Increasing awareness following acquired brain injury: A quantative analysis of an outpatient education group
|
|
- Mary Norton
- 5 years ago
- Views:
Transcription
1 Increasing awareness following acquired brain injury: A quantative analysis of an outpatient education group Lead Investigator: Orla McEvoy, Occupational Therapist, NRH Co-Facilitator: Joan Monahan, Speech & Language Therapist, NRH Principal Investigator: Dr. Delargy, Consultant in Rehabilitation Medicine, NRH Academic Supervisor: Dr. Callanan, Group Clinical Audit Coordinator, SVUH Meet & Teach Group The Meet & Teach Group is an interdisciplinary venture facilitated by SLT & OT. The group aims to improve awareness of residual problems following acquired brain injury and the understanding of the need to use of coping strategies. A self-management approach is used with active problem solving and goal setting forming a core part of the group. Participants meet for ten two-hour sessions on a weekly basis. Group structure and content changed over the years but the outcomes have never been reviewed in a formal and comprehensive manner. 1
2 Awareness Awareness deficits among those with a traumatic brain injury are reported to range from 45-97% (Bach & David, 2006) Impaired awareness of altered skills is a common problem following acquired brain injury and limits long-term outcomes (Lucas & Fleming, 2005) A systematic review by Cicerone et al (2005) found insufficient evidence to make specific recommendations about interventions to improve awareness. Hierarchy of Awareness Level 5: Anticipatory Awareness Level 4: Emergent awareness Level 3: Intellectual Awareness (Highest) Level 2: Intellectual Awareness (Intermediate) Level 1: Intellectual Awareness (Basic) 2
3 After the accident, I went back to the university It wasn t until I failed that statistics test that I realized the extent of my problem. You see, I didn t know that I didn t know. Over the summer, I was able to successfully complete a statistics class (got an A). Talk about feeling supercharged. I mistakenly thought I was completely healed. I was ready to make up for lost time finish the PhD - repay the faculty s confidence in me and get on with my life. Unfortunately, I overestimated my abilities. The head injury literature writes about a lack of insight and the effects of cumulative fatigue. But I tell you, reading about these symptoms and experiencing them are two quite different things (Schell-Word, 1999, p.352) Research Objectives The study had two major purposes: (1) To establish the effectiveness of an interdisciplinary group designed to increase awareness following acquired brain injury (2) To determine if the intervention is an efficient use of resources Ethical approval for the research was given by the ethics committee at the NRH 3
4 Methods Data for the study was obtained by reviewing the intervention s outcomes over a two-year period. 57 participants completed the programme during this timeframe. A quantative, longitudinal design was used to examine effectiveness by analysing; Therapists rating of patients level of awareness on the Hierarchy of Awareness pre- and post-group Patients responses on the pre- and post-group self-report questionnaires A descriptive study of the structure, processes and outputs was undertaken to examine the intervention s efficiency. Inclusion Criteria The criteria for admission to the group were; Comprehension and verbal skills for conversational level interactions Social and behavioural skills to contribute in a group situation Concentration skills to cope with a two hour interaction Learning ability to apply the knowledge discussed Intellectual level of insight Literacy skills Los Ranchos Amigos Scale VIII to X The group was not considered suitable in certain situations; If coping response or mood precludes collaboration with clinicians If the patient hasn t developed sufficient insight 4
5 The Participants Diagnosis N % Traumatic brain injury Non-traumatic brain injury 7 12 Stroke Infection 5 9 Other 1 2 Mean Range Standard Deviation Age 46.6 years years Months since injury 21.3 months months Months since injury (excluding outlier) 17 months 3 81 months Group Structure & Content Topics covered; brain structures and brain injury, rehabilitation, cognitive, behavioural and emotional changes, adjustment, stress and management Session Structure - Review participation in chosen activity - New topic with handouts - Class activities and discussion - New Activity for the week given 5
6 Results Results showed that the group intervention effected a significant improvement in the patients level of awareness and their use of coping strategies. Results also demonstrated that the group-based intervention was an efficient use of resources In addition, psychosocial and emotional benefits beyond the stated objectives of the intervention were evident. Efficiency Structure Process Outputs Outcomes Inputs; staffing, room requirements etc. How the service is organised Number of patient contacts, number of discharges etc. Effectiveness Donabedian's quality-of-care framework 6
7 Effectiveness Therapists' rating of the patients on the "Hierarchy of Awareness" pre- and post-group How much information about your injury have you received or heard? pre- and post-group How well do you understand your injury? pre- and post-group 7
8 Strategies Strategies 8
9 Best part of the group Meeting like minded people and learning from each other Sharing problems with others with similar problems Meeting others who have similar problems and knowing the problems I have are like theirs Meeting people to share the realities of everyday life Hearing the journeys and learning of everyone else Meeting people in a similar position to myself Best part of the group Knowing that other people were having similar problems and were coping with life Meeting others that had the same injuries and seeing how they deal with things or problems they have which may be the same issues you have Listening to everyone that you were not on your own Meeting other people with similar problems and assorted solutions 9
10 Psychosocial Impact The emotional and psychological sequelae of stroke can be more enduring than the physical difficulties and are not adequately addressed (Jones et al, 2013) The National Survey of Stroke Survivors in Ireland Report (2014) Emotional distress and fatigue were common and were barriers to many activities. Satisfaction with the level of help available for these problems was poor. Interventions which increase self-efficacy and the ability to handle the emotional responses to cognitive failures are more effective than attempting to improve cognitive functioning alone (Mateer & Sira, 2006) For the past several years I have had to accept slower and lower as my fate. Guess I also had the fantasy that someday I would be able to function at former levels. Like it or not, I am forever changed. Seven years later the sense of personal loss remains. (Schell-Word, 1999, p.355) 10
11 Discussion Clinicians efforts to educate and persuade patients to accept their limitations may not be helpful Rather, awareness and adaptation are better facilitated through the experience of setting goals, testing limits and evaluating performance in valued functional activities (Wise et al, 2005) Carlson et al. s (2006) systematic review aimed to identify best practice to enhance participation following brain injury. They classified community integration programs on the basis of using a learning to participate approach or participating to learn approach. They supported the participating to learn approach as the more effective rehabilitation model 11
12 Kubler-Ross Change Curve Shock Integration Denial Decision Making Frustration Experimentation Depression Activity Goal Setting 12
13 My life was a search for new strategies to offset the disabilities that marked my altered identity. Consciously, I gave myself permission to fail, permission to put my life and expectations on hold. I developed a network of support. When my thoughts would become disorganized, I would go to my garden. My youngest daughter insists that it was the plants that healed me. (Schell-Word, 1999, p.357) Self Management HSE recommends the use of a self-management approach in the Chronic Illness Framework (2008) Self-management programmes post-stroke have been relatively rare but benefits have been shown (Jones et al, 2013) Educating persons with brain injury about the nature of their injury, the resultant impairments and the functional impact is an important component of intervention (Lucas & Fleming, 2005) Self-management is not solely an educational intervention. Active problem solving, shared decision making and goal setting are the key elements of successful self-management. (Jones et al, 2013) 13
14 Self Management Conclusion On the basis of this research, it can be concluded that a structured group therapy programme is an effective and efficient method of helping patients with acquired brain injury improve awareness The intervention was valued by patients and provided a supportive environment where they felt understood and secure Findings are in keeping with previous research Occupational therapists can make a unique contribution to the treatment of impaired awareness by focusing on performance in meaningful daily tasks. 14
15 7 years after the fall, I became Dr. Schell-Word, a college professor. My academic record indicates that I have indeed re-entered the world. The more challenges I face, the more I am able to meet. You are now reading my first accepted academic publication. (Schell-Word, 1999, p.357) Thank you for listening Feedback from participants 15
Dialectical Behaviour Therapy in Secure Services Calverton Hill & Priory Hospital East Midlands Priory Group
Context Our Dialectical Behaviour Therapy (DBT) team is a large multi-site team offering a standard DBT programme to patients who present with complex, severe, and enduring mental illness, personality
More informationPain management programme. Information for patients Pain Management Service
Pain management programme Information for patients Pain Management Service page 2 of 8 What is a Pain Management Programme? Pain Management Programmes are group-based courses that usually run over nine
More informationCommunity of Practice Trauma Informed Care. Sydney Women s Homelessness Alliance
Community of Practice Trauma Informed Care Sydney Women s Homelessness Alliance Sydney Women s Homelessness Alliance Based in Inner City Sydney Interagency group for services supporting women experiencing
More informationQ: What can you tell us about the work you do and your involvement with children with autism?
If you know one person with autism, you know one person with autism April is Autism Awareness & Acceptance month and in an attempt to further educate the public about autism, Catriona Monthy, a registered
More informationCAP Lung Cancer Medical Writers Circle
Emotional Effects of Lung Cancer on Survivors and Their Spouses Cindy L. Carmack, Ph.D. Associate Professor, The University of Texas M. D. Anderson Cancer Center Receiving a lung cancer diagnosis and undergoing
More informationL I S T E N. When I ask you to listen to me and you say I shouldn t feel that way,
L I S T E N When I ask you to listen me and you start to give me advice, You have not done what I asked. When I ask you to listen to me and you say I shouldn t feel that way, You are trampling on my feelings
More informationEVALUATION FORM FOR INDIVIDUAL AND GROUP COUNSELLING SESSIONS
EVALUATION FORM FOR INDIVIDUAL AND GROUP COUNSELLING SESSIONS Thank you for agreeing to take part in our evaluation. Your response is anonymous and helps us to evaluate and improve our service. We value
More informationATTENTION TRAINING EXERCISES USING BRAINWAVE-R
ATTENTION TRAINING EXERCISES USING BRAINWAVE-R Aim To understand why attention training is needed by some service users. To be able to safely and effectively carry out prescribed attention training exercises
More informationHow to achieve 45 minutes of therapy: Findings from the ReAcT study
How to achieve 45 minutes of therapy: Findings from the ReAcT study Dr David Clarke, Associate Professor in Stroke Care University of Leeds, UK On behalf of the ReAcT study team: S.Tyson, H.Rodgers, A.Drummond,
More informationThe ultimate outcome of TBI rehabilitation: Successful and satisfying community participation (McCabe, 2007)
Steven Wheeler, Ph.D., OTR/L Associate Professor, Occupational Therapy West Virginia University School of Medicine 1. Understand the effect of impaired cognitive functioning on successful and satisfying
More informationNZ Organised Stroke Rehabilitation Service Specifications (in-patient and community)
NZ Organised Stroke Rehabilitation Service Specifications (in-patient and community) Prepared by the National Stroke Network to outline minimum and strongly recommended standards for DHBs. Date: December
More informationNATIONAL REHABILITATION HOSPITAL SPINAL CORD SYSTEM OF CARE (SCSC) OUTPATIENT SCOPE OF SERVICE
NATIONAL REHABILITATION HOSPITAL SPINAL CORD SYSTEM OF CARE (SCSC) OUTPATIENT SCOPE OF SERVICE Introduction: The Spinal Cord System of Care (SCSC) at the National Rehabilitation Hospital (NRH) provides
More informationCLINICIANS CORNER So Is NDT Just Everything, Then? The Answers to Three Questions Pinpoint the NDT Approach
From NDTA Network on the Net, 2006 CLINICIANS CORNER So Is NDT Just Everything, Then? The Answers to Three Questions Pinpoint the NDT Approach By Marcia Stamer, PT As an NDTA instructor, I learn a lot
More informationHOW TO DEVELOP COUPLE THERAPY FOR DEPRESSION:
HOW TO DEVELOP COUPLE THERAPY FOR DEPRESSION: Co-research interviews with couples and therapists Eija-Liisa Rautiainen Clinical psychologist, family therapist Kuopio University Hospital, Finland Bergen,
More informationI am learning responsibilities. I can talk about my problems, so it s not a cloud over my head. I can heal.
I am learning responsibilities. I can talk about my problems, so it s not a cloud over my head. I can heal. Who we are The Ranch Ehrlo Society is a charitable organization dedicated to providing a range
More informationNational Stroke Association s Guide to Choosing Stroke. Rehabilitation Services
National Stroke Association s Guide to Choosing Stroke Rehabilitation Services Rehabilitation, often referred to as rehab, is an important part of stroke recovery. Through rehab, you: Re-learn basic skills
More informationMND: The Psychological Journey
MND: The Psychological Journey Dr. Stephen Evans Neuropsychologist stephen.evans@stees.nhs.uk Aims To discuss what psychology can offer individuals, family members and carers living with MND. The discuss
More informationThe Obstetrics and Gynaecology Health Psychology Service
Northumbria Healthcare NHS Foundation Trust The Obstetrics and Gynaecology Health Psychology Service Issued by the Obstetrics and Gynaecology Department Psychological therapy Everyone has different strategies
More informationNATIONAL REHABILITATION HOSPITAL (NRH) THE SPINAL CORD SYSTEM OF CARE (SCSC) PROGRAMME INPATIENT SCOPE OF SERVICE
NATIONAL REHABILITATION HOSPITAL (NRH) THE SPINAL CORD SYSTEM OF CARE (SCSC) PROGRAMME INPATIENT SCOPE OF SERVICE NATIONAL REHABILITATION HOSPITAL SCOPE OF SERVICE FOR THE SPINAL CORD SYSTEM OF CARE PROGRAMME
More informationAFTER TREATMENT AFTER TREATMENT. In this section, you will learn about: Transitions after treatment Support programs Follow-up care Summary of my care
AFTER TREATMENT AFTER TREATMENT In this section, you will learn about: Transitions after treatment Support programs Follow-up care Summary of my care 118 Transitions after Treatment When you complete your
More informationBehavior in Cardiofaciocutaneous (CFC) Syndrome
Behavior in Cardiofaciocutaneous (CFC) Syndrome What is CFC? How does it affect a person? CFC is a rare genetic syndrome that typically affects a person's heart (cardio ), facial features (facio ), and
More informationPsychological Services
Psychological Services Acute Inpatient Care Alnmouth, Warkworth and Embleton St George s Park Hospital Patient information leaflet Shining a light on the future Introduction This leaflet provides information
More informationThe Parent's Perspectives on Autism Spectrum Disorder
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/autism-spectrum/the-parents-perspectives-on-autism-spectrumdisorder/6809/
More informationDialectical Behaviour Therapy (DBT) Information Leaflet
Dialectical Behaviour Therapy (DBT) Information Leaflet 2 What does Dialectical mean? Dialectical means: Arriving at a truth by exchanging different ideas, opinions and points of view. What is Dialectical
More informationPreparing Providers: Tools and Strategies to Enhance Health Services November 19, :50am
Enhancing uptake of an online evidence-informed guide to HIV rehabilitation among occupational therapists, physiotherapists and speech-language pathologists Salbach N, Solomon P, O Brien K, Worthington
More informationI M P A C T R E P O R T S EPT J U L Y 2015
I M P A C T R E P O R T S EPT 2 0 1 4 J U L Y 2015 The Elizabeth Foundation Impact Report Academic Year 2014/2015 Our history The Elizabeth Foundation is a registered charity which was founded in 1981
More informationUnderstanding and managing cognitive changes after traumatic brain injury
Module 4 Understanding and managing cognitive changes after traumatic brain injury Compiled by Kim Ferry Senior Neuropsychologist Revised by Rebecca Bowen Rehabilitation Psychologist Brain Injury Rehabilitation
More informationBrain injury: A guide for partners
Brain injury: A guide for partners Headway s publications are all available to freely download from the information library on the charity s website, while individuals and families can request hard copies
More informationEducation Options for Children with Autism
Empowering children with Autism and their families through knowledge and support Education Options for Children with Autism Starting school is a major milestone in a child s life, and a big step for all
More informationDefining principles of Strategic family therapy
Roselyne Kattar Psychologist and coach http://www.coaching-kattar.com 1 Defining principles of Strategic family therapy Strategic therapy focuses on present observable behavioral interaction and uses deliberate
More information2015 UK Parkinson s Audit Patient and carer report
2015 UK Parkinson s Audit Patient and carer report Introduction This is a summary of the main findings of the 2015 UK Parkinson s Audit. This is the fifth and largest audit of Parkinson s to date. This
More informationOccupational therapy after stroke
Call the Stroke Helpline: 0303 3033 100 or email: info@stroke.org.uk Occupational therapy after stroke This guide explains how occupational therapy can help your recovery and rehabilitation after a stroke.
More informationMai 2017 INDICATORS EXAMPLES
Mai 2017 INDICATORS EXAMPLES SECTIONS INDICATORS A. Key Components of TBI Rehabilitation Proportion of individuals with TBI who required and received rehabilitation services within two working days of
More informationBuilding Friendships: Avoid Discounting
Module 3 Part 2 Building Friendships: Avoid Discounting Objectives: 1. Explore the relationship between stress and discounting. 2. Understand what discounting is and how it relates to stress in relationships.
More informationModule one reflective account
Module one reflective account Sheena has just completed module one. She has chosen to complete the reflective account activity to consolidate her learning and help her think about the impact it has had
More informationPersonality Disorder Integrated Care Pathway (PD ICP) 11: Personality Disorder Service
Personality Disorder Integrated Care Pathway (PD ICP) 11: Personality Disorder Service July 2015 Acknowledgements This document was produced by a partnership of NHS Highland staff, volunteers, service
More informationHow we use gardening to change lives
How we use gardening to change lives Thrive is the leading charity in the UK that uses gardening to bring about positive changes in the lives of people who are living with disabilities or ill health, or
More informationChapter 4 Managing Stress & Coping with Loss
Chapter 4 Managing Stress & Coping with Loss Chapter 4 Lesson 1 Stress can affect you in both p and n ways. What Is Stress? How you think about a challenge determines whether you will experience positive
More informationInvolving patients in service improvement activities
Involving patients in service improvement activities Summary paper Accelerate, Coordinate, Evaluate (ACE) Programme An early diagnosis of cancer initiative supported by: NHS England, Cancer Research UK
More informationWorking with Injured Athletes: Integrating Psychology into your Practice. Frances Flint, PhD, CAT(C), ATC York University Toronto, Canada
Working with Injured Athletes: Integrating Psychology into your Practice Frances Flint, PhD, CAT(C), ATC York University Toronto, Canada But I have to play! Athletes often feel they must participate after
More informationPatient and public involvement. Guidance for researchers
Patient and public involvement Guidance for researchers Contents What is patient and public involvement and why is it important? 3 Benefits of patient and public involvement for researchers 4 Levels of
More informationAcademic Readiness and Transition to Tertiary Education: Experiences of New Zealand Deaf Students
Academic Readiness and Transition to Tertiary Education: Experiences of New Zealand Deaf Students Dr Denise Powell Research Symposium 3-4th h July Brisbane Probably no area in the life of deaf people has
More informationWhat do we mean by Self- Management?
What do we mean by Self- Management? Dr Sara Demain Associate Professor shd@soton.ac.uk Beyond therapy People with stroke feel abandoned don t feel prepared to self-manage Rehabilitation professionals
More informationThe Needs of Young People who have lost a Sibling or Parent to Cancer.
This research focussed on exploring the psychosocial needs and psychological health of young people (aged 12-24) who have been impacted by the death of a parent or a brother or sister from cancer. The
More informationRoyal London Hospital for Integrated Medicine. Autogenic Training
Royal London Hospital for Integrated Medicine Autogenic Training 1 If you would like this document in another language or format or require the services of an interpreter please contact Patient Services
More informationCBT+ Measures Cheat Sheet
CBT+ Measures Cheat Sheet Child and Adolescent Trauma Screen (CATS). The CATS has 2 sections: (1) Trauma Screen and (2) DSM5 sx. There are also impairment items. There is a self-report version for ages
More informationModule 4: Case Conceptualization and Treatment Planning
Module 4: Case Conceptualization and Treatment Planning Objectives To better understand the role of case conceptualization in cognitive-behavioral therapy. To develop specific case conceptualization skills,
More informationCore Competencies Clinical Psychology A Guide
Committee for Scrutiny of Individual Clinical Qualifications Core Competencies Clinical Psychology A Guide Please read this booklet in conjunction with other booklets and forms in the application package
More informationWe worked with 12,900. clients last year. Self Help Services is a user-led mental health charity that helps people to help themselves.
Impact report 2015 Introduction Self Help Services is a user-led mental health charity that helps people to help themselves. We provide a range of support, services and opportunities for people living
More informationPractical measures for evaluating outcomes: Australian Therapy Outcome Measures (AusTOMs)
Practical measures for evaluating outcomes: Australian Therapy Outcome Measures (AusTOMs) Jemma Skeat Evaluation and Analysis Coordinator Royal Children s Hospital, Melbourne Professor Alison Perry Professor
More informationSUPPORTING COLLABORATIVE CARE THROUGH MENTAL HEALTH GROUPS IN PRIMARY CARE Hamilton Family Health Team
SUPPORTING COLLABORATIVE CARE THROUGH MENTAL HEALTH GROUPS IN PRIMARY CARE Hamilton Family Health Team Jackie Bootsma, MSW, RSW Marian Schorr, MSW, RSW About Family Health Teams Family Health Teams are
More informationDelivering rehabilitation in the community
Delivering rehabilitation in the community Rebecca Fisher, Satu Baylan, Terry Quinn, Katrina Brennan, Neil Muir, Marion Walker, Sarah Florida-James, Peter Langhorne Overview Implementation of Community
More informationHealing Trauma Evaluation Year 1 Findings
2551 Galena Avenue #1774 Simi Valley, CA 93065 310-801-8996 Envisioning Justice Solutions, Inc. Determining the Programs, Policies, and Services Needed to Rebuild the Lives of Criminal Justice Involved
More informationAn Evaluation of the Sonas Freedom Programme September- December January 2012 Researcher: Paula McGovern
An Evaluation of the Sonas Freedom Programme September- December 2011 January 2012 Researcher: Paula McGovern Introduction This evaluation examines the efficacy of the Sonas Housing Freedom Programme as
More informationRisk communication in dementia care practice
Risk communication in dementia care practice Why is risk communication important? Living with dementia can mean that some individuals are more likely to experience risks in daily life. These may include
More informationA Healthy Brain. An Injured Brain
A Healthy Brain Before we can understand what happens when a brain is injured, we must realize what a healthy brain is made of and what it does. The brain is enclosed inside the skull. The skull acts as
More informationUniversity of Washington Self Efficacy Scale (UW-SES) (Multiple Sclerosis Version)
University of Washington Self Efficacy Scale (UW-SES) (Multiple Sclerosis Version) by the University of Washington Center on Outcomes Research in Rehabilitation (UWCORR) Mailing Address: UWCORR UW Department
More informationCriteria for Registering as a Developmental Paediatrician
Criteria for Registering as a Developmental Paediatrician A doctor can apply to be registered as a Developmental Paediatrician if he/she fulfils ALL the following requirements: 1 A recognised basic medical
More informationREHABILITATION FOR SURVIVORS OF CRITICAL ILLNESS FOLLOWING HOSPITAL DISCHARGE
A UK Survey of Rehabilitation Following Critical Illness: Implementation of NICE Clinical Guidance 83 (CG83) Following Hospital Discharge DATA SUPPLEMENT - REHABILITATION SURVEY REHABILITATION FOR SURVIVORS
More informationRight Here, Right Now: A Women Centered, Trauma-Informed Drop-In Counselling Initiative
Right Here, Right Now: A Women Centered, Trauma-Informed Drop-In Counselling Initiative Dr. Catherine de Boer, RSW School of Social Work, Memorial University Right Here, Right Now: A Women s Centered,
More informationGoal setting in community based stroke rehabilitation: Is where we are at where we want to be?
Goal setting in community based stroke rehabilitation: Is where we are at where we want to be? UK Stroke Forum, 2016 Dr Lesley Scobbie Stroke Association HRH The Princess Margaret Clinical Lecturer (Glasgow
More informationWelcome to Progress in Community Health Partnerships latest episode of our Beyond the Manuscript podcast. In
Beyond the Manuscript 45 Podcast Interview Transcript Larkin Strong, Zeno Franco, Mark Flower Welcome to Progress in Community Health Partnerships latest episode of our Beyond the Manuscript podcast. In
More informationPatient story. One young person s experience of CAMHS.
Patient story One young person s experience of CAMHS. I ll start at the beginning. I had always been an extremely anxious child and by the age of seven I began receiving help from CAMHS. This helped me
More informationG. FUNCTIONAL MEMORY AND COGNITION ASSESSMENT 100
G. FUNCTIONAL MEMORY AND COGNITION ASSESSMENT 100 1. Check if any of the following exist: 1000 Learning disability 105 Communication, sensory or motor disabilities 110 Diagnosed Traumatic Brain Injury
More informationFoundation of Adaptive Functioning: Improving Emotion Regulation Capacities
Foundation of Adaptive Functioning: Improving Emotion Regulation Capacities Julie F. Brown, PhD jbrown@jri.org Justice Resource Institute 508-317-2115 Disclosure: I receive royalties from the sale of the
More informationImplementation Evaluation of Domestic Abuse,
Impact and Evidence series Implementation Evaluation of Domestic Abuse, Recovering Together (DART) Scale-Up Impact and Evidence briefing Isabella Stokes NSPCC Evidence team December 2017 Impact and Evidence
More informationModule 4. Relating to the person with challenging behaviours or unmet needs: Personal histories, life journeys and memories
Module 4 Relating to the person with challenging behaviours or unmet needs: Personal histories, life journeys and memories 1 Key questions How are residents personal histories, life journeys and memories
More informationAutism. Jane Neil-MacLachlan
Autism Jane Neil-MacLachlan 27.4.15 Why me? Who am I? formerly lead clinician with an NHS Adult Autism Diagnostic Service Why do I do what I do?- Because I found so many women with AS which had never been
More informationPractitioner Guidelines for Enhanced IMR for COD Handout #2: Practical Facts About Mental Illness
Chapter II Practitioner Guidelines for Enhanced IMR for COD Handout #2: Practical Facts About Mental Illness There are four handouts to choose from, depending on the client and his or her diagnosis: 2A:
More informationOne week program of activities. Aimed at AS-Level Psychology students. Takes place in July, after AS-Level exams
samantha.rowbotham@manchester.ac.uk SPS-OUTREACHGROUP@listserv.manchester.ac.uk One week program of activities Aimed at AS-Level Psychology students Takes place in July, after AS-Level exams Intended to
More informationOUR BRAINS!!!!! Stroke Facts READY SET.
HealthSouth Rehabilitation Hospital Huntington Dr. Timothy Saxe, Medical Director READY SET. OUR BRAINS!!!!! Stroke Facts 795,000 strokes each year- 600,000 new strokes 5.5 million stroke survivors Leading
More informationIAPT for SMI: Findings from the evaluation of service user experiences. Julie Billsborough & Lisa Couperthwaite, Researchers at the McPin Foundation
IAPT for SMI: Findings from the evaluation of service user experiences Julie Billsborough & Lisa Couperthwaite, Researchers at the McPin Foundation About us A small, specialist mental health research charity
More informationBath Centre for Pain Services Complex Regional Pain Syndrome (CRPS) Service
Bath Centre for Pain Services Complex Regional Pain Syndrome (CRPS) Service Royal National Hospital for Rheumatic Diseases Inpatient Programme Patient Information Leaflet Version 4.1 Date: March 2015 Author:
More informationTowson University Center for Adults with Autism Towson, MD Adventure Pursuits for Adults with Autism
Towson University Center for Adults with Autism Towson, MD www.towson.edu/chp/caasd Adventure Pursuits for Adults with Autism Project Coordinator: Lisa Crabtree, PhD, OTR/L, Towson University Center for
More informationBASIC VOLUME. Elements of Drug Dependence Treatment
BASIC VOLUME Elements of Drug Dependence Treatment BASIC VOLUME MODULE 1 Drug dependence concept and principles of drug treatment MODULE 2 Motivating clients for treatment and addressing resistance MODULE
More informationThe eight steps to resilience at work
The eight steps to resilience at work Derek Mowbray March 2010 derek.mowbray@orghealth.co.uk www.orghealth.co.uk Introduction Resilience is the personal capacity to cope with adverse events and return
More informationThe Recovery Journey after a PICU admission
The Recovery Journey after a PICU admission A guide for families Introduction This booklet has been written for parents and young people who have experienced a Paediatric Intensive Care Unit (PICU) admission.
More informationMENTAL CAPACITY ACT POLICY (England & Wales)
Stalbridge Surgery Reviewed June 2017 Next review date June 2018 INTRODUCTION MENTAL CAPACITY ACT POLICY (England & Wales) The Mental Capacity Act (MCA) 2005 became fully effective on 1 st October 2007
More informationStrengthening the post-stroke psychological care pathway: Examples from four North-West of England sites
Strengthening the post-stroke psychological care pathway: Examples from four North-West of England sites Background Range of psychological problems post-stroke Common and disabling Impacts on rehabilitation
More informationImproving Physical Health and Reducing Substance Use in Severe Mental Illness (IMPaCT) A case study on carer involvement in mental health research
Improving Physical Health and Reducing Substance Use in Severe Mental Illness (IMPaCT) A case study on carer involvement in mental health research 2013 Acknowledgements This case study was written by Dr
More informationAge-appropriate information about mental health for young carers
Practice example Age-appropriate information about mental health for young carers What is the initiative? Listen to Me Young Carers Rucksack Project Who runs it? Somerset Partnership NHS Foundation Trust,
More informationA guide to Getting an ADHD Assessment as an adult in Scotland
A guide to Getting an ADHD Assessment as an adult in Scotland This is a guide for adults living in Scotland who think they may have ADHD and have not been diagnosed before. It explains: Things you may
More informationThe New Normal: Understanding Family and Individual Dynamics Following Brain Injury. Deborah Gutteridge, MS, CBIST Clinical Evaluator
The New Normal: Understanding Family and Individual Dynamics Following Brain Injury Deborah Gutteridge, MS, CBIST Clinical Evaluator The Most Challenging Issue. for survivors for families for professionals
More informationProblem Situation Form for Parents
Problem Situation Form for Parents Please complete a form for each situation you notice causes your child social anxiety. 1. WHAT WAS THE SITUATION? Please describe what happened. Provide enough information
More informationRecovery from Psychosis: A Ten-Week Program
Recovery from Psychosis: A Ten-Week Program Developed by Ron Coleman and Karen Taylor Over the last few years Ron and Karen have been asked by a great many families and people with mental health problems
More informationNeurological Alliance of Ireland Pre-Budget Submission 2018
Neurological Alliance of Ireland Pre-Budget Submission 2018 1 The Neurological Alliance of Ireland (NAI) is asking the Government to support people with neurological conditions in Ireland in the Budget
More informationThis is an edited transcript of a telephone interview recorded in March 2010.
Sound Advice This is an edited transcript of a telephone interview recorded in March 2010. Dr. Patricia Manning-Courtney is a developmental pediatrician and is director of the Kelly O Leary Center for
More informationBehaviorism: An essential survival tool for practitioners in autism
Behaviorism: An essential survival tool for practitioners in autism What we re going to do today 1. Review the role of radical behaviorism (RB) James M. Johnston, Ph.D., BCBA-D National Autism Conference
More informationPeer Support. Introduction. What is Peer Support?
Peer Support Introduction We are all social beings by nature connectedness and community are necessary if not vital to our wellbeing. The very existence of positive social relationships can be a source
More informationPain Psychology: Disclosure Slide. Learning Objectives. Bio-psychosocial Model 8/12/2014. What we won t cover (today) What influences chronic pain?
Disclosure Slide Pain Psychology: No commercial interests to disclose Screening for distress and maladaptive attitudes and beliefs Paul Taenzer PhD, CPsych Learning Objectives At the end of the session,
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION In persons with chronic obstructive pulmonary disease (COPD), is a combination of exercise and activity-based breathing training more effective than a
More informationBeattie Learning Disabilities Continued Part 2 - Transcript
Beattie Learning Disabilities Continued Part 2 - Transcript In class Tuesday we introduced learning disabilities and looked at a couple of different activities that are consistent and representative of
More informationThe Role of Self- Awareness in the Use of Strategy Training. Jessica Kersey, MOT, OTR/L, CBIS
The Role of Self- Awareness in the Use of Strategy Training Jessica Kersey, MOT, OTR/L, CBIS Objectives 1. Understand the implications of self-awareness impairments 2. Identify the active ingredients of
More informationfor the grieving process How to cope as your loved one nears the end stages of IPF
Preparing yourself for the grieving process How to cope as your loved one nears the end stages of IPF 3 As your loved one nears the end stages of IPF, it s important that you be there for him or her as
More informationThe Touchstone Centre. South London and Maudsley. NHS Foundation Trust
The Touchstone Centre South London and Maudsley NHS Foundation Trust What do we do? The Touchstone Centre provides two structured day programmes, intensive group psychotherapy and individual psychotherapy
More informationGeriatric Medicine I) OBJECTIVES
Geriatric Medicine I) OBJECTIVES 1 To provide a broad training and in-depth experience at a level sufficient for trainees to acquire competence and professionalism required of a specialist in Geriatric
More informationEDUCATE ME INCLUDE ME. Learning conversations about epilepsy. A parent and teacher s resource
EDUCATE ME INCLUDE ME Learning conversations about epilepsy A parent and teacher s resource The impact of epilepsy is variable some children are greatly affected while others are not Epilepsy and its possible
More information1 Main messages. Page 4. The Bobath Centre for Children with Cerebral Palsy
Contents 1 Main messages... 4 2 Key Findings... 5 2.1 Where we have improved our services and/or continue to do well... 5 2.2 Where we can improve our services... 5 The Bobath Centre for Children with
More informationCOACH WORKPLACE REPORT. Jane Doe. Sample Report July 18, Copyright 2011 Multi-Health Systems Inc. All rights reserved.
COACH WORKPLACE REPORT Jane Doe Sample Report July 8, 0 Copyright 0 Multi-Health Systems Inc. All rights reserved. Response Style Explained Indicates the need for further examination possible validity
More informationCaregiving for an Individual with Dementia: Beginning the Journey
Caregiving for an Individual with Dementia: Beginning the Journey Kirsten W. Schwehm, PhD, ABN Institute for Dementia Research and Prevention Getting the Diagnosis Physician Assessment Cognitive Assessment
More information