Provincial Acquired Brain Injury Conference

Presented by OBIA and Participating Community Associations

Concurrent Session B

Concurrent Session B
Thursday, November 7, 2019, 2:15pm – 3:15pm

B1 – Examining the Relationship Between Age-at-Injury and Post injury Outcomes

Dawn Good, PhD, C.Psych., Sean Rob, PhD Candidate, Caitlyn Gallant, PhD Candidate, Ushna Saeed, H.BSc, Rachel Luczon, H.BSc. Research in examining the long-term neurobehavioural effects of mild head injuries (MHI) has increased, yet it remains unclear how earlier-age versus later-age injuries differentially predict post injury outcomes. Research in our lab has examined the effect of age-at-injury and MHI severity on various functional outcomes (e.g., sensation-seeking behaviour, decision making, and depression) of young adults. This session will discuss how age-at-injury accounts for a significant amount of the variance in behavioural outcomes (such as risk taking, erratic lifestyle, sensitivity to reward [but not punishment sensitivity]) and cognitive outcomes (such as planning and initiation).

B2 – Persistent Concussion Services at Holland Bloorview: Building Evidence-based Practice for Youth with Concussion

Shannon Scratch, PhD, C.Psych., Peter Rumney, MD, FRCPC, and Andrea Hickling, MScOT, OT Reg. (Ont.). Further presenters: Alysha Ladha, MD; Sabrina Agnihotri, PhD, MD; Nick Reed, PhD. The Persistent Concussion Clinic at Holland Bloorview Kids Rehabilitation Hospital is the only publicly-funded service of its kind in Ontario. We will outline our service delivery model and unique interdisciplinary approaches for providing care to youth with persisting symptoms post-concussion. We will describe the demographic and clinical characteristics of clients and families accessing the Persistent Concussion Clinic at Holland Bloorview. Particular emphasis will be placed on outlining our novel interdisciplinary team assessment pathway including its conceptual rationale and pathway inclusion/exclusion criteria. Results from a study that explored the experiences and acceptability of this pathway for youth with concussion and their families will also be discussed. In addition, results from a study that included a multidimensional assessment of healthcare costs and utilization data from this clinic will also be presented. Potential healthcare system implications will be discussed.

B3 – “Wait…What? A Positive Workplace Culture – How to Build It Together”

Meg Soper’s high energy, comedic, interactive presentation is designed to provide attendees with insights and perspectives on the changing demographics and their impact on the workplace. It is Meg’s belief that our teams can be made stronger because they are diverse. It calls on each of us to understand why we are different, and how this diversity can make us Better Together! Meg has developed this interactive presentation to offer her audience strategies to enhance their communication skills by creating awareness about the different generations in the workforce. Understanding generational differences helps us create an atmosphere where we can communicate more effectively. People are different not necessarily difficult. While we may not be able change a person’s behavior, when we understand the factors driving behaviour it saves us time and lowers our stress level. We can learn to appreciate our differences and recognize the value that each of us brings to the workplace. Participants will leave armed with practical, relevant strategies geared towards creating a more positive and productive workplace environment.

B4 – Plain Talk About the Elephant in the Room: Concussion

Clare Brandys, PhD, C.Psych., and Judy Gargaro, BSc Med. An increased awareness of concussion has highlighted that concussions should not be dismissed, but has also served to worry and sometimes confuse people about the dangers that might follow a concussion. Persistent symptoms after concussion can be complex and it is important to access properly trained and experienced providers who can manage the complexity without neglecting relevant symptoms. But who are the healthcare providers you should see for which symptoms? It is critical that healthcare providers communicate and work together as symptoms often span several areas: cognition, physical functioning, and emotional regulation. A coordinated approach, linked to published concussion guidelines, will be highlighted. Tools, resources, key messages, and clinical vignettes will be presented to help patients and professionals navigate recovery from concussion.

B5 – Financial Constraints Can Impact Recovery after a Brain Injury: What Clinicians, Lawyers and Financial Consultants Need to Consider

Stephen Birman, Lawyer, Stephen Pauwels, MBA, Chanth Seyone, MD, FRCPC, Joseph Pileggi, BA, MMKG, and Deena Ginsberg BSW, MSW, RSW. For those living with a brain injury and those in the immediate family unit, the financial challenges in addition to rehabilitation can seem insurmountable. A panel will discuss financial issues, which may cause a myriad of emotional and physical stresses. Bob Nigol will moderate this expert medical and legal panel, each presenting 10 minutes on topics including Government Financial Plans, Private Insurance, Personal Financial Resources, SABS, Bridge Financing, Tort Settlements and Structures, POA’s, Guardianship, Practical Strategies for setting up Budgets, Psychiatric Approach to Family Stress and The Lawyer Dilemma-Show Me the Money.

B6 – Brain Injury Speaks: The Stakeholder Engagement Network of Ontario

Chad Debison-Larabie, MHSc, BHSc will outline the development and future goals of the Brain Injury Speaks Network. Brain Injury Speaks is an active engagement network whose goal is to respond to issues important to Ontario’s brain injury community. Often, decisions affecting the brain injury community in Ontario are made with little input from persons living with ABI and their family members/caregivers. In recognizing this system gap, the Ontario Brain Injury Association in collaboration with Brain Injury Associations across Ontario, have identified the need for a systematic approach to inform and respond to decisions made by the Government. Development of this network is the first step in an articulated provincial plan to meet the needs of persons living with ABI. More than 350 stakeholders have joined Brain Injury Speaks. The network is expected to have more than 1000 members by 2020.