Current Research & Innovations in TBI Follow-up from the Defense & Veterans Brain Injury Center (DVBIC, Palo Alto)

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Current Research & Innovations in TBI Follow-up from the Defense & Veterans Brain Injury Center (DVBIC, Palo Alto)"

Transcription

1 Current Research & Innovations in TBI Follow-up from the Defense & Veterans Brain Injury Center (DVBIC, Palo Alto) John H. Poole, PhD VA Health Care System, Palo Alto, California North American Brain Injury Society (NABIS) New Orleans, Louisiana September 20, 2013

2 History of Local DVBIC Studies DVBIC Database Foundations : clinical study data collected on patients hospitalized for TBI (moderate to severe) TBI Registry established current Clinical Tracking Form Long-Term Outcomes after TBI Study 2004-present Structured Telephonic Testing Study 2008-present

3 CTF Database Development

4 Prospective TBI Clinical Tracking Study CTF Data Collection: Patients in VA TBI-Polytrauma Programs: Polytrauma Rehabilitation Center (PRC) inpatient unit Polytrauma Transition Rehab Program (PTRP) day program Polytrauma Network Site (PNS) outpatient clinic Forms Clinical tracking form (CTF face sheet) Rancho Los Amigos Cognitive Scale Neurobehavioral Symptom Inventory (NSI-22) PTSD Check List (PCL-C) Satisfaction with Life Scale TBI Patient Follow-up Form Mayo-Portland Adaptability Inventory (MPAI-4) Glasgow Outcome Scale Extended

5 Purpose Study 1: Long-Term Outcomes after TBI Assess outcomes 5-17 years after TBI (veterans & service members) Coordinate services by phone for identified needs of patient & family. Study Design Structured phone interviews Patients & Collateral Informants report of functioning Patient interview Symptoms: Neurologic Sensory-motor, Cognitive, Emotional Community Integration: Home, Social, Work/School functioning Qualitative: Life Satisfaction, Coping Strategies, Locus of Control Informant interview (same areas) Symptoms, Community Integration, Coping Strategies, Caregiver Burden

6 Long-Term Outcomes after TBI Methodology Follow-up interviews: 127 Patients (95% male) 62 Informants (parent, spouse, sibling, close friend) Final sample: 62 Patients & Informants Index TBI: both military service members & veterans Age at injury: (median 25) LOC: 86% > 24 h, 36% > 3 wk PTA: 69% > 1 wk Years post-tbi at follow-up: 5-17 (median 9)

7 Long-Term Outcomes after TBI Methodology Follow-up interviews: 127 Patients (95% male) 62 Informants (parent, spouse, sibling, close friend) Final sample: 62 Patients & Informants Age at injury: (median 25) LOC: 86% > 24 h, 36% > 3 wk PTA: 69% > 1 wk Years post-tbi at follow-up: 5-17 (median 9) Analyses: Characterize Patients subjective outcomes Compare Patients & Informants ratings Awareness

8 Long-Term Outcomes after TBI: Results

9 Long-Term Outcomes after TBI

10 Symptoms and Community Integration: Comparison of Patient vs. Informant Ratings Subject and Informant Ratings: table entries are percent of maximum possible score for each scale. IQR = inter-quartile range (25-75 percentile). Rho = Spearman correlation, Subject & Informant ratings. *p <.05 **p <.001.

11 Long-Term Outcomes after TBI Agreement by Patients & Informants on Symptoms and Community Integration: Moderate agreement for: Emotional & Social functions (r =.5 -.6) Patients & family agree about what is going on in the patients emotional-interpersonal life. Low agreement in 4 areas: Cognitive, Neurologic, Home, Work Patients understated problems in the latter three (by SD) Agreement on one factor predicted Employment: Cognitive ratings (r = 0.45, p <.02). To fit with the work-place, the ability to have a mutual understanding of cognitive limitations and abilities is vital.

12 Long-Term Outcomes after TBI Predictors of subject-informant discrepancies: Injury severity (length of PTA) correlated significantly with discrepancies on the Social, Home, and Work indices (r = , p <.01). Continuing lack of awareness is associated with more severe injuries. Prior studies demonstrated improving awareness in the first 5 years post-tbi. In this study, time since injury was unrelated to discrepancies (p >.4). By 5-year after TBI, improvements in awareness appear to have plateaued.

13 Long-Term Outcomes after TBI

14 Long-Term Outcomes after TBI Summary: Awareness by Patients & Significant Others Factors related to Quality of Life (r =.4 -.6, p <.05) Patient Satisfaction with Life: related to self-perceived functioning Regardless of whether the Informant agreed. Caregiver Burden: related to their rating of patients sx, social & work Regardless of whether the Patient agreed. Kelley, Sullivan et al et Poole JH (2012). Self-awareness and neurobehavioral outcomes, five or more years after moderate to severe brain injury. J Head Trauma Rehabilitation, e- publication ahead of print: DOI /HTR.0b013e31826db6b9, PubMed

15 Long-Term Outcomes after TBI

16 Long-Term Outcomes after TBI: The Next Phase (in progress) Analyzing: Predictors of Current Functional Outcome Present-Day Resources Family Members Access to Care (VA, non-va) Coping Strategies Locus of Control (Current Interview Data) Baseline TBI Evaluation Premorbid Functions TBI Severity Standard Tests Discharge FIM Ratings (Current Interview Data) Outcome Criteria Symptoms & Problems Independent Functions Quality of Life Service Needs (Current Interview Data) (DVBIC Legacy Data)

17 Long-Term Outcomes after TBI: Conclusions

18 Long-Term Outcomes after TBI Questions on Study 1?

19 Veterans Affairs Health Care System Palo Alto, California Regional TBI-Polytrauma VA Medical Center for Western United States Regional Defense & Veterans Brain Injury Center (DVBIC) for NW United States

20 Telephonic Testing Rationale Goals Large proportion veterans live far from facilities that provide specialized assessment and treatment. Travel often burdensome, resulting in gaps in needed care Telephones are universally available and already help connect patients with needed services Facilitate initial cognitive evaluations (by phone) for patients who live far from VA services Evaluate Reliability and Validity of telephone-based neuropsychological testing post-tbi

21 Telephonic Testing Phase I Goals: Test-retest reliability of phone-based cognitive testing Completed Predictive validity of baseline measures (legacy data) Ongoing (Legacy Patients had moderate to severe TBI) Phase II Ongoing Goals: Concurrent validity of phone-based cognitive testing Develop & validate verbal tests of spatial abilities (New Patients cover full range of TBI from mild to severe) (Recruited from VA Palo Alto Polytrauma Network Site [PNS] outpatient clinic)

22 Telephonic Testing Phase I Test-Retest Reliability 23 Subjects tested twice by phone (test-retest design) Test-retest median time difference (T1-T2) = 15 days

23 Cognitive Measures Verbal Intelligence Information (WAIS-III) Similarities (WAIS-III) Telephonic Testing Test-Retest Reliability N T1-T2 Correlation.91 **.72 ** [ p<.10, * p<.05, ** p<.001 ] T1-T2 Change (Z) Simple Attention Temporal Orientation (Benton) Digit Span Forward (WAIS-III) **.72 ** Executive Complex Attention Oral Trail Making B Paced Auditory Serial Addition (PASAT) **.95 ** Executive Fluent Retrieval Phonemic Verbal Fluency Semantic Verbal Fluency **.86 ** Working Memory Verbal: Digit Span Backwards Digit Span Sequencing Visual: Mental Rotation Object Mental Rotation Self **.81 **.82 **.68 * Short-Term Memory List Recall Immediate (HVLT-R) Delayed (% Retention) Story Recall Immediate (WMS-III) Delayed *..77 **.80 **.78 ** * ** *

24 Telephonic Testing Phase I Conclusions Telephonic testing was readily completed by patients with history of moderate to severe TBI, who live far from VA services. Neuropsychological testing by phone was reliable Phase I Limitations Not assessed: Correlations with in-person tests (concurrent validity) Visual-spatial abilities TBI severity was limited to moderate-severe Restriction of range reduces magnitude of reliability and validity coefficients, and limits conclusions about utility for patients with mild TBI These limitations are being addressed in Phase II of study (in progress)

25 Telephonic Testing: Phase II Concurrent Validity Phase II (in progress) Subjects: TBI outpatient clinic, VA Palo Alto (mild to severe TBI) 2 test sessions: in-person, by phone (counter-balanced) Tests (commonly used screening batteries): Montreal Cognitive Assessment (MoCA) Repeatable Battery for Assessing Neuropsychological Status (RBANS) Five visual-spatial subtests were adapted for oral administration.

26 Telephonic Testing Planned Analyses: Validity of Telephonic Testing Telephonic Tests General Intellectual Skills Verbal Skills (Concurrent Validity) (Verbally Assessed) Visual Skills Spatial Skills Standard In-person Tests General Intellectual Skills Verbal Skills Visual Skills Spatial Skills Motor Skills (Predictive Validity) Functional Criteria Symptoms & Problems Independent Functions Safety & Competency Quality of Life Service Needs

27 DVBIC Palo Alto Research Team Odette Harris, MD, MPH Site Director John Poole, PhD Neuropsychologist, PI Nytzia Licona, MPH, CCTDM Research Coordinator Carmelinda Mann, PhD Research Associate David Horton, BA Research Associate Jennifer Zahm, BS Research Volunteer

28 DVBIC Palo Alto

29 Telephonic Testing Questions & Discussion

Compassionate Allowance Outreach Hearing on Brain Injuries. Social Security Administration. November 18, 2008. Statement of

Compassionate Allowance Outreach Hearing on Brain Injuries. Social Security Administration. November 18, 2008. Statement of Compassionate Allowance Outreach Hearing on Brain Injuries Social Security Administration November 18, 2008 Statement of Jerome E. Herbers, Jr., M.D. Office of Healthcare Inspections Office of Inspector

More information

Interpretive Report of WAIS IV and WMS IV Testing

Interpretive Report of WAIS IV and WMS IV Testing Interpretive Report of WAIS IV and WMS IV Testing Examinee and Testing Information Examinee Name Date of Report 8/24/2009 Examinee ID Years of Education 16 Date of Birth 4/24/1947 Home Language

More information

Woods Traumatic Brain Injury Symposium

Woods Traumatic Brain Injury Symposium Woods Traumatic Brain Injury Symposium Veterans Health Affairs (VHA) Polytrauma/Traumatic Brain Injury (TBI) System of Care Philadelphia, PA September 28, 2013 VHA/Polytrauma/TBI Program: Presenters Keith

More information

Conducting TBI Evaluations: Using Data from WAIS-IV, WMS-IV, and ACS for WAIS-IV and WMS-IV Gloria Maccow, Ph.D., Assessment Training Consultant

Conducting TBI Evaluations: Using Data from WAIS-IV, WMS-IV, and ACS for WAIS-IV and WMS-IV Gloria Maccow, Ph.D., Assessment Training Consultant Conducting TBI Evaluations: Using Data from WAIS IV, WMS IV and ACS for WAIS IV & WMS IV Gloria Maccow, Ph.D. Assessment Training Consultant Objectives Provide a brief description of WAIS IV, WMS IV, and

More information

Ronald G. Riechers, II, M.D. Medical Director, Polytrauma Team Cleveland VAMC Assistant Professor Department of Neurology Case Western Reserve

Ronald G. Riechers, II, M.D. Medical Director, Polytrauma Team Cleveland VAMC Assistant Professor Department of Neurology Case Western Reserve Ronald G. Riechers, II, M.D. Medical Director, Polytrauma Team Cleveland VAMC Assistant Professor Department of Neurology Case Western Reserve University The opinions or assertions contained herein are

More information

Montreal Cognitive Assessment (MoCA) as Screening tool for cognitive impairment in mtbi.

Montreal Cognitive Assessment (MoCA) as Screening tool for cognitive impairment in mtbi. Montreal Cognitive Assessment (MoCA) as Screening tool for cognitive impairment in mtbi. Suresh Kumar, M.D. AUTHOR Director of: Neurology & Headaches Center Inc. Neurocognitve &TBI Rehabilitation Center

More information

University of St. Thomas Health Services and Counseling ADD/ADHD Guidelines

University of St. Thomas Health Services and Counseling ADD/ADHD Guidelines University of St. Thomas Health Services and Counseling ADD/ADHD Guidelines Students with suspected or diagnosed ADD/ADHD may present in different circumstances. These guidelines were developed to provide

More information

TBI TRAUMATIC BRAIN INJURY WITHIN THE MILITARY/VETERAN POPULATION

TBI TRAUMATIC BRAIN INJURY WITHIN THE MILITARY/VETERAN POPULATION TBI TRAUMATIC BRAIN INJURY WITHIN THE MILITARY/VETERAN POPULATION What is TBI? An external force that disrupts the normal function of the brain. Not all blows or jolts to the head result in a TBI. The

More information

CASE STUDY. The following case study contains all the components described in. Chapter 2 The Assessment Process - Psychoeducational Assessment.

CASE STUDY. The following case study contains all the components described in. Chapter 2 The Assessment Process - Psychoeducational Assessment. CASE STUDY The following case study contains all the components described in Chapter 2 The Assessment Process - Psychoeducational Assessment. Ms. Smith was diagnosed with learning disabilities. As you

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

VA Polytrauma System of Care

VA Polytrauma System of Care VA Polytrauma System of Care Presentation to Recovering Warrior Task Force October 29, 2013 Lucille Beck, PhD Chief Consultant, Rehabilitation and Prosthetic Services Inquiry from Task Force Describe the

More information

Office of Rehabilitation Services Polytrauma Case Management

Office of Rehabilitation Services Polytrauma Case Management Office of Rehabilitation Services Polytrauma Case Management Lisa Perla, MSN, ARNP, CNRN National Polytrauma Coordinator VACO, Office of Rehabilitation Polytrauma Case Management Seamless, comprehensive,

More information

Polytrauma System of Care South Texas Veterans Health Care System

Polytrauma System of Care South Texas Veterans Health Care System Polytrauma System of Care South Texas Veterans Health Care System New Model of Care Polytrauma describes unique, complex patterns of injuries: Complex, multiple injuries occurring as result of same event

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

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

PSYCHOLOGY 712R: NEUROPSYCHOLOGICAL ASSESSMENT ADULT Winter 2009 Section 001 Wednesday 3:00-5:30 pm

PSYCHOLOGY 712R: NEUROPSYCHOLOGICAL ASSESSMENT ADULT Winter 2009 Section 001 Wednesday 3:00-5:30 pm PSYCHOLOGY 712R: NEUROPSYCHOLOGICAL ASSESSMENT ADULT Winter 2009 Section 001 Wednesday 3:00-5:30 pm 1 Instructor: Michael J. Larson, Ph.D. Office: 244 TLRB Email: michael_larson@byu.edu Phone: (801) 422-6125

More information

EpicRehab, LLC To re c ogniz e a nd de v e lop the v a l u e in e a c h of us.

EpicRehab, LLC To re c ogniz e a nd de v e lop the v a l u e in e a c h of us. EpicRehab, LLC To re c ogniz e a nd de v e lop the v a l u e in e a c h of us. ABSTRACT Title: Situational Assessment as a Measure of Work-Related Executive Function Principal Investigator: Leonard N.

More information

Guidelines for Documentation of a Learning Disability (LD) in Gallaudet University Students

Guidelines for Documentation of a Learning Disability (LD) in Gallaudet University Students Guidelines for Documentation of a Learning Disability (LD) in Gallaudet University Students Gallaudet University Office for Students with Disabilities Washington, D.C. 20002 2 Guidelines for Documentation

More information

(26) used to obtain self-reports of abilities in variety of communication situations, tasks

(26) used to obtain self-reports of abilities in variety of communication situations, tasks Table 1 Results of survey in Appendix A. Standardized tests recommended by speech-language pathologists (n = 30) and rationale for their use. Numbers in parentheses refer to the individual respondent.

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

Neurocognitive Disorders of the DSM-5

Neurocognitive Disorders of the DSM-5 Neurocognitive Disorders of the DSM-5 Allyson Rosen, PhD, ABPP-Cn Director of Dementia Education Mental Illness Research, Education, and Clinical Center (MIRECC) VA Palo Alto Health Care System Clinical

More information

LONG TERM NEUROCOGNITIVE CHANGES AND ADDICTION. EFFECTS ON THE COURSE OF TREATMENT. Egon Hagen Stavanger University hospital Norway

LONG TERM NEUROCOGNITIVE CHANGES AND ADDICTION. EFFECTS ON THE COURSE OF TREATMENT. Egon Hagen Stavanger University hospital Norway LONG TERM NEUROCOGNITIVE CHANGES AND ADDICTION. EFFECTS ON THE COURSE OF TREATMENT Egon Hagen Stavanger University hospital Norway Aims: Examine long-term changes of neurocognitive functions in a patient

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

SPECIFICATIONS FOR PSYCHIATRIC AND PSYCHOLOGICAL EVALUATIONS

SPECIFICATIONS FOR PSYCHIATRIC AND PSYCHOLOGICAL EVALUATIONS SPECIFICATIONS FOR PSYCHIATRIC AND PSYCHOLOGICAL EVALUATIONS Why are both a psychiatric and a psychological evaluation required? Mental disorders, as well as the medications used for treatment, may produce

More information

Defense and Veterans Brain Injury Center

Defense and Veterans Brain Injury Center Defense and Veterans Brain Injury Center Traumatic Brain Injury Recovery Support Program Donna Dennis, RN BSN Recovery Support Specialist (RSS) Agenda Who We Are: MRMC> DCoE> DVBIC >RSP Severity Rating

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

Interpretive Report of WMS IV Testing

Interpretive Report of WMS IV Testing Interpretive Report of WMS IV Testing Examinee and Testing Information Examinee Name Date of Report 7/1/2009 Examinee ID 12345 Years of Education 11 Date of Birth 3/24/1988 Home Language English Gender

More information

Responding to the Demand: SLPs in the VA

Responding to the Demand: SLPs in the VA Responding to the Demand: SLPs in the VA By: Micaela Cornis-Pop, Ph.D. Rehabilitation Planning Specialist VACO Rehabilitative Services 1 Responding to the Demand! 246 clinical SLPs! 10 research SLPs! 58

More information

Recommended time for assessment:

Recommended time for assessment: Recommended time for assessment: Basic Intermediate Advanced FIMTM: (see attachment 1) - Entry to rehab - Discharge rehab - 1 month post injury - 3 months post injury NSI: (see attachment 2) - Entry to

More information

Disability Services Office Health, Counselling & Disability Services

Disability Services Office Health, Counselling & Disability Services Queen s University Documentation Requirements for Students with Learning Disabilities The following outlines the specific type and format of documentation that students with learning disabilities (LD)

More information

Conducting Geriatric Evaluations: Using Data from WAIS-IV, WMS-IV, and ACSW4W4 Gloria Maccow, Ph.D., Assessment Training Consultant

Conducting Geriatric Evaluations: Using Data from WAIS-IV, WMS-IV, and ACSW4W4 Gloria Maccow, Ph.D., Assessment Training Consultant Conducting Geriatric Evaluations: Using Data from WAIS-IV, WMS-IV, and ACSW4W4 Gloria Maccow, Ph.D. Assessment Training Consultant Objectives Select components of Advanced Clinical Solutions for WAIS-IV

More information

The Role of Neuropsychological Testing in Guiding Decision- Making Related to Dementia

The Role of Neuropsychological Testing in Guiding Decision- Making Related to Dementia The Role of Neuropsychological Testing in Guiding Decision- Making Related to Dementia By Scott Knight, Director, SLR Diagnostics & Assessments, a division of Sibley & Associates Inc., and Konstantine

More information

Brain Injury Litigation. Peter W. Burg Burg Simpson Eldredge Hersh & Jardine, P.C. www.burgsimpson.com

Brain Injury Litigation. Peter W. Burg Burg Simpson Eldredge Hersh & Jardine, P.C. www.burgsimpson.com Brain Injury Litigation Peter W. Burg Burg Simpson Eldredge Hersh & Jardine, P.C. www.burgsimpson.com Some General Facts About Traumatic Brain Injury TBIs contribute to a substantial number of deaths and

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

Stroke Rehabilitation Triage Severe Strokes

Stroke Rehabilitation Triage Severe Strokes The London Stroke Rehab Data Base Project Robert Teasell MD FRCPC Professor and Chair-Chief Department of Phys Med Rehab London Ontario Retrospective Data Bases In stroke rehab limited funding for clinical

More information

Advanced Clinical Solutions. Serial Assessment Case Studies

Advanced Clinical Solutions. Serial Assessment Case Studies Advanced Clinical Solutions Serial Assessment Case Studies Advanced Clinical Solutions Serial Assessment Case Studies Case Study 1 Client C is a 62-year-old White male who was referred by his family physician

More information

Background. Does the Organization of Post- Acute Stroke Care Really Matter? Changes in Provider Supply. Sites for Post-Acute Care.

Background. Does the Organization of Post- Acute Stroke Care Really Matter? Changes in Provider Supply. Sites for Post-Acute Care. Does the Organization of Post- Acute Stroke Care Really Matter? Pamela W. Duncan, PhD, FAPTA University of Florida Brooks Center for Rehabilitation Studies Department of Veteran Affairs Rehabilitation

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

Introducing the WAIS IV. Copyright 2008 Pearson Education, inc. or its affiliates. All rights reserved.

Introducing the WAIS IV. Copyright 2008 Pearson Education, inc. or its affiliates. All rights reserved. Introducing the WAIS IV Overview Introduction Revision Goals Test Structure Normative / Validity / Clinical Information Wechsler s View of Intelligence "The global capacity of a person to act purposefully,

More information

Curriculum Vitae Christine B. Lloyd, Ph.D., ABN Board Certified Clinical Neuropsychologist Licensed Clinical Psychologist

Curriculum Vitae Christine B. Lloyd, Ph.D., ABN Board Certified Clinical Neuropsychologist Licensed Clinical Psychologist Curriculum Vitae B. Lloyd, Ph.D., ABN Board Certified Clinical Neuropsychologist Licensed Clinical Psychologist 1428 Weatherly Road 807 State Road 44 555 Winderley Place Suite 102 New Smyrna Beach, Florida

More information

PRESENCE OF A DEDICATED TRAUMA CENTER PHYSIATRIST IMPROVES FUNCTIONAL OUTCOMES FOLLOWING TRAUMATIC BRAIN INJURY CHRISTINE GREISS D.O.

PRESENCE OF A DEDICATED TRAUMA CENTER PHYSIATRIST IMPROVES FUNCTIONAL OUTCOMES FOLLOWING TRAUMATIC BRAIN INJURY CHRISTINE GREISS D.O. PRESENCE OF A DEDICATED TRAUMA CENTER PHYSIATRIST IMPROVES FUNCTIONAL OUTCOMES FOLLOWING TRAUMATIC BRAIN INJURY CHRISTINE GREISS D.O. Christine Greiss, D.O. Rutgers- New Jersey Medical School Peter P.

More information

WMS III to WMS IV: Rationale for Change

WMS III to WMS IV: Rationale for Change Pearson Clinical Assessment 19500 Bulverde Rd San Antonio, TX, 28759 Telephone: 800 627 7271 www.pearsonassessments.com WMS III to WMS IV: Rationale for Change Since the publication of the Wechsler Memory

More information

Potential Application of Lifelogging Technology (SenseCam) in Rehabilitation

Potential Application of Lifelogging Technology (SenseCam) in Rehabilitation 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

More information

Learning Disability Documentation Instructions Updated December, 2015

Learning Disability Documentation Instructions Updated December, 2015 Learning Disability Documentation Instructions Updated December, 2015 The Office of Accessibility Services establishes academic and/or housing accommodations for students with a documented disability.

More information

Rehabilitation Care of Combat-related TBI: Experience of the Departments of Defense and Veterans Affairs

Rehabilitation Care of Combat-related TBI: Experience of the Departments of Defense and Veterans Affairs Rehabilitation Care of Combat-related TBI: Experience of the Departments of Defense and Veterans Affairs David X. Cifu, MD National Director, PM&R Services Department of Veterans Affairs Chairman and Herman

More information

Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)

Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Supplement 1 This supplement provides * subtest means and SDs for the normal standardization sample, * comments on general issues

More information

Accommodations STUDENTS WITH DISABILTITES SERVICES

Accommodations STUDENTS WITH DISABILTITES SERVICES Accommodations Otis College of Art and Design is committed to providing equality of education opportunity to all students. To assist in increasing the student s learning outcome, Students with Disabilities

More information

4/21/2014. Veterans and TBI-Community Collaboration is the Key May 1, 2014. TBI from Global War on Terror. VA Polytrauma System of Care

4/21/2014. Veterans and TBI-Community Collaboration is the Key May 1, 2014. TBI from Global War on Terror. VA Polytrauma System of Care Veterans and TBI- Collaboration is the Key May 1, 2014 Sheree Gordon, BSN, MS, Polytrauma Nurse Case Manager Elsie Moore, MSW, LICSW, PolytraumaSocial Work Case Manager TBI/Polytrauma Program Washington

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

Clinical Outcomes: The Numbers That Count.

Clinical Outcomes: The Numbers That Count. Patient Outcomes and Satisfaction A Leader in Rebuilding Lives Clinical Outcomes: The Numbers That Count. Whatever shape healthcare reform finally takes, the need for healthcare organizations to provide

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

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

Traumatic Brain Injury Family Caregiver Panel Update

Traumatic Brain Injury Family Caregiver Panel Update Defense Health Board Meeting August 17, 2009 Traumatic Brain Injury Family Caregiver Panel Update Anne M. Moessner, RN, MSN, CRRN TBI Clinical Nurse Specialist; Coodinator,TBI Model System; Mayo Clinic

More information

Polytrauma Rehabilitation Center Design Guide May, 2008

Polytrauma Rehabilitation Center Design Guide May, 2008 Table of Contents CONTENTS PAGE NUMBER PREFACE Table of Contents...i 3.0. PLANNING AND DESIGN DATA...3-1 3.1. Inpatient Unit...3-1 3.1.1. General...3-1 3.1.2. Planning & Design Considerations...3-1 3.2.

More information

Guidelines for the Documentation of a Learning Disability in Adolescents and Adults

Guidelines for the Documentation of a Learning Disability in Adolescents and Adults C O N C O R D I A C O L L E G E M O O R H E A D M I N N E S O TA COUNSELING CENTER, 901 8 TH STREET SOUTH, MOORHEAD, MN 56562 Guidelines for the Documentation of a Learning Disability in Adolescents and

More information

Pilot Study: Effects of Rozerem on sleep disturbance after traumatic brain injury.

Pilot Study: Effects of Rozerem on sleep disturbance after traumatic brain injury. 1 New Jersey Commission on Brain Injury Research Final Narrative Report for Pilot Study Anthony Lequerica, Ph.D. 1199 Pleasant Valley Way West Orange, NJ 07052 973-324-3551 Kessler Foundation Pilot Study:

More information

curveballs & pitfalls

curveballs & pitfalls Interpreting pediatric neuropsychological data: curveballs & pitfalls Jacobus Donders March 2, 2013 Disclosure Sponsored in part by a grant from the Mary Free Bed Guild Fund (#60). Speaker has no conflict

More information

fact sheet Acquired Brain Injury Questions to Consider When Selecting a Rehabilitation Treatment Program

fact sheet Acquired Brain Injury Questions to Consider When Selecting a Rehabilitation Treatment Program fact sheet 2020 Peachtree Rd. N.W. Atlanta, GA 30309 404-352-2020 shepherd.org Acquired Brain Injury Questions to Consider When Selecting a Rehabilitation Treatment Program Choosing a rehabilitation facility

More information

Discharge planning. Rehabilitation Center at Scripps Memorial Hospital Encinitas. Discharge Planning. General rehab diagnosis

Discharge planning. Rehabilitation Center at Scripps Memorial Hospital Encinitas. Discharge Planning. General rehab diagnosis Discharge planning with Case Managers Paul Kelsey R.N., C.C.M Joan Wilson R.N.,C.R.R.N.,C.C.M Rehabilitation Center at Scripps Memorial Hospital Encinitas Discharge Planning There are no EASY rehab patients

More information

HARFORD COMMUNITY COLLEGE CERTIFICATION OF AUTISM SPECTRUM DISORDER

HARFORD COMMUNITY COLLEGE CERTIFICATION OF AUTISM SPECTRUM DISORDER HARFORD COMMUNITY COLLEGE CERTIFICATION OF AUTISM SPECTRUM DISORDER The student named below has applied for services from Harford Community College s Disability Support Services Office. In order to be

More information

Working with Veterans with TBI and PTSD. Jean Langbein, LCSW OEF/OIF/OND Program Manager Washington DC VA Medical Center

Working with Veterans with TBI and PTSD. Jean Langbein, LCSW OEF/OIF/OND Program Manager Washington DC VA Medical Center Working with Veterans with TBI and PTSD Jean Langbein, LCSW OEF/OIF/OND Program Manager Washington DC VA Medical Center 1 OBJECTIVES To educate the professional workforce about the challenges experienced

More information

Cognitive Assessment and Rehabilitation in mtbi Patients. Shannon E. Auxier, MS CCC-SLP Judy M. Mikola, PhD CCC-SLP

Cognitive Assessment and Rehabilitation in mtbi Patients. Shannon E. Auxier, MS CCC-SLP Judy M. Mikola, PhD CCC-SLP Cognitive Assessment and Rehabilitation in mtbi Patients Shannon E. Auxier, MS CCC-SLP Judy M. Mikola, PhD CCC-SLP Disclaimer The views expressed in this presentation are those of the presenters and do

More information

Prediction of the MoCA and the MMSE in Out-patients with the risks of cognitive impairment

Prediction of the MoCA and the MMSE in Out-patients with the risks of cognitive impairment Prediction of the MoCA and the MMSE in Out-patients with the risks of cognitive impairment Teresa Leung Therapist Prince of Wales Hospital 7 th May, 2012 Outline of Presentation Introduction Study Objectives,

More information

Patterns of Strengths and Weaknesses in L.D. Identification

Patterns of Strengths and Weaknesses in L.D. Identification Patterns of Strengths and Weaknesses in L.D. Identification October 3, 2013 Jody Conrad, M.S., N.C.S.P School Psychologist, SOESD Definitions of SLD Federal and State A disorder in one or more basic psychological

More information

Module V. Neuropsychological Assessments. "The Impact"

Module V. Neuropsychological Assessments. The Impact Module V. Neuropsychological Assessments "The Impact" Module V - Neurological Assessments Page 2 of 22 Instructions to This Module: - If you have questions we encourage you to talk to your supervisor or

More information

Caregivers as Clients: Who s Caring for the Caregivers

Caregivers as Clients: Who s Caring for the Caregivers Caregivers as Clients: Who s Caring for the Caregivers Nancy Weber, MA, CBIS Neurologic Rehabilitation Institute, Brookhaven Hospital, Tulsa, OK Housekeeping Please feel free to interrupt if you have comments

More information

Assistance and Support Services for Family Caregivers Deborah Amdur, LCSW, ACSW

Assistance and Support Services for Family Caregivers Deborah Amdur, LCSW, ACSW Assistance and Support Services for Family Caregivers Deborah Amdur, LCSW, ACSW Chief Consultant, Care Management & Social Work Caregivers of Veterans 2 *National Alliance for Caregiving (NAC) Study Caregivers

More information

FAA EXPERIENCE WITH NEUROPSYCHOLOGICAL TESTING FOR AIRMEN WITH DEPRESSION ON SSRI MEDICATIONS

FAA EXPERIENCE WITH NEUROPSYCHOLOGICAL TESTING FOR AIRMEN WITH DEPRESSION ON SSRI MEDICATIONS FAA EXPERIENCE WITH NEUROPSYCHOLOGICAL TESTING FOR AIRMEN WITH DEPRESSION ON SSRI MEDICATIONS Presented to: 2013 Aerospace Medical Association Annual Scientific Meeting By: James R. DeVoll, M.D. Date:

More information

Validation of the NIH Toolbox in Rehabilitation Populations

Validation of the NIH Toolbox in Rehabilitation Populations NIH Toolbox Assessment of Neurological and Behavioral Function Validation of the NIH Toolbox in Rehabilitation Populations David Tulsky, PhD Supported by Unveiling the NIH Toolbox Bethesda, MD September

More information

CONTACT: CONcussion Treatment after Combat Trauma

CONTACT: CONcussion Treatment after Combat Trauma CONTACT: CONcussion Treatment after Combat Trauma Jo Ann Brockway, PhD 1, Kathy Bell, MD 1, Nigel Bush, PhD 2, Jesse Fann, MD 3, Mark Reger, PhD 2, Greg Gahm, PhD 2, Sureyya Dikmen, PhD 1, and Nancy Tempkin,

More information

Citation: Robertson, I.H., Gray, J.M., Pentland, B., & Waite, L.J. (1990). Microcomputerbased

Citation: Robertson, I.H., Gray, J.M., Pentland, B., & Waite, L.J. (1990). Microcomputerbased A computer-based cognitive rehabilitation program, involving scanning training twice a week for 7 weeks, did not improve cognitive function in patients with unilateral left visual neglect. Prepared by:

More information

Interpretive Report of WAIS IV Testing. Test Administered WAIS-IV (9/1/2008) Age at Testing 40 years 8 months Retest? No

Interpretive Report of WAIS IV Testing. Test Administered WAIS-IV (9/1/2008) Age at Testing 40 years 8 months Retest? No Interpretive Report of WAIS IV Testing Examinee and Testing Information Examinee Name Date of Report 9/4/2011 Examinee ID Years of Education 18 Date of Birth 12/7/1967 Home Language English Gender Female

More information

Investigations Into the Construct Validity of the Saint Louis University Mental Status Examination: Crystalized Versus Fluid Intelligence

Investigations Into the Construct Validity of the Saint Louis University Mental Status Examination: Crystalized Versus Fluid Intelligence Journal of Psychology and Behavioral Science June 2014, Vol. 2, No. 2, pp. 187-196 ISSN: 2374-2380 (Print) 2374-2399 (Online) Copyright The Author(s). 2014. All Rights Reserved. Published by American Research

More information

Encyclopedia of School Psychology Neuropsychological Assessment

Encyclopedia of School Psychology Neuropsychological Assessment Encyclopedia of School Psychology Neuropsychological Assessment Contributors: Cynthia A. Riccio & Kelly Pizzitola Jarratt Edited by: Steven W. Lee Book Title: Encyclopedia of School Psychology Chapter

More information

Introduction to Neuropsychological Assessment

Introduction to Neuropsychological Assessment Definitions and Learning Objectives Introduction to Neuropsychological Assessment Alan Sunderland Reader in Clinical Neuropsychology Neuropsychological assessment seeks to define cognitive disability in

More information

Rates and Predictors of Progression from Mild Cognitive Impairment to Dementia: The Mayo Clinic Study of Aging

Rates and Predictors of Progression from Mild Cognitive Impairment to Dementia: The Mayo Clinic Study of Aging Rates and Predictors of Progression from Mild Cognitive Impairment to Dementia: The Mayo Clinic Study of Aging 11 th Annual Mild Cognitive Impairment Symposium January 19th, 2013 Rosebud Roberts, M.B.

More information

Occupational Therapy in Cognitive Rehabilitation

Occupational Therapy in Cognitive Rehabilitation Occupational Therapy in Cognitive Rehabilitation Connie MS Lee Occupational therapist Queen Mary Hospital Hong Kong Cognition Cognition refers to mental processes that include the abilities to concentrate,

More information

Neuropsychological Assessment and Rehabilitation: Person Centered Principles and Methods

Neuropsychological Assessment and Rehabilitation: Person Centered Principles and Methods Neuropsychological Assessment and Rehabilitation: Person Centered Principles and Methods Presented at The Brain Injury Association of Pennsylvania Annual Conference on June 23, 2009. Presenters Mick Sittig,

More information

Psychology Externship Program

Psychology Externship Program Psychology Externship Program The Washington VA Medical Center (VAMC) is a state-of-the-art facility located in Washington, D.C., N.W., and is accredited by the Joint Commission on the Accreditation of

More information

Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) Normative Data

Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) Normative Data Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) Normative Data Version 2.0 Only 2003 Grant L. Iverson, Ph.D. University of British Columbia & Riverview Hospital Mark R. Lovell, Ph.D.

More information

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

The child is given oral, "trivia"- style. general information questions. Scoring is pass/fail.

The child is given oral, trivia- style. general information questions. Scoring is pass/fail. WISC Subscales (WISC-IV shown at bottom with differences noted) Verbal Subscales What is Asked or Done What it Means or Measures Information (Supplemental in WISC-IV) The child is given oral, "trivia"-

More information

BINSA Information on Mild Traumatic Brain Injury

BINSA Information on Mild Traumatic Brain Injury Mild traumatic brain injuries (MTBI) occur through sporting, car and workplace accidents. Mild brain injury is not easily diagnosed. This fact sheet explains how it may be recognised and assessed, and

More information

WISC IV and Children s Memory Scale

WISC IV and Children s Memory Scale TECHNICAL REPORT #5 WISC IV and Children s Memory Scale Lisa W. Drozdick James Holdnack Eric Rolfhus Larry Weiss Assessment of declarative memory functions is an important component of neuropsychological,

More information

IBADAN STUDY OF AGEING (ISA): RATIONALE AND METHODS. Oye Gureje Professor of Psychiatry University of Ibadan Nigeria

IBADAN STUDY OF AGEING (ISA): RATIONALE AND METHODS. Oye Gureje Professor of Psychiatry University of Ibadan Nigeria IBADAN STUDY OF AGEING (ISA): RATIONALE AND METHODS Oye Gureje Professor of Psychiatry University of Ibadan Nigeria Introduction The Ibadan Study of Ageing consists of two components: Baseline cross sectional

More information

VA Rehabilitation Systems of Care

VA Rehabilitation Systems of Care VA Rehabilitation Systems of Care Presentation to the Commission on Care November 17, 2015 Lucille Beck, PhD VHA Deputy Chief Patient Care Services Officer, Rehabilitation and Prosthetic Services VA Rehabilitation

More information

Clinical Neuropsychology. Introduction. Dr Alan Sunderland

Clinical Neuropsychology. Introduction. Dr Alan Sunderland Clinical Neuropsychology. Introduction Dr Alan Sunderland 1 Overview What is a clinical neuropsychologist? Who are their clients? Principles of assessment. Assessment of memory problems Processes of recovery

More information

Comparative Costs and Outcomes of Traumatic Brain Injury from Biking

Comparative Costs and Outcomes of Traumatic Brain Injury from Biking Comparative Costs and Outcomes of Traumatic Brain Injury from Biking Accidents With or Without Helmet Use Jehane Dagher MD, BScPT, ABPMR, FRCPC Physical Medicine& Rehabilitation Montreal General Hospital

More information

Michelle D. Sherman, Ph.D.

Michelle D. Sherman, Ph.D. Michelle D. Sherman, Ph.D. Director, OKC VAMC Family Mental Health Program Clinical Professor, University of Oklahoma Health Sciences Center, Core Investigator, South Central MIRECC Overview 1. Rationale

More information

The University of Memphis Guidelines for Documentation of a Learning Disability in Adolescents and Adults

The University of Memphis Guidelines for Documentation of a Learning Disability in Adolescents and Adults The University of Memphis Guidelines for Documentation of a Learning Disability in Adolescents and Adults Introduction The prevailing legal climate surrounding higher education and disability issues, combined

More information

Using Objective Measures to Facilitate Rehabilitation Referral

Using Objective Measures to Facilitate Rehabilitation Referral Using Objective Measures to Facilitate Rehabilitation Referral Mark Bayley MD, FRCPC Medical Director, Neuro Rehabilitation Program, Toronto Rehabilitation Institute Associate Professor, Division of Physiatry,

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

Provider Type 14 Billing Guide

Provider Type 14 Billing Guide State policy The Medicaid Services Manual (MSM) is on the Division of Health Care Financing and Policy (DHCFP) website at http://dhcfp.nv.gov (select Manuals from the Resources webpage). MSM Chapter 400

More information

Stakeholder s Report. 2525 SW 75 th Ave Miami, Florida 33155 305.262.6800 www.westgablesrehabhospital.com

Stakeholder s Report. 2525 SW 75 th Ave Miami, Florida 33155 305.262.6800 www.westgablesrehabhospital.com 212 Stakeholder s Report 2525 SW 75 th Ave Miami, Florida 33155 35.262.68 www.westgablesrehabhospital.com PROFILE REPORT For more than 25 years, West Gables Rehabilitation Hospital has made a mission of

More information

Marina Richardson, M.Sc. Deb Willems, BSc.PT David Ure, OT Robert Teasell, MD FRCPC

Marina Richardson, M.Sc. Deb Willems, BSc.PT David Ure, OT Robert Teasell, MD FRCPC Assessing the Impact of Southwestern Ontario s Community Stroke Rehabilitation Teams: An Economic Analysis Presenters: Laura Allen, M.Sc. (cand.) Matthew Meyer, Ph.D (cand.) Marina Richardson, M.Sc. Deb

More information

CURRICULUM VITAE. Professional Experience

CURRICULUM VITAE. Professional Experience Patrick D. Caffrey, Ph.D. Caffrey Comprehensive Services 8301 State Line Road, Suite 200 Kansas City, MO 64114 816-363-5600 ext. 4 pdcaffrey@aol.com www.caffreycs.com CURRICULUM VITAE Summary: Nearly 30

More information

The Psychologists Board of Western Australia

The Psychologists Board of Western Australia The Psychologists Board of Western Australia APPLICANT S PROGRAMME - CLINICAL NEUROPSYCHOLOGY and Knowledge INTRODUCTION Psychologists entering supervision for registration of the specialist title, Clinical

More information

Life Care Planning Following Brain Injury

Life Care Planning Following Brain Injury Life Care Planning Following Brain Injury Jodi Fischer, OT, CLCP, CWCE Consultant Occupational Therapist Certified Life Care Planner Certified Work Capacity Evaluator, Advanced Clinical Assistant Professor,

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

To Err is Human: Abnormal Neuropsychological Scores and Variability are Common in Healthy Adults

To Err is Human: Abnormal Neuropsychological Scores and Variability are Common in Healthy Adults Archives of Clinical Neuropsychology 24 (2009) 31 46 To Err is Human: Abnormal Neuropsychological Scores and Variability are Common in Healthy Adults Laurence M. Binder a, *, Grant L. Iverson b,c, Brian

More information