Acquired Brain Injury 2017 Provincial Conference

Presented by OBIA and Participating Community Associations

Concurrent Sessions

Concurrent Session A
Thursday, November 2, 2017, 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 that includes the Knoebel Institute for Healthy Aging, psychology, biology, chemistry, as well as mechanical and material engineering departments. 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.

[A2] An Integrated Approach to PTSD, PCS and Chronic Pain with mTBI

Richard Nahas, MD, CCFP, DAAPM, ABIHM will discuss an emerging syndrome, Polytrauma Clinical Triad (PCT), which includes symptoms of chronic pain, PCS and PTSD. It has been described in military populations and is increasingly recognized after MVA and other traumatic injuries. The presentation will provide participants with: evidence-based review of MVA outcomes, mechanisms linking MVA and PCT, simple tools to identify patients at risk, and key self-care messages for patients with vulnerable brains.

[A3] Bibliotherapy: Healing One Text at a Time

Lisa Keenan, Ph.D., Kenneth Sroka, Ph.D. and Shannon King from Erie County Medical Center 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.

[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.

[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.

[A6] 8:30 on a Wednesday Evening

Randy Vincent will share his story of after the trauma and shock of the crash caused by a woman who made the decision to drink and drive, months of hospitals and lots of rehab, he returned to his community to pick up the pieces. Randy not only survived, he thrived.

Concurrent 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 as well as 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 how persons living with persistent concussion symptoms and their families can be prepared for the care that they should receive. These Standards have been developed rigorously and collaboratively by a diverse group of patients, family members and healthcare providers. The progress on education and implementation of the standards throughout the healthcare system will be discussed, with a focus on the roles of persons living with persistent concussion symptoms, family members and private and public care providers in moving forward with implementation.

[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.

[B3] A Roadmap of Family Needs After Pediatric ABI: Clinical, Research and Family Perspectives

Caron Gan, RN, MScN, RP, RMFT and Lies Ferriman, Family Leader will present through the perspective of a parent’s experience and a clinician/researcher will raise awareness of the importance of family needs after Pediatric ABI. This presentation will outline the development and validation of the Family Needs Questionnaire for use with Pediatric ABI (FNQ-P). A video of clinician and family voices will highlight the value of the FNQ-P as a roadmap of family needs after ABI.

[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 that assessment. This leaves survivors in a difficult position, as successful treatment of executive function maximizes the individual’s success with many important tasks and live roles. This presentation will review the I CAN 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.

[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, and neurophysiology and psychology scope of practice when acting as a Collaborative Care Team.

[B6] A Message With a Difference

Sharon Campbell Rayment. Sharon sustained her ABI in 2008 due to a horseback riding accident. Now as a professional speaker, she will speak on how horses have 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.

Concurrent 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.

[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 specifi c 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 eff ect on the client. The presentation will begin and end with the participants being guided through a brief demonstration.

[C3] Are You Ready for 2020?

Charles Gluckstein 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.

[C4] Applying the Science of Happiness to Life After Brain Injury

Amanda Muise, BT, Roby Miller, B.A., B.S.T., Daniel O’Driscoll, Community Facilitator 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.

[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 hoe 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.

[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. Garret 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.

Concurrent Session D
Friday, November 3, 2017, 10:40am – 11:40am

[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. Eff orts are ongoing to integrate a new Clinical Practice Guideline (CPG) for the rehabilitation of adults with moderate to severe TBI into everyday practice in acute, inpatient, outpatient and community-based rehabilitation settings. The Ontario Neurotrauma Foundation has been working with centres in Ontario in setting implementation priorities and establishing individual and cross-site implementation strategies and projects. They will discuss the process for identifying implementation priorities and the challenges and successes for implementation of these guidelines using real world experience from Peel Halton Dufferin Acquired Brain Injury Services (PHD ABIS) a community-based service provider. Strategies and tools that can be used to support sustainable change within rehabilitation practice will be discussed.

[D2] Winds of Change: The Ontario Concussion Care Strategy

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.

[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. Video clips of some performances will be reviewed.

[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.

[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.

[D6] A Clients Perspective on How To Be an Effective Clinician

Stephanie Vivier will present a collection of over 50 interviews with survivors: all levels of severity, both genders, 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 her injury, a 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, a client’s perspective provides a lens to the survivor’s world, to make the difference you desire to create.