Potential Application of Lifelogging Technology (SenseCam) in Rehabilitation

Size: px
Start display at page:

Download "Potential Application of Lifelogging Technology (SenseCam) in Rehabilitation"

Transcription

1 Potential Application of Lifelogging Technology (SenseCam) in Rehabilitation Dr Fergus Gracey, Consultant Clinical Neuropsychologist Lara Harris, Louise Head, Kate Psaila, Cat Ford Oliver Zangwill Centre for Neuropsychological Rehabilitation NIHR CLAHRC for Cambridgeshire and Peterborough

2 Outline Conceptual framework for brain injury rehab linking executive function, memory and emotional adjustment What is SenseCam? Brief summaries of 4 rehab applications Jane - Memory problems and rehab Rose - Rehearsing a rehab task 1: confidence Lorraine - Rehearsing a rehab task 2: skills Allan - Enhancing benefit from cognitive therapy Enhancing Goal Management Training A service user s account of SenseCam in brain injury rehabilitation

3 What is neuropsychological rehabilitation? amelioration of cognitive, emotional, psychosocial and behavioural deficits caused by an insult to the brain (Wilson, 2007) Usually through compensatory approaches (i.e. finding ways of minimising the impact of the deficit in day to day functioning and quality of life) Preferably integrated with psychological therapy (Wilson and Gracey, 2009)

4 The Y shaped model (Wilson et al, 2009; Gracey, Evans and Malley, 2009) Social and self discrepancies Self under threat aspired to or old me plan do me now Safe to explore Test strategies and develop skills predict reflect observe possible new me Who might I be? How might things be better? Positive growth Contextualised support Exploring and consolidating the new me s

5 Selfregulation problems represent a double deficit Impaired abilities in day to day life Impaired abilities to engage in and make use of rehabilitation strategies

6 Self-regulation and rehab Emotional control Future-directed control (planning, problem solving, prospective memory) Ability to recall events in detail Cognitive control (working memory and attention) Selfregulation and adaptation Participation in valued roles and activities Gracey and Ownsworth (2012) potential impact of AM and EF deficits on response to therapy and rehab

7 What Is SenseCam? A small wearable camera Sensors record movement, position (GPS), colour, light temperature - Sensors trigger the camera Simple 2 button operation ( On, Privacy ) Developed by MicroSoft Research UK Now marketed by OMG Life as the Autographer

8 Autobiographical memory and therapy Store of experiences that provide sense of self and continuity over time: mental time travel A particular self is activated in a situation: helps guide us and selfregulate Provides ability to think about a future situation Autobiographical memory Store of experiences that provide information about us, others and the world around us Store containing our experiences, feelings, thoughts in different contexts AM s feature in models of executive function Prompting use of AM might enhance problem solving after ABI Recalling an AM is emotional, not just information In CBT change requires recall of info and emotions

9 Research Plan NIHR Flexibility and Sustainability Funding Cambridgeshire PCT Cambridgeshire Community Services NHS Trust NIHR CLAHRC CP NIHR Brain Injury Health Technology Cooperative (Cambridge) Explore applications of SenseCam in neuropsychological rehabilitation Enhancing impact of rehab or therapy Executive functioning problems Emotion regulation problems Emotional adjustment and wellbeing User feedback and ideas

10 Outline Conceptual framework for brain injury rehab linking executive function, memory and emotional adjustment What is SenseCam? Brief summaries of 4 rehab applications Jane - Memory problems and rehab Rose - Rehearsing a rehab task 1: confidence Lorraine - Rehearsing a rehab task 2: skills Allan - Enhancing benefit from cognitive therapy Enhancing Goal Management Training A service user s account of SenseCam in brain injury rehabilitation

11 Jane engaging in rehab Severe memory impairment from TBI, major emotional adjustment issues Pre-injury very high functioning Intensive rehabilitation programme SenseCam to support Recall of and engagement in rehab Reflection on mobility and gait with occupational therapist due to fears of falling Recall of non-routine events

12 Memory score accuracy, expressed as a percentage of total events Number of facts recalled overall Mean % recall for events Number of facts recalled overall Jane SenseCam assisted recall Without images With images Same day recall without images Same day recall with images Following day recall without images Following day recall with images 0 Same day Following day 0 Generic emotional Specific emotional Same day recall without images Same day recall with images Following day recall without images Following day recall with images Following day recall without images Following day recall with images 0 Generic nonemotional Specific nonemotional

13 Jane - outcomes Initially not comfortable with the device it symbolised the problem it was designed to treat Not useful for routine rehab appointments: Notes, Filofax, materials from sessions Reviewing images of mobility SC failed to update her own fears of falling Video of her walking better Useful for recollection of non-routine events and specific emotions Cued recall appears better the day after Able to spontaneously recall more neutral memories Continues to use the device following rehab

14 Rose gaining confidence Mild TBI, difficult pre-injury emotional history Significant loss of social confidence post TBI Goals relating to going in to town going for a coffee, using the guided busway

15 Rose - outcome Completed trip on the guided busway with SenseCam Reviewed images at home Repeated the guided bus-way trip successfully independently Both singly and as a movie

16 Rose s feedback I was able to go over situations in the privacy of my own home to review things which I was uncomfortable with. the outside world can be very frightening and fast and I felt afraid and thought I would have difficulty keeping up I was able to review my visits into the outside world and practise at home and memorise different situations and how I would address this when I was in that situation outside This built my confidence so I was able to succeed when that situation arose again Thank you for helping me - it is an amazing piece of equipment which I m sure would be helpful in many areas

17 Lorraine - cooking Significant executive deficits, spatial neglect, poor self-awareness following a fall and severe TBI Goal to prepare a main meal for family Script for preparing beouf bourgignon SC movie of cooking New script including SC images Week 1 Week 2 Week 3 Between weeks 3 and 4 Week 4 Baseline trial of task performed, where prompts are only given if risk issues arise; errorless script developed Errorless trial conducted and recorded using SenseCam Trial using just the errorless script occurs SenseCam movie of errorless trial viewed once each day, and a cognitive session used to help Lorraine identify images to add to the script Trial using script with SenseCam images occurs

18 Frequency Lorraine - outcome Baseline needed verbal prompts and supervision V 3W 3D 3P 4 Independent Rating Baseline Independent Rating With Script Independent Rating With SC Script Little gain from having verbal script 8/12 steps completed independently following SC rehearsal and SC script Present level of ability KEY 1 = independent 2 = needs supervision 3 = needs assistance (Verbal, Written, Demo, Physical) 4 = dependent

19 Frequency Lorraine - outcome Baseline needed verbal prompts and supervision V 3W 3D 3P 4 Independent Rating Baseline Independent Rating With Script Independent Rating With SC Script Little gain from having verbal script 8/12 steps completed independently following SC rehearsal and SC script Present level of ability KEY 1 = independent; 2 = needs supervision; 3 = needs assistance (Verbal, Written, Demo, Physical) 4 = dependent

20 Frequency Lorraine - outcome Baseline needed verbal prompts and supervision V 3W 3D 3P 4 Independent Rating Baseline Independent Rating With Script Independent Rating With SC Script Little gain from having verbal script 8/12 steps completed independently following SC rehearsal and SC script Present level of ability KEY 1 = independent; 2 = needs supervision; 3 = needs assistance (Verbal, Written, Demo, Physical) 4 = dependent

21 Allan benefitting from CBT Anxiety disorder, memory and executive deficits following severe Traumatic Brain Injury Does SenseCam Help with retrieval of emotional content? Enhance potential to benefit from psychological therapy? Contribute to long term wellbeing? Brindley, Bateman and Gracey (2011) Memory,19(7), SenseCam special issue Brindley, Harris, Head and Gracey (in prep)

22 Results SenseCam-supported retrieval is superior to ATR diary or no strategy in terms of detail recalled

23 Results Content of SenseCam-supported recollections includes a greater reference to internal states, such as thoughts and feelings than ATR or no strategy

24 Long term outcomes MEASURE SUBSCALE PHASE baseline time 1 baseline t 2 baseline t 3 Post Thera py 3m follow up 9m follow up RCI Post therapy RCI 9m f.u. Beck Anxiety 16 (mod) 20 (mod) 15 (mild) 5 * (min) 2 (min) 2 * (min) Beck 23 (mod) 27 (mod) * 8 12 * Depression (mod) (mild) (min) (mild) Robson Self ** 158* 164** Concept Q Mobility Inventory for Agoraphobia Avoidance Alone Avoidance Accompanied ** 0.96** 1** Panic ** Frequency Panic Intensity ** -3.5* -4.37* -4.16* -4.52* Mayo-Portland Adaptability Inventory 4 Total Score * * Ability ** 41** Adjustment ** Participation ** 46**

25 Goal Management Training Goal Management Training (GMT) Levine et al, 2000 single case Levine et al 2011 RCT: GMT promotes a mindful approach to complex real-life tasks that pose problems for patients with executive functioning deficits, with a main goal of periodically stopping ongoing behavior to monitor and adjust goals

26 Generalisation of GMT Executive problems challenge implementing strategies Lack of evidence of carry over into day-to-day life Gracey, Manly, Greenfield, Bateman, Malley, Evans and Wilson RCT of GMT plus random STOP text alerts Cuberos-Urbano, Caracuel, Valls-Serrano, Garcia- Mochon, Gracey and Verdejo-Garcia (in prep) pilot trial of GMT group enhanced with SenseCam movies

27 DEX (informant) Pre Group mean (SD) GMT + SenseCam Post Group mean (SD) p Pre Group mean (SD) GMT Post Group mean (SD) Inhibition (4.79) 9.88 (3.72) (5.79) (5.67) Intentionality (5.36) 8.38 (5.15) 0.021* 12 (3.93) (4.67) Executive Memory 6.13 (2.1) 3.88 (2.7) (2.33) 5.88 (4.79) Positive affect 6.75 (2.66) 4.75 (2.55) 0.01** 8 (2.56) 7.13 (2.75) Negative affect 4.38 (2) 3.63 (1.85) (2.17) 4.5 (2.2) QoLIBRI Cognition (2.99) (3.89) (6.67) (5.92) Self (2.96) (4.75) (5.17) (5.63) Daily life and (3.38) (2.92) 0.015* (5.21) (4.34) autonomy Social (3.07) (3.46) (5.53) (5.70) relationships Emotions (5.92) (5.81) (6.06) (4.42) 1.00 Physical problems (2.97) (3.49) (5.15) (4.02) Total score 113 (14.35) (12.95) 0.032* (26.69) (23.74) 0.038* Cuberos-Urbano, Caracuel, Valls-Serrano, Garcia-Mochon, Gracey and Verdejo-Garcia (in prep) Preliminary results of a pilot study incorporating lifelog technology into executive function rehabilitation for enhanced transfer of selfregulation skills to everyday life p

28 Enhancing GMT with SenseCam Using SenseCam movies as the material to discuss in the group may be more meaningful enhance problem solving skills help influence future behaviour

29 Autobiographical memory and therapy Store of experiences that provide sense of self and continuity over time: mental time travel A particular self is activated in a situation: helps guide us and selfregulate Provides ability to think about a future situation Autobiographical memory Store of experiences that provide information about us, others and the world around us Store containing our experiences, feelings, thoughts in different contexts AM s feature in models of executive function Prompting use of AM might enhance problem solving after ABI Recalling an AM is emotional, not just information In CBT change requires recall of info and emotions

30 Summary Range of applications in rehabilitation where memory is not the main focus Potential to provide mnemonic enhancement of rehab or therapy Variety of ways in which rehab service users make use of SenseCam Memory single images? Mood movie? Generally viewed as very positive providing security, confidence and ownership of own experiences

31 THANKS!

Memory Rehabilitation in Early Dementia. Diana Golvers Clinical Psychologist Central Dementia Service

Memory Rehabilitation in Early Dementia. Diana Golvers Clinical Psychologist Central Dementia Service Memory Rehabilitation in Early Dementia Diana Golvers Clinical Psychologist Central Dementia Service Loss of Memory in AD Memory impairment earliest manifestation of AD and other dementias Major impact

More information

REHABILITATION OF EXECUTIVE DISORDERS

REHABILITATION OF EXECUTIVE DISORDERS REHABILITATION OF EXECUTIVE DISORDERS Deirdre Dawson, PhD, OT Reg (ON) Senior Scientist, Baycrest Associate Professor, University of Toronto 2nd Central East Stroke Network Symposium April 14 th, 2010

More information

EMOTIONAL AND BEHAVIOURAL CONSEQUENCES OF HEAD INJURY

EMOTIONAL AND BEHAVIOURAL CONSEQUENCES OF HEAD INJURY Traumatic brain injury EMOTIONAL AND BEHAVIOURAL CONSEQUENCES OF HEAD INJURY Traumatic brain injury (TBI) is a common neurological condition that can have significant emotional and cognitive consequences.

More information

Cognitive Rehabilitation of Blast Traumatic Brain Injury

Cognitive Rehabilitation of Blast Traumatic Brain Injury Cognitive Rehabilitation of Blast Traumatic Brain Injury Yelena Bogdanova, PhD VA Boston Healthcare System Rehabilitation Research & Development Boston University School of Medicine IOM Committee on Cognitive

More information

Assessment and Treatment of Cognitive Impairment after Acquired Brain Injury

Assessment and Treatment of Cognitive Impairment after Acquired Brain Injury Assessment and Treatment of Cognitive Impairment after Acquired Brain Injury Dr Brian O Neill, D.Clin.Psy. Brain Injury Rehabilitation Trust, Glasgow Honorary Research Fellow, University of Stirling Brain

More information

Coping with Memory Problems after Brain Injury Practical Strategies

Coping with Memory Problems after Brain Injury Practical Strategies Coping with Memory Problems after Brain Injury Practical Strategies Introduction Memory problems are one of the most common effects of acquired brain injury. Sadly there are no cures available, but there

More information

www.projectlearnet.org WHAT IS COGNITIVE INTERVENTION/REHABILITATION?

www.projectlearnet.org WHAT IS COGNITIVE INTERVENTION/REHABILITATION? Tutorial: Cognitive Intervention/Rehabilitation (See Tutorials on Cognition; Transfer/Generalization; Instructional Routines; Attention; Memory and Memory Problems; Organization; Problem Solving; Concrete

More information

The Executive Function Task Application Model (EFTAM): development and application

The Executive Function Task Application Model (EFTAM): development and application The Executive Function Task Application Model (EFTAM): development and application Charlie Chung 1, Alex Pollock 2, Tanya Campbell 3, Brian Durward 4 1 Occupational Therapy, NHS Fife, Dunfermline 2 Nursing

More information

Does the use of compensatory cognitive strategies improve employment outcomes in people with an acquired brain impairment?

Does the use of compensatory cognitive strategies improve employment outcomes in people with an acquired brain impairment? Does the use of compensatory cognitive strategies improve employment outcomes in people with an acquired brain impairment? Prepared by: Rosamaria Coster Rehabilitation Consultant (OT), CRS Australia Date:

More information

Cognitive Rehabilitation Evidence- Based Practices. Cynthia Griggins, PhD Neuropsychologist, Neurological Institute UHCMC

Cognitive Rehabilitation Evidence- Based Practices. Cynthia Griggins, PhD Neuropsychologist, Neurological Institute UHCMC 1 Cognitive Rehabilitation Evidence- Based Practices Cynthia Griggins, PhD Neuropsychologist, Neurological Institute UHCMC 2 What is Cognitive Rehab? Goal: ameliorate injury-related cognitive deficits

More information

RESTORATIVE TECHNIQUES IN COGNITIVE REHABILITATION: PROGRAM DESIGN AND CLINICAL BENEFITS

RESTORATIVE TECHNIQUES IN COGNITIVE REHABILITATION: PROGRAM DESIGN AND CLINICAL BENEFITS RESTORATIVE TECHNIQUES IN COGNITIVE REHABILITATION: PROGRAM DESIGN AND CLINICAL BENEFITS In the treatment of traumatic brain injury, cognitive rehabilitation is an intervention that seeks to improve cognitive

More information

Lorenza Tiberio, Amedeo Cesta & Gabriella Cortellessa. CNR - National Research Council - Italy. RAatE 2012 - University of Warwick Coventry UK

Lorenza Tiberio, Amedeo Cesta & Gabriella Cortellessa. CNR - National Research Council - Italy. RAatE 2012 - University of Warwick Coventry UK Lorenza Tiberio, Amedeo Cesta & Gabriella Cortellessa CNR - National Research Council - Italy RAatE 2012 - University of Warwick Coventry UK The ExCITE Project [07/2010-06/2013] Telepresence robot as a

More information

IMPROVING YOUR EXPERIENCE

IMPROVING YOUR EXPERIENCE Comments trom the Aberdeen City Joint Futures Brain Injury Group The Aberdeen City Joint Futures Brain Injury Group is made up of representatives from health (acute services, rehabilitation and community),

More information

Family Focused Therapy for Bipolar Disorder (Clinical Case Series) Participant Information Sheet

Family Focused Therapy for Bipolar Disorder (Clinical Case Series) Participant Information Sheet Family Focused Therapy for Bipolar Disorder (Clinical Case Series) Participant Information Sheet Study Title: Family Focused Therapy for Bipolar Disorder: A Clinical Case Series) We would like to invite

More information

HEAD INJURY; THE REHABILITATION PATHWAY. Professor Graham Powell. Professor of Clinical and Neuropsychology

HEAD INJURY; THE REHABILITATION PATHWAY. Professor Graham Powell. Professor of Clinical and Neuropsychology HEAD INJURY; THE REHABILITATION PATHWAY by Professor Graham Powell Professor of Clinical and Neuropsychology The management of head injury will broadly flow along a pathway from Accident and Emergency

More information

COGNITIVE REHABILITATION

COGNITIVE REHABILITATION COGNITIVE REHABILITATION TREATMENT MODALITIES FUNCTIONAL APPLICATION ASSESSMENTS FOR MEDICAL REHABILITATION NEUROPSYCHOLOGICAL ASSESSMENT COGNITIVE SCREENING ASSESSMENT COGNITIVE PROBLEMS ASSOCIATED WITH

More information

Psychotherapy and ABI: Integrating subjective experience of identity and self-regulation into

Psychotherapy and ABI: Integrating subjective experience of identity and self-regulation into Psychotherapy and ABI: Integrating subjective experience of identity and self-regulation into rehabilitation Meeting of the Norwegian Neuropsychological Society 14 November 2014 Dr Fergus Gracey, Consultant

More information

REHABILITATION IN PERSONAL INJURY CLAIMS. By Carol Jackson Principal Lawyer Pannone Part of Slater & Gordon

REHABILITATION IN PERSONAL INJURY CLAIMS. By Carol Jackson Principal Lawyer Pannone Part of Slater & Gordon REHABILITATION IN PERSONAL INJURY CLAIMS By Carol Jackson Principal Lawyer Pannone Part of Slater & Gordon Rehabilitation It s not all about the money There is more a solicitor can do Increasing and proper

More information

Early Psychosis Initiative

Early Psychosis Initiative Early Psychosis Initiative Cognitive Remediation Pamela Withey Antoinette Redoblado Hodge Cognitive skills Attention/Concentration Processing Speed Working Memory Memory Spatial functions Executive functions

More information

Executive dysfunction after brain injury

Executive dysfunction after brain injury Executive dysfunction after brain injury Introduction Executive dysfunction is a term for the range of cognitive, emotional and behavioural difficulties which often occur after injury to the frontal lobes

More information

Rehabilitation of Learning Disabilities in Finland 11.3.2014

Rehabilitation of Learning Disabilities in Finland 11.3.2014 Rehabilitation of Learning Disabilities in Finland 11.3.2014 Johanna Nukari, Neuropsychologist Rehabilitation Foundation Johanna.nukari@kuntoutussaatio.fi 4.3.2014 1 Topics of the presentation On the concept

More information

The Counselling and Wellness Centre at MDABC

The Counselling and Wellness Centre at MDABC The Counselling and Wellness Centre at MDABC Winter 2016 Program Guide Learn to improve your MOOD and live a more BALANCED LIFE. The non-profit Counselling and Wellness Centre at MDABC offers private counselling

More information

Integrated Neuropsychological Assessment

Integrated Neuropsychological Assessment Integrated Neuropsychological Assessment Dr. Diana Velikonja C.Psych Neuropsychology, Hamilton Health Sciences, ABI Program Assistant Professor, Psychiatry and Behavioural Neurosciences Faculty of Health

More information

WHERE CAN PSYCHOLOGY TAKE ME?

WHERE CAN PSYCHOLOGY TAKE ME? WHERE CAN PSYCHOLOGY TAKE ME? There are many careers in Psychology and many types of psychologist. If you are thinking of a career in Psychology, you need to go to university to study Psychology at undergraduate

More information

Nationwide providers of specialist care and rehabilitation

Nationwide providers of specialist care and rehabilitation Valuing People VP Community Care Nationwide providers of specialist care and rehabilitation 9 YEARS OF SPECIALIST CARE VP Community Care An introduction to what we do Registered with the CQC, we support

More information

Critical Review: The efficacy of cognitive rehabilitation approaches for recovery of memory impairments following stroke

Critical Review: The efficacy of cognitive rehabilitation approaches for recovery of memory impairments following stroke Copyright 2007 by Coulas, V. Critical Review: The efficacy of cognitive rehabilitation approaches for recovery of memory impairments following stroke Coulas, V. M.Cl.Sc. (SLP) Candidate School of Communication

More information

Effective Services for People Living with Brain Injury

Effective Services for People Living with Brain Injury Effective Services for People Living with Brain Injury Jean Capler, MSW, LCSW Local Support Network Leader The Rehabilitation Hospital of Indiana Resource Facilitation Plan for Today Brain Injury 101 Challenges

More information

Advances in Psychological Treatments for Adult ADHD

Advances in Psychological Treatments for Adult ADHD Advances in Psychological Treatments for Adult ADHD Dr Antonia Dittner Senior Clinical Psychologist Maudsley Adult ADHD Service antonia.dittner@slam.nhs.uk The need for a multidisciplinary approach to

More information

Neuropsychological Rehabilitation. Neuropsych Assessment. Neuropsych Assessment 2/23/11

Neuropsychological Rehabilitation. Neuropsych Assessment. Neuropsych Assessment 2/23/11 Neuropsychological Rehabilitation Neuropsych Assessment Rehabilitation requires a team approach Design evaluations to aid treatment team Identify breadth and depth of deficits Identify remaining strengths

More information

Coping with memory problems: practical strategies

Coping with memory problems: practical strategies Coping with memory problems: practical strategies Introduction Memory impairment is one of the most common effects of acquired brain injury. Sadly there are no cures available, but there are a number of

More information

Redford Court, Liverpool

Redford Court, Liverpool Redford Court, Liverpool BIRT - the charity leading brain injury rehabilitation across the UK Registered Charity Nos. 800797-1 in England and Wales and SCO43579 in Scotland We aim to provide the best quality

More information

Post-Acute Rehab: Community Re-Entry After Stroke? Sheldon Herring, Ph.D. Roger C. Peace Rehab Hospital Greenville Hospital System

Post-Acute Rehab: Community Re-Entry After Stroke? Sheldon Herring, Ph.D. Roger C. Peace Rehab Hospital Greenville Hospital System Post-Acute Rehab: Community Re-Entry After Stroke? Sheldon Herring, Ph.D. Roger C. Peace Rehab Hospital Greenville Hospital System 2014 Neurocognitive Deficits After Stroke: The Hidden Disability Sheldon

More information

SPECIALIST ARTICLE A BRIEF GUIDE TO PSYCHOLOGICAL THERAPIES

SPECIALIST ARTICLE A BRIEF GUIDE TO PSYCHOLOGICAL THERAPIES SPECIALIST ARTICLE A BRIEF GUIDE TO PSYCHOLOGICAL THERAPIES Psychological therapies are increasingly viewed as an important part of both mental and physical healthcare, and there is a growing demand for

More information

Careers Day. Clinical Psychology. 17 th May 2012. Dr Kathryn Sams Specialist Clinical Psychologist Chatterton House, Kings Lynn

Careers Day. Clinical Psychology. 17 th May 2012. Dr Kathryn Sams Specialist Clinical Psychologist Chatterton House, Kings Lynn Careers Day Clinical Psychology 17 th May 2012 Dr Kathryn Sams Specialist Clinical Psychologist Chatterton House, Kings Lynn What Is Psychology? The study of people, how they think, act, react and interact.

More information

Memory, Behaviour, Emotional and Personality Changes after a Brain Injury

Memory, Behaviour, Emotional and Personality Changes after a Brain Injury Memory, Behaviour, Emotional and Personality Changes after a Brain Injury The consequences of a brain injury on any individual, family or relationship are far reaching. A brain injury not only impacts

More information

Attention & Memory Deficits in TBI Patients. An Overview

Attention & Memory Deficits in TBI Patients. An Overview Attention & Memory Deficits in TBI Patients An Overview References Chan, R., et.al.. (2003). Are there sub-types of attentional deficits in patients with persisting post- concussive symptoms? A cluster

More information

THE ACQUIRED BRAIN INJURY STRATEGY FOR GRAMPIAN.

THE ACQUIRED BRAIN INJURY STRATEGY FOR GRAMPIAN. THE ACQUIRED BRAIN INJURY STRATEGY FOR GRAMPIAN. 2011-2016 * 1 January 2011. Contents 1. Executive Summary 2. Progress and Developments since Grampian BI Strategy 2004-2010 3. Definitions and Epidemiology

More information

Service Overview. and Pricing Guide

Service Overview. and Pricing Guide Service Overview and Pricing Guide Millard Health s Service Overview and Pricing Guide Millard Health provides rehabilitation services for both work-related and non-work-related injuries. The rehabilitation

More information

University College London Hospitals. Psychological support services for people affected by cancer

University College London Hospitals. Psychological support services for people affected by cancer University College London Hospitals Psychological support services for people affected by cancer 2 3 Introduction - the psychological impact of cancer The diagnosis and treatment of cancer can have a devastating

More information

Psychological reaction to brain tumour. Dr Orazio Giuffrida Consultant Clinical Neuropsychologist

Psychological reaction to brain tumour. Dr Orazio Giuffrida Consultant Clinical Neuropsychologist Psychological reaction to brain tumour Dr Orazio Giuffrida Consultant Clinical Neuropsychologist Psychological Reaction To Brain Tumour Diagnosis A Key word to understand is Adjustment Adjustment refers

More information

mpv`elildf`^i=qob^qjbkqp=ñçê= ^åñáéíó=~åç=aééêéëëáçå h~íó=dê~òéäêççâ `äáåáå~ä=ié~çi=dêééåïáåü=qáãé=qç=q~äâ `çåëìäí~åí=`äáåáå~ä=mëóåüçäçöáëí

mpv`elildf`^i=qob^qjbkqp=ñçê= ^åñáéíó=~åç=aééêéëëáçå h~íó=dê~òéäêççâ `äáåáå~ä=ié~çi=dêééåïáåü=qáãé=qç=q~äâ `çåëìäí~åí=`äáåáå~ä=mëóåüçäçöáëí mpv`elildf`^i=qob^qjbkqp=ñçê= ^åñáéíó=~åç=aééêéëëáçå h~íó=dê~òéäêççâ `äáåáå~ä=ié~çi=dêééåïáåü=qáãé=qç=q~äâ `çåëìäí~åí=`äáåáå~ä=mëóåüçäçöáëí Plan of the presentation Summary of NICE recommended psychological

More information

Expert Witness Services for Personal Injury Lawyers

Expert Witness Services for Personal Injury Lawyers Advanced Assessments Ltd Expert witnesses and Psychologists A Member of the Strategic Enterprise Group 180 Piccadilly, London, W1J 9HP T: 0845 130 5717 Expert Witness Services for Personal Injury Lawyers

More information

Attention, memory and learning and acquired brain injury. Vicki Anderson. Jamie M. Attention & learning: an information processing model

Attention, memory and learning and acquired brain injury. Vicki Anderson. Jamie M. Attention & learning: an information processing model Attention, memory and learning and acquired brain injury Vicki Anderson Jamie M. Childhood acquired amnesia Attention & learning: an information processing model MANAGEMENT Organising, problem solving

More information

GUIDANCE NOTES FOR APPLICANTS

GUIDANCE NOTES FOR APPLICANTS GUIDANCE NOTES FOR APPLICANTS Please read these notes carefully, as well as the Job Description and Person Specification, before completing and submitting your application. APPLICATION INFORMATION Please

More information

Return to Work after Brain Injury

Return to Work after Brain Injury Return to Work after Brain Injury This section talks about return to work after head injury and what kind of difficulties people experience. It moves onto talking about what kind of help and support is

More information

Measuring Outcomes in Brain Injury Rehabilitation. By: Kyle Haggerty, Ph.D.

Measuring Outcomes in Brain Injury Rehabilitation. By: Kyle Haggerty, Ph.D. Measuring Outcomes in Brain Injury Rehabilitation By: Kyle Haggerty, Ph.D. Learning Objectives What is Traumatic Brain Injury (TBI) Goals of Rehabilitation Measuring Outcomes in Brain Injury Rehabilitation

More information

Passive Infrared Hemoencephalography for Traumatic Brain Injury. Robert Coben, Ph.D., BCIA EEG, D-qEEG Neuropsychologist Massapequa Park, New York

Passive Infrared Hemoencephalography for Traumatic Brain Injury. Robert Coben, Ph.D., BCIA EEG, D-qEEG Neuropsychologist Massapequa Park, New York Passive Infrared Hemoencephalography for Traumatic Brain Injury Robert Coben, Ph.D., BCIA EEG, D-qEEG Neuropsychologist Massapequa Park, New York pirheg Passive Infrared Hemoencephalography Over Fpz only

More information

Occupational Therapy Treatment for People with Cognitive Limitations: Position paper

Occupational Therapy Treatment for People with Cognitive Limitations: Position paper Occupational Therapy Treatment for People with Cognitive Limitations: Position paper Background The purpose of a position paper is to present the professional stance regarding a given topic. The Senior

More information

Pragmatic Evidence Based Review Substance Abuse in moderate to severe TBI

Pragmatic Evidence Based Review Substance Abuse in moderate to severe TBI Pragmatic Evidence Based Review Substance Abuse in moderate to severe TBI Reviewer Emma Scheib Date Report Completed November 2011 Important Note: This report is not intended to replace clinical judgement,

More information

Rehabilitation: A Journey to. Independence By: Lauren Smith, CCC-SLP, CBIS and Nicole Bylander, OTR/L, CBIS 5/5/16

Rehabilitation: A Journey to. Independence By: Lauren Smith, CCC-SLP, CBIS and Nicole Bylander, OTR/L, CBIS 5/5/16 Rehabilitation: A Journey to Independence By: Lauren Smith, CCC-SLP, CBIS and Nicole Bylander, OTR/L, CBIS Rehabilitation: A Journey to Independence Purpose: Describe the rehabilitation process and the

More information

Occupational therapy after stroke

Occupational therapy after stroke Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Occupational therapy after stroke After a stroke, you are likely to need help to regain your abilities, learn new skills and cope with any remaining

More information

CPD sample profile. 1.1 Full name: Counselling Psychologist early career 1.2 Profession: Counselling Psychologist 1.3 Registration number: PYLxxxxx

CPD sample profile. 1.1 Full name: Counselling Psychologist early career 1.2 Profession: Counselling Psychologist 1.3 Registration number: PYLxxxxx CPD sample profile 1.1 Full name: Counselling Psychologist early career 1.2 Profession: Counselling Psychologist 1.3 Registration number: PYLxxxxx 2. Summary of recent work experience/practice. I have

More information

CRITICALLY APPRAISED PAPER (CAP)

CRITICALLY APPRAISED PAPER (CAP) CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION What is the effect of life review through writing on depressive symptoms in older adults residing in senior residences? Chippendale, T., & Bear-Lehman,

More information

Psychological Self Care in Multiple Sclerosis: A Stepped Care Model

Psychological Self Care in Multiple Sclerosis: A Stepped Care Model Psychological Self Care in Multiple Sclerosis: A Stepped Care Model Dr Dawn Reeve Consultant Clinical Neuropsychologist Mrs Dawn Anderson Self Care Development Manager Background to service evaluation

More information

A systematic review of focused topics for the management of spinal cord injury and impairment

A systematic review of focused topics for the management of spinal cord injury and impairment A systematic review of focused topics for the management of spinal cord injury and impairment icahe, University of South Australia For the NZ Spinal Cord Impairment Strategy Introduction This was the third

More information

Vocational rehabilitation: specific needs and interventions

Vocational rehabilitation: specific needs and interventions Vocational rehabilitation: specific needs and interventions Andy Tyerman Consultant Clinical Neuropsychologist On behalf of the Working Out Programme Community Head Injury Service, The Camborne Centre,

More information

Breaking the cycles of Borderline Personality Disorder

Breaking the cycles of Borderline Personality Disorder Breaking the cycles of Borderline Personality Disorder Borderline Personality Disorder (BPD) is a complex and difficult to treat condition affecting up to 2 % of the UK s adult population, and 50 % of

More information

POSTGRADUATE DIPLOMA IN COGNITIVE BEHAVIOURAL THERAPY

POSTGRADUATE DIPLOMA IN COGNITIVE BEHAVIOURAL THERAPY Department for Continuing Education with Oxford Cognitive Therapy Centre Inspiring Excellence in CBT Training, Therapy & Research POSTGRADUATE DIPLOMA IN COGNITIVE BEHAVIOURAL THERAPY A ONE-YEAR PART-TIME

More information

CRITICALLY APPRAISED PAPER (CAP)

CRITICALLY APPRAISED PAPER (CAP) CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION Does a neurocognitive habilitation therapy service improve executive functioning and emotional and social problem-solving skills in children with fetal

More information

OCD and EMDR. John Marr

OCD and EMDR. John Marr OCD and EMDR John Marr OCD the pathway My pathway into OCD therapy began in 2009 I began working with 4 young men, who had been unemployable since leaving education All 4 had been referred for therapy

More information

Recovering from a Mild Traumatic Brain Injury (MTBI)

Recovering from a Mild Traumatic Brain Injury (MTBI) Recovering from a Mild Traumatic Brain Injury (MTBI) What happened? You have a Mild Traumatic Brain Injury (MTBI), which is a very common injury. Some common ways people acquire this type of injury are

More information

Psychological Society of Ireland Division of Neuropsychology

Psychological Society of Ireland Division of Neuropsychology Psychological Society of Ireland Division of Neuropsychology Dr. Brian Waldron Senior Clinical Neuropsychologist Chair- PSI Division of Neuropsychology 27th February 2016 Neurological / Neuropsychological

More information

DEVELOPING A LOW COST BRAIN INJURY REHABILITATION PROGRAM: GUIDELINES FOR FAMILY MEMBERS

DEVELOPING A LOW COST BRAIN INJURY REHABILITATION PROGRAM: GUIDELINES FOR FAMILY MEMBERS DEVELOPING A LOW COST BRAIN INJURY REHABILITATION PROGRAM: GUIDELINES FOR FAMILY MEMBERS The day you waited for with such mixed feelings finally arrived: your family member was discharged from rehabilitation

More information

TREATING ASPD IN THE COMMUNITY: FURTHERING THE PD OFFENDER STRATEGY. Jessica Yakeley Portman Clinic Tavistock and Portman NHS Foundation Trust

TREATING ASPD IN THE COMMUNITY: FURTHERING THE PD OFFENDER STRATEGY. Jessica Yakeley Portman Clinic Tavistock and Portman NHS Foundation Trust TREATING ASPD IN THE COMMUNITY: FURTHERING THE PD OFFENDER STRATEGY Jessica Yakeley Portman Clinic Tavistock and Portman NHS Foundation Trust Treating the untreatable? Lack of evidence base for ASPD Only

More information

1695 N.W. 9th Avenue, Suite 3302H Miami, FL. 33136. Days and Hours: Monday Friday 8:30a.m. 6:00p.m. (305) 355 9028 (JMH, Downtown)

1695 N.W. 9th Avenue, Suite 3302H Miami, FL. 33136. Days and Hours: Monday Friday 8:30a.m. 6:00p.m. (305) 355 9028 (JMH, Downtown) UNIVERSITY OF MIAMI, LEONARD M. MILLER SCHOOL OF MEDICINE CLINICAL NEUROPSYCHOLOGY UHEALTH PSYCHIATRY AT MENTAL HEALTH HOSPITAL CENTER 1695 N.W. 9th Avenue, Suite 3302H Miami, FL. 33136 Days and Hours:

More information

Cognitive Behavioural Therapy (CBT) Certificate Program: Frequently Asked Questions (FAQ)

Cognitive Behavioural Therapy (CBT) Certificate Program: Frequently Asked Questions (FAQ) Cognitive Behavioural Therapy (CBT) Certificate Program: Frequently Asked Questions (FAQ) This course is held under the auspices of the: Office of Continuing Education and Professional Development, Faculty

More information

Sarah Levin Allen, Ph.D., CBIS Executive Director, Brain Behavior Bridge Assistant Professor, Philadelphia College of Osteopathic Medicine Pediatric

Sarah Levin Allen, Ph.D., CBIS Executive Director, Brain Behavior Bridge Assistant Professor, Philadelphia College of Osteopathic Medicine Pediatric Sarah Levin Allen, Ph.D., CBIS Executive Director, Brain Behavior Bridge Assistant Professor, Philadelphia College of Osteopathic Medicine Pediatric & NJ School Neuropsychologist www.brainbehaviorbridge.com

More information

Goole Neuro-Rehabilitation. Centre

Goole Neuro-Rehabilitation. Centre Goole Neuro-Rehabilitation Centre We aim to provide the best quality neurobehavioural rehabilitation for people with complex and challenging needs after brain injury. Ultimately, we want to enable service

More information

Cognitive Rehabilitation for Executive Dysfunction in Parkinson s Disease

Cognitive Rehabilitation for Executive Dysfunction in Parkinson s Disease Calleo, J., Burrows, C., Levin, H., Marsh, L., Lai, E., York, M. (2012). Cognitive rehabilitation for executive dysfunction in Parkinson s disease: application and current directions., vol. 2012, Article

More information

What is Narrative Exposure Therapy (NET)?

What is Narrative Exposure Therapy (NET)? What is Narrative Exposure Therapy (NET)? Overview NET is a culturally universal short-term intervention used for the reduction of traumatic stress symptoms in survivors of organised violence, torture,

More information

Managing depression after stroke. Presented by Maree Hackett

Managing depression after stroke. Presented by Maree Hackett Managing depression after stroke Presented by Maree Hackett After stroke Physical changes We can see these Depression Emotionalism Anxiety Confusion Communication problems What is depression? Category

More information

Mildmay UK Hospital. Services and Referral. Registered Charity No: 292058. www.mildmay.org

Mildmay UK Hospital. Services and Referral. Registered Charity No: 292058. www.mildmay.org Mildmay UK Hospital Services and Referral Registered Charity No: 292058 www.mildmay.org Our Vision A world in which everyone living with HIV can have a life in all its fullness Our Mission To respond effectively

More information

Overview. Neuropsychological Assessment in Stroke. Why a Neuropsychologist. How to make a referral. Referral Questions 11/6/2013

Overview. Neuropsychological Assessment in Stroke. Why a Neuropsychologist. How to make a referral. Referral Questions 11/6/2013 Overview Neuropsychological Assessment in Stroke Brandon Ally, PhD Department of Neurology What is Neuropsychology Stroke Specific Neuropsychology Neuropsychological Domains Case Study What is Neuropsychology?

More information

Psychological and Neuropsychological Testing

Psychological and Neuropsychological Testing 2015 Level of Care Guidelines Psych & Neuropsych Testing Psychological and Neuropsychological Testing Introduction: The Psychological and Neuropsychological Testing Guidelines provide objective and evidencebased

More information

The service. The OT role where do we fit in? The future?

The service. The OT role where do we fit in? The future? The service The OT role where do we fit in? The future? Medical Consultants Assistant Practitioner Therapy Assistant Dietitians SWMS Team Health Trainer Physiotherapists Psychologist Occupational Therapists

More information

Child Life Council 26 th Annual Conference on Professional Issues

Child Life Council 26 th Annual Conference on Professional Issues Child Life Council 26 th Annual Conference on Professional Issues 22. Redrawing the Wonder Years: Functional, Context-Sensitive Intervention in Acquired Brain Injury Presented By: Heather Crawford, CCLS,

More information

Supporting the return to work of employees with depression or anxiety

Supporting the return to work of employees with depression or anxiety Supporting the return to work of employees with depression or anxiety Advice for employers Around one million Australian adults live with depression. Over two million have an anxiety disorder. On average,

More information

Contents. Overview Treatments Inpatient Services Day Programs The Clinic What are the Costs? How to Get Started How to Find Us

Contents. Overview Treatments Inpatient Services Day Programs The Clinic What are the Costs? How to Get Started How to Find Us Lakeside Clinic Contents Overview Treatments Inpatient Services Day Programs The Clinic What are the Costs? How to Get Started How to Find Us Overview At some point in their lives, as many as one-in-five

More information

Obsessive-Compulsive Disorder and Body Dysmorphic Disorder

Obsessive-Compulsive Disorder and Body Dysmorphic Disorder South West London and St George s Mental Health NHS Trust Trustwide Service for Obsessive-Compulsive Disorder and Body Dysmorphic Disorder Springfield University Hospital A Referrer s Guide 1 Who we are

More information

The PEDS Model of Child Neuropsychological Rehabilitation

The PEDS Model of Child Neuropsychological Rehabilitation The PEDS Model of Child Neuropsychological Rehabilitation Jonathan Reed, Katie Byard and Howard Fine Recolo UK Ltd Introduction When a child suffers a traumatic brain injury (TBI) or a brain injury as

More information

WHICH talking therapy for depression?

WHICH talking therapy for depression? WHICH talking therapy for depression? A guide to understanding the different psychological therapies you may be offered to treat your depression 1 Contents Introduction 3 Cognitive Behavioural Therapy

More information

Cognitive Rehabilitation A service user`s journey

Cognitive Rehabilitation A service user`s journey Cognitive Rehabilitation A service user`s journey Dr Ena Lavelle, Consultant in Rehabilitation Psychiatry Dublin South/South West Mental Health Services Acknowledgements: Ms. Susan Kehoe, Senior Occupational

More information

James F. Malec, PhD, ABPP-Cn, Rp Professor & Research Director PM&R, Indiana University School of Medicine Rehabilitation Hospital of Indiana

James F. Malec, PhD, ABPP-Cn, Rp Professor & Research Director PM&R, Indiana University School of Medicine Rehabilitation Hospital of Indiana James F. Malec, PhD, ABPP-Cn, Rp Professor & Research Director PM&R, Indiana University School of Medicine Rehabilitation Hospital of Indiana Indianapolis, IN Professor Emeritus of Psychology, Mayo Clinic,

More information

Everything You Wanted to Know About Sex After Brain Injury But Were Afraid to Ask

Everything You Wanted to Know About Sex After Brain Injury But Were Afraid to Ask Everything You Wanted to Know About Sex After Brain Injury But Were Afraid to Ask Caron Gan, RN, MScN, RMFT Family Support Service What I hope you will get out of today s talk... Enhanced insight into

More information

V OCATIONAL E CONOMICS, I NC.

V OCATIONAL E CONOMICS, I NC. V OCATIONAL E CONOMICS, I NC. This document was downloaded from Vocational Economics Inc. (www.vocecon.com). For more information on this document, visit: www.vocecon.com/articles/arttbi.htm Volume 2,

More information

Reproduced by Sabinet Online in terms of Government Printer s Copyright Authority No. 10505 dated 02 February 1998

Reproduced by Sabinet Online in terms of Government Printer s Copyright Authority No. 10505 dated 02 February 1998 STAATSKOERANT, 2 SEPTEMBER 2011 No. 34581 3 GOVERNMENT NOTICE DEPARTMENT OF HEALTH No. R. 704 2 September 2011 HEALTH PROFESSIONS ACT, 1974 (ACT NO. 56 OF 1974) REGULATIONS DEFINING THE SCOPE OF THE PROFESSION

More information

MEDICAL POLICY SUBJECT: COGNITIVE REHABILITATION. POLICY NUMBER: 8.01.19 CATEGORY: Therapy/Rehabilitation

MEDICAL POLICY SUBJECT: COGNITIVE REHABILITATION. POLICY NUMBER: 8.01.19 CATEGORY: Therapy/Rehabilitation MEDICAL POLICY SUBJECT: COGNITIVE REHABILITATION PAGE: 1 OF: 5 If the member's subscriber contract excludes coverage for a specific service it is not covered under that contract. In such cases, medical

More information

ADOPTION RESEARCH INITIATIVE BRIEFING ENHANCING ADOPTIVE PARENTING: A RANDOMISED CONTROLLED TRIAL OF ADOPTION SUPPORT

ADOPTION RESEARCH INITIATIVE BRIEFING ENHANCING ADOPTIVE PARENTING: A RANDOMISED CONTROLLED TRIAL OF ADOPTION SUPPORT Research Brief DCSF-RBX-19-08 ADOPTION RESEARCH INITIATIVE BRIEFING ENHANCING ADOPTIVE PARENTING: A RANDOMISED CONTROLLED TRIAL OF ADOPTION SUPPORT January 2009 Professor Alan Rushton, Institute of Psychiatry,

More information

Primary care based guided self-help for depression provided by a nurse practitioner: a pilot evaluation.

Primary care based guided self-help for depression provided by a nurse practitioner: a pilot evaluation. Primary Care Mental Health 2007;4:00 00 # 2007 Radcliffe Publishing International research Primary care based guided self-help for depression provided by a nurse practitioner: a pilot evaluation. F Philp

More information

A BETTER TOMOR W. A balanced approach to Occupational Therapy & Case Management REHAB OPTIONS

A BETTER TOMOR W. A balanced approach to Occupational Therapy & Case Management REHAB OPTIONS A BETTER TOMOR W Beech House, 54b High Street, Chapmanslade, Wiltshire, BA13 4AN T: 01373 832459 info@rehaboptions.co.uk www.rehaboptions.co.uk Registered in England & Wales No 5860678 Designed by Plum

More information

Occupational Therapy Assisting STARK STATE COLLEGE OF TECHNOLOGY

Occupational Therapy Assisting STARK STATE COLLEGE OF TECHNOLOGY Occupational Therapy Assisting STARK STATE COLLEGE OF TECHNOLOGY Presented by The OTA class of Spring 2010 What is Occupational Therapy? Occupation: Activity in which one engages Therapy: Treatment of

More information

Back to work. Helping neurological patients back into employment WOLFSON VOCATIONAL REHABILITATION PROGRAMME

Back to work. Helping neurological patients back into employment WOLFSON VOCATIONAL REHABILITATION PROGRAMME Back to work Helping neurological patients back into employment WOLFSON VOCATIONAL REHABILITATION PROGRAMME Meeting their needs Our Vocational Rehabilitation Programme is specifically tailored to each

More information

IAPT OUTLINE SERVICE SPECIFICATION

IAPT OUTLINE SERVICE SPECIFICATION IAPT OUTLINE SERVICE SPECIFICATION Improving Access to Psychological Therapies Programme (IAPT) The IAPT Programme is a Department of Health initiative to improve access to psychological therapies. It

More information

Returning to Work Following Traumatic Brain Injury. Patient Information Booklet. Talis Consulting Limited

Returning to Work Following Traumatic Brain Injury. Patient Information Booklet. Talis Consulting Limited Returning to Work Following Traumatic Brain Injury Patient Information Booklet Talis Consulting Limited Returning to Work: Returning to work following a head injury is often seen as a very important goal

More information

Cognitive rehabilitation

Cognitive rehabilitation CHAPTER 40 Cognitive rehabilitation S.F. Cappa, 1 T. B e n ke, 2 S. Clarke,3 B. Rossi,4 B. Ste mm e r, 5 C.M. van Heugten6 1 Vita - Salute University and San Raffaele Scientific Institute, Milan, Italy;

More information

Technology in Music Therapy and Special Education. What is Special Education?

Technology in Music Therapy and Special Education. What is Special Education? Technology in Music Therapy and Special Education What is Special Education? Disabilities are categorized into the following areas: o Autism, visual impairment, hearing impairment, deaf- blindness, multiple

More information

Evaluation of a group-based memory rehabilitation for people with Multiple. Sclerosis: a sub-group analysis of the ReMiND Randomised Controlled Trial

Evaluation of a group-based memory rehabilitation for people with Multiple. Sclerosis: a sub-group analysis of the ReMiND Randomised Controlled Trial Evaluation of a group-based memory rehabilitation for people with Multiple Sclerosis: a sub-group analysis of the ReMiND Randomised Controlled Trial Research Article Miss Kristy-Jane Martin MSc Affiliation:

More information

3. Personal Statement Standard 1: A registrant must maintain a continuous and up-to-date and accurate record of their CPD activity.

3. Personal Statement Standard 1: A registrant must maintain a continuous and up-to-date and accurate record of their CPD activity. CPD Profile Forensic Psychologist early career 1.1 Full name: 1.2 Profession: Forensic Psychologist 1.3 Registration number: 2. Summary of recent work experience/practice Since completing my British Psychological

More information

Borderline personality disorder

Borderline personality disorder Borderline personality disorder Treatment and management Issued: January 2009 NICE clinical guideline 78 guidance.nice.org.uk/cg78 NICE 2009 Contents Introduction... 3 Person-centred care... 5 Key priorities

More information