Spring07 - PDF by xiangpeng

VIEWS: 5 PAGES: 32

										     	
       RainbowVisions
             	
                  A QuArterly News MAgAziNe for Acquired Brain injury Professionals, survivors and Families
                   	     	
          www.rainbowrehab.com             Rainbow Rehabilitation CenteRs, inC.                  Volume IV    No. 2	




             March is Brain Injury Awareness Month
    Spring 2007
                                                 tbi & Post traumatic stress Disorder
                                                                   Dual-Diagnosis & Treatment


                           Interview with Military TBI & PTSD Survivor Charlie Morris
                          Mark Evans & Vicky Scott, NP on Rainbow’s NeuroRehab Campus
                          Helmet Technology Advances–Part 1 | 2007 TBI Conference Dates
                                                       March 2007
                                                 is brain injuryAwareness
                                                                                          month.

                What’s News in the
              industry                                                                               which	severely	shake	the	brain	within	the	
                                                                                                     skull,	have	become	the	signature	injury	of	
              Raising Awareness                                                                      the	War	in	Iraq.	These	blasts	often	cause	




M
              By	Bill   Buccalo,	President                                                           devastating	brain	injuries,	and	patients	may	
                                                                                                     have	long-term	cognitive,	psychological	
                                                                                                     and	medical	consequences.	The	most	
                                                                                                     severely	injured	service	members	will	
    	   	     		arch	is	Brain Injury Awareness     York	Times	article,	Dr.	Bennet	Omalu,	a	          require	extensive	rehabilitation	and	lifelong	
                Month.	Raising	public	awareness	   University	of	Pittsburgh	neuropathologist,	       personal	and	clinical	support.
    of	the	“silent	epidemic”	of	brain	injury	      recently	examined	the	brain	tissue	of	            	   We	are	concerned	about	whether	the	
    is	important	in	the	fight	to	decrease	the	     former	NFL	player	Andre	Waters.	Mr.	              Department	of	Veterans	Affairs	(VA)	can	
    alarming	number	of	injuries	sustained	each	    Waters	(44	years	old)	had	committed	              fully	address	the	needs	of	our	service	
    year;	to	increase	the	access	to	services	      suicide	in	November	subsequent	to	                men	and	women	on	a	variety	of	fronts.	
    for	those	who	have	sustained	an	injury,	as	    a	period	of	depression.	The	doctor	               During	a	September	2006	hearing	of	the	
    well	as	to	create	a	more	compassionate	        concluded	that	Mr.	Waters’	brain	tissue	          House	Veterans’	Affairs	Subcommittee	
    and	understanding	community	in	which	          had	degenerated	into	that	of	an	85	year	old	      on	Health,	a	statement	for	the	record	
    survivors	live.	Many	people	in	the	industry	   man.	He	believes	this	was	due	in	part,	to	        indicated	that	the	20-year	healthcare	cost	
    have	stated	that	we	should	not	focus	          sustaining	successive	concussions	while	          estimate	for	TBI	could	exceed	$14	billion.	
    awareness	on	just	one	month,	rather	we	        playing	football.	The	League	states	they	are	     Additionally,	although	the	VA	has	an	
    should	be	working	to	raise	awareness	          beginning	a	study	of	their	retired	players	to	    established	network	of	TBI	Lead	Centers	
    every	day.	Over	the	past	few	years,	there	     look	at	general	issues	related	to	concussion.	    around	the	country	(currently	there	are	
    has	been	more	discussion	in	the	media	         However,	we	believe	the	League	as	well	           four	locations),	partnerships	with	private	
    regarding	brain	injury	than	I	can	ever	        as	colleges	and	high	schools	all	need	to	         providers	will	likely	become	necessary	
    recall.                                        take	more	proactive	steps	to	deal	with	           in	order	to	adequately	address	needs	of	
    	   Leading	up	to	this	year’s	Super	Bowl,	     concussions	and	the	issues	surrounding	           veteran	TBI	survivors.	Clinical	services	
    there	was	a	great	deal	of	discussion	and	      return	to	play	(see RainbowVisions Fall           should	be	delivered	in	the	communities	
    media	attention	surrounding	the	NFL’s	         2006 issue at www.rainbowrehab.com for            where	they	live.	In	addition,	there	have	
    handling	of	concussions	and	return	to	play	    extensive information on concussion related       been	news	media	accounts	and	reports	by	
    policies.		Multiple	concussions	sustained	     topics.)                                          veterans	with	TBI	who	claim	that	the	VA’s	
    by	Pittsburgh	Steeler	quarterback	Ben	         	   In	this	issue	of	RainbowVisions,	the	         brain	injury	care	is	not	up	to	par,	requiring	
    Roethlisberger	as	well	as	the	recent	news	     focus	is	on	war	related	brain	injuries.	Of	       them	to	seek	out	rehabilitation	services	in	
    stories	on	the	death	of	former	player	Andre	   particular	interest	are	our	veterans	returning	   the	private	sector.
    Waters	have	spurred	the	discussion.	It	was	    from	war.	More	than	2,700	American	               	   We	need	to	meet	these	challenges	by	
    nice	to	see	Mitch	Albom	and	his	colleagues	 men	and	women	have	died	and	nearly	                  ensuring	a	robust	VA	healthcare	system	
    spend	significant	airtime	in	the	hour	prior	   20,000	more	have	been	wounded	since	              as	well	as	an	unprecedented	level	of	
    to	kickoff	confronting	the	issues.             fighting	began	in	2001.	Traumatic	brain	          interagency	cooperation	so	that	together	
    	   According	to	a	January	18th	New	           injuries	(TBIs)	resulting	from	bomb	blasts,	                                Continued on page 3



1       RainbowVisions
 www.rainbowrehab.com                                                                                                                                                                                               SPRinG 2007



                                       RainbowVisions
                                              A QuArterly News
                                                                MAgAziNe for Acquired
                                                                                      Brain injury Professi
                                                                                                            onals, survivors
                                                                                                         Cente Rs, inC.
                                                                                                                             and Families.
                                                                                                                                 Volume IV   No. 2	



                                                                                                                                                                                       Table of
                                                                                                                                                                              Contents
                                                                                    Rehab ilitat ion


          On the
                                                            															Rainb ow




Cover
                                                   rehab.com
                                   	    www.rainbow


                                                                ry Aware                                         ness Month
                                            March is Brain Inju
                                                                                                matic stress Disorder
                                                                                tbi & Post trauDual-Diagnosis & Treatment
                                                                                             on
                                       Spring 2007
                                                                                       Clinical article


                                                                                                   r Charlie Morris
                                                                                TBI & PTSD Survivo
                                                         Interview w/ Militar y                  w’s NeuroRehab Campu
                                                                                                                       s
                                                                            Scott, NP on Rainbo
                                                        Mark Evans & Vicky                              Conference Dates
                                                                                   es–Part 1 | 2007 TBI
                                                        Helmet Technology Advanc

Photo by Fred J. Pushies of U.S.
                                                                                                                                                           INDUSTRY NEWS
Military members of the Central
                                                                                                                                                           What’s News in the Industry – Brain Injury Awareness                      1
Command area of operations
using ground mobility vehicles                                                                                                                             BIAA Media Release on Cognitive Therapy                                   3
(GMVs). RainbowVisions                                                                                                                                     ABI Clinical News – Treatment of Dual Diagnosis TBI & PTSD                5
thanks Mr. Pushies (Author &                                                                                                                               Technology Corner – Helmet Technology Advances (Part I )–Military        11
photographer of The Complete
                                                                                                                                                           Behavior Analysis – An Implicit Technology for Generalization, Part II   17
Book of U.S. Special Operations
Forces for contributing several of his photographs for this                                                                                                Industry Conference & Event Calendar                                     25
publication. Pictured below: Fred Pushies in front of an MH-53
Pave Low with the Air Force Special Operations Command.
                                                                                                                                                           TBI SURVIVOR STORIES
                                                                                                                                                           Survivor Corner – An interview with US Navy Veteran Charlie Morris        7


                                                                                                                                                           INSIDE RAINBOW
                                                                                                                                                           NeuroRehab Campus Interviews with Mark Evans, Program Director
                                                                                                                                                             & Vicky Scott, Nurse Practitioner                                      15
                                                                                                                                                           Notable Changes – NeuroRehab Campus newly hired professionals            19
                                                                                                                                                           Rainbow Satisfaction Survey – 2006 results                               21
Rainbow Visions editor & designer – Kimberly Paetzold
                                                                                                                                                           TBI Child Focus Series – When Children are Injured / Part 4              27
Assistant editor – Mary Mitchell
                                                                                                                                                           The Last Word – Rainbow’s Valued Leadership                              29
Staff photographer – Heidi Reyst
                                                                                                                                                           Employee of the Season – Fall 2006                                       30
E-mail : Rainbowvisions@rainbowrehab.com




                                                                                                                                 A Specialty Transportation Company We offer personalized,
                                                                                                                                   attentive and expert transportation services for individuals with
                                                                                                                                                      special needs throughout Southeastern Michigan.

                                                                                                                                                        call: 1.800.306.6406
                                                                                                                                                   asier!
                                                                                                                        Getting ar ound just got e
                                                                                                                                                                                                              RainbowVisions             2
                          Raising Awareness by Bill Buccalo, President
                          Continued from page 1


                                                    word.	I	would	like	to	take	a	moment	to	           each	and	every	quarter.		And	lastly,	thank	
                                                    thank	all	of	the	clients	and	family	members	      you	to	all	the	Rainbow	employees	and	the	
                                                    who	have	been	brave	and	shared	their	             extended	network	for	all	of	the	work	and	
    we	are	focused	on	meeting	the	specialized	      stories	over	the	years.		I	would	like	to	thank	   dedication	you	show	to	all	of	our	clients.			
    needs	of	our	returning	soldiers.                all	of	the	contributors	of	articles	and	all	of	   	   Keep raising the awareness.
    	    As	an	organization,	Rainbow	employees	     those	who	have	subjected	themselves	to	
    work	to	be	advocates	for	those	living	with	     interviews	and	photographs	to	help	spread	        If	you	have	any	questions	or	comments,	
    the	affects	of	brain	injury	and	to	increase	    the	word,	to	educate	and	help	others.	I	          feel	free	to	contact	me	at:	
    the	level	of	community	awareness	every	         would	like	to	thank	Kimberly	Paetzold,	our	       bill.buccalo@rrciweb.com
    day.	Our	RainbowVisions	News	Magazine	          RainbowVisions	Editor,	for	her	outstanding	       	
    has	been	one	outlet	for	us	to	spread	the	       work	in	putting	this	magazine	together	




        The Brain injury Association of America
                                                                              BIAA
    (BIAA) has published a position paper
    (11/2006) regarding their view on the
                                                                     Media Release
                                                                       on Cognitive Therapy
    treatment of cognitive dysfunction. The
    paper discusses research evidence of
    cognitive therapy and brings to light the
    burden on caregivers/survivors because of                     Lack of Funding for Rehabilitation
    coverage limitations. Following is the Media                  January 8, 2007 Media Release
    Release (January 8, 2007). Copies of the
    position paper can be obtained by visiting
                                                    Access	to	cognitive	rehabilitation	is	a	way	      organization	and	daily	activities	such	as	
    the BIAA web site at www.biausa.org
                                                    of	helping	brain-injured	patients	regain	         calendars,	pagers,	alarms	or	PDAs.
                                                    function	in	areas	that	are	essential	for	a	       	 “The benefits of cognitive rehabilitation
    MEDIA	RELEASE	McLean,	Virginia,	January	        return	to	independence	and	a	reasonable	          have been discussed in more than 700
    8,	2007	–	The	Brain	Injury	Association	of	      quality	of	life.                                  published research studies and are evident
    America	(BIAA)	today	released	a	position	       	 “Cognitive rehabilitation can help              in positron emission tomography (PET)
    statement	that	calls	on	lawmakers	and	          people regain their independence, but             scans and other neuroimaging techniques,”
    private	sector	payers	to	eliminate	barriers	    many insurance companies deny coverage            said	Dr.	Douglas	I.	Katz,	Brain	Injury	
    to	access	and	delivery	of	cognitive	            claims and public health agencies limit the       Programs	Medical	Director	at	Braintree	
    rehabilitation	treatment	for	patients	with	     scope, duration and timing of treatment,”	        Rehabilitation	Hospital	in	Braintree,	
    acquired	brain	injuries.                        said	Susan	Connors,	BIAA	President	and	           MA,	and	first	author	of	the	BIAA’s	
    	 Cognitive	Rehabilitation:	The	Evidence,	      CEO.	“Patients with brain injury and family       position	statement.	“Numerous scientific
    Funding	and	Case	for	Advocacy,	addresses	       caregivers suffer because of lack of access       organizations and professional societies
    the	fact	that	an	overwhelming	majority	         to this important treatment modality.”            have adopted treatment guidelines and
    of	brain	injury	survivors	have	cognitive	       	 Cognitive	rehabilitation	is	a	                  acknowledged the value of cognitive
    impairments,	or	thinking	problems	and	that	     systematically	applied	set	of	medical	and	        rehabilitation.”
    they	often	have	challenges	accessing	the	       therapeutic	services	provided	by	physicians	      	 The	BIAA	believes	that	cognitive	
    treatment	modality	that	has	been	shown	         and	allied	health	professionals	to	improve	       rehabilitation	should	be	provided	by	the	
    through	research	to	benefit	them	the	           cognitive	functioning	after	brain	injury.	The	    existing	national	network	of	qualified	
    most:	Cognitive	rehabilitation.	Cognitive	      treatment	requires	patients	to	work	through	      practitioners	who	have	fulfilled	the	
    impairments	interfere	with	the	brain-injured	   thinking	exercises	that	restore	attention,	       requirements	for	certification	and	licensure	
    patient’s	ability	to	function	effectively	      memory,	word	recall	and	other	language	           in	their	respective	fields.	Dr.	Mark	J.	
    in	school	and	at	work	and	also	have	an	         abilities.	Brain	injury	survivors	also	           Ashley,	Chairman	of	the	Board	of	BIAA	
    impact	on	their	personal	relationships.	        learn	to	use	tools	to	help	with	planning,	        and	President/CEO	of	the	Centre	for	

3       RainbowVisions
 www.rainbowrehab.com                                                                                                      SPRinG 2007




Neuro	Skills	headquartered	in	Bakersfield,	     as	an	excuse	to	withhold	payer	support	for	     	 •	Expanded	clinical	education	and	
CA,	cites	the	current	needs	of	the	ever-        treatment.	“Many people who sustain brain       certification	for	allied	health	practitioners	
increasing	number	of	servicemen	and	            injuries make remarkable recoveries when        who	work	with	brain-injured	patients
women	returning	from	Iraq	with	blast	           they get the appropriate treatment,”	said	      	 •	Increased	emphasis	on	research
brain	injuries	as	an	immediate	opportunity	     Dr.	Gregory	J.	O’Shanick,	BIAA	Medical	         	 •	Improved	integration	of	cognitive	
to	demonstrate	the	advantages	of	               Director	and	President/Medical	Director	of	     treatment	in	public	vocational	and	social	
accessing	this	service	provider	network.	       the	Center	for	Neurorehabilitation	Services,	   services
“The Veterans’ Administration (VA) has          PC	in	Richmond,	VA.	“We can learn much          	 •	Greater	attention	to	the	particular	
advocated for advancing rehabilitation          more about what works through additional        needs	of	brain-injured	children	in	
throughout its history and stands to lead       research, but we need Congressional             special	education	so	they	can	move	
the way to promotion of better treatment        support to do so. The Traumatic Brain           seamlessly	throughout	their	lives	within	a	
availability for our servicemen and             Injury (TBI) Model Systems, housed in the       comprehensive,	coordinated	system	of	care	
women,”	said	Ashley.	“The opportunities         U.S. Department of Education’s National         that	is	designed	to	improve	their	level	of	
for substantial functional improvement          Institute on Disability and Rehabilitation      functioning,	independence	and,	ultimately,	
associated with cognitive rehabilitation        Research, hasn’t had a pay raise in years.      give	them	back	some	of	the	skills	and	
are especially relevant for these returning     It is time to increase our investment in        abilities	stolen	by	their	brain	injury.
heroes. While the VA does not currently         applied research as well as examine
have the capacity to treat the large number     coverage denials and payment practices in       About the BIAA–Founded in 1980, the
of servicemen and women returning with          the public and private sectors as related to    mission of the BIAA is to create a better
traumatic brain injury, it should consider      treatment for victims of both traumatic and     future through brain injury prevention,
contracting with civilian partners and          acquired brain injury.”                         research, education and advocacy. The
providers in the private sector who have        	 Moving	forward,	the	BIAA	advocates	           BIAA and its nationwide network of state
been providing these services for many          the	following	priorities	to	provide	a	more	     affiliates, chapters and support groups
years to the nonmilitary sector.”               comprehensive	continuum	of	care	for	            represent the 5.3 million Americans who
	 The	BIAA	acknowledges	the	need	for	           brain-injured	patients:                         live with a lifelong disability as a result of
additional	research	on	the	benefits	of	         	 •	Expanded	public	and	private	payer	          TBI, as well as their families, researchers,
cognitive	rehabilitation	for	brain-injured	     coverage	of	sufficient	scope,	duration	and	     clinicians and professionals who provide
patients.	It	also	believes	that	the	need	for	   intensity	to	accommodate	the	changing	          treatment and long-term care. For more
further	exploration	into	the	benefits	of	       and	long-term	needs	of	patients	with	brain	     information about brain injury or the BIAA,
cognitive	rehabilitation	should	not	be	used	    injury                                          visit www.biausa.org.




                          2007 LEGACY SOCIETY
                                        AWARD	WINNER

          The	Community Service and Leadership Award will	be	presented	to	Bill Buccalo
                	at	the	BIAMI’s	Legacy	Society	9th	Annual	Tribute	Dinner	&	Auction
                                                	on	
                 Sunday, March 11th at the Inn at St. John’s in Plymouth, Michigan.


           This award recognizes an individual who has rendered exceptional community
           services and leadership skills that advanced the mission of the BIAMI along with
           benefiting the community and/or persons with brain injury and their families.




                                                                                                                     RainbowVisions              4
                  Acquired Brain Injury

                Clinical
                                  News                                                             who	were	married	before	the	Vietnam	War	
                                                                                                   became	divorced	within	six	months	of	
        DUAL DIAGNOSIS
                                                                                                   returning	home.	
        Treating TBI & PTSD                                                                        	   I	had	the	pleasure	of	talking	with	two	




A
                                                                                                   very	brave	people.	The	first	is	a	man	who	
        By  Colin King,	Ph.D.
        					Director of Adult Behavioral Services                                                 willingly	and	unselfishly	placed	his	life	
                                                                                                   on	the	line	on	behalf	of	his	country.	The	
                                                                                                   second	is	a	special	education	teacher	who	
    	    	   nother Mountain to Climb                                                              was	caught	in	the	line	of	fire.
                                                                                                   	   Charlie	joined	the	navy	as	a	young	
    	    Mike’s	heart	is	pounding	wildly	in	his	                                                   naïve	teenager	in	1969.	Little	did	he	
                                              	
    chest	like	a	jackhammer	crushing	concrete.	      According	to	the	Walter	Read	Army	            realize	that	the	next	few	months	would	
    His	throat	is	parched	and	feels	drier	than	      Medical	Center	in	Washington,	between	        be	the	most	traumatic	time	of	his	life.		
    the	arid	desert	that	hasn’t	seen	rain	in	        January	2003	and	February	2005,	              After	only	eight	months	in	the	navy,	
    months.	The	voices	in	his	head	yell	with	a	      physicians	(at	Walter	Reed)	treated	more	     and	while	returning	from	a	mission,	his	
    feverish	intensity	“pull the trigger,” 	“shoot   than	450	wounded	service	members	for	         helicopter	came	under	intense	hostile	fire.	
    him now!”	Everything	moves	in	slow	              TBI.	Among	patients	exposed	to	explosive	     The	helicopter	did	not	come	down,	but	
    motion.	What	actually	is	a	split	second	         blasts,	60%	were	diagnosed	with	TBI	          Charlie	took	a	hit	directly	to	the	head.	The	
    seems	like	eternity.	Mike	knows	he	must	         and	roughly	half	of	these	cases	were	         bullet	entered	behind	his	ear	and	exited	
    shoot	this	kid.	“He is a kid, I can’t shoot      categorized	as	moderate	to	severe.	It	is	     through	the	top	of	his	head.	The	only	thing	
    him!”	Mike	mutters	as	cold	sweat	gushes	         further	documented	in	the	book	Nam	Vet	       that	kept	Charlie	from	falling	out	of	the	
    down	his	forehead.	Even	as	Mike	utters	the	      by	Chuck	Dean	that	38%	of	battle	survivors	   chopper	was	a	mangled	seat	belt,	which	
    words	he	knows	he	must	take	action.		This	                                                     held	him.	The	next	few	months	were	filled	
    same	10-year-old	kid	has	just	detonated	                                                       with	medical	complications	and	surgery	
    explosives	strapped	to	his	bicycle,	killing	      ...more than 25% of (military)               after	surgery.	The	most	devastating	part	
    10	marines.	The	kid	was	now	riding	quickly	          bomb blast survivors have                 was	the	resulting	sequealae	from	the	TBI.	
    away	most	likely	contemplating	his	next	                                                       Charlie	experienced	extreme	paranoia,	
    attack.	Mike	deftly	takes	aim	and	cradles	
                                                             sustained a TBI.                      night	terrors,	sleep	depravation	and	a	host	
    his	finger	around	the	trigger.	His	feet	are	                                                   of	other	psychological	disorders	directly	
    shaking	uncontrollably	as	if	they	were	dry	
    leaves	in	an	autumn	wind.	A	split	second	
    before	he	pulls	the	trigger,	he	hears	the	
    all	too	familiar	voice	of	his	wife	shouting,
    “Mike! Mike! Wake up! You are having
    those night terrors again.” With	a	violent	
    jerk,	Mike	tosses	the	sweat	drenched	
    sheets	off	his	clammy	sleeping	clothes	as	
    he	simultaneously	gasps	for	air.	“OK! OK!
    I’ll go for counseling this time. I can’t take
    these night terrors anymore.”
                                                                                                                                                   Photo courtesy of Fred Pushies




    	    Mike’s	plight	is	not	dissimilar	from	
    thousands	of	other	war	veterans	who	have	
    sustained	physical	and	psychological	
    trauma	from	battle.	Many	of	the	unsung	
    heroes	and	heroines	suffer	in	silence	
    and	more	often	than	not,	in	obscurity.		


5       RainbowVisions
    www.rainbowrehab.com                                                                                                               SPRinG 2007




                                                               Traumatic events are marked by a sense of horror, helplessness,
                                                                   serious injury, or the threat of serious injury or death.
related	to	the	injury	and	the	effects	of	
Post	Traumatic	Stress	Disorder	(PTSD).	                            Common Responses to a Traumatic Event
Charlie	spent	many	nights	sleeping	with	a	
big	knife	above	his	bed	and	a	loaded	gun	
                                                                          Physical                                     Emotional
underneath	his	bed.	Things	became	so	bad	
                                                                           Nausea                                         Shock
that	Charlie	turned	to	alcohol	for	relief.		
                                                                      Light-headedness                                  Numbness
However,	the	alcohol	only	made	his	short-                                 Dizziness                               Feeling	overwhelmed
term	memory	worse.	Thanks	to	a	supportive	                        Gastrointestinal	problems                            Depression
family,	Charlie	was	able	to	get	help.	He	                              Rapid	heart	rate                                Feeling	lost
managed	to	quit	drinking,	complete	college	                                Tremors                       Fear	of	harm	to	self	and/or	loved	ones
and	is	currently	working	as	a	peer	mentor.		                             Headaches                                   Feeling	nothing
Charlie	is	the	author	of	the	book,	Just	A	                            Grinding	of	teeth                            Feeling	abandoned
Regular	Guy	(For more on Charlie’s story                            Fatigue	&	poor	sleep                         Uncertainty	of	feelings
see page 7 for a survivor interview.)                                        Pain                                   Volatile	emotions
	    Jackie,	on	the	other	hand,	was	not	                          Hyper-arousal	&	jumpiness

a	Vietnam	veteran.	She	was	a	special	
education	teacher	who	was	flying	to	Cairo,	                                Cognitive                                 Behavioral
Egypt	from	Athens	Greece	when	the	aircraft	                            Poor	concentration                       Suspicion	&	irritability
she	was	traveling	on	was	hijacked	by	three	                                Confusion                      Arguments	with	friends/loved	ones
terrorists.	Jackie	was	shot	at	point	blank	                              Disorientation                               Withdrawal
range	in	the	head,	tossed	onto	the	tarmac	                               Indecisiveness                            Excessive	silence
25	feet	below	and	left	for	dead.	As	she	                           Shortened	attention	span                      Inappropriate	humor
drifted	in	and	out	of	consciousness,	Jackie	                              Memory	loss                         Increased/decreased	eating
used	every	ounce	of	energy	in	her	body	                              Unwanted	memories                    Change	in	sexual	desire/functioning
                                                                  Difficulty	making	decisions                     Increased	smoking
to	stay	alive.	The	days,	weeks,	months	
                                                                                                           Increased	substance	use	or	abuse
and	years	that	followed	were	filled	with	
apparently	insurmountable	challenges.		
                                                                     Source: Department of Health–Centers for Disease Control and Prevention
	    Jackie’s	faith	and	indomitable	will	                            Coping With a Traumatic Event: www.bt.cdc.gov/masscasualties/copingpub.asp
has	helped	in	her	recovery.	She	has	
been	a	guest	speaker	on	
syndicated	talk	shows	
such	as	Oprah	and	Larry	
King	Live.	She	has	also	                                          Signs & Symptoms of a Mild TBI
been	featured	in	numerous	
articles	around	the	world	                      Physical                             Behavioral                                    Cognitive
such	as	Eden	Prairie	News,	                    Headaches                              Irritability                           Concentration	problems
The	Malta	Times	and	a	                           Nausea                              Depression                               Attention	difficulties
                                                Dizziness                              Anxiety                                 Memory	problems
host	of	other	newspapers.	
                                                Insomnia                         Sleep	disturbances                           Orientation	problems
One	common	thread	
                                                 Fatigue                   Problems	with	emotional	control
that	weaves	through	the	
                                               Uneven	gait                         Loss	of	initiative
fabric	of	both	Charlie’s	
                                              Blurred	vision              	Problems	related	to:	Employment,
and	Jackie’s	stories	is	their	                                                marriage, relationships and
battle	to	overcome	the	                                                       home/school management
ravages	of	the	combination	
                                                           Source: Department of Health–Centers for Disease Control and Prevention
of	PTSD	and	TBI.
                                                          Traumatic Brain Injury Facts; www.bt.cdc.gov/masscasualties/explosions.asp
        Continued on page 10


                                                                                                                              RainbowVisions           6
              Traumatic Brain Injury

           survivor
              Corner                                                                              Hello Charlie, Thank you for interviewing
                                                                                                  with RainbowVisions. Could you tell us a
                                                                                                  little about your gunshot wound incurred
            AN INTERVIEW WITH                                                                     during the Vietnam War?
                                                                                                  	    It’s	interesting	because	I	consider	
            Charlie Morris



C
                                                                                                  everything	from	the	time	I	was	shot	until	I	
                                                                                                  went	home	to	be	a	miracle	and	a	blessing.		
            By	Kimberly	Paetzold,	Editor
                                                                                                  I	still	get	chills	thinking	about	it.	I	was	shot	
                                                                                                  by	enemy	fire–the	bullet	from	an	AK-47	
    	    		 harlie Morris grew up in Ohio with                                                    went	in	behind	my	ear	and	came	out	on	
          the ambition to join the Navy and                                                       the	top	of	my	skull.	I	was	wearing	a	plastic	
    learn a trade. He married in 1966 and          helicopter. As he swung back, he realized      jet	jockey	helmet	and	the	bullet	made	a	
    three years later fulfilled his dream of       he was hit.                                    small	hole	in	the	back	and	completely	
    joining the Navy. After completing his              Charlie was transported to Long Binh      shattered	the	top	where	it	exited.	I	actually	
    training, Charlie was stationed in Vietnam     and was prepped for neurosurgery. The          fell	out	of	the	helicopter	after	I	was	hit,	
    as part of the Navy Seawolves. Eventually      result of his injures included right side      with	only	a	safety	strap	preventing	me	
    he became part of the Sealords, a group        paralysis with the prognosis to spend          from	falling	to	the	ground.	I	hung	outside	
    that served as a pickup/delivery service to    the rest of his life in a wheelchair. After    the	helicopter	the	entire	way	back	to	the	
    and from Seawolf detachments in the field.     his Navy discharge, through hard work          firebase.
         On January 9th, 1971 Charlie was          and determination Charlie was able
    flying a mission in the Mekong Delta with      to overcome and manage his physical
                                                                                                             ...the bullet...
    two rookie helicopter pilots. Flying fast      disabilities and eventually was accepted
    and low, the helicopter followed a canal.      into Kent State University in 1972. He                went in behind my ear
    As they passed a village they noticed          earned his college degree in 1977.                    and came out on the
    something odd – it was empty. All of a              Charlie became a High School Teacher
    sudden they heard small arms fire and, as      and taught marketing education for 18                    top of my skull.
    the crew chief, Charlie tried to locate the    years. Over the years, he endured not only
    source. As he swung outside the door to get    the physical and cognitive issues associate    	    Even	though	the	doctors	doubted	me,	
    a better look, Charlie saw a lone man in the   with traumatic brain injury, but also          I	remember	the	moments	right	after	I	was	
    doorway of a hut pointing an AK-47 at the      learned to cope with a severe case of Post-    shot.	I	knew	I	was	hurt	bad	and	I	thought	
                                                          Traumatic Stress Disorder (PTSD).       that	if	I	closed	my	eyes	that	I	would	die.		So	
                                                          He retired from teaching in 1995 and    I	did	all	I	could	to	remain	conscious	and	
                                                          with the help of the VA’s Vocational    awake.	When	they	finally	got	me	to	the	
                                                          Rehabilitation department,              mobile	surgical	hospital	at	Long	Binh	I	was	
                                                          purchased a professional embroidery     fortunate	that	there	was	a	brain	surgeon	
                                                          machine and began a small business.     stationed	there,	as	I	never	would	have	
                                                          That business was sold in 2006, and     survived	the	long	flight	to	Japan.		The	left	
                                                          Charlie now works as a volunteer        side	of	my	head	now	has	a	plastic	plate	
                                                          splitting his time between the VA       instead	of	skull	bone.	There	were	so	many	
                                                          helping PTSD survivors and as a         shell	and	bone	fragments,	the	surgeon	
                                                          counselor for brain injury survivors.   decided	to	remove	a	section	of	the	brain	
                                                          In 2006, he published the book Just	    instead	of	removing	the	fragments.
                                                          A	Regular	Guy, based on his life
                                                          story, and professionally speaks to     What were some of the problems that you
                                                          PTSD Veteran Groups, Brain Injury       suffered after you came home?
                                                          Groups and TBI Associations.            	    Aside	from	working	very	hard	to	speak	
                                                                                                  and	walk	again,	the	most	difficult	problem	
             Charlie (left) and his son Matt
                                                                                                  I	faced	over	the	years	was	coping	with	

7       RainbowVisions
    www.rainbowrehab.com                                                                                     SPRinG 2007




Post	Traumatic	Stress	Disorder	(PTSD).		It	                                    Did you have cognitive therapy to help you
deeply	affected	my	life.		I	still	suffer	with	                                 cope with the effects of brain injury?
bouts	of	depression,	but	with	counseling	                                      	      I	didn’t	have	formal	TBI	cognitive	
and	training	I	can	identify	the	signs	and	                                     rehabilitation,	but	I	did	get	support	from	
symptoms	before	it	takes	hold.		What	I	did	
                                                 Charlie playing tennis        the	VA.	I	wanted	to	attend	college	and	
discover	going	through	all	of	this	is	that	                                    only	had	reading	skills	at	a	7th	grade	level	
individuals	with	brain	injury	and	PTSD	can	                                    because	of	my	injuries.		A	therapist	from	
get	a	lot	of	outside	help,	but	true	recovery	                                  the	VA	worked	with	me	to	get	my	skills	
is	up	to	the	individual.                                                       up	to	college	level	so	I	could	apply.		We	
	     One	therapist	told	me,	“Charlie you’re                                   worked	hard	and	I	did	get	into	college.	My	
probably the only person I’ve ever ran                                         four-year	degree	was	finished	in	1977,	and	
into that PTSD counseling made a big                                           I	began	working	as	a	teacher.
difference.” 	When	someone	said	I	wasn’t	
capable	of	doing	something,	I	would	get	                                       You just recently celebrated your 40th
angry	and	do	whatever	I	could	to	prove	                                        wedding anniversary and your wife, Fran,
them	wrong.		I	wanted	to	live	a	normal	life.	                                  has been a wonderful support to you.
I	didn’t	want	people	to	see	my	disabilities–I	                                 How did she cope with everything over
just	wanted	them	to	see	Charlie	Morris.	                                       the years? 	
In	the	end,	I	didn’t	turn	out	to	be	like	                                          I	have	a	PTSD	joke	I	like	to	tell–When	
everybody	else,	I	actually	achieved	more	                                      people	say,	“Your wife is really something -
than	the	average	person	because	I	did	not	                                     she must really love you!”	I	say,	“Either that
want	my	injury	to	define	who	I	was.                                            or she’s just crazier than me.”		
                                                                                   From	the	very	beginning,	Fran	was	
How did you overcome the disabling                                             very	supportive.	In	fact,	the	more	I	
effects of PTSD?                                                               accomplished,	the	more	she	expected.		
	     I	admitted	myself	into	a	VA	hospital	                                    Some	of	our	fights	were	because	she	would	
for	mental	health	counseling.		The	PTSD	                                       expect	things	I	truly	could	not	do.	She	
caused	me	to	have	terrible	sleep	problems	                                     often	said,	“Charlie, you’re able to do so
and	anger	issues.	The	combination	of	the	                                      many things that sometimes I just forget
two	led	to	some	severe	depression.		To	                                        that you have a disability.”	For	example,	
give	you	an	idea	of	how	anger	affects	                                                                     Continued on page 9
individuals	with	PTSD,	let’s	assume	the	
average	individual	walks	around	with	
anger	level	at	about	1	(we’ll	use	a	scale	of	
1	being	peaceful	and	10	being	extremely	
angry).		Then	let’s	say	that	individual	gets	
really	worked	up.		They	may	reach	an	anger	
level	at	about	5.		The	veteran	with	acute	
PTSD	starts	out	with	an	anger	level	at	about	
7	or	8–that’s	how	they	are	without	being	
provoked.	You	can	imagine	that	even	small	
issues	can	set	an	individual	like	that	off	
on	a	tirade.	Then	when	you	add	the	issues	
associated	with	TBI,	such	as	disinhibition,	
you	have	someone	with	real	problems.	My	
PTSD	training	on	anger	management	really	
has	helped	me.	Holding	back	the	issues	                 Charlie playing golf       Pictured above: Charlie (right) and his wife
                                                                                     Fran on their 40th wedding anniversary.
associated	with	this	affliction	isn’t	good.		

                                                                                                       RainbowVisions             8
        An Interview with Charlie Morris
        Continued from page 8



    once	when	I	was	working	on	her	car	and	I	          I found my work, myself and my God.”		
    needed	an	extra	pair	of	hands	since	I	only	        We	can	get	past	the	notion	that	the	
    have	the	use	of	one	arm.	She	was	busy	and	         disability	is	“The most terrible thing
    got	really	indignant	about	helping	me.	I	          that has happened to me”	and	instead	
    became	angry,	and	finally	she	remembered	          realize	that	we	have	the	opportunity	to	
    that	I	had	only	one	working	arm	and	really	        change	direction.
    did	need	her	help.	It’s	nice;	people	close	          	 I	once	heard	a	man	speak	and	he	
    to	you	look	at	you	the	way	you	want	to	be	         said,	“I have a BRAIN injury, not a
    seen.                                              MIND injury.”		Our	mind	still	works	and	
                                                       our	job	as	survivors	is	to	find	a	way	to	
    You mentioned that your faith has given            tap	into	it.		Maybe	you	won’t	be	able	to	
    you a lot of strength and helped you in            go	back	to	college,	but	perhaps	you	are	                       CHARLIE’S BIO
    your recovery. Can you elaborate?                  artistic	or	you	have	some	special	ability.		
                                                                                                             FAMILY:		Charlie	Morris	(59)	is	married	to	
      You	look	at	survivors	and	wonder	why	            Perhaps	it’s	listening	and	volunteering	to	
                                                                                                                    Fran,	his	wife	of	40	years.	
    they	can’t	see	that	it	takes	faith	to	recover.		   help	others.	I	have	to	admit,	I	get	angry	
                                                                                                                 He	has	one	son–Matthew	(33).	
    When	I	was	in	combat	in	Vietnam,	I	lost	           with	myself	that	I	didn’t	get	involved	
    a	lot	of	my	belief	because	of	the	things	          with	helping	others	suffering	with	PTSD	               HOBBIES:		Charlie	loves	the	outdoors	&	
    I	witnessed.	Those	who	lose	all	faith	are	                                                                sports:	Golf,	tennis,	camping	and	fishing.	
    all	alone.	They	have	nothing	to	hold	on	                                                                    He	also	enjoys	cruising	in	his	vintage
    to.	If	you	don’t	have	faith	in	something	or	           Take little baby steps in                                          Ford	Torino.
    somebody,	you	don’t	have	anything.	I	have	
                                                           recovery and don’t only                           PETS:		The	family	has	a	Britney	Spaniel	(5	
    a	speech	topic	where	I	speak	on	what	I	feel	
    are	the	four	keys	to	success.	Number	one	                  concentrate on                                        years	old)	named	Winstin.
    is	faith,	second	is	family,	third	is	friends,	            taking big leaps.
    and	fourth	is	fortitude.	As	nice	as	it	is	to	
    have	faith,	family	and	friends,	when	you	
    are	disabled,	fortitude	also	becomes	a	key	        and	TBI	earlier.	I	always	thought,	even	          brain injury so now I’m not going to try
    factor	to	success.	You	have	to	be	able	to	         when	I	was	teaching	school,	that	maybe	I	         anymore”	where	would	that	have	gotten	
    go	out	there	and	risk	making	a	fool	out	           was	in	the	wrong	profession.	I	always	felt	       me?		That	attitude	doesn’t	make	sense	to	
    of	yourself.	When	you	are	a	TBI	survivor,	         that	maybe	I	should	put	my	energies	into	         me.	People	shouldn’t	spend	too	much	time	
    you	have	to	realize	that	it’s	OK	to	fail.	You	     helping	other	wounded	veterans,	to	help	          blaming	others,	their	situation	and	their	life	
    aren’t	going	to	succeed	at	everything.	As	         them	see	the	benefits	they	can	bring	to	          status.	You	can’t	change	things	unless	you	
    I	get	older	I	realize	that	we	need	to	relish	      their	local	communities.	Hopefully	now	I	         change	yourself.	
    and	celebrate	the	small	successes–not	just	        am	finally	making	this	a	reality.
    the	big	ones.	We	always	focus	on	achieving	                                                          Charlie, in your experience volunteering
    big	and	lofty	goals	and	never	give	ourselves	      Charlie, you are so positive and energetic,       to help TBI & PTSD survivors, how does a
    credit	for	the	daily	triumphs	because	they	        I think that’s why you’ve been so                 dual diagnosis affect individuals trying to
    seem	small.	As	Helen	Keller	said,	“I yearn         successful. How can other survivors reach         recover?	
    to accomplish great tasks, but realize that        your level of achievement?                        	   Those	attempting	to	help	TBI	survivors	
    small tasks accomplished are great.”                 It’s	not	a	special	quality	that	only	I	have.	   must	take	it	slow	and	make	sure	they	
      If	we	can	take	little	baby	steps	in	our	         It’s	in	ALL	of	us.	There	is	nothing	so	special	   truly	understand	what	the	therapy	and	
    recovery	and	don’t	only	concentrate	on	            about	me.	Dig	inside	yourself	and	look	           groups	are	trying	to	accomplish.	Due	to	
    taking	big	leaps,	then	we	can	feel	satisfied	      for	your	own	personal	successes.	Don’t	           memory	loss,	that	becomes	difficult	and	
    and	realize	that	there	is	much	we	can	do.	         constantly	look	at	others	and	compare.		          reinforcement	is	necessary.	Even	those	
    Another	quote	by	Helen	Keller	is	“I am             Realize	that	failures	are	inevitable.	If	I	       suffering	with	PTSD	can	have	memory	
    thankful for my handicaps–through them             would	have	taken	the	attitude,	“I got a                                  Continued on page 14


9     RainbowVisions
    www.rainbowrehab.com                                                                                                        SPRinG 2007




Treating PTSD & TBI
by Dr.   Colin King, Ph.D.,                            Dr. Colin King,                   Ph.D.
Continued from page 6
                                                       Director of Adult Behavioral Services at Rainbow
                                                       Rehabilitation Centers, Inc.
What is Post Traumatic Stress Disorder
(PTSD)?                                                Education: Ph.D. in Counseling Psychology from
	    According	to	the	Diagnostic	and	                  Wayne State University in Detroit, Michigan.
Statistical	Manual	of	Mental	Disorders	
                                                        Experience/Specialty: Dr. King has more than 13 years
(DSM-TR),	PTSD	is	defined		as	an	anxiety	
                                                        of experience as a psychologist with clinical practice.
disorder	that	develops	after	exposure	to	a	
                                                        His focus consists of severe behaviors, dual diagnosis,
terrifying	event	or	ordeal	in	which	grave	
                                                        substance abuse and the treatment of psychiatric disorders. Dr. King is active in the
physical	harm	occurred	or	was	threatened.		
                                                        education and supervision of master’s level students in the study of psychology.
Psychologists	agree	that	the	diagnosis	of	
PTSD	requires	the	symptoms	to	be	present	
for	at	least	one	month	and	interferes	
with	one’s	normal	level	of	functioning.		        can	be	identical	in	certain	areas,	making	          interventions.	Physicians	can	prescribe	
Survivors	who	experience	PTSD	typically	         treatment	potentially	complicated	and	              Selective	Serotonin	Reuptake	Inhibitors	
experience	the	following:                        difficult.	PTSD	and	TBI	symptoms	that	may	          and	other	antidepressants	that	have	shown	
•	 A	re-experiencing	of	the	event	or	events		    overlap	include	attention,	concentration,	          promising	results.
	    through	flashbacks	or	nightmares.           memory,	anxiety	and	irritability	problems.		
                                                                                                                            Continued on page 20
•	 Having	an	intense	physical	and		 	            Issues	unique	to	TBI	would	be	distinguished	
	    emotional	reaction	to	the	event.            by	such	symptoms	as	increased	processing	
•	 Feeling	that	one	can	never	relax	for	fear		   time,	problems	with	abstract	thinking,	
                                                                                                           ...about 30% of Vietnam
	    of	something	happening.                     muscle	fatigue,	loss	of	coordination	and	
	    People	who	have	been	involved	in	car	       problems	with	speech,	hearing,	vision	etc.	                 combat victims suffer
                                                 			A	number	of	treatment	options	for	this	
accidents	are	sometimes	afraid	to	drive,	                                                                 from Post Traumatic Stress
tend	to	avoid	freeway	traffic	or,	if	they	       dual	diagnosis	currently	exist	and	include	
are	being	driven,	become	easily	upset	if	        pharmacological	and	or	psychological	                          Disorder (PTSD).
they	sense	something	is	going	to	happen.	
Being	upset	or	afraid	are	not	necessarily	
abnormal	reactions	to	such	stressors.	
However,	reliving	the	trauma	to	the	point	
where	one	becomes	emotionally	paralyzed	
is	suggestive	of	an	acute	response.


How often does PTSD occur?
	    According	to	the	National	Institute	of	
Health	roughly	3%	of	people	in	the	general	
population	experience	PTSD	in	the	age	
group	18-52.	In	contrast,	about	30%	of	
Vietnam	combat	victims	suffer	from	PTSD.		
The	rate	of	PTSD	for	The	Persian	Gulf	War	
veterans	is	about	8%.


How does one deal with the dual diagnosis
of TBI & PTSD?
	    The	symptoms	of	mild	TBI	and	PTSD	


                                                                                                                          RainbowVisions           10
                     ABI
     technology
         Corner
          Helmet Technology




H
          By	Kimberly   Paetzold,	Editor



     	     istorically,	the	incidence	of		   	
 	         traumatic	brain	injury	(TBI)	in	the	
 military	has	always	been	high	compared	to	
 the	civilian	population–even	in	peacetime	
 (see	Figure	1.)	Of	course,	incidence	levels	
 rise	during	times	of	conflict.		According	
 to	government	statistics,	about	14-20%	
 of	combat	survivors	in	previous	wars	
 sustained	a	TBI.	Even	though	we	don’t	               with	gunfire	and	shrapnel	wounds.	               of	two-pieces:	An	outer	steel	shell	and	
 have	firm	statistics	from	the	current	Iraq	          Improvised	Explosive	Devices	(IEDs)	             a	separate	inner	liner	containing	the	
 and	Afghanistan	conflicts,	blast	injuries	           are	a	huge	problem	in	Iraq–one	of	the	           suspension	system.	The	helmet	shell	was	
 have	become	common,	and	it	has	been	                 most	mine-infested	nations	in	the	world.		       stamped	from	a	single	sheet	of	manganese	
 suggested	that	over	50%	of	injuries	                 Helmets	offer	protection	against	shrapnel	       steel	with	a	chinstrap	made	of	cotton	
 sustained	in	combat	are	the	result	of	               and	gunfire	and	can	help	reduce	some	            webbing.	
 explosive	munitions.	                                injuries	when	soldiers	encounter	bomb	             During	the	1970’s,	researchers	looked	
     	Due	to	medical	advances,	people	are	            blasts.	The	head	receives	up	to	seven	times	     to	reduce	the	weight	of	the	M-1	helmet.	
 surviving	head	injuries	that	only	a	few	             more	wounds	than	would	be	expected	              They	wanted	something	that	fit	better	and	
 decades	ago	would	have	proved	fatal.		               given	its	size	relative	to	the	body.	With	       the	Personnel	Armor	System	Ground	Troops	
 Improvements	in	combat	medicine	and	                 statistics	showing	that	head	injuries	are	
 body	armor	have	reduced	casualties	on	               more	likely	to	be	fatal,	helmets	play	a	vital	
                                                                                                         Figure 2
 the	battlefield.	According	to	some	reports,	         role	in	protecting	our	troops.
 about	86%	of	all	American	soldiers	
 wounded	in	the	Iraq	and	Afghanistan	                 Recent History of the Military Helmet
 conflicts	have	survived	their	injuries–the	
                                                      The U.S. M-1 Helmet
 highest	percentage	in	the	history	of	
                                                      In	1941,	the	M-1	“steel	pot”	helmet	made	
 warfare.	In	contrast,	about	75%	of	all	
                                                      its	debut	(see	Figure	2.)	This	helmet	was	
 casualties	survived	in	both	the	Persian	Gulf	
                                                      designed	to	protect	against	flying	fragments	
 and	Vietnam	War.
                                                      and	extended	down	the	sides	and	back	                          WWII	M-1	Helmet	
     Brain	injury	is	prevalent	in	these	conflicts	
                                                      of	the	wearer’s	head.		The	M-1	consisted	
 because	of	bomb	blasts	in	combination	
                                                                                                         Figure 3


     Figure 1
                        TBI Military Incidence Level in Peacetime
                                                                                                                                                  Photo	courtesy	of	DuPont	




           It is estimated that 9 in 10,000 U.S. civilians suffer a TBI each year. In
         peacetime, the incidence level in the military population rises to an estimated
         22.5 per 10,000 for active duty male soldiers and about 15 per 10,000 for active
         duty female soldiers (Rose.) Those numbers rise during times of conflict.		


                                                                                                                       Kevlar	Helmet
11       RainbowVisions
 www.rainbowrehab.com                                                                                                                SPRinG 2007




(PASGT)	or	“Kevlar”	helmet	was	the	answer	                          The story of Stephanie L. Kwolek & Kevlar
and	became	standard	issue	in	the	1980’s	


                                                             S
(see	Figure	3.)	This	helmet	is	a	one-piece	                      tephanie L. Kwolek developed the first
structure	composed	of	multiple	layers	of	                        liquid crystal polymer which provided
Kevlar	ballistic	fiber	and	phenolic	PVB	                     the basis for the Kevlar® brand fiber. Ms.
resin.	It	is	designed	to	provide	ballistic	and	              Kwolek earned a degree in chemistry from
fragmentation	protection.	According	to	                      what is now Carnegie Mellon University
DuPont,	the	four-pound	helmet	lined	with	                    and joined DuPont in 1946. Several years
up	to	24	layers	of	Kevlar	are	up	to	40%	                     into her career at DuPont, she was asked
more	resistant	to	shrapnel	compared	to	the	                  to help develop the next generation of
old	steel	helmets	used	in	the	Vietnam	War.                   high-performance fibers. At the time, there
  One	of	the	problems	associated	with	                       were fears of a global energy shortage and
the	M-1	steel	helmet	was	that	it	was	only	                   researchers where struggling to develop
available	in	one	size.	The	Kevlar	helmet	                    a stiffer and tougher nylon-related fiber.
is	available	in	five	sizes,	from	XS	–	XL	                    DuPont wanted something that would make
weighing	between	3.1	pounds	(XS)	to	4.2	                     tires lighter and cars more fuel-efficient.
pounds	(XL).	Typically	olive	drab	in	color,	                        In 1965, Kwolek came up with an
this	helmet	can	be	fitted	with	cloth	covers	                 amazingly strong fiber through experiments
                                                                                                                          Stephanie	Kwolek
in	varying	camouflage	patterns	(Figure	4.)	                  with compounds called polymers,                           Photo	courtesy	of	DuPont	
                        Continued on page 13                 collections of molecules that form chains.
                                                             DuPont refined the fiber and named it Kevlar®. It was a flameproof, ultra-light fiber initially
                                                             made to reinforce the tread of radial tires, but tire makers developed cheaper steel-belted
Figure 4
                                                             radials. During the same period of time, a DuPont colleague of Kwolek’s, Joseph Rivers,
                                                             was looking for material to use in bulletproof vests and today Kevlar is best known for its
                                                             application in the field of bullet-resistant personal body armor. Current applications for
                                                             this lightweight and strong fiber are many–Kevlar is used in boats, airplanes, ropes, cables,
                                                             tires, tennis racquets, skis, etc.—in total about 200 applications.
                                                                    Stephanie Kwolek has received many awards for her invention of the technology
                                                             behind Kevlar fiber, including induction into the National Inventors Hall of Fame in 1994.
                                                             In 1996, she received the National Medal of Technology, and in 1997 the Perkin Medal,
   U.S.	Army	helmet	with	camouflage	                         presented by the American Section of the Society of Chemical Industry. r
    cover.	This	one	served	in	Iraq.
                                                             Sources: www.chemheritage.org/classroom/chemach/plastics/kwolek.html




  How does a TBI blast injury occur?                                                                                      Photo courtesy of Fred Pushies




  Blast injuries result from the complex pressure wave generated by
an explosion. The explosion causes an instantaneous rise in pressure
over atmospheric pressure that creates a blast over pressurization wave.
Most susceptible to injury are air-filled organs such as the ear, lung,
gastrointestinal tract and organs surrounded by fluid-filled cavities such as
the brain and spine. The over pressurization wave dissipates quickly, causing
the greatest risk of injury to those closest to the explosion.
  In a blast, brain injuries can also occur by other means such as impact
from debris, the individual being physically thrown, burns and/or inhalation
of gases and vapors. Even soldiers not in close proximity to the blast can
sustain a concussion or mild TBI, and it is feared that many go unidentified. r
                                                                                                                              RainbowVisions               12
       Helmet Technology Continued from page 12


                                                              Figure 5
     It	has	a	two-point	chinstrap	and	a	cradle-
                                                               Four-point Chinstrap Design
     type	suspension	providing	space	between	
     the	head	and	inner	helmet	surface	allowing	                The new four-point chinstrap
     for	ventilation	and	deformation	during	                    anchors over the ear–one strap
     impact.	One	major	criticism	of	the	Kevlar	                 in front and behind the ear on
     helmet	is	the	strap	suspension	system–It	is	               each side–securely holding the
     considered	unstable,	allowing	movement	                    helmet in place.
     and	skull-helmet	contact	when	force	such	
     as	a	bomb	blast	is	applied.                                    The two-strap “pocket” at the
       In	2000,	the	Army	of	Safety	Engineers	                       chin remains the same
     tested	whether	the	weight	of	the	Kevlar	
     helmet	increased	neck	injuries	or	caused	
     other	problems	in	accidents.	The	evidence	
     from	real-world	analysis	showed	that	            composed	partly	of	comfort	foam	(where	        Most	of	the	material	was	removed	from	
     Kevlar	helmets	appear	to	protect	against	        the	pads	touch	the	head)	and	mostly	of	        the	front	of	the	helmet,	with	a	smaller	
     head	injury	and	are	not	necessarily	             “slow-memory”	impact	foam	with	the	            amount	removed	from	the	sides.	The	ACH	
     associated	with	neck	injuries.	The	PASGT	        resilience	of	a	wrestling	mat.	The	foam	       was	designed	to	absorb	energy	in	order	to	
     system	has	been	subject	to	a	number	of	          is	like	a	shock	absorber	against	a	striking	   reduce	head	injury	risk	during	blunt	impact	
     modifications	over	the	years	including	          bullet.	A	special	cloth	covering	helps	        events.		
     a	newer	lightweight	helmet	shell	and	            absorb	moisture,	keeping	soldiers	cooler.		        	
     changes	in	the	suspension	system	and	            Also	different	is	the	four-point	chinstrap	    3. Lightweight (LWH) Helmet	
     straps.	                                         (see	Figure	5.)	The	two-strap	“pocket”	at	     	       The	United	States	Marine	Corps	will	
                                                      the	chin	remains	the	same	as	the	Kevlar	       replace	the	standard	Kevlar	helmet	with	
     Today’s Technology                               helmet,	but	instead	of	anchoring	over	the	                           Continued on page 24
       Although	the	new	helmets	don’t	look	all	       ear,	one	strap	in	front	and	behind	the	ear	
     that	different,	they	have	improved	in	almost	    on	each	side	securely	holds	the	helmet.	
     every	way	with	new	materials	improving	          This	strap	system	is	seven	times	more	                  The Army launched a study on the
     fragmentation	protection	and	the	ability	to	     stable	than	the	Kevlar,	so	these	helmets	                effectiveness of the new Advanced
     stop	a	direct	hit	from	a	9mm	round.	Lab	         won’t	move	or	fall	off.	There	are	three	new	             Combat Helmet in late 2005, amid
     testing	showed	a	40%	improvement	in	             helmets	the	military	has	introduced.		                 concerns that it offered less protection
     impact	protection.	The	new,	lightweight	                                                                    due to its reduced size. Surveys
     ballistic	helmets	incorporate	excellent	         1. The Modular Integrated
                                                                                                              revealed that roughly half the soldiers
     protection	with	the	ability	to	interface	with	   Communications Helmet (MICH)
                                                                                                             in the field were wearing their helmets
     most	tactical	communications	headsets	           	   Although	molded	like	the	Kevlar	
                                                                                                                improperly, increasing the risk of
     and	microphones.	What	else	is	different?		       helmet,	the	MICH	trims	away	the	edge	for	
                                                                                                                injury including concussion. The
     The	innovative	seven-pad	suspension	             improved	visibility,	unobstructed	
                                                      hearing,	reduced	weight	(less	than	3	                    key to successful helmet protection
     system.		The	suspension	pads	are	
                                                      pounds)	and	easier	integration	with	body	                is a proper fit. The fit, the wear, and
                                                      armor                                                      the placement of pads all affect
       Four-pound helmets lined with                                                                          vulnerability. In addition, the helmet
                                                      2. Advanced Combat Helmet (ACH )                        is just one item of personal protective
     up to 24 layers of Kevlar are up to
                                                          The	ACH	is	slated	to	replace	the	Kevlar	            equipment and needs to be worn in
      40% more resistant to shrapnel                  helmet	in	the	future	with	advanced	features	           conjunction with other pieces such as
                                                      based	on	the	MICH	helmet	design.	It	is	
 compared to the old steel helmets                                                                            the interceptor body armor with the
                                                      smaller,	reducing	the	area	of	coverage,	but	            collar on and ballistic eye protection.
        soldiers used until the 1970s.                improving	the	field	of	vision	and	hearing–
                                                      providing	maximum	sensory	awareness.		

13       RainbowVisions
 www.rainbowrehab.com                                                                                                                  SPRinG 2007




                  Charlie Morris,
                  Continued from page 9

                                                     There	are	a	lot	of	veterans	out	there	with	             can	be	done.	PTSD	and	TBI	will	not	go	
loss,	making	group	sessions	and	therapy	             coping	issues,	and	they	want	to	become	                 away.		Just	like	someone	with	alcoholism,	
difficult.	I	am	currently	involved	with	             successful	in	overcoming	them.                          they	will	always	have	to	deal	with	it.		But	
groups	of	veterans	that	have	PTSD	and	we	            	   The	one	thing	I	have	found	to	be	                   if	you	can	adapt	and	use	the	coping	tools	
are	using	the	PTSD	manuals	to	also	help	             constant	is	that	survivors	can	have	all	the	            available,	when	problems	arise	you	will	be	
TBI	patients.	We	want	to	help	them	with	             help	in	the	world,	but	until	they	decide	to	            in	control	and	succeed!	t
their	relationships	and	coping	abilities.		          help	themselves,	there	is	nothing	that	really	




“An inspiring survivor story!”

                                                                         Just A Regular Guy
                                                              The story of Charlie Morris growing up in Ohio with the ambition to join the
                                                              Navy, learn a trade and raise a family. His life took an abrupt turn when, in 1971
                                                              while serving in Vietnam, he was hit by enemy sniper fire while on a helicopter
                                                              mission in the Mekong Delta. The result of his gunshot wound in the head was
                                                              right side paralysis with the prognosis to spend the rest of his life in a wheelchair.
                                                              Through hard work and determination Charlie was able to overcome his disabilities
                                                              and eventually earn his college degree. Despite his physical limitations his desire
                                                              was to fit into normal society without standing out from the crowd. His believe
                                                              that life’s hardest battles were behind him was shattered when the effects of Post-
                                                              Traumatic Stress Disorder (PTSD) invaded his life. This book is a heart-warming
                                                              story of a traumatic brain injury and PTSD survivor that managed to flourish and
                                                              help others along the way.

                                                              “One of the people I admire most is Helen Keller. My favorite quote from her is
                                                              one of her most famous: When one door of happiness closes, another opens; but
                                                              often we look so long at the closed door that we do not see the one which had been
                                                              opened for us.” – Charlie Morris



       “Charlie is quite a person. How he changed from someone who really hated school to becoming a High School
       Teacher AFTER incurring his injury is amazing. I think the Navy gave him purpose and pride.”

       “It has been interesting to see the reaction from readers who personally know Charlie. It’s like a light bulb went
       off–Charlie does have a disability. It was such a shock for people to read this story because he never outwardly
       displayed that he was having any difficulties.” 	– Dean Siegman, Writer

       Dean Siegman currently works as a free-lance writer. He began working with Charlie on the book “Just
       A Regular Guy” in 2005. He conducted interviews with Charlie for approximately three months and
       spent nine months compiling the information. The book was published in May of 2006.
                                                                                                                                   Dean Siegman




                                                                                                                                RainbowVisions              14
                                                      Meet NRC         Rainbow Professionals
                                               INTERVIEWS WITH...




M
                                               Mark Evans, Program Director & Vicky Scott, Nurse Practitioner
                                               By	Kimberly   Paetzold,	Editor




    		      ark Evans, MA, CRC, CBIS,          northwest	corner	of	the	current	residential	   Could you tell us about the residences at
 is the Program Director for Rainbow’s         facility,	behind	the	garden.	This	will	        the NeuroRehab Campus?
 NeuroRehab Campus.                            be	a	temporary	therapy	space	until	the	           Each	residence	has	a	dining	room,	family	
    Mark earned his Master of Arts Degree      permanent	building	is	constructed,	but	        or	community	room	and	both	facilities	
 from Eastern Michigan University and          almost	all	therapies	will	be	handled	here.		   share	an	activity	room	and	salon.		Almost	
 Wayne State University, is a Certified        The	new	state-of-the-art	Neuro	Therapy	        all	of	the	bedrooms	are	private–with	the	
 Rehabilitation Counselor and a Certified      Center	building	will	include	a	pool	and	       exception	of	a	few	suites–and	each	room	
 Brain Injury Specialist. He has experience    should	be	completed	in	18	to	24	months.        has	a	private	bath.	Bedrooms	are	equipped	
 in the field of brain injury rehabilitation   	 Rainbow’s	Oakland	Center	is	located	         for	phone,	Internet	access	and	cable	
 in a variety of areas, both clinical and      just	four	miles	away	on	Grand	River	in	        TV	(clients	will	need	to	have	their	own	
 administrative. Mark originally joined        Farmington.	Many	clients	will	have	the	        personal	computer	and	e-mail	account).	
 Rainbow Rehabilitation Centers in 1988.       opportunity	to	participate	in	activities	      Clients	are	welcome	to	bring	some	of	
                                               at	this	location	from	time	to	time.	The	       their	own	furniture	and	belongings	to	
 Hello Mark. We have had quite a few           Oakland	Therapy	Center	has	an	accessible	      personalize	their	room.		
 questions regarding our newly opened          swimming	pool	and	a	large	activity	room,	          	
 NeuroRehab Campus. Could you tell us          among	other	therapy	spaces.                    How will Meals be served?
 a little bit about this campus setting and                                                      Meals	will	be	served	family	style	in	the	
 what it has to offer?                         How will clients get into the community        dining	room.	Cynthia	Jeffrey,	Rainbow’s	
    The	campus	currently	consists	of	two	      for personal appointments, outings, home       Executive	Chef,	will	be	preparing	the	
 twenty-bed	facilities	that	are	licensed	as	   visits and the like?                           menus	and	managing	the	kitchen.	Menus	
 Adult	Foster	Care	homes	by	the	State	of	         Rainbow	will	use	the	same	therapeutic	      will	be	selected	with	input	from	clients,	
 Michigan.	These	homes	will	house	adults	      model	of	rehabilitation	as	we	currently	do	    our	registered	dietician	(Catherine	Hahn)	
 with	brain	and/or	spinal	cord	injuries.	      in	our	other	facilities.	We	will	maintain	     speech	pathologists	and	our	chef.		Entree	
 Each	client	will	have	access	to	Rainbow’s	    a	number	of	vehicles	on-site	to	assist	        options	and	side	dishes	will	be	available	
 full	Continuum of Care	including	active	      our	clients	in	getting	out	for	community	      at	each	meal	for	variety	and	to	provide	a	
 therapy,	community	outings	and	supported	     events,	appointments,	therapy	sessions	and	    well	balanced	diet.	We	will	have	the	ability	
 living	for	individuals	with	medical	needs.	   personal	shopping.		Special	transportation	    to	prepare	meals	for	specialty	diets,	heart	
    In	the	next	few	weeks,	we	will	have	a	     requests	will	be	scheduled	in	advance	to	      healthy	diets,	mechanical	soft,	pureed	
 therapy	building	placed	just	outside	the	     ensure	appropriate	resources	are	available.    foods,	no-added	salt,	no-added	sugar	and	
                                                                                              other	special	meals	as	needed.	




15   RainbowVisions
                                              of	monitoring.		Staff	will	have	improved	       The	prescriptions,	when	physician	writes	
                                              access	to	a	nurse	when	issues	arise.	           them,	will	be	delivered	that	same	day.	
                                              Treatments	(IV	antibiotics,	dressing	           	   Medications	will	be	passed	from	carts	
                                              changes)	or	conditions	that	require	nursing	    that	are	packed	by	the	pharmacy	and	




V
                                              intervention	and/or	assessment	will	be	         double-checked	by	our	nurses.	Clients	
                                              taken	care	of	by	the	nurses	on-site.            who	get	their	medications	from	a	mail-
                                                  Rainbow	has	hired	three	full-time	nurses	   order	provider	or	other	source	will	be	
                                              and	three	contingent	part-time	nurses	to	       accommodated.
	    	   icky K. Scott, R.N.C., N.P., has     provide	this	coverage.	There	are	both	RNs	
     a Master of Science Degree in Nursing    (Registered	Nurse)	and	LPNs	(Licensed	          Will there be a physician rounding at the
from the University of Michigan in Ann        Practical	Nurse).	The	NeuroRehab	nurses,	       NeuroRehab Campus?
Arbor, Michigan. She is a Certified Nurse     as	a	group,	have	years	of	varied	nursing	       Rainbow’s	Medical	Director,	Dr.	Owen	
Practitioner and Certified Neuroscience       experience.	The	nurses	names	are	Virginia	      Perlman,	will	be	rounding	at	the	facility	
Registered Nurse. Vicky has many years of     “Ginny”	Dory,	Vickie	Bey-Walker,	Diane	         monthly.	Dr.	Perlman	is	a	Physical	
varied clinical experience, including being   Knotts,	Paula	Nichols	and	Rebecca	Smith,	       Medicine	and	Rehabilitation	Physician	
a Nurse Practitioner with Neurosurgical       who	is	coming	back	to	cover	a	few	shifts.	      (PM&R)	who	specializes	in	traumatic	
practices in Ann Arbor, Michigan and          Please	welcome	them.                            brain	injury.	He	has	a	long	history	of	
Lexington, Kentucky. She has experience as        The	Rainbow	nursing	staff	has	been	         involvement	in	the	development	and	
a Clinical Nurse Specialist in neuroscience   actively	involved	in	training	the	staff	that	   implementation	of	quality	rehabilitation	
at Genesys Regional Medical Center,           will	be	working	with	the	clients	at	the	        programs	for	survivors	and	is	well	known	
working closely with the trauma team and      NeuroRehab	Campus.	Training	included	           for	his	clinical	skills	in	treatment	and	
neurosurgeons treating acute traumatic        sections	on	diabetes	care,	medication	          management	of	the	full	spectrum	of	brain	
brain injury. Vicky also has four years       administration,	tracheostomy	care	and	          injury.	
experience providing primary care in a        suctioning,	tube	feeding	and	intermittent	      	   Dr.	Owen	Perlman	is	the	Medical	
rural Michigan Family Practice. Vicky will    straight	catheterization.	Our	Speech	           Director	at	Rainbow	Rehabilitation	Centers	
lead the Nursing Team at Rainbow’s new        and	Language	Pathologists	provided	             and	the	cofounder	of	Associates	in	Physical	
NeuroRehab Campus.                            instruction	on	swallowing	issues	and	food	      Medicine	and	Rehabilitation,	P.C.	For	a	
                                              consistencies	that	included	a	simulated	                                  full	biography,	
Vicky, could you tell us how nursing          lunch.	(The	food	was	real.)                                                  please	log	
coverage will be handled at Rainbow’s new     	 						                                                                     on	to	www.
NeuroRehab Campus?                            How will pharmacy services be handled?                                       rainbowrehab.
    Let	me	preface	my	answer	by	saying	       	    Kentwood	Pharmacy	will	provide	                                         com	and	select	
how	excited	we	are	as	a	company	and	          pharmacy	services.	They	will	bubble	pack	                                    professional	
as	a	nursing	staff	to	be	able	to	provide	     our	medications	as	they	currently	do	in	                                     staff	under	Adult	
24	hour/	7	day-a-week	nursing	coverage	       the	community	homes	and	deliver	them	to	                                     Brain	Injury.	t
for	our	clients.	Having	on-site	nursing	      the	NeuroRehab	Campus.	Kentwood	will	
coverage	will	provide	an	increased	level	     provide	a	dedicated	driver	for	our	building.	




                                                                                                                  RainbowVisions             16
           ABI
        behavior
            Analysis
                                                                                                         learn	by	living	example.	Incorporating	
                                                                                                         all	the	necessary	cues	(visual,	hearing,	
                                                                                                         touch,	etc.)	and	rewards	(praise,	
                                                                                                         attention,	physical	contact,	tangible	
                                                                                                         items)	provides	the	framework	for	
     AN IMPLICIT TECHNOLOGY FOR
                                                                                                         success.	
     Generalization
                                                                                                         Train Loosely
     By	Joseph   J. Welch,	MS, LLP Behavior Analyst
                                                                                                           “Loosening”	control	means	providing	
                                                                                                         natural	opportunities	to	solve	unique	
                                                                                                         everyday	challenges	not	usually	


 A     fter graduating college in 1989 and                                                               encountered	in	treatment	sessions.			
       working in sales and marketing, Joe                                                             Typically,	rehabilitation	environments	
 Welch became really interested in the non-           I	reviewed	three	of	the	eight	identified	        are	quite	complex	and	dynamic,	so	plans	
 economic reasons as to why people “do                procedures	that	propose	specific	                that	are	inflexible	often	become	obsolete.		
 the things they do.” After a return to school        methodologies	to	improve	Generalization.	        Thinking	the	right	way	is	the	only	way	to	
 to study behavioral psychology in 1996, Joe          They	included:	                                  do	things	is	inaccurate.	Training	loosely	
 graduated with a second bachelor’s degree               1)	Train	and	Hope                             better	reflects	the	natural	world,	dynamic	
 summa cum laude. His interest in helping                2)	Sequential	Modification                    current	conditions	and	allows	individuals	
 people change blossomed into a passion.                 3)	Introduction	of	Naturally	Maintaining		    to	achieve	success	or	failure	through	real	
 Pursuit of a graduate degree in 1997 in              	 		Consequences	                                life	experiences.
 behavioral psychology, with internships                 The	remaining	procedures,	covered	in	
 as a psychometrician at St. Joseph Mercy             this	review,	are	identified	as	improving	        Using Indiscriminable Contingencies
 Hospital and as a psychotherapist at                 successful	rehabilitation	and	attributable	to	       Intermittent	schedules	of	reinforcement	
 Eastern Michigan University’s Snow Health            Generalization	are:		                            are	the	most	powerful	way	to	encourage	
 Center, led to graduation and limited                   4)	Train	Sufficient	Exemplars                 learning	and	reliably	produce	functional	
 licensing as a psychologist in 1999.                    5)	Train	Loosely                              behaviors	that	are	more	resistant	to	
      The majority of work since that time               6)	Use	Indiscriminable	Contingencies          extinction.	First,	reinforcing	every	single	
 has been as a behavior analyst working                  7)	Program	Common	Stimuli                     trial	then	slowly	making	the	schedule	
 with people who sustained brain injuries                8)	Mediate	Generalization                     intermittent	is	naturalistic	and	the	most	
 and also as a contractual psychotherapist.                                                            effective	way	to	build	skills!	Making	it	
 Mr. Welch is a life long Ypsilanti resident,         Train Sufficient Exemplars                       appropriately	challenging	to	determine	
 married with two young sons. His pastimes               Considered	one	the	“most	valuable	            if	the	learning	contingencies	are	still	in	
 including friends, exercise and numismatics          areas	of	programming,”	training	sufficient	      effect	promotes	learning.	Situational	factors	
 (the study and collecting of coins and               exemplars	is	defined	as;	rewarding	              that	influence	life	and	activity	are	highly	
 medals.)                                             appropriate	behaviors	in	certain	settings	       complex,	and	treatment	plans	that	are	too	
  	                                                   and	then	adding	more	settings	(one	after	        predictable	do	not	model	real	life.	Simple	
 Classic Article Review Part II                       another)	with	more	rewards	until	the	            plans,	that	may	be	effective	at	first,	can	
    A	classic	article	of	literature,	“An	             desired	performance	can	be	reliably	             become	“too	predictable”	and	not	take	
 Implicit	Technology	for	Generalization”	             expected.	This	technique–gradual	                into	account	important	motivating	factors.			
 (Stokes	&	Baer,	1977) was	reviewed	in	               introduction	of	additional	settings–has	         Natural	living	environments	involve	many	
 an	earlier	edition	of	RainbowVisions–                shown	to	provide	a	powerful	effect	of	           variables	difficult	to	decipher	for	the	
 Winter	2005/2006.	It	best	describes	                 daily	living	skills	generalizing	for	greater	    individual	and	encourage	experimentation	
 what	comprehensive	behavior	analysis	                independence.	Differential	attention	has	        to	maximize	exploration	and	achievement.
 services	can	provide	for	people	recovering	          been	used	to	reinforce	appropriate	speech	
 in	residential	rehabilitation	settings.		In	         habits	in	treatment	sessions,	then	it	is	        Programming Common Stimuli:
 review,	Generalization	is	defined	as	the	            applied	systematically	in	other	settings	           What	are	the	common	denominators	
 acquisition	of	skills	in	one	specific	area	          (i.e.	at	home)	to	promote	generalization,	       in	most	treatment?		We,	the	rehabilitation	
 of	rehabilitation	and	the	subsequent	or	             and	then	finally	in	environments	such	as	        workers,	are	one.	Living	environments	
 eventual	improvement	of	performance	in	              community	outings.	Rehabilitation	Staff	         are	another.	When	clients	become	stable	
 other	areas	of	functioning.                          who	demonstrate	how	and	what	to	do	              and	independent	in	their	residence	and	
    In	the	Classic	Article	Review	Part	I,	            provide	clients	with	opportunities	to	re-        at	the	treatment	center,	the	likelihood	is	

17   RainbowVisions
 www.rainbowrehab.com                                                                                                         SPRinG 2007




greater	that	they	will	operate	on	this	level	   gaining	greater	skills	often	are	faced	            overnight	change	from	being	wheelchair	
in	new	environments.	Quality	training	          with	“problem	solving”	situations,	which	          dependent	to	using	a	walker	full-time!		
for	staff	and	therapists	to	implement	          therapists	describe	as	managing	a	problem	         By	recognizing	and	reinforcing	positive	
program	procedures	reinforces	functional	       not	encountered	before.	I	have	witnessed	          behavior,	this	individual	continues	
skill	acquisition.	This	is	the	best	way	to	     clients	actually	using	this	term	themselves	       to	progress.	The	probable	effects	of	
describe	the	programming	of	common	             and	it	reminds	them	to	“step	back”	from	           behavioral	momentum	and	simply	
stimuli.	Our	clients	get	better	quicker	        the	situation,	explore	alternatives	and	even	      recording	successful	trials	to	use	the	
when	rehabilitation	staff	are	trained	to	do	    wait	for	solutions	to	make	themselves	clear.	  	   walker	encouraged	this	profound	leap	in	
the	same	things	as	the	therapists	(and	vice	       Finally,	“training	to	generalize”	involves	     functioning.	t
versa.)	Utilizing	the	same	techniques	across	   reinforcing	generalization	itself	as	if	it	
                                                                                                      For a complete copy (part I & II) of
the	continuum	of	care	provides	consistent	      were	a	specific	behavior.	One	of	the	most	
                                                                                                   this classic article review, please log on
programming.                                    significant	examples	of	generalization	            to www.rainbowrehab.com and select
                                                effects	I	have	witnessed	was	an	individual	        Education/Publications - Article downloads.
Mediating Generalization                        rewarded	for	the	absence	of	problem	               Reference:	
   Mediating	generalization	is	defined	         behaviors–specifically,	self-injury	               Stokes,	T.	F.;		&	Baer,	D.	M.;	An	Implicit	
as	teaching	habits	and	skills	that	can	be	      and	physical	aggression.	One	of	the	               Technology	for	Generalization,	Journal	of	
                                                                                                   Applied	Behavior	Analysis,	1977,	10,	349-367.
utilized	for	problems	or	situations.	Clients	   unpredicted	side	effects	was	the	almost	




                                           Garden City Apartments




                                           Family & Pet Friendly
                    Garden City Apartments offer a unique and supportive family environment where
           residents with traumatic brain injury are empowered to work toward therapy and recovery goals.
                  At Rainbow’s Garden City Apartments, adults can reside as a single, as part of a family,
                  or as parents caring for their children–Rainbow’s Staff provides the necessary support.


                   To download a brochure log on to:                           For a tour or more information call...
                  www.rainbowrehab.com
                        select Education/Publications                             1.800.968.6644
                                                                                                                       RainbowVisions              18
     Professional
              News                           FALL / WINTER 2006 & 2007                 – Notable Changes


 11/06 Dr. James Gall, Ph.D.,	B.C.S.M – Behavioral Analyst / Mental Health
 Dr.	Gall	is	a	board	certified	psychologist	in	Acute	Stress	Management.	Prior	to	joining	
 Rainbow	he	served	as	the	chief	staff	clinical	psychologist	at	St.	Joseph’s	Hospital	for	15	
 years	and	has	been	a	professor	at	Oakland	University	since	1996.		He	also	maintains	a	
 private	practice	in	Rochester	Hills,	Michigan.		Dr.	Gall	joins	Rainbow	in	the	Oakland	
 County	area	working	with	adult	clients	as	a	Behavioral	Analyst.

 11/06 Virginia Dory, LPN – Nurse                                                                   Dr. James Gall
 Virginia	comes	to	us	with	40	years	of	experience	as	an	LPN	in	long-term,	hospice	and	in	
 the	hospital	care.	She	will		man	the	midnight	shift	at	Rainbow’s	NeuroRehab	Campus.	

 11/06 Nicole Rondini, OTR – Occupational Therapist
 Nicole	has	joined	the	Pediatric	Program	at	the	Oakland	Center.		Having	earned	her	                                    Virginia Dory
 Masters	of	Occupational	Therapy	from	Grand	Valley	State	University,	Nicole	brings	with	
 her	OT	experience	in	the	home	health	setting,	visiting	clients	with	varied	needs.		

 1/07     Vickie Bey-Walker, LPN – Nurse
 Vickie	joins	our	nursing	team	with	over	20	years	of	experience	in	a	variety	of	fields,	
 including	long-term	care	and	community	outreach	programs.		Vickie	has	extensive	
                                                                                                    Nicole Rondini
 experience	in	HIV/Aids	counseling	and	education.		Vickie	will	serve	as	a	nurse	at	our	new	
 NeuroRehab	Campus	as	well	as	a	“Touch	Base”	group	counselor.

 1/07      Paula Nickols, LPN – Nurse
 Paula	joins	the	NeuroRehab	Campus	team	as	an	LPN	with	over	5	years	of	nursing	                                      Vickie Bey-Walker
 experience	in	both	long-term	care	as	well	as	providing	nursing	services	for	Wayne	County	
 Correctional	Facility.	Prior	to	her	career	in	nursing,	Paula	worked	as	a	direct	care	provider,	
 which	gives	her	special	insight	into	level	of	care	our	clients	require.

 1/07     Amanda Miuccio, OT – Occupational Therapist
 Amanda	did	her	internship	here	at	Rainbow	and	has	earned	her	Masters	of	Occupational	
 Therapy	from	Eastern	Michigan	University.	She	spent	four	years	working	within	a	hospital	         Amanda Miuccio
 inpatient	care	setting	prior	to	joining	us. Amanda	will	provide	therapy	in	the	Ypsilanti	and	
 Oakland	Centers	assisting	clients	with	independent	living	skills

 1/07      Katrina Johnson, LPN – Nurse
 Katrina	is	joining	Rainbow	as	a	field	nurse	in	Oakland	County.	She	earned	her	MBA	from	                             Katrina Johnson
 Davenport	University	and	comes	to	us	with	20	years	of	experience	in	direct	patient	care	
 within	long-term	care	and	home	health	settings.	

 1/07     Derek Glenn, OT – Occupational Therapist
 Please	welcome	Derek	Glenn	to	the	Ypsilanti	Center	as	an	OT.		Derek	has	been	employed	
 with	Rainbow	as	a	rehabilitation	assistant	and	assistant	RPM	in	the	Oakland	area.	Derek	
                                                                                                    Derek Glenn
 worked	his	way	through	school	while	employed	at	Rainbow	and	we	are	thrilled	to	have	
 him	join	us	full-time.




19   RainbowVisions
    www.rainbowrehab.com                                                                                                          SPRinG 2007




                   Treating PTSD & TBI
                   by Dr.   Colin King, Ph.D,
                   Continued from page 10

                                                them	work	through	the	trauma	(American	            and	therapeutic	environment	for	survivors	
                                                Journal	of	Psychiatry,	Archives	of	General	        to	recover.	Invariably,	the	road	to	recovery	
	    After	working	with	combat	victims	         psychiatry).	                                      and	integration	into	society	is	plagued	
and	TBI	patients,	I	have	found	both	            	     Group	therapy	with	TBI	survivors	and	        with	psychological	and	social	land	mines.	
individual	and	group	therapies	to	be	           combat	victims	has	also	shown	promising	           However,	with	the	help	of	trained	staff,	
effective.	Individual	therapy	helps	to	         results.	Individuals	experience	what	some	         compassionate	family	members	and	
forge	a	therapeutic	working	relationship	       psychotherapists	term	“Universality.”	This	        support	from	significant	others,	individuals	
where	the	person	learns	to	trust	again.		       means	they	experience	symptom	relief	              can	overcome	that	previously	thought	
Often,	rebuilding	trust	is	a	huge	issue.	For	   knowing	that	someone	else	in	the	group	            insurmountable	mountain-TBI.	t
instance,	someone	who	was	involved	in	          understands	what	they	are	going	through.           Sources:
a	car	accident	as	a	passenger	may	have	         	     Given	the	problems	with	attention	and	       Amstrong, K, Best, Suzanne & Domenici, P (Courage
                                                                                                   After Fire) 2006
a	difficult	time	being	driven	by	someone	       concentration	that	surface	subsequent	
else.	This	same	lack	of	trust	is	seen	with	     to	a	trauma,	it	is	critical	that	individuals	      Dean, Chuck (Nam Vet) 2000

some	combat/PTSD	survivors.	Jackie	Pflug,	      relearn	how	to	focus,	problem	solve	and	           National Institute on Mental Health (Reliving Trauma:
                                                                                                   Post-Traumatic Stress Disorder), 2001
the	survivor	of	a	terrorist	gunshot	head	       execute	executive	functioning	tasks.	Some	
                                                TBI	treatment	providers,	like	Rainbow	             Marks, I Lovell K, Noshirvani H et al. Treatment of
wound,	was	afraid	to	go	outside–she	feared	
                                                                                                   posttraumatic stress disorder by exposure and /or
a	terrorist	would	once	again	find	her.		        Rehabilitation	Centers,	employ	speech	             cognitive restructuring: a controlled study. Archives
	    Psychological	interventions	include	       therapists,	occupational	therapists	and	           of General Psychiatry, 1998; 55(4)

group	therapy,	cognitive	behavioral	            mental	health	specialists	to	assist	in	            Lubin H, Loris M, Burt J, et al. Efficacy of psycho
therapy	and	exposure	therapy.	These	            developing	compensatory	strategies	so	             educational group therapy in reducing symptoms
                                                                                                   of posttraumatic stress disorder among multiple
different	modalities	have	shown	efficacious	    individuals	can	properly	deal	with	their	          traumatized women. American Journal of Psychiatry,
results	in	helping	survivors	gradually	and	     deficits.                                          1998 155(9): 1172-7

repeatedly	relive	the	terrifying	event	under	   	     As	a	treatment	provider,	we	are	charged	     New England Journal of Medicine 2005;352:2043-
controlled	conditions	and	have	helped	          with	the	responsibility	of	providing	a	safe	       2047




                      About Jackie Pflug
         On Thanksgiving weekend in November of 1985, Jackie Pflug was flying to Cairo, Egypt. Ten
        minutes into the flight, three men calling themselves the Egypt Revolution began to wave their
       guns and proceeded to take control of the airplane. A gun battle ensued and after the terrorists
       took control they began to execute one passenger every 15 minutes. Jackie, an American citizen,
         was shot and left for dead. In total, 59 passengers died by execution, the ensuing gun battle
       between authorities and the hijackers, or by fire and smoke inhalation when the plane exploded.
                                                    Jackie lived.




            New @                                     Rainbow has a new website with Jackie’s full story and interview.
                                                           Log on for a complete list of survivor interviews and articles.

                                                    www.rainbowrehab.com                        select Education/Publications




                                                                                                                          RainbowVisions                   20
         survey
                            Results
                                                                                                           close	to	meeting	our	target	for	the	groups	
     RAINBOW REHABILITATION                                                                                that	had	a	statistically	adequate	sampling	
                                                                                                           of	respondents–Families	&	Guardians	
     2006 Satisfaction Survey                                                                              of	Residential	Adults,	Outpatient (Adult




O
                                                                                                           & Pediatrics)	and	Case	Managers.	In	
     By Heidi   Reyst, Ph.D., CBIST Systems Director
                                                                                                           three	of	the	six	catagories	or	scales,	the	
                                                                                                           number	of	surveys	returned	was	too	low	
                                                                                                           (less	than	7	respondents)	to	ensure	a	
 	     	n	an	annual	basis,	Rainbow	sends	a		                                                               representative	sample	and	therefore	are	not	
 	     satisfaction	survey	to	all	consumers:                                                               included.	Those	scales	include:	Family/
 Clients,	families	&	guardians,	case	                                                                      Guardian	Pediatric	Residential,	Claims	
 managers,	discharge	planners	and	claims	                  	 •	The	level	of	client	activity	on		   	       Representatives	and	Discharge	Planners.
 representatives.	The	focus	of	this	article	               	 	 weekends                                    	 We	would	like	to	thank	all	of	our	
 is	on	external	parties	and	families.	Client	              	 •	The	price	charged	as	compared	to		          families,	Case	Managers,	Claims	
 satisfaction	will	be	addressed	in	the	next	               	 	 services	rendered	                          Representatives	and	Discharge	Planners	
 issue	of	Rainbow	Visions.	                                	 •	The	safety	of	our	programs.                 that	participated.	Overall,	we	feel	good	
 	 	In	2006,	we	sent	out	1,119	surveys	with	               	 The	survey	scale	used	for	all	of	the	         about	the	results.	There	are	areas	of	
 105	being	returned–almost	a	10%	response	                 assessments	is	illustrated	below.	(For an       strength	that	demonstrate	the	quality	of	
 rate.		We	assessed	satisfaction	over	a	wide	              overview of descriptive statistics used for     programming	we	feel	we	provide.		There	
 variety	of	areas;	a	sampling	of	the	items	                analysis, please see the sidebar on right.)     are	also	areas	of	growth	that	we	need	to	
 included:	                                                The	overall	mean	scores	by	three	consumer	      address.	We	appreciate	the	feedback	and	
 	 •	The	cleanliness	of	our	facilities                     groups	are	also	listed	below.		Our	target	      intend	to	use	it	to	better	our	services	and	
 	 •	The	level	of	progress	made	by	clients                 was	an	overall	mean	rating	(for	each	scale)	    programs	for	all	of	our	clients.	
 	 •	Our	levels	of	communication                           of	4.2,	indicating	general	satisfaction	with	
 	 •	The	quality	of	programming                            the	majority	of	items.	We	met	or	came	
                                                                                                                    For a statistical breakdown

                                           Survey Scale                                                                 of survey results for

          1                                            3                    4                      5           • Family/Guardian Adult Residential,
                                 2
                                                                                                                  • Family Guardian Outpatient
                                                                                                                         • Case Managers,

        Very              Somewhat-             Neither                Somewhat-               Very                    please go to page 23.
     Dissatisfied         Dissatisfied        Satisfied nor             Satisfied            Satisfied
                                              Dissatisfied


                                                                     Satisfaction Survey Scores by Consumer for 2006
                                                                                  Survey                           n     Target      Actual Mean
                                                                                                                         Mean       Rating (Standard
                                                                                                                         Rating        Deviation)
                                                            Family/Guardian Adult Residential                     53       4.2           4.3 (.8)
                                                            Family Guardian Pediatric Residential                 6*       4.2                 –
                                                            Family/Guardian Outpatient (Adult & Peds)             19       4.2           4.5 (.7)
                                                            Claims Representatives                                3*       4.2                 –
                                                            Discharge Planners                                    3*       4.2                 –
                                                            Case Managers                                         20       4.2           4.0 (.8)
                                                                                  *sample	size	too	small	to	ensure	an	accurate	representative	sample
21    RainbowVisions
www.rainbowrehab.com                                                                                                  SPRinG 2007




                                      Descriptive Statistics Overview

         A	Mean	is	a	measure	of	central	tendency	that	                  our	programs.	They	collectively	provide	information	
    provides	information	about	the	population	being	                    about	the	average	response,	the	typical	response	and	
    surveyed	based	on	taking	a	sample	of	respondents	                   the	most	frequent	response.		The	last	tool	employed	in	
    from	that	population.	But	means	can	only	provide	a	                 this	analysis	is	the	standard	deviation.		
    true	estimate	of	the	population	if	the	sample	size	is	              	 The	standard	deviation	gives	us	a	very	important	
    inherently	large	enough	to	ensure	a	representative	                 indicator	about	the	sample	of	responses.		It	tells	us	
    sample.		                                                           how	dispersed	(or	variable)	the	scores	are	around	the	
    	 There	are	other	analysis	tools	which	are	useful	                  mean.	For	example,	if	the	mean	on	a	5	point	scale	
    in	conjunction	with	a	mean	score.		This	includes	a	                 is	2.5,	and	the	standard	deviation	is	.5,		we	then	
    Median	score.	The	Median	is	computed	by	ordering	                   know	that	69%	of	respondents	scores	were	between	
    all	scores	from	low	to	high,	and	taking	the	middle	                 2.0	and	3.0	(The	mean	-.5,	and	the	mean	+	.5).		If	
    score.	It	tells	us	about	the	typical	response	from	the	             the	mean	is	2.5	and	the	standard	deviation	is	1.0,	
    sample.	Another	tool	is	the	Mode,	which	is	the	most	                then	we	know	that	69%	of	respondents	scores	were	
    frequently	occurring	value	in	the	set	of	scores.	It	                between	1.5	and	3.5	(2.5	-	1.0,	and	2.5	+	1.0).		In	the	
    tells	us	about	the	most	common	answer	provided.		                   first	example,	the	dispersion	around	the	mean	was	
    	 All	together,	the	mean,	median	and	mode	                          far	less	than	that	in	the	second	example.	Thus	the	first	
    provide	us	information	on	how	a	sample	of	our	                      example	shows	less	variability	in	the	sample.	r
    consumers	felt	about	our	services	and	the	quality	of	




                             SPRING 2007
   after school & Saturday Day Programs
       Created by Pediatric Rehabilitation Specialists, Rainbow’s After School &
   Saturday Day Programs are structured around the needs of children & teens with brain
   injuries. Our Programs integrate structure, group or individual therapies, individual
   tutoring, group academic support, recreational activities and social skills training.

       Programming is available up to 6 days-per-week with a high staff-to-child ratio, a
   certified teacher and professionally trained pediatric therapists.

       To receive an After School & Saturday Day Program brochure,
                                Call Rainbow’s Admissions Department at:


                                     1.800.968.6644
                                 E-mail: admissions@rainbowrehab.com




                                                                                                               RainbowVisions       22
                                 Survey Results                             Results of our highest and lowest scores are listed on the graphs below,
                                                                            utilizing the Mean (in red), Median (in blue), Mode (in green) and first
                                 Continued from page 21
                                                                                          Standard Deviation (in purple) for each item.



                 Adult Residential -                           Outpatient (Adult & Peds) -                                     Case Managers
                 Family & Guardian                                Family & Guardian
                    53 respondents                                      19 respondents                                        20 respondents
                   21 items on survey                                  15 items on survey                                    10 items on survey
                 Overall mean score: 4.3                             Overall mean score: 4.2                               Overall mean score: 4.0


                     Overall Mean Score                                   Overall Mean Score                                   Overall Mean Score
      X = 4.2                                             X = 4.5                                              X = 4.0
      Me = 4.7                                            Me = 4.5                                             Me = 4.1
      SD = .8                                             Mo = 5.0                                             SD = .8
                                                           SD = .6

     1            2          3            4      5        1            2          3            4          5   1            2           3            4         5
                  Areas of Strength                                    Areas of Strength                                    Areas of Strength

     Your Loved One’s Progress Made at Rainbow                        Level of Therapy Services               The Safety of Your Clients Residing at Rainbow
      X = 4.2                                             X = 4.7                                              X = 4.4
      Me = 4.0                                            Me = 5.0                                             Me = 5.0
      Mo = 5.0                                            Mo = 5.0                                             Mo = 5.0
      SD = .9                                              SD = .5                                              SD = .8

     1           2           3            4      5        1           2           3            4          5   1            2           3            4         5
          Cleanliness of Rainbow’s Facilities             Your Loved One’s Progress Made at Rainbow           The Warmth and Compassion of our Employees
      X = 4.4                                             X = 4.7                                              X = 4.6
      Me = 5.0                                            Me = 5.0                                             Me = 5.0
      Mo = 5.0                                            Mo = 5.0                                             Mo = 5.0
      SD = 1.0                                             SD = .5                                              SD = .7


     1           2           3            4      5        1           2           3            4          5   1            2           3            4         5
 Communication with Treatment Team, RPM’s &                   Team’s Ability to Educate/Assist Families            Our Responsiveness to Your Concerns
          Case Managers (aggregate)                                                                            X = 4.3
  X = 4.5                                                 X = 4.8
                                                                                                               Me = 4.5
  Me = 4.8                                                Me = 5.0
                                                                                                               Mo = 5.0
  Mo = 5.0                                                Mo = 5.0
                                                                                                                SD = 1.0
      SD = .8                                              SD = .6

     1                                                                                                        1            2           3            4         5
                 2           3            4      5        1           2           3            4          5
                     Areas of Growth                                      Areas of Growth                                      Areas of Growth
     X = 2.8 Follow Up After Discharge                    Amount of Community Involvement Available               The Level of Vocational Services Provided
     Me = 2.5                                                                                                  X = 3.3
                                                          X = 3.9
     Mo = 1,2,3,4                                                                                              Me = 3.0
                                                          Me = 4.0
     SD = 1.7                                             Mo = 5.0                                             Mo = 3.0

                                                           SD = 1.3                                             SD = 1.1


     1           2           3            4      5        1           2           3            4          5   1            2           3            4         5
                Level of Weekend Activity                       Level of Weekday Activity Provided            The Level of Follow-up Provided Post Discharge

      X = 4.0                                             X = 4.2                                              X = 3.3
      Me = 4.0                                            Me = 5.0                                             Me = 3.0
      Mo = 5.0                                            Mo = 5.0                                             Mo = 3.0
      SD = 1.2                                             SD = 1.3                                             SD = 1.2

     1       2      3                     4      5        1           2           3            4          5   1            2           3            4         5
23       RainbowVisions
 www.rainbowrehab.com                                                                                                                     SPRinG 2007



Military Helmets              Continued from page 13

a	new,	more	bullet-resistant	Lightweight	        in	providing	helmet/head	or	cranium	                   Would You Like To Help our Troops?
Helmet	(LWH).	As	the	helmet’s	name	              separation	to	protect	from	blast	waves.	                  Unless	military	budgets	and/or	priorities	
suggests,	it’s	about	one-half	pound	lighter.		   Nearly	a	decade	ago,	helmet	liner	pads	                change,	outfitting	each	soldier	with	a	
Comfort	is	improved	and	the	original	            were	developed	by	private	industry	to	meet	            Ballistic	Helmet	Upgrade	kit	is	only	
five	sizes	remain,	but	Marines	can	easily	       the	original	specifications	of	the	MICH	               possible	with	donations.	If	you	would	like	
adjust	headband	circumference	and	height	        helmet.	Tests	conducted	at	independent	                to	help	our	troops	in	Iraq	and	Afghanistan,	
for	a	better	fit.	One	reason	the	Marines	        laboratories	confirm	their	superior	shock	             you	can	contact	the	following	non-profit	
didn’t	go	with	a	trimmed	helmet	like	the	        absorption.                                            organizations:
MICH	or	ACH,	is	because	they	sit	too	                Because	of	budget	constraints,	not	
high.	Being	able	to	make	adjustments	            every	soldier	in	Iraq	or	Afghanistan	has	a	            Operation Helmet, Inc.
helps	accommodate	Marines	when	they’re	          shock-absorbing	pad	suspension	system	                 http://operation-helmet.org
wearing	masks	or	hoods	or	when	any	              in	his	or	her	helmet.	The	war	our	troops	
helmet-mounted	displays	or	optics	are	           are	facing	deals	with	an	enemy	that	uses	              Helping Our Troops, Inc.
                                                 high	explosives	(IEDs)	on	a	regular	basis.		           www.helpingourtroops.com
attached.	
                                                 When	a	soldier	does	not	have	the	proper	
                                                                                                        Houston Marine Moms
What about blast and current helmet shock        strap	suspension	system,	a	blast	causes	
                                                                                                        www.houstonmarinemoms.org
absorption abilities in the existing Kevlar      the	helmet	to	‘rock’	on	the	head,	making	
helmets in the field?                            violent	contact	with	the	skull.	The	impact	
                                                                                                        NOTE:	Operation Helmet specifically
  Currently,	standard	issue	helmets	are	         can	cause	skull	fractures,	intracranial	
                                                                                                        accepts tax-deductible donations to
engineered	to	protect	against	bullets	and	       bleeding	and/or	TBI,	possibly	leading	to	
                                                                                                        purchase upgrades to fulfill requests
only	offer	“fair”	protection	from	bomb	          death.	Aside	from	bringing	our	troops	
                                                                                                        from the troops. If you are interested in
blasts.	The	older	helmet	technology	             home,	the	simple	solution	to	reducing	the	
                                                                                                        supporting any of these organizations,
depends	on	a	strap	suspension	system	to	         amount	and	severity	of	TBI’s	caused	by	
                                                                                                        please contact them directly.
‘float’	over	the	head	to	maintain	helmet/        blasts	is	to	install	shock-absorbing	pads	in	
head	separation.	A	shock-absorbing	              every	helmet.	
pad	suspension	system	is	far	superior	
                                                                      Sources:
                                                                      Mark Emmons, “The signature wound of the war on terror – part 2 of 5” Mercury News,
                                                                      14 December 2002, www.mercurynews.com/mld/mercurynews/news/special_packages/
                                                                      frank_sandoval/16237114.htm

                                                                      Olive Drab: www.olive-drab.com

                                                                      Wikipedia encyclopedia: http://en.wikipedia.org/wiki/Personnel_Armor_System_for_
                                                                      Ground_Troops_Helmet

                                                                      Military Analysis Network: www.fas.org/man/dod-101/sys/land/pasgt.htm

                                                                      Operation Helmet: www.operation-helmet.org/helmets.html#MICH

                                                                      Elizabeth Book, “Special Ops Helmet,” National Defense Website, February, 2003
                                                                      www.nationaldefensemagazine.org/issues/2003/Feb/Special_Ops_Helmet.htm

                                                                      Global Security.org: “Advanced Combat Helmet ( ACH )”
                                                                      www.globalsecurity.org/military/systems/ground/ach.htm

                                                                      Press Release “(No: 03-28) –U.S. Army Soldier Systems Center-Natick, MA,” 25, July, 2003

                                                                      Sandra Jontz, “Head Injuries Push Improvements In Gear” 30 January, 2004
                                                                      Stars and Stripes website www.military.com

                                                                      Kurt Samson, “VA Reinforces Stateside Rehab Units for Iraq Blast Injuries,”
                                                                      Neurology Today, 18 April, 2006 Volume 6(8); pp 18, 24
  Pictured above: Interior of a military helmet.
                                                                      The Independent Budget www.vawatchdog.org
    This is the current U.S. military issue in use
      today with a strap suspension system                            Christopher G. Brady, “An Analysis of Wound Statistics in Relation to Personal Ballistic
                                                                      Protection (Abstract)” DSTO Systems Sciences Laboratory, September 2003



                                                                                                                                 RainbowVisions                  24
                                                                         2007
                                                               Conference
                                                                    & Event Schedule
                                                                             March–May




 	        March	                                                    	         April
 March	11,	2007                                                     April	4,	2007
 BIAMI Legacy Society Auction/Dinner at	the	Inn	at	St.	John’s	in	   Spring Conference for Critical Care Nursing at	the	Fisher	
 Plymouth,	MI			For info log on to: www.biami.org                   Center	Auditorium	(Providence	Hospital)	in	Southfield,	MI		
                                                                    For info e-mail: sandy.tobar@stjohn.org
 March	14	-	15,	2007
 Illinois Workers’ Comp Forum at	the	Hyatt	Regency	McCormick	       April	13,	2007
 Place,	Chicago,	IL	–		For info log on to: www.ilwcforum.com        Brain Injury Association of Kentucky Brain Injury Summit	at	
                                                                    the	Cardinal	Hill	Rehabilitation	Hospital	in	Lexington,	KY
 March	14	-	17,	2007                                                For info log on to: www.biak.us
 Contemporary Forums Spinal Cord Injuries: Issues &
 Advances at	the	Intercontinental	Boston	in	Boston,	MA              April	20,	2007
 For info log on to: www.contemporaryforums.com                     Michigan Health & Rehab Conference (Wright/Filippis) at	the	
                                                                    Troy	Marriott	Hotel	in	Troy,	MI			
 March	15	-	16,	2007                                                For info log on to: www.firsttoserve.com
 Brain Injury Association of Iowa Conference at	the	Hotel	Fort	
 Des	Moines,	Des	Moines,	Iowa                                       April	22	-	25,	2007
 For info e-mail: dannl@mchsi.com                                   ACMA Clinical Case Mgmt Conference 3rd Annual Medical
                                                                    Director Forum at	the	Doral	Golf	Resort	&	Spa,	Miami,	FL	
 March	15,	2007                                                     For info log on to: www.acmaweb.org
 MTLA ADR Evening Forum at	the	Crowne	Plaza	Hotel	in	Novi,	MI	
                                                             	
 For info log on to: www.mtla.net                                   April	24	-	27,	2007
                                                                    Contemporary Forums: Psychiatric Nursing Update in	
 March	20,	2007                                                     Philadelphia,	PA	–	For info log on to: www.contemporaryforums.com
 MI-ARN Conference at	the	Laurel	Manor	in	Livonia,	MI
 For info log on to: www.miarn.org                                  April	27,	2007
                                                                    WMBIN Conference at	the	Crowne	Plaza	in	Grand	Rapids,	MI
 March	26	-	30,	2007                                                For info e-mail: Gwen.Moffitt@maryfreebed.com
 Contemporary Forums: The Young Child With Special Needs
 at	the	Hyatt	Regency,	Chicago,	IL                                  April	28,	2007
 For info log on to: www.contemporaryforums.com                     Beaumont SLP Conference at	the	Beaumont	Auditorium	-	Royal	
                                                                    Oak,	MI		–	For info e-mail: mwitsil@beaumonthospitals.com
 March	28	-	29,	2007
 Michigan Health/Safety Patient Safety Conference at	the	           April	29	-	May	3,	2007
 Somerset	Inn,	Troy,	MI			                                          RIMS (Risk/Ins Mgmt Society) 2007 Conference at	the	Morial	
 For info log on to: www.mihealthandsafety.org                      Convention	Center,	New	Orleans,	LA			
                                                                    For info log on to: www.rims.org
 March	28	-	30,	2007
 Contemporary Forums: Leadership Excellence Management
 Solutions for Neonatal, Obstetric and Pediatric Nursing in	New	
 Orleans,	LA	–	For info log on to: www.contemporaryforums.com

 March	31,	2007
 Carnival of Care Hosted by Care Forward                                                     CMSA
 at	Club	Venetian	in	Madison	Heights,	MI                                       Case Management Society of America
 For info log on to: www.carnivalofcare.com                                             Detroit Chapter
                                                                                          www.cmsadetroit.com
                                                                                             March 30, 2007
                                                                          Day Long Conference @ Burton Manor in Livonia, MI



25   RainbowVisions
 www.rainbowrehab.com                                                                                              SPRinG 2007



         May	
May	2	-	5,	2007
Contemporary Forums/Florida BIA: 5th Annual
Multidisciplinary Conference on Brain Injuries at	the	Disney’s	
Coronado	Spring	Resort	in	Orlando,	FL			
                                                                                          MBIPC
                                                                           Michigan Brain Injury Providers Council
For info log on to: www.contemporaryforums.com
                                                                                   Learn over Lunch
May	4,	2007
MTLA Annual Rapid-Fire Seminar at	the	Hyatt	Regency,	in	                   Scheduled meeting times are 12:00 - 2:00 pm
Dearborn,	MI	– For info log on to: www.mtla.net                                      (Registration at 11:30 am)

May	8,	2007                                                                      Cost: Member $20 / Non-member $50
Nightingale Nursing Awards at	the	San	Marino	Club	in	Troy,	MI
For info log on to: www.oakland.edu/nursing/nightingale.cfm                          For further information e-mail:
                                                                                   Lisha.Clevenger@rrciweb.com
May	9,	2007
MPRO Healthcare Provider’s Conference Beneficiary                                           March 13, 2007
Protection and Hospital Payment Monitoring Program (HPMP)                        Holiday Inn South - Lansing, Michigan
at	the	Radisson	Hotel	Lansing	in	Lansing,	MI
                                                                                        “The Language of Art”
For info log on to: www.mpro.org/bphc/index.htm
                                                                         Speakers:	Christine	Schneider,	CCC-SLP	(Hope	Network)	
May	10	-	11,	2007	-	Rochester,	NY                                                   and	Nikki	Booth,	Client/Consumer
May	17	-	18,	2007	-	Princeton,	NJ                                            E-mail: mary.rigo-burdo@maryfreebed.com
Workers’ Comp Forum (dates/locations	above)
For info log on to: www.nynjforum.com                                                        April 10, 2007
                                                                                  Holiday Inn West - Livonia, Michigan
May	18,	2007
                                                                                       “Pre-morbid Functioning”
UM/SJMH Rehab Nursing Conference at	the	Kensington	Court	in	
                                                                                    Speaker:	Dr.	Gordon	Horn,	PhD
Ann	Arbor,	MI	– For info call: (734) 712-8674
                                                                               E-mail: Lisha.Clevenger@rrciweb.com
May	24	-	26,	2007
Vocational Outcomes in Traumatic Brain Injury Second                                          May 8, 2007
International Conference at	the	University	of	British	Columbia	in	         Applause Banquet Center - Grand Rapids, Michigan
Vancouver,	British	Columbia–Canada	                                       “Predictors of Depression After Mild–Moderate TBI”
For info log on to: www.tbicvancouver.com                                      Speakers:		Esther	Bay,	RN,	PhD	(MSU)	and
                                                                                	Jacobus	Donders,	PhD	(Mary	Free	Bed)
May	30	-	June	1,	2007
                                                                            E-mail: mary.rigo-burdo@maryfreebed.com
Michigan Self-Insurer’s Association Spring Conference at	the	
Grand	Traverse	Resort	in	Traverse	City,	MI	
For info log on to: www.michselfinsurers.org
                                                                       Watch your mail for confirmed dates, topics & locations!




               RINC Meetings
                                                                                 New @
       Rehabilitation & Insurance Nursing Council

                         Members Only
                  Registration begins at 11:30 am
            Followed by lunch / presentation at 12:00 pm

                  For more information contact                           Rainbow has a new website with
              Adrienne Shepperd: (248) 656-6681                      ALL Conferences & Events listed for 2007!
                        March 16, 2007                               Log on for the most up-to-date list of Industry Events.
                         April 27, 2007
                                                                               www.rainbowrehab.com
                         May 18, 2007
                                                                                 Select Education/Publications
                     Topics & Locations TBD



                                                                                                            RainbowVisions        26
                 Acquired Brain Injury

         Child Focus                                                                                            from	wrong	and	still	rely	on	parental	

                              Series                                                                            guidance.	Kids	are	typically	happy	
                                                                                                                but	may	act	silly.	Friendships	are	
                                                                                                                very	important,	and	by	the	end	of	the	
        WHEN CHILDREN ARE INJURED                                                                               eleventh	year	they	may	start	to	show	
                                                                                                                an	interest	in	the	opposite	sex.	Kids	
        The Elementary Years                                                                                    of	this	age	are	still	respectful	and	
                                                                                                                affectionate	towards	their	parents,	
        By	Dr.   Mariann Young, Ph.D.,
                   Rainbow Pediatric Program Director                                                           so	enjoy	this	time	because	middle	
                                                                                                                school	is	right	around	the	corner!
                                                                                                                	 A	great	deal	of	a	child’s	time	
    Part 4;      6–11 Years of Age




I
                                                                                                                is	spent	in	play,	walking,	or	riding	
             Why did...?                                                                                        bikes.	These	areas	are	often	the	
          Why? Why? Why?                                                                                        most	fun,	but	can	also	be	the	most	
                                                                                                                dangerous	for	children.	Inadequate	
    		n	the	early	school	years	(grades	1	               or	using	a	new	saying.		Early	elementary	        use	of	bicycle	helmets	is	associated	with	
    through	3)	you	will	notice	an	increase	in	          school	children	have	a	strong	need	for	love	     many	motor	vehicle	related	injuries	or	
    the	amount	of	questions	a	six,	seven,	or	           and	understanding	and	want	approval	and	         deaths.		Proper	use	of	bicycle	helmets	
    eight	year	old	will	ask.	This	is	the	way	that	      attention	from	their	parents.	                   can	eliminate	65-88%	of	bicycle-related	
    they	learn	to	understand	the	world.	The	            	 Upper	elementary	children	(9	and	10	           brain	injuries	and	65%	injuries	to	the	
    questions	are	continuous	and	kids	seem	to	          year	olds)	show	intellectual,	emotional	         upper	and	middle	regions	of	the	face	
    be	pros	at	asking.	In	these	grades	children	        and	physical	change.	Skill	level	and	            (fractures	and	lacerations.)	As	parents	it	is	
    have	a	longer	attention	span	and	begin	to	          endurance	improve.		Children	of	this	age	        important	to	protect	your	child	by	insisting	
    display	serious	and	logical	thinking.	They	         have	excellent	fine	motor	control,	can	          that	they	wear	a	bicycle	or	sports	helmet.		
    try	to	solve	more	complex	problems	and	             manipulate	tools	well	and	draw	pictures	         Remember	that	you	must	also	wear	
    parents	will	be	able	to	see	the	individual	         with	a	large	amount	of	detail.	They	             yours	when	engaging	in	sports	with	your	
    learning	style	that	each	of	their	children	         may	stay	with	an	activity	until	they	are	        children.	In-line	skating,	skate	boarding	
    use.	Conversations	improve	and	at	the	end	          exhausted	and	are	typically	active	and	          and	scooter	use	without	helmets	pose	
    of	third	grade	a	child	almost	converses	            energetic.	At	the	end	of	their	eleventh	year	    substantial	injury	risk.		Hospitalization	data	
    at	an	adult	level	(almost!)	Reading	may	            many	children	begin	showing	their	first	         indicates	that	skateboarders	are	more	likely	
    be	a	major	interest	and	a	six,	seven,	or	           signs	of	puberty.	Girls	may	have	softening	      to	sustain	head	injuries	than	roller	bladers	
    eight	year	old	will	begin	to	understand	the	        and	rounding	of	their	features	as	well	as	the	   or	scooter	riders.	However,	since	the	
    concept	of	reversibility	(4+2=6	is	the	same	        first	signs	of	breast	development.	They	may	     lightweight	foot	propelled	scooters	were	
    as	6-2=4).                                          also	shoot	up	in	height.	Boys	may	start	to	      introduced	to	the	United	States	in	2000,	
    	 Children	in	the	early	elementary	grades	          have	more	muscle	development.	Boys	and	          42,500	people	sought	emergency	room	
    can	be	helpful	and	cheerful,	but	their	             girls	in	this	age	group	are	developing	their	    care	for	injuries	(most	of	these	were	not	
    emotions	may	change	quickly	and	then	               conscience	but	may	not	always	tell	right	        brain	injuries.)
    they	may	be	bossy,	rude	or	selfish.		They	
    tend	to	be	obsessed	with	money	and	this	
    becomes	a	big	motivator	especially	by	the	
    time	that	they	are	in	the	third	grade.	Kids	
    of	this	age	typically	make	friends	rather	
    easily	and	like	to	have	close	friendships	
    with	the	same	gender.	They	like	to	feel	a	
    part	of	the	group	and	early	elementary	
    children	are	usually	engaged	in	group	play	
    on	the	playground	at	recess	and	lunch.		
    Early	elementary	school	children	will	begin	
    to	experience	peer	pressure.	This	may	be	
    the	first	time	that	they	“try	on	behaviors”.		
    They	may	pick	up	a	behavior	from	a	friend	
    and	try	it	out	at	home.	This	could	be	a	
    different	way	of	laughing	or	responding,	

27     RainbowVisions
 www.rainbowrehab.com                                                                                        SPRinG 2007



	 Pedestrian	(motor	vehicle)	injuries	are	the	most	common	
cause	of	serious	head	trauma	in	the	lower	elementary	age	group.		
This	is	typically	due	to	the	mid-block	dash/dart	into	the	street	or	
the	attempt	to	beat	traffic	at	an	intersection.	These	account	for	
60-70%	of	the	injuries	to	children	under	the	age	of	ten.	Children	
are	more	frequently	injured	in	heavily	populated	urban	areas	due	
to	the	large	volume	of	traffic.	It	is	important	to	teach	your	child	
to	never	cross	between	parked	cars.	When	crossing	at	the	light,	
remind	them	to	look	both	ways	before	stepping	into	the	street	and	
watch	for	turning	cars.
	 When	an	early	elementary	school-aged	child	suffers	a	brain	
injury	there	may	be	personality	or	behavioral	changes.	Their	


                                                                                    um
emotions	may	increase	in	intensity	to	the	point	that	they	become	




                                                                                                            n!
                                                                                           mer Fu
out	of	control.	Dramatic	or	rapid	shifts	in	behaviors	may	also	




                                                                                 S
occur.	These	are	usually	not	related	to	or	in	agreement	with	the	
event	that	triggered	them.	A	child	who	has	had	a	brain	injury	may	
become	whinier,	irritable,	or	upset	with	the	smallest	issue.	If	the	
child	has	a	frontal	lobe	injury,	then	inhibition	of	the	behavior	may	
become	difficult.	Once	a	child	engages	in	a	behavior,	they	may	
be	unable	to	stop	or	curtail	it	without	intervention.	Other	changes	        Coming June 18– August 24, 2007
that	may	be	observed	include:
•	 Inability	to	get	along	with	siblings                                          Join us for our 14th year of
•	 Changes	in	play	habits
•	 Changes	in	coloring	and	handwriting
•	 Changes	in	understanding	and	following	parental	direction	                 Summer Fun!
•	 Changes	in	developmental	milestones
	 	(e.g.		bed-wetting	may	reappear)                                         Filled with discovery, play and learning,
•	 Change	in	sleeping	and	eating	habits.                                    our programs are designed by Pediatric
•	 Little	ability	to	soothe	themselves	or	be	comforted
                                                                              Rehabilitation Specialists specifically
•	 Upset	if	corrected	at	school	or	at	home	about	mistakes
                                                                            for children and teens with brain injuries.
Pediatric	brain	injury	also	affects	a	family	in	the	following	ways:
•	 The	brain	injured	child	becomes	the	center	of	attention                  Give your child the structure, supervision
•	 Needs	of	other	siblings	may	not	be	met	due	to	the	care	and		 	           and academics needed when school is
energy	put	into	treating	the	injured	child
                                                                                          not in session.
•	 Parental	needs	may	not	be	met	because	of	the	overwhelming			
amount	of	time	spent	on	the	needs	of	all	of	the	children
•	 Time	becomes	a	commodity	that	no	one	has                                  Call for a program brochure
•	 Parents	may	feel	guilty	or	that	they	are	failures                                and schedule...
•	 There	may	be	a	feeling	of	overall	unhappiness	
•	 There	may	be	a	diminished	quality	of	life	for	the	entire		
	family.		t			
                                                                    	
                                                                                 1.800.968.6644
References:                                                                  Or	e-mail:	admissions@rainbowrehab.com
“Developmental Milestones: The 7-Year Old”
http://www.schwablearning.org/articles
“Developmental Milestones: The 8-Year Old”
http://www.schwablearning.org/articles
“Child Development: 9 to 12 Year Olds”
http://www.schwablearning.org/articles
“Best Practices: Child Pedestrians”
http://depts.washington.edu/hiprc/practices/topic/pedestrians/index.html
“School Health Guidelines to Prevent Unintentional Injuries and Violence”
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5022a1.htm
“Traumatic Brain Injury in Children & Adolescents”
http://www.brainevaluation.com/articles/traumaticchildren.html
                                                                                                       RainbowVisions     28
             The
       Last Word                                                                                     to	bail	us	out.	All	I	saw	were	the	heels	of	
         RAINBOW’S VALUED                                                                            folks	going	the	other	way	out	the	revolving	
                                                                                                     door.		We	were	alone.
         Leadership



O
                                                                                                     		 I	brought	in	Arthur	Andersen	because	
                                                                                                     I	hit	it	off	with	Gerry	Spencer	who	ran	the	
         Written by	Buzz Wilson,   CEO
                                                                                                     Ann	Arbor	office.	One	of	the	grunts	was	
                                                                                                     William	R.	Buccalo–	‘Buccalo Bill’	as	we	
 	    			ur	president,	Bill	Buccalo	is	getting		                                                     call	him.	I	didn’t	know	Bill	at	that	time,	
 	    an	award	next	month,	and	it’s	about	                                                           but	to	make	a	long	story	short,	we	were	a	
 time.	Bill	has	been	instrumental	in	the	                                                            million	bucks	in	the	red!	AA	ran	up	a	huge	
 growth	of	Rainbow,	has	helped	stabilize	          strong	company	with	effective	leadership.	        bill	helping	me	sort	things	out,	and	they	
 funding	for	all	providers,	and	has	helped	        This	March	is	Brain	Injury	Awareness	             weren’t	paid	until	much	later.
 increase	the	level	of	communication	              month,	and	I	thought	I	would	introduce	           	   As	part	of	the	climbing-out-of-the-hole	
 among	providers	and	between	providers	            some	of	the	key	players	from	my	point	of	         process,	I	looked	for	a	CPA	to	handle	
 and	payers.	In	other	words,	he	is	the	            view.	                                            the	accounting–What	we	now	call	a	
 point	guard	for	the	protection	of	funding	        	   As	an	attorney,	I	formed	Rainbow	in	          controller.	Back	then	it	was	good	enough	
 for	individuals	with	brain	injuries	in	the	       November	of	‘82	(we	go	back	that	far!)	           to	get	the	trial	balance	to	balance.	I	never	
 state	of	Michigan.	More	importantly,	he	is	       I	took	over	in	‘87	(for	real	in	‘88)	and	         could,	so	I	needed	help	in	a	hurry.	I	called	
 darned	good	at	it.                                inherited	quite	a	few	of	the	old	timers	still	    Gerry	Spencer	and	asked	him	if	he	could	
 	    The	TBI	Rehabilitation	Industry	used	        at	Rainbow.	This	is	our	greatest	strength–the	    recommend	someone.	He	sent	Bill.
 to	be	filled	with	gossips,	malcontents	and	       corporate	philosophy	to	do	good,	do	well,	        		 That	Bill	was	not	the	outgoing,	
 cheats.	We	were	different,	and	it’s	because	      and	have	fun.	That	produces	low	turnover,	        backslapping	jock	that	we	all	love	today.		
 of	Bill	and	like-minded	folk	who	take	a	          and	that’s	why	so	many	folks	show	up	at	          In	the	interview,	I	think	I	had	to	bring	in	an	
 quiet,	professional	attitude	toward	the	          the	company	15+	year	dinner.	In	future	           amplifier	because	he	was	so	quiet	and	soft-
 industry.	When	insurance	companies	need	          articles,	I	thought	I	would	introduce	            spoken	and	unsure	of	himself!		I	swear	it’s	
 an	expert	witness	as	to	what	“a	fair	rate	        some	of	these	folks	to	you,	show	how	             true.	Now	Sherri	McDaniel	(HR)	hates	to	
 should	be,”	they	call	on	Bill.	Because	of	        they	were	hired,	promoted,	or	tolerated.	         listen	in	to	my	interviews	because	I	violate	
 that	trust,	they	listen	when	he	insists	upon	     There	are	so	many,	but	it	is	worth	noting	        every	one	of	her	interviewing	sacred	cows.		
 coverage	for	an	injured	client.                   their	contributions	to	the	greater	good.	I	       But	how	do	you	interview	someone	who	
     	 Bill	will	be	presented	with	the	            love	to	tell	stories,	and	I	love	to	talk	about	   gives	you	one-syllable	word	answers?		That	
 Community Service and Leadership                  Rainbow,	so	readers	beware.                       may	have	been	one	of	those	rare	periods	
 Award	from	the	Brain	Injury	Association	of	       		 Arthur	Andersen	(AA)	saved	Rainbow.	           when	MSU	reigned	supreme	in	the	football	
 Michigan’s	Legacy	Society	on	March	11,	           Bill	was	an	AA	working	stiff	assigned	to	         world.	So,	being	the	Michigan	follower	
 2007.	The	society	will	recognize	him	for	         the	audit	team	(Background; Rainbow has           that	I	am,	we	had	something	to	discuss.		
 his	superior	commitment	and	leadership	in	        had an audit done by a prominent big 8            Somewhere	there	was	enough	of	a	spark	
 the	growth	and	development	of	Michigan’s	         firm starting in 1985.) I	took	over	at	a	time	    to	warrant	bringing	him	on	board.	Besides,	
 BIA	and	rehabilitation	services	offered	to	       when	Rainbow	was	in	deep	trouble,	but	            Gerry	recommended	him	and	his	picture	
 individuals	with	brain	injury.	Now	I	can	         no	one	knew	it–though	I	should	have.	I	           needs	to	be	in	the	Rainbow	hall	of	fame.		
 finally	say	with	no	small	amount	of	pride,	       had	suspicions	but	was	not	in	a	position	         One bit of history; Gerry’s retirement party
 Rainbow	is	the	biggest	and	best	in	the	           of	discovering	the	truth	until	May	of	‘88.	       was scheduled for September 12, 2001. I
 nation.	We	have	been	around	for	25	years	         Another	vaunted	accounting	firm	missed	           was to be a roaster at that celebration, but
 and	Bill	has	been	for	at	least	20	of	those	       the	fact	that	payroll	taxes	withheld	from	        no planes were flying that day so I missed
 years–So	it’s	about	time.                         wages	never	made	it	to	the	IRS	or	the	            it. Gerry got out before Enron destroyed
 		 I	think	a	lot	about	Rainbow’s	future.		I	      State	of	Michigan.	This	was	not	a	mistake–        what was America’s finest accounting firm,
 worry	about	taking	care	of	the	old	guard–         everybody	shared	in	the	blame.                    and Bill was safely out, too.
 those	folks	who	grew	up	along	with	the	           		 When	I	discovered	what	was	                    		 Bill	began	at	Rainbow	with	a	staff	of	
 TBI	Rehabilitation	industry.	They	deserve	a	      happening,	I	looked	for	allies	with	money	        dedicated	though	inexperienced	folks.	He	

29    RainbowVisions
 www.rainbowrehab.com                                                                                                                    SPRinG 2007




had	to	work	with	me	in	bringing	things	             then	at	Willow	Tree	and	then	God	knows	             banking	issues,	vehicle	issues,	or	hiring	
around.	Reports	had	to	be	reworked,	and	            where.	I	was	either	talking	or	listening	           issues.	The	list	was	endless.
I	had	to	face	up	to	cost	accounting.	Lucky	         to	Bill	on	the	phone,	but	was	always	on	            		 Bill	has	the	difficult	task	of	keeping	
for	me	Bill	relishes	cost	accounting	(he	           the	phone	with	him.	Bill	can	relate	that	           me	on	the	straight	and	narrow.	Julie	(Bill’s	
understands	that	all	costs	are	variable	at	         every	traffic	ticket	he	incurred	happened	          wife),	Nicole	and	Mitch	(his	children)	are	a	
some	point	in	their	life).	At	first,	I	spent	       because	of	these	phone	calls.	I	would	land	         true	testimonial	to	his	character.		
three	nights	a	week	at	one	of	Rainbow’s	            in	Cincinnati,	dial	Bill’s	cell,	and	for	the	       	    Stay	tuned	for	the	rest	of	the	Rainbow	
apartment	settings,	first	at	Davis	Street,	         next	30	minutes	or	so	we	would	deal	with	           story(ies).	t	




                                                 Employee of the Season - Autumn 2006
                                                          Rehabilitation Assistants
      Ann Arbor Apts: Altie Johnson & Jan Duke      Garden City Apts: Elizabeth Jackson                     Shady Lane: Paul VanDyke

      APFK I: Lakisha White                         Gill: Juanita Horton & Toya Moore                       Southbrook: Julia Brown & Enjoli Ray

      APFK II: Adrienne Gazdag                      Glenmuer: Megan Clark                                   Talladay: Nicole Vedder & Melanie Foreman

      Arbor: LaTanya Ellis                          Golfside: Emonda Burroughs & Melanie Johnson            Textile: Jacquelyn Lester

      Bemis: Felisa Rowsey                          Highmeadow: Marcia Williams                             Townhouses: Qiana Samuels

      Briarhill: Stephanie Drake                    Home Health: Lola Vines (LS), William Weems (MG),       Westmoreland: Bridgette Fox
                                                    Ashley Ryan (SB), Pat Bauld (DP)
      Brookside: Keith Richardson                                                                           Whittaker: Ugunda West
                                                    Maple: Faye Brown
      Carpenter: Vanessa Jones                                                                              Woodside I: Pat Nash
                                                    Page: Tanya Tell
      Denton: Aaron Peters                                                                                  Woodside II: Cheryl Hinkle
                                                    Paint Creek: Deanna Pasquariello


            House Managers                           Professional Therapy Staff                                  Administration/OEI
                      TBA                                              TBA                                     David Michael • Dan Milbrath
                                                                                                                         Perry Keith


                                   Congratulations to our Outstanding Staff!



                              Regret the Error – Employee of the Season                                        Summer 2006
                             Oops!	We	forgot	to	include	Christine	Brady	&	Natalie	Bartkiw	(Rehabilitation Assistants)	
                                     for	Hillside	House	in	our	Fall	RainbowVisions - Congratulations!




                                                                                                                               RainbowVisions           30
                                                                    Rainbow Rehabilitation Center
                                                                                    Locations:
                                                                           Ypsilanti Treatment Center
                                                                               5570 Whittaker - PO Box 970230
                                                                               Ypsilanti, MI 48197
                                                                               734.482.1200

                                                                           Oakland Treatment Center
                                                                               32715 Grand River Avenue
                                                                               Farmington, MI 48336
                                                                               248.427.1310

                                                                           NeuroRehab Campus
                                                                               25911 Middlebelt Road
                                                                               Farmington Hills, MI 48336
                                                                               248.471.9580



                                                                           For more information call toll free...
                                                                               1.800.968.6644
                                                                           	   E-mail: Rainbowvisions@rainbowrehab.com

                                                                               www.rainbowrehab.com




       P.O. Box 970230
       Ypsilanti, Michigan 48197




If	you	do	not	wish	to	receive	copies	of	Rainbow	Visions,	please	e-mail:	rainbowvisions@rainbowrehab.com

								
To top