Hollee Stamper, MSW, LSW, CBIS Jeff Noonan, M.Ed.,CBIS 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 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.gov

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 Strategies Non-Verbal Communication Engaging in Reciprocal Conversation Strategies Role-Playing Natural Supports

Case Study: GH Male 56 Years Old Strength Challenge Visual-Spatial Skills 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 BIAA: Brain Injury Association of America

Find Your State Brain Injury Association Website Link: http://www.biausa.org/state-affiliates.htm

Video Link :http://www.chooseworkttw.net/about/index.html 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: Jeffrey.Noonan@bancroft.org Hollee Stamper, MSW, LSW, CBIS Hollee.Stamper@bancroft.org