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Breaking Barriers:
Supporting Individuals with TBI’s through the Continuum of Vocational Rehabilitation Hollee Stamper, MSW, LSW, CBIS Jeff Noonan, M.Ed.,CBIS
March 2014
http://dfw.cbslocal.com/
Today’s Objectives
• To learn the definitions of Acquired Brain Injuries and Traumatic Brain Injuries • To identify barriers and strategies for individuals with TBI’s to return to work • To be knowledgeable of resources to support the vocational placement process
Today’s Objectives
• Learn how team approach can support vocational rehabilitation • Examine case studies of successful volunteer and vocational placements
Brief Introduction to Brain Injury
Acquired Brain Injury (ABI):
an injury to the brain, which is not hereditary, congenital, degenerative, or induced by birth trauma. An acquired brain injury is an injury to the brain that has occurred after birth.
Traumatic Brain Injury (TBI):
is an injury to the brain caused by an external force after birth
Brief Introduction to Brain Injury
Attention
Types of Attention: • Selective Attention • Divided Attention • Alternating Attention • Sustained Attention http://www.flashissue.com/b
Memory
Stages: •Encoding •Storage •Retrieval
www.examiner.com
Executive-Functioning
Executive-functioning
:
involves the integration and management of multiple cognitive skills. These complex processes enables individuals to attain goals and perform everyday activities.
Novel Problem-Solving Strategies • Define Problem • Identify Possible Solutions • • • Decide on Solution Implement Evaluate
Interpersonal Skills
Individuals May Encounter Difficulties with Interpersonal Skills Due to: \ • Limited Self-Awareness • Poor Impulse-Control • Cognitive Inflexibility www.combativemind.com
Team Approaches to Support Vocational Success
Team Approaches • Interdisciplinary • Transdisciplinary www.live-recruitment.co.uk
Case Study: AB
• Female • 46 Years Old Strengths Challenges Willingness to work Memory Participates in therapies Ataxia
Division of Vocational Rehabilitation Services (DVRS)
www.ncdhhs.go
v
Case Study: CD
• Female • 50 years old Strengths Challenges Eagerness to Return to Work Memory Participates in Treatment Attention
Case Study: CD
Division of Vocational Rehabilitation Services Process Orientation Interview with Intake Counselor Neuro Functional Assessment Team Meeting to Determine Work Candidacy Strategies Memory Aids Role-Play Exercises Checklist
Case Study: EF
• Female • 30 years old • Pet Sales Associate
Strengths Challenges
Strong Work Ethic Emotional Regulation Strong Family Commitment Interpersonal Skills
Case Study: EF
Challenge Maintaining Professional Boundaries Strategies Define Boundaries Role-Playing Social Scripts
Case Study: EF
Challenges Non-Verbal Communication Engaging in Reciprocal Conversation Strategies Role-Playing Natural Supports
Case Study: GH
Strength Visual-Spatial Skills • Male • 56 Years Old Challenge Frustration Tolerance
Resources to Support Vocational Success
http://www.caveylaw.com/prudential-disability-insurance-program-begins-a return-to-work-service /
BIAA: Brain Injury Association of America
• Can give information on resources available in your state
Find Your State Brain Injury Association Website Link
: http://www.biausa.org/state-affiliates.htm
Ticket to Work
Video Link : http://www.chooseworkttw.net/about/index.html
Veteran Affairs Resources
• Employment Services • Education and Training • Disability Compensation
Additional Resources
• • • Volunteer opportunities within organization Volunteer opportunities in the community Transitional or therapeutic employment opportunities
Conclusion:
• Transdisciplinary Team/Interdisciplinary • Challenges to overcome • Resources
Questions?
Jeffrey Noonan, M.Ed, CBIS: [email protected]
Hollee Stamper, MSW, LSW, CBIS [email protected]