The ABI Journey

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					                                         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

            & ASSOCIATES LLP
P E R S O N A L   I N J U R Y   L AW Y E R S
                                                                  Gouws & Associates
                                                                  p   s     y     c     h     o        l   o    g   i   s   t   s

                                                                          and its Affiliate Division

                                                                                                                            HSIC Inc.                                                                    LLP
                                                                                                       Human & System Interface Consulting

                                                                                                                                                                                  PERSONAL INJURY LAWYERS

Target Audience                               Casual Friday
This conference will be of interest           Show your support for the Hamilton                                                             •	   That may result from the use of                   Conference Goals
to ABI Rehabilitation Professionals,          Health Sciences Rehabilitation                                                                      technologies, program, products
                                                                                                                                                                                                    •	   Explore and review the
Psychologists, Physicians, Program            Resource Centre and Camp Dawn by                                                                    and/or services at this conference.
                                                                                                                                                                                                         latest ABI research and
Planners, Insurance and Legal                 purchasing a $5.00 sticker and dress-                                                          •	   That may arise out of, or during                       current directions in
Representatives and Advocates.                ing casually on Friday May 11, 2012.                                                                this conference.                                       diagnosis and treatment of
Attendance Certificates                       Convention Centre Facilities                                                                   For further information                                     pediatrics, adults and seniors
Conference attendance certificates            The temperature varies from room                                                               please contact                                         •	   Examine innovations and
will be placed in your delegate kit.          to room. Please dress accordingly.                                                             Joyce Lambert                                               approaches to assessment
Delegates are encouraged to review            Caregiver sponsorships                                                                          ABI Conference                                             and treatment in brain injury
self-assessment guidelines issued by                                                                                                          Regional Rehabilitation Centre, HHS                        across the lifespan
their professional college/associa-           A limited number of caregiver spon-
                                                                                                                                              Level 1 North, Room B1-106F                           •	   Provide an opportunity to
tion for continuing education credits         sorships are available. For informa-
                                                                                                                                              237 Barton Street East                                     network, share experiences
or contact their professional college         tion call Joyce Lambert
                                                                                                                                              Hamilton, ON L8L 2X2                                       and cultivate partnerships
or association for further informa-           at 905-521-2100 ext. 40833.
tion.                                         Liability                                                                                           Phone 905-521-2100 ext. 40833
Evaluation Prizes                             Hamilton Health Sciences hereby
Delegates who complete an evalua-             assumes no liability for any claims,
tion form will be eligible for a draw.        personal injury, or damage:
The draws will occur during lunch             •	   To any individual attending this
and evening Reception.                             conference.

2    The ABI Journey: Pediatrics to Seniors
The ABI Journey:                                                                                   19th Annual Conference
Pediatrics to Seniors                                           on Neurobehavioural Rehabilitation in Acquired Brain Injury

                        Jacobus Donders                                        Philip S. Fastenau                                 Brian Misiaszek
                                              PhD, ABPP                                                Ph.D.                                            MD, FRCPSC
                             Mary Free Bed Rehabilitation Hospital,                 Neurological Institute, University Hospital        Chief of Geriatrics, Hamilton Health Sciences
                             Grand Rapids, MI                                       Case Medical Centre
                                                                                                                                  ABI & Aging: Approaches Used
                        Traumatic Brain Injury                                 Vulnerability of the Developing                    in the Elderly Population
                        Across the Age Span                                    Brain to Concussion and Guidelines                 This presentation will discuss assess-
                        This discussion of traumatic brain inju-               for Clinical Management of Youth                   ment and treatment modalities used
                        ry (TBI) at various points across a lifes-             Guidelines for concussion manage-                  with aging individuals who have
                        pan. Similarities as well as differences               ment have been developed based                     suffered a brain injury. There will
                        will be reviewed between causation                     on research with young adults, but                 be a review of some of the medica-
                        and manifestation of TBI in children,                  recent studies document slower                     tions and treatment options that are
                        young adults, and seniors. The impor-                  recovery for children and adoles-                  unique to this population. The dif-
                        tance of confounding premorbid and                     cents. This session will review neu-               ferences in approach when treating
                        comorbid factors will be described,                    robiological, cognitive, & behavioral              dementia versus brain injury will be
                        with particular consideration of how                   changes associated with concussive                 discussed.
                        demographic and psychological vari-                    injury and recovery and will summa-
                        ables may affect outcomes. Long-                       rize risk factors for prolonged recov-
                        term outcome data with regard to                       ery. Recent research will be summa-
                        injuries sustained earlier in life will also           rized regarding greater vulnerability
                        be highlighted. Specific vulnerabilities               in younger brains. Implications for
                        of those at both of the extreme ends                   management with youth and recent
                        of the age spectrum to sequelae of                     guidelines will be presented and dis-              Plenary Sessions
                        TBI will be illustrated.                               cussed.                                            continued on page 4 ➢

                                                                  19th Annual Conference on Neurobehavioural Rehabilitation in Acquired Brain Injury     May 10–11, 2012           3
Leslie Birkett   B.Sc. OT, OT Reg. (Ont)      Maria Schultheis      Ph.D.
                                                  Drexel University, New Jersey           Concurrent                                   teaching using intensive ABA Direct
                                                                                                                                       Training Techniques.
Jane Storrie    Ph.D., C Psych
    Storrie, Velikonja and Associates         “Virtual Rehabilitation”: Unique            Sessions                                     A2 Denise Johnson        RegPT, MCPA
Meet Hope 10 Years Out                        Opportunities and Challenges                                                                 Hamilton Health Sciences
                                                                                          A1 Liana McLeod         Research Assistant   Standing Minimally Responsive
Traditionally, a two year window of           Virtual reality (VR) technology offers
opportunity for recovery from brain           rehabilitation a unique opportunity             Bruce Linder       Ph.D., C. Psych       Patients Across Ages
                                                                                              Brain Injury Services
injury is anticipated. Clinicians typi-       to evaluate everyday functional activ-                                                   The use of supported standing with
cally view residual impairment as             ities in an ecologically valid manner.      “Back to the Future” in Skill Training       minimally responsive patients results
permanent. Recent research and                VR applications are now being devel-        - Demonstrations of Effective Skill          in tremendous impact on their
experience, however, have dem-                oped and tested which focus on              Training with Adults With ABI Using          recovery.  What does the evidence
onstrated otherwise. We present a             component cognitive processes (e.g.         Direct Training Techniques                   suggest?  What is required to stand
case in which a patient dramatically          attention, memory) and functional           Community-based neurobehav-                  a  minimally responsive patient in
improved 10 years after a signifi-            behaviors (e.g. meal preparation,           ioural rehabilitation has evolved            a systematic and effective way? 
cant brain injury. Noting changes in          driving) . Findings from these studies      from early stages in history of              Clinically we see improvements in
awareness, cognitive flexibility and          provide support for the feasibility and     applied behaviour analysis (ABA) skill       level of alertness, head control, visual
empathy. While our ideas regard-              potential value of VR. Yet, additional      training techniques to a less struc-         tracking, bowel and bladder as well
ing outcome clearly need to be re-            work remains to be done to success-         tured “apprenticeship” teaching              as motivation.   It requires a lot of
evaluated, it is imperative to work           fully transition VR rehabilitation appli-   model. Many agencies struggle with           specialized equipment, staffing and
towards the creation of funding               cations into the clinic. The current        decisions about how much effort to           time.  We need to offer patients best
models to ensure ABI patients the             session will provide an overview of         commit to skill training. The appren-        practices to optimize their recov-
opportunity to recover to their full          VR, discuss remaining considerations        ticeship model often becomes the             ery while using time and resources
potential.                                    in the use of technology with clinical      default choice. Clinical experience          effectively.  In this session we will
                                              populations and present an example          suggests that informal teaching is           examine the effectiveness of sup-
                                              of current work with a Virtual Reality      often ineffective and more time              ported standing with ABI patients
                                              Driving Simulator (VRDS) to evaluate        consuming. This presentation will            to determine if such a resource
                                              driving in neurological populations.        provide case examples of successful          intensive practice is worthwhile.

4    The ABI Journey: Pediatrics to Seniors
A3 Bob Lomax      Social Worker                 A4 Philip S. Fastenau        Ph.D                      ties with care providers having little             Peer Support Mentoring Program
                                                    Neurological Institute, University Hospital        or no experience in ABI or behav-                  for all ages was conducted. The
    Kelly Williston Wardell      Occupational       Case Medical Centre
    Therapist, SJHC, London Parkwood Hospital                                                          ioural management techniques.                      psychological and social effects of

Family Education Across                         Case Studies in Child & Adolescent                       If left without intervention, behav-             ABI typically do not manifest until

the Lifespan Using OTN                          Concussion Management                                  ioural difficulties following ABI can              discharge into the community, and
                                                                                                       escalate, leading to discharges and                often remain for years post-injury.
Ongoing education for people with               Children and adolescents are at great-
                                                                                                       evictions. This can leave the survivor             Mentors and their matched part-
an ABI is an important issue over their         er risk for prolonged recovery from
                                                                                                       of brain injury homeless and at risk.              ners separately completed a series
lifetime, as recovery is a lifelong pro-        concussion, and lifestyle changes fol-
                                                                                                         Care providers are interested and                of study-specific telephone ques-
cess. Access to education is necessary          lowing injury can be critical to achiev-
                                                                                                       able to learn. Helping them under-                 tionnaires at intake, the start of their
even when survivors no longer have              ing a steady and full recovery. Specific
                                                                                                       stand the variables associated with                partnership and at its completion.
access to rehabilitation services/pro-          principles and strategies for manage-
                                                                                                       certain behaviours, and the proce-                 Data from 120 successfully complet-
fessionals, or were never able to access        ment of concussion in younger indi-
                                                                                                       dures for management, can stabilize                ed partnerships was collected. Gains
them. In this spirit, Parkwood Hospital         viduals will be presented and will be
                                                                                                       a brain injured individual in his or               were seen in mood, confidence and
hosts an 8-week Survivor and Family             illustrated by a series of case studies.
                                                                                                       her environment resulting in fewer                 community integration. Participants
Education Series that is videocon-                                                                     potential crises in the community.                 viewed the Program as meeting a
                                                B1 Rebecca Bond B.A, B.Ed
ferenced and webcast through the                   Gene Uchida B.Comm. B.Ed.                                                                              need for lifelong support, and gains
Ontario Telemedicine Network (OTN)                 Gary Blake B.A. (Psych)                             B2 Judith Gargaro       Research Coordinator,      were observed in both partners and
to various locations within the region.             Hamilton Health Sciences                                Toronto Rehab and West Park
                                                                                                            Healthcare Centre
Speakers include survivors and clini-
                                                The Never-Ending Call Bell
cians, who speak about many recov-                                                                          Kathryn Boschen         Research Scientist,
ery issues across the life span for survi-
                                                & the World’s Longest Shift:                                University of Toronto
vors (ages 16 to 70+) and their families
                                                A Way of Dealing with Difficult to
                                                Manage Behaviours in Long-Term                         Using Peer Support Mentoring to
and friends.                                                                                           Support Persons with ABI and their
                                                and Other Residential Care Facilities
                                                                                                       Families in the Community
                                                Following brain injury, survivors in
                                                Ontario can come to reside in facili-                  An external evaluation of a recent-                Concurrent Sessions
                                                                                                       ly-implemented telephone-based                     continued on page 8 ➢

                                                                                          19th Annual Conference on Neurobehavioural Rehabilitation in Acquired Brain Injury   May 10–11, 2012   5
Thursday, May 10th
    7:45–8:30        Registration & Continental Breakfast
    8:30–8:45        Announcements                                                                                         Murray Martin, Jennifer Kodis
                     Welcome                                                                                               John Zsofcsin
    8:45–9:30        Survivor’s Perspective                                                                                Jim Flood
    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    Liana McLeod
                         with ABI Using Direct Training Techniques                                                         Bruce Linder
                     A2 Standing Minimally Responsive Patients Across Ages                                                 Denise Johnson
                     A3 Family Education Across the Lifespan Using OTN                                                     Bob Lomax, Kelly Williston Wardell
                     A4 Case Studies in Child & Adolescent Concussion Management                                           Philip S. Fastenau
    3:30–4:00        Refreshment Break & Poster Presentations
    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            Gary Blake, Gene Uchida,
                         to Manage Behaviours in Long-Term and Other Residential Care Facilities                           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

6    The ABI Journey: Pediatrics to Seniors
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                                        Vlad Bartchouk, Bruce Linder
                 of a Risk Assessment Scale at Brain Injury Services
12:15         Farewell Lunch

              Platinum                          Gold                                    Silver                                     Bronze (cont’d)

              Gluckstein and Associates         Alert/Best Nursing                      Michael Lamont                             Neurologic Rehabilitation
              Himelfarb Proszanski              and Home Care                           Mackesy Syme                               Institute of Ontario

              MacDonald & Swan                  Bayshore Home Health                    Alan Wynperle                              Brenda Power OT

              Oatley, Vigmond Law office        Gouws and Associates/HSIC Inc.          Bronze                                     Gifts in Kind
              Ross and McBride                  Howie, Sacks and Henry, LLP             ABI Community Services                     Lisa Keith
              Thomson Rogers                    McLeish Orlando                         Bartimaeus
                                                Paquette Travers and
                                                                                        We Thank All of our Sponsors for their Generous Support

                                                                     19th Annual Conference on Neurobehavioural Rehabilitation in Acquired Brain Injury   May 10–11, 2012   7
B3 Janice Harvey       MD, FCFP, Dip Sports Med   C1 Rolf B. Gainer     Ph.D.                          of resources, many of which include         C3 Vlad Bartchouk Brain Injury Services
                                                      Neurologic Rehabilitation Institute of Ontario   the caregiver and social networks.             Bruce Linder Ph.D., C. Psych, Brain Injury
    Colleen Cupido      B.P.E., BHScPT, Sport                                                                                                           Services
    Cert., MSc (Kin)                              Expectations and Realities: Lifespan                 C2 John Cole     Ph.D, C Psych
    McMaster University, David Braley Centre      Issues Following Brain Injury                                                                    Assessing Client Risk for Adults
                                                                                                           Steve Jett   Ph.D, C Psych              with ABI. The Development and
Concussion in Sport                               Brain injury creates a lifetime of dis-                  Cambridge Psychology Centre             Validation of a Risk Assessment
This presentation will provide an                 ability for the person but also affects
overview of Sport Concussions                     others in their life. As more individu-              Cogmed Working Memory Training              Scale at Brain Injury Services
including injury definition and clas-             als enter into the ranks of those living             Cogmed Working Memory Training is           Despite concerns about client risk
sification system, assessment tools               with severe disabilities caused by ABI,              an engaging, home computer-based            in community agencies that service
commonly used in sport, ImPACT                    we are better able to understand the                 training program. It is brief (5 weeks),    adults with ABI, there are no known
testing, concussion management,                   convergence between brain injury                     yet it yields results that show stability   published standardized assessment
graded exertion protocol and return               disability and the accelerated conse-                and even improvement in memory              tools which can be used to deter-
to play guidelines. We will also pro-             quences of aging. These life processes               (verbal, visuospatial, short term, and      mine risk for individual clients. This
vide a brief introduction to the                  include: social role return; maintain-               working memory) at completion, at           talk will present the development
David Braley Sport Medicine and                   ing independence; family life and                    3-6 months follow-up and beyond .           and validation of a staff rating scale
Rehabilitation Centre at McMaster                 returning to valued activities. Growing              Cogmed has been applied with ADD/           for levels of risk and levels of severity
University and discuss the resources              old with severe disabilities involves                ADHD children, ABI patients, pediat-        in such areas of relevant risk as falls,
available to community patients.                  the early onset of health problems                   ric brain cancer survivors, and other       skin, health, behaviours, skills, mental
                                                  which are furthered by disparities in                groups. Different modules have been         health, addictions, and vulnerability.
                                                  healthcare resources and access to                   designed to be used by pre-school
                                                  them. The role of the caregiver is an                children, school aged children, and
                                                  important aspect in the lifespan issues              adults. The presenters will outline
                                                  which confront the person and their                  the theory and research behind the
                                                  desire to maintain independence. The                 Cogmed Program and discuss its
                                                  consequences of aging with a brain                   application with ABI survivors across
                                                  injury require significant management                the lifespan.

8   The ABI Journey: Pediatrics to Seniors
Delegate Registration
                                                                                              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:
Agency or Organization (please specify)

                                                                                              Delegate Registration Fee
                                                                                              Early	Registration	on or before April 13, 2012
City                                                      Prov./State   Postal/Zip
                                                                                               Single                                     $325
                                                                                               3 or more                                  $300 ea
Bus. phone                                         ext.                 Fax                    Caregivers or Full-time student            $150
                                                                                              Group	Rate: A minimum of three registrations received
E-mail                                                                                        together from the same organization is required.
                                                                                              Subtract $25 from each registration.
I CONSENT to having my name appear on a published registrant list YES  NO                   Registration after April 13, 2012
                                                                                               Single                                      $400
Please make cheque payable (in Canadian funds) to Hamilton Health Sciences – ABI Conference    3 or more                                   $375 ea
and return your completed form(s) with your cheque to:                                         Caregivers or Full-time student             $150

Joyce Lambert                                                                                 Confirmation of registration
ABI Conference                                                                                A written acknowledgement of your registration will not
Regional Rehabilitation Centre                                                                be sent to registrants prior to the event. Receipts will be
Level 1 North, Room B1-106F                         For further information contact           provided in your registrant package.
237 Barton Street East                              Joyce Lambert 905-521-2100 ext. 40833     Registration includes breakfasts, lunches, refreshment
Hamilton, ON L8L 2X2                                                breaks, reception (excluding beverages) and delegate kits.
                                                              Exhibitor Registration
Send your completed registration to:                          Name
Joyce Lambert
ABI Conference                                                Organization
Regional Rehabilitation Centre
Level 1 North, Room B1-106F
237 Barton Street East                                        Address
Hamilton, ON L8L 2X2
Phone      905-521-2100 ext. 40833                            City                                                                 Prov./State        Postal/Zip

                                                              Bus. phone                                                    ext.                      Fax
Cancellation policy
Hamilton Health Sciences reserves the right to cancel
this event due to insufficient registration or circumstanc-   E-mail
es beyond our control. Cancellations received before
April 23, 2012 will be refunded. No refunds will be issued    Exhibit space                                                           Exhibitor Registration Fee
for cancellations received after this date.
                                                              Exhibitor space is available to agencies who wish to share              	Early	Registration	                            $750
                                                              information about their programs at the conference. Display                  Postmarked on or before April 13, 2012
                                                              area includes: an 8’x10’ space; draped table; one chair. The            	Registration	                                  $850
                                                              exhibitor’s room has limited provision for electrical outlets.               After April 13, 2012
                                                              The Exhibitor Registration includes a display area and one
                                                              registration for the exhibitor. To reserve exhibit space, please        Exhibitor Requirements
                                                              complete the Exhibit Space form. Your space is confirmed
                                                              upon receipt of the completed form. Exhibit setup time for                 I will require a table
                                                              the conference is from 06:00–07:45 a.m. on May 10th 2012.                  I will require an electrical outlet
                                                              Removal time is from 2:00–2:30 p.m. on May 11th 2012.                   Exhibitor Registration includes a display area
                                                              For further information:                                                and registration for one exhibitor.
                                                              Joyce Lambert 905-521-2100 ext. 40833

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     Driving Instructions                                                                                   YORK
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                                                                                                                                                                                                                                                                                                                                                                   There are several hotels within walking
     From London and Beyond                                                                                                                                                                                                                                                                                                                                        distance or a short drive of the confer-
     Follow the 401 East to Toronto. Take                                                                                                                                                                                   6                                                                                                                                      ence site. Please call the hotels directly
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     Exit 235 and merge onto Hwy 403 East                                                                                                                                                                                                                                                                                                                          for conference rates:*
     to Brantford/Hamilton. Exit at Hwy 8                                                                                                                                                              LLOYD D. JACKSON
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     Exit at Hwy 8 East/Main Street exit in                                                                                                                                                                                                                                                                                                                        basis until April 2, 2012.

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     ing is on the left hand side.
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     From Niagara Falls and
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                                                                                                                                                                                                                                1             Hamilton Convention Centre


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     Exit 89 Burlington Street. Turn left at

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     left on to Main St. Follow Main Street to
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     Lane. The Hamilton Convention
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                                                 Thank you to our Platinum and Gold Sponsors

                                                                                                               Platinum Sponsors

              & ASSOCIATES LLP
  P E R S O N A L   I N J U R Y   L AW Y E R S

                                                                                                                       Gold Sponsors

                                                    Gouws & Associates
                                                    p   s     y     c     h     o        l   o    g   i   s   t   s

                                                            and its Affiliate Division

                                                                                                              HSIC Inc.                                      LLP
                                                                                         Human & System Interface Consulting

                                                                                                                                       PERSONAL INJURY LAWYERS

The ABI Journey:
Pediatrics to Seniors

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