P E R S O N A L I N J U R Y L A W Y E R S

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1 The ABI Journey: Pediatrics to Seniors 19th Annual Conference on Neurobehavioural Rehabilitation in Acquired Brain Injury May 10 11, 2012 Hamilton Convention Centre Hamilton, Ontario GLUCKSTEIN &ASSOCIATESLLP P E R S O N A L I N J U R Y L A W Y E R S

2 and its Affiliate Division Human & System Interface Consulting Gouws & Associates p s y c h o l o g i s t s HSIC Inc. LLP PERSONAL INJURY LAWYERS Target Audience This conference will be of interest to ABI Rehabilitation Professionals, Psychologists, Physicians, Program Planners, Insurance and Legal Representatives and Advocates. Attendance Certificates Conference attendance certificates will be placed in your delegate kit. Delegates are encouraged to review self-assessment guidelines issued by their professional college/association for continuing education credits or contact their professional college or association for further information. Evaluation Prizes Delegates who complete an evaluation form will be eligible for a draw. The draws will occur during lunch and evening Reception. Casual Friday Show your support for the Hamilton Health Sciences Rehabilitation Resource Centre and Camp Dawn by purchasing a $5.00 sticker and dressing casually on Friday May 11, Convention Centre Facilities The temperature varies from room to room. Please dress accordingly. Caregiver sponsorships A limited number of caregiver sponsorships are available. For information call Joyce Lambert at ext Liability Hamilton Health Sciences hereby assumes no liability for any claims, personal injury, or damage: To any individual attending this conference. That may result from the use of technologies, program, products and/or services at this conference. That may arise out of, or during this conference. For further information please contact Joyce Lambert ABI Conference Regional Rehabilitation Centre, HHS Level 1 North, Room B1-106F 237 Barton Street East Hamilton, ON L8L 2X2 Phone ext jlambert@hhsc.ca Conference Goals Explore and review the latest ABI research and current directions in diagnosis and treatment of pediatrics, adults and seniors Examine innovations and approaches to assessment and treatment in brain injury across the lifespan Provide an opportunity to network, share experiences and cultivate partnerships 2 The ABI Journey: Pediatrics to Seniors

3 The ABI Journey: Pediatrics to Seniors 19th Annual Conference on Neurobehavioural Rehabilitation in Acquired Brain Injury Plenary Sessions Jacobus Donders PhD, ABPP Mary Free Bed Rehabilitation Hospital, Grand Rapids, MI Traumatic Brain Injury Across the Age Span This discussion of traumatic brain injury (TBI) at various points across a lifespan. Similarities as well as differences will be reviewed between causation and manifestation of TBI in children, young adults, and seniors. The importance of confounding premorbid and comorbid factors will be described, with particular consideration of how demographic and psychological variables may affect outcomes. Longterm outcome data with regard to injuries sustained earlier in life will also be highlighted. Specific vulnerabilities of those at both of the extreme ends of the age spectrum to sequelae of TBI will be illustrated. Philip S. Fastenau Ph.D. Neurological Institute, University Hospital Case Medical Centre Vulnerability of the Developing Brain to Concussion and Guidelines for Clinical Management of Youth Guidelines for concussion management have been developed based on research with young adults, but recent studies document slower recovery for children and adolescents. This session will review neurobiological, cognitive, & behavioral changes associated with concussive injury and recovery and will summarize risk factors for prolonged recovery. Recent research will be summarized regarding greater vulnerability in younger brains. Implications for management with youth and recent guidelines will be presented and discussed. Brian Misiaszek MD, FRCPSC Chief of Geriatrics, Hamilton Health Sciences ABI & Aging: Approaches Used in the Elderly Population This presentation will discuss assessment and treatment modalities used with aging individuals who have suffered a brain injury. There will be a review of some of the medications and treatment options that are unique to this population. The differences in approach when treating dementia versus brain injury will be discussed. Plenary Sessions continued on page 4 19th Annual Conference on Neurobehavioural Rehabilitation in Acquired Brain Injury May 10 11,

4 Leslie Birkett B.Sc. OT, OT Reg. (Ont) Jane Storrie Ph.D., C Psych Storrie, Velikonja and Associates Meet Hope 10 Years Out Traditionally, a two year window of opportunity for recovery from brain injury is anticipated. Clinicians typically view residual impairment as permanent. Recent research and experience, however, have demonstrated otherwise. We present a case in which a patient dramatically improved 10 years after a significant brain injury. Noting changes in awareness, cognitive flexibility and empathy. While our ideas regarding outcome clearly need to be reevaluated, it is imperative to work towards the creation of funding models to ensure ABI patients the opportunity to recover to their full potential. Maria Schultheis Ph.D. Drexel University, New Jersey Virtual Rehabilitation : Unique Opportunities and Challenges Virtual reality (VR) technology offers rehabilitation a unique opportunity to evaluate everyday functional activities in an ecologically valid manner. VR applications are now being developed and tested which focus on component cognitive processes (e.g. attention, memory) and functional behaviors (e.g. meal preparation, driving). Findings from these studies provide support for the feasibility and potential value of VR. Yet, additional work remains to be done to successfully transition VR rehabilitation applications into the clinic. The current session will provide an overview of VR, discuss remaining considerations in the use of technology with clinical populations and present an example of current work with a Virtual Reality Driving Simulator (VRDS) to evaluate driving in neurological populations. Concurrent Sessions A1 Liana McLeod Research Assistant Bruce Linder Ph.D., C. Psych Brain Injury Services Back to the Future in Skill Training - Demonstrations of Effective Skill Training with Adults With ABI Using Direct Training Techniques Community-based neurobehavioural rehabilitation has evolved from early stages in history of applied behaviour analysis (ABA) skill training techniques to a less structured apprenticeship teaching model. Many agencies struggle with decisions about how much effort to commit to skill training. The apprenticeship model often becomes the default choice. Clinical experience suggests that informal teaching is often ineffective and more time consuming. This presentation will provide case examples of successful teaching using intensive ABA Direct Training Techniques. A2 Denise Johnson RegPT, MCPA Hamilton Health Sciences Standing Minimally Responsive Patients Across Ages The use of supported standing with minimally responsive patients results in tremendous impact on their recovery. What does the evidence suggest? What is required to stand a minimally responsive patient in a systematic and effective way? Clinically we see improvements in level of alertness, head control, visual tracking, bowel and bladder as well as motivation. It requires a lot of specialized equipment, staffing and time. We need to offer patients best practices to optimize their recovery while using time and resources effectively. In this session we will examine the effectiveness of supported standing with ABI patients to determine if such a resource intensive practice is worthwhile. 4 The ABI Journey: Pediatrics to Seniors

5 A3 Bob Lomax Social Worker Kelly Williston Wardell Occupational Therapist, SJHC, London Parkwood Hospital Family Education Across the Lifespan Using OTN Ongoing education for people with an ABI is an important issue over their lifetime, as recovery is a lifelong process. Access to education is necessary even when survivors no longer have access to rehabilitation services/professionals, or were never able to access them. In this spirit, Parkwood Hospital hosts an 8-week Survivor and Family Education Series that is videoconferenced and webcast through the Ontario Telemedicine Network (OTN) to various locations within the region. Speakers include survivors and clinicians, who speak about many recovery issues across the life span for survivors (ages 16 to 70+) and their families and friends. A4 Philip S. Fastenau Ph.D Neurological Institute, University Hospital Case Medical Centre Case Studies in Child & Adolescent Concussion Management Children and adolescents are at greater risk for prolonged recovery from concussion, and lifestyle changes following injury can be critical to achieving a steady and full recovery. Specific principles and strategies for management of concussion in younger individuals will be presented and will be illustrated by a series of case studies. B1 Rebecca Bond B.A, B.Ed Gene Uchida B.Comm. B.Ed. Gary Blake B.A. (Psych) Hamilton Health Sciences The Never-Ending Call Bell & the World s Longest Shift: A Way of Dealing with Difficult to Manage Behaviours in Long-Term and Other Residential Care Facilities Following brain injury, survivors in Ontario can come to reside in facilities with care providers having little or no experience in ABI or behavioural management techniques. If left without intervention, behavioural difficulties following ABI can escalate, leading to discharges and evictions. This can leave the survivor of brain injury homeless and at risk. Care providers are interested and able to learn. Helping them understand the variables associated with certain behaviours, and the procedures for management, can stabilize a brain injured individual in his or her environment resulting in fewer potential crises in the community. B2 Judith Gargaro Research Coordinator, Toronto Rehab and West Park Healthcare Centre Kathryn Boschen Research Scientist, University of Toronto Using Peer Support Mentoring to Support Persons with ABI and their Families in the Community An external evaluation of a recently-implemented telephone-based Peer Support Mentoring Program for all ages was conducted. The psychological and social effects of ABI typically do not manifest until discharge into the community, and often remain for years post-injury. Mentors and their matched partners separately completed a series of study-specific telephone questionnaires at intake, the start of their partnership and at its completion. Data from 120 successfully completed partnerships was collected. Gains were seen in mood, confidence and community integration. Participants viewed the Program as meeting a need for lifelong support, and gains were observed in both partners and mentors. Concurrent Sessions continued on page 8 19th Annual Conference on Neurobehavioural Rehabilitation in Acquired Brain Injury May 10 11,

6 Thursday, May 10th 7:45 8:30 Registration & Continental Breakfast 8:30 8:45 Announcements Welcome 8:45 9:30 Survivor s Perspective Jim Flood 6 The ABI Journey: Pediatrics to Seniors Murray Martin, Jennifer Kodis John Zsofcsin 9:30 10:30 Traumatic Brain Injury Across the Age Span Jacobus Donders 10:30 11:00 Refreshment Break & Poster Presentations 11:00 12:00 Vulnerability of the Developing Brain to Concussion and Guidelines for Clinical Management of Youth Philip S. Fastenau 12:00 1:15 Lunch & Poster Presentations 1:15 2:15 Virtual Rehabilitation : Unique Opportunities and Challenges Maria Schultheis 2:30 3:30 Concurrent Sessions A (Select One) A1 Back to the Future in Skill Training Demonstrations of Effective Skill Training with Adults with ABI Using Direct Training Techniques A2 Standing Minimally Responsive Patients Across Ages A3 Family Education Across the Lifespan Using OTN A4 Case Studies in Child & Adolescent Concussion Management 3:30 4:00 Refreshment Break & Poster Presentations Liana McLeod Bruce Linder Denise Johnson Bob Lomax, Kelly Williston Wardell Philip S. Fastenau 4:00 5:00 Concurrent Sessions B (Select One) B1 The Never-Ending Call Bell & the World s Longest Shift: A Way of Dealing with Difficult to Manage Behaviours in Long-Term and Other Residential Care Facilities Gary Blake, Gene Uchida, Rebecca Bond B2 Using Peer Support Mentoring to Support Persons with ABI and their Families in the Community Judith Gargaro, Kathryn Boschen B3 Concussion in Sport Janice Harvey, Colleen Cupido 5:00 Cocktail Reception & Band

7 Friday, May 11th 7:45 8:45 Buffet Breakfast & Announcements 8:45 9:45 ABI & Aging: Approaches used in the Elderly Population Brian Misiaszek 9:45 10:45 Meet Hope 10 years Out: Looking at a Model for Treatment Success Several Years Post-Injury Leslie Birkett, Jane Storrie 10:45 11:15 Refreshment Break & Poster Presentations 11:15 12:15 Concurrent Sessions C (Select One) C1 Expectations and Realities: Lifespan Issues Following Brain Injury Rolf B. Gainer C2 Cogmed Working Memory Training John Cole C3 Assessing Client Risk for Adults with ABI The Development and Validation of a Risk Assessment Scale at Brain Injury Services 12:15 Farewell Lunch Vlad Bartchouk, Bruce Linder Sponsors Platinum Gluckstein and Associates Himelfarb Proszanski MacDonald & Swan Oatley, Vigmond Law office Ross and McBride Gold Alert/Best Nursing and Home Care Bayshore Home Health Gouws and Associates/HSIC Inc. Howie, Sacks and Henry, LLP Silver Michael Lamont Mackesy Syme Alan Wynperle Bronze ABI Community Services Bronze (cont d) Neurologic Rehabilitation Institute of Ontario Brenda Power OT Gifts in Kind Lisa Keith Thomson Rogers McLeish Orlando Bartimaeus Paquette Travers and Deutschmann We Thank All of our Sponsors for their Generous Support 19th Annual Conference on Neurobehavioural Rehabilitation in Acquired Brain Injury May 10 11,

8 B3 Janice Harvey MD, FCFP, Dip Sports Med Colleen Cupido B.P.E., BHScPT, Sport Cert., MSc (Kin) McMaster University, David Braley Centre Concussion in Sport This presentation will provide an overview of Sport Concussions including injury definition and classification system, assessment tools commonly used in sport, ImPACT testing, concussion management, graded exertion protocol and return to play guidelines. We will also provide a brief introduction to the David Braley Sport Medicine and Rehabilitation Centre at McMaster University and discuss the resources available to community patients. C1 Rolf B. Gainer Ph.D. Neurologic Rehabilitation Institute of Ontario Expectations and Realities: Lifespan Issues Following Brain Injury Brain injury creates a lifetime of disability for the person but also affects others in their life. As more individuals enter into the ranks of those living with severe disabilities caused by ABI, we are better able to understand the convergence between brain injury disability and the accelerated consequences of aging. These life processes include: social role return; maintaining independence; family life and returning to valued activities. Growing old with severe disabilities involves the early onset of health problems which are furthered by disparities in healthcare resources and access to them. The role of the caregiver is an important aspect in the lifespan issues which confront the person and their desire to maintain independence. The consequences of aging with a brain injury require significant management of resources, many of which include the caregiver and social networks. C2 John Cole Ph.D, C Psych Steve Jett Ph.D, C Psych Cambridge Psychology Centre Cogmed Working Memory Training Cogmed Working Memory Training is an engaging, home computer-based training program. It is brief (5 weeks), yet it yields results that show stability and even improvement in memory (verbal, visuospatial, short term, and working memory) at completion, at 3-6 months follow-up and beyond. Cogmed has been applied with ADD/ ADHD children, ABI patients, pediatric brain cancer survivors, and other groups. Different modules have been designed to be used by pre-school children, school aged children, and adults. The presenters will outline the theory and research behind the Cogmed Program and discuss its application with ABI survivors across the lifespan. C3 Vlad Bartchouk Brain Injury Services Bruce Linder Ph.D., C. Psych, Brain Injury Services Assessing Client Risk for Adults with ABI. The Development and Validation of a Risk Assessment Scale at Brain Injury Services Despite concerns about client risk in community agencies that service adults with ABI, there are no known published standardized assessment tools which can be used to determine risk for individual clients. This talk will present the development and validation of a staff rating scale for levels of risk and levels of severity in such areas of relevant risk as falls, skin, health, behaviours, skills, mental health, addictions, and vulnerability. 8 The ABI Journey: Pediatrics to Seniors

9 Delegate Registration Name Profession Agency or Organization (please specify) Concurrent Session Selection I will attend (please circle): Session A1 A2 A3 A4 Session B1 B2 B3 Session C1 C2 C3 Please indicate any dietary limitations: Address City Bus. phone ext. Prov./State Postal/Zip I CONSENT to having my name appear on a published registrant list YES NO Payment Please make cheque payable (in Canadian funds) to Hamilton Health Sciences ABI Conference and return your completed form(s) with your cheque to: Joyce Lambert ABI Conference Regional Rehabilitation Centre Level 1 North, Room B1-106F 237 Barton Street East Hamilton, ON L8L 2X2 Fax For further information contact Joyce Lambert ext jlambert@hhsc.ca Delegate Registration Fee Early Registration on or before April 13, 2012 Single $325 3 or more $300 ea Caregivers or Full-time student $150 Group Rate: A minimum of three registrations received together from the same organization is required. Subtract $25 from each registration. Registration after April 13, 2012 Single $400 3 or more $375 ea Caregivers or Full-time student $150 Confirmation of registration A written acknowledgement of your registration will not be sent to registrants prior to the event. Receipts will be provided in your registrant package. Registration includes breakfasts, lunches, refreshment breaks, reception (excluding beverages) and delegate kits.

10 Exhibitor Registration Send your completed registration to: Name Joyce Lambert ABI Conference Regional Rehabilitation Centre Level 1 North, Room B1-106F 237 Barton Street East Hamilton, ON L8L 2X2 Organization Address Phone ext jlambert@hhsc.ca City Prov./State Postal/Zip Cancellation policy Bus. phone ext. Fax Hamilton Health Sciences reserves the right to cancel this event due to insufficient registration or circumstances beyond our control. Cancellations received before April 23, 2012 will be refunded. No refunds will be issued for cancellations received after this date. Exhibit space Exhibitor space is available to agencies who wish to share information about their programs at the conference. Display area includes: an 8 x10 space; draped table; one chair. The exhibitor s room has limited provision for electrical outlets. The Exhibitor Registration includes a display area and one registration for the exhibitor. To reserve exhibit space, please complete the Exhibit Space form. Your space is confirmed upon receipt of the completed form. Exhibit setup time for the conference is from 06:00 07:45 a.m. on May 10th Removal time is from 2:00 2:30 p.m. on May 11th For further information: Exhibitor Registration Fee Early Registration $750 Postmarked on or before April 13, 2012 Registration $850 After April 13, 2012 Exhibitor Requirements I will require a table I will require an electrical outlet Exhibitor Registration includes a display area and registration for one exhibitor. Joyce Lambert ext jlambert@hhsc.ca

11 VINE ST Driving Instructions YORK BOULEVARD WILSON ST Accommodations T N From London and Beyond Follow the 401 East to Toronto. Take Exit 235 and merge onto Hwy 403 East to Brantford/Hamilton. Exit at Hwy 8 East/Main Street in Hamilton. Follow Main Street to Summers Lane. Turn left on Summers Lane. The Hamilton Convention Centre will be on your right hand side. Underground parking is on the left hand side. From Toronto and Beyond Take the QEW West to HWY 403 Hamilton. Exit at Hwy 8 East/Main Street exit in Hamilton. Follow Main Street to Summers Lane. Turn Left on Summers Lane. The Hamilton Convention Centre will be on your right hand side. Underground parking is on the left hand side. From Niagara Falls and Beyond Take the QEW West to Hamilton. Take Exit 89 Burlington Street. Turn left at Wellington Street. Turn right at King Street. Turn left at Caroline Street. Turn left on to Main St. Follow Main Street to Summers Lane. Turn Left on Summers Lane. The Hamilton Convention Centre will be on your right hand side. Underground parking is on the left hand side. QUEEN ST S QUEEN ST N N QUEEN ST S QUEEN ST N YORK BOULEVARD MARKET ST HESS ST S HESS ST N HESS ST S HESS ST N CAROLINE ST S CAROLINE ST N CAROLINE ST S CAROLINE ST N 6 BRANTFORD 403 YORK BOULEVARD GUELPH MARKET ST KING ST W GEORGE ST MAIN ST W JACKSON ST W HUNTER ST W MARKET ST KING ST W GEORGE ST JAMES ST WELLINGTON ST MAIN ST W VINE ST JACKSON ST W BAY ST S BAY ST N CANNON ST W 407 QEW YORK BLVD TORONTO BAY ST S BAY ST N BURLINGTON ST BARTON ST HAMILTON KING ST TORONTO MAIN ST 5 BURLINGTON 4 3 SUMMERS LN Lake Ontario QEW SUMMERS LN NIAGARA FALLS CANNON ST W VINE ST LLOYD D. JACKSON SQUARE MACNAB ST S 1 Hamilton Convention Centre 2 Hamilton Place 3 City Hall 4 Sheraton Hotel 5 Copps Coliseum 6 Central Library KING ST E 7 Hamilton City Centre Parking Lots One-way MAIN ST W StreetsMAIN ST E MACNAB ST S KING ST W MAIN ST W JACKSON ST W KING ST W WILSON ST REBECCA ST JACKSON ST W 7 JAMES ST S JAMES ST N JAMES ST S JAMES ST N KING ST E KING ST E MAIN ST E KING ST E HUGHSON ST S HUGHSON ST N HUGHSON ST S HUGHSON ST N REBECCA ST KING WILLIAM ST WILSON ST REBECCA ST KING WILLIAM ST JOHN ST S JOHN ST N JOHN ST S JOHN ST N There are several hotels within walking distance or a short drive of the conference site. Please call the hotels directly for conference rates:* Sheraton Hotel* 116 King Street West or Courtyard by Marriott Hamilton 1224 Upper James Street *A limited number of rooms have been block booked at the conference rate and are available on a first come first served basis until April 2, CATHARINE ST N CATHARINE ST S CATHARINE ST N CATHARINE ST S

12 and its Affiliate Division Human & System Interface Consulting Thank you to our Platinum and Gold Sponsors Platinum Sponsors GLUCKSTEIN &ASSOCIATESLLP P E R S O N A L I N J U R Y L A W Y E R S Gold Sponsors Gouws & Associates p s y c h o l o g i s t s HSIC Inc. PERSONAL INJURY LAWYERS LLP The ABI Journey: Pediatrics to Seniors