field of brain injury which often involves complex issues in which ethical principles are in conflict, such as respecting a client’s autonomy vs. intervening responsibly, or honouring client vs. family wishes. An innovative model of Everyday Ethics in practice at Community Head Injury Resource Services (CHIRS) will be presented which addresses ethical decision-making, while integrating clinician and client/family perspectives.

[ B4 ] Further Reductions to Benefits: How the Redefinition & Coverage Failure to the Catastrophically Impaired will Effect the Rights & Recovery of our Most Seriously Injured Accident Victims DOWNLOAD PRESENTATION
Charles Gluckstein will discuss the recent budget cuts tabled by the Ontario Government which has proposed changes to the catastrophic definition and cutting the coverage in half in order to reduce premiums. This presentation will outline some important changes to the coverage that affect all accident victims especially the most vulnerable.

[ B5 ] Technology and the Buddha: Exploring the Use of Biofeedback and Meditation
Amee Le, MSc. BASc. (Hons), Occupational Therapist, Certified HeartMath Practitioner and Denise Bamber, BA Psych Employment Specialist and Christopher Buxton will explore the use of biofeedback software that measures Heart Rate Variability (HRV) and meditation. A live demonstration of this software will clarify its use for persons with a brain injury. Quantitative and qualitative data will be reviewed. Combining biofeedback and meditation can improve a client’s self-awareness of his/her stress and anxiety.

[ B6 ] The Courage to Accept with the Hope of Change DOWNLOAD PRESENTATION
Maurizio Mitz Bandiera is the survivor of a motorcycle collision which resulted in a catastrophic brain injury. He was in a coma for ten days and awoke with no memory or body movement. Six months later he went to outpatient recovery for close to a year. He will discuss his journey of determination, courage and a will to survive. He has returned to teaching Martial Arts and strives to help other survivors through his Mentoring.

Session C- Thursday November 12, 2015 4:00pm-5:00pm

[ C1 ] Promoting Resilience to Enhance Recovery from Brain Injury
Herman Lukow II, Ph.D., MFT, NCC will discuss the accumulating body of scientific literature which demonstrates the usefulness of applying resilience promoting interventions to aid in recovery from a wide range of medical challenges. Preferable to traditional rehabilitation approaches which emphasize deficits and pathology, a paradigm shift has been emerging in the use of resilience theory as a framework for enhancing positive adaptation to brain injury.

[ C2 ] What Families Need to Know About Substance Use and Brain Injury DOWNLOAD PRESENTATION
Carolyn Lemsky, Ph.D., C.Psych ABPP-CN and Judith Gargaro, BSc, MEd. Brain injury, substance use and serious mental illness create significant challenges for survivors and their families. This presentation will provide an overview of a new family resource being developed by the Substance Use and Brain Injury Bridging project. Special focus will be given to introducing the Community Reinforcement and Family Training (CRAFT) model. This evidence-based intervention emphasizes helping families to live better and more productively, while providing guidance about how to encourage their family member to get the help they need.

[ C3 ] eRehabilitation: The Future of Rehabilitation DOWNLOAD PRESENTATION
Arden McGregor, MA, C. Psych., CBIST and Dennis Radman, HBSc, RRP, CBIST will review relevant literature, outline the components of an eRehabilitation platform and provide a rationale for its use in brain injury rehabilitation and related treatments including chronic pain management. The need for improved integration of knowledge and clinical expertise and implementation of innovative, evidence-based interventions and services has been highlighted as a key aspect of ensuring improved care.

[ C4 ] Working with ‘Digital Natives’ After Brain Injury
Olga Valentin MA Media Pyschology, will discuss the media psychology related implications of social media, online connections and technology, as well as the role of psychoeducational assessments and motivation in the re-integration process. One of the most important recovery goals for adolescents and young adults after brain injury is school and social re-integration. This particular population is known as the ‘digital natives’ and working with them presents with a unique set of challenges for treatment providers. Specific strategies for integrating digital tools will be reviewed.

[ C5 ] Peer Support Across Ontario: Meeting the Needs of People Living with ABI DOWNLOAD PRESENTATION
Tammy Dumas and Carla Thoms will discuss this innovative program which connects people with lived ABI experience (the Mentor) to individuals living with ABI who are seeking support (the Partner). Peer support relationships are telephone based allowing for people to be “matched” across Ontario. This program is available at no cost to survivors, family members and/or unpaid caregivers.

[ C6 ] It’s All About Function: How Physiotherapy and a Rehabilitation Woodworking Program Came Together to Help a Survivor Help Others
Ted Newbigging, BSc. Shehan Rajah, Hons. BKin., MScPT, Reg PT and Josh Willson will discuss: Innovation – Survivors building rehab equipment for other survivors; Integration – Physiotherapy and a woodworking program working together; Motivation – Making something to help others recover from their injury. Josh Willson will explain how his life has been enhanced by his experience, how he has found new inspiration and enlightenment and how an interdisciplinary team has helped him along this journey.

Session D- Friday November 13, 2015 9:40am- 10:40am

[ D1 ] Influence of Parental Perceptions and Educators Understanding of ABI on Social, Emotional and Academic Success as Experienced by Students Living with the Effects of Acquired Brain Injury: A Province Wide Study
Dawn Good, Ph.D., C.Psych, Jazmine Que and Sean Robb will look at a study by Glang et al, (2004), where parents reported the primary cause for their dissatisfaction with their child’s instructional services is due to the lack of teachers’ knowledge of the effects of acquired brain injury (ABI). Less is known regarding how these factors influence student’s personal and social adjustment. Primary caregivers, their children living with ABI, and their child’s core teacher, completed a battery of surveys, assessments and questionnaires measuring student competencies, educator’s knowledge about ABI and parents perception of school-based supports.

[ D2 ] A Paradigm Shift in Treatment for Traumatic Brain Injury
Lawrence Komer, MD will present on how research shows that a large percentage of brain injuries result in hormonal disruption. However, hormonal assessment is not a routine part of brain injury assessment or management. As a pioneer in hormonal restoration, he has used this experience to improve the lives of brain injured patients. In this practical presentation he discusses diagnosis, treatment and outlines the often faulty misgivings regarding hormonal therapies. He will give case examples of such treatments and discuss why they were successful.

[ D3 ] Finding a Treatment for TBI: It’s Not All About the Brain
Donald Stein Ph.D. To date, 100% of clinical trials seeking a safe and effective treatment for traumatic brain injury have failed. The trial failures are due to a number of complex factors, some of which will be discussed in his talk. He will present new evidence that drugs with multiple actions or multiple targets, or combinations of treatments may be a far better strategy for enhancing brain repair than focusing on a single mechanistic target pathway in the brain.

[ D4 ] Becoming an “Expert” Expert DOWNLOAD PRESENTATION
Wendy Moore Mandel, LP and Deanna S. Gilbert, LP will aim to cover five key topics when playing the role of “expert” in ABI personal injury cases. The goal will be for health care professionals to leave with a better understanding about how best to persuade decision makers about their opinions and advocate on behalf of their ABI patients; to provide them with the tools that they may need to best play their part; and to prepare them for what it may be like to testify in court or before a tribunal.

[ D5 ] A Toastmaster First and Foremost
Dave Slonim and Denise Bamber, BA Psych Employment Specialist will present on the Toastmasters model, with its emphasis on structure and routine and how it was an ideal fit for CHIRS clients and staff members. In January 2014, CHIRS founded a chartered Toastmaster group comprised of staff and clients working together as equal members, supporting and motivating each other. This multimedia presentation will provide an overview of the development of the innovative CHIRS Toastmaster group, the adaptations they have made for a range of skills and abilities and the members’ experience (staff and clients).

[ D6 ] Necessity is the Mother of Invention DOWNLOAD PRESENTATION
Sergio Di Giovanni will share his inspiring story, including his successes, the motor vehicle collision, the journey and struggles thereafter and how it led him to develop Qcard: a mobile solution designed to improve the quality of life for those living with ABI. He will demonstrate the power of Qcard and how it relates to everyday living, highlighting features that make Qcard a superior coping tool and will show the audience why users around the world are raving about it.