1. Youth with Brain Injury Project presented by: William D. Brock, PhD

2.  2009 the Department of Juvenile Justice entered into the Commonwealth Neurotrauma Initative, Youth with Brain Injury Project.  Championed by Delegate Scott, this was a multi-agency effort that included:  Department of Juvenile Justice  Virginia Commonwealth University  Department of Correctional Education  Department of Aging and Rehabilitative Services  Brain Injury Association of Virginia  Department of Education

3. 1) Create a standardized assessment protocol to identify youth with brain injury. 2) Study the prevalence of brain injury among youth committed to the DJJ.

4.  VCU Brain Injury Screening Tool

6.  Medical Record Review

8.  VCU Brain Injury Screening Tool  Medical Record Review  Neuropsychological Testing  Symbol Digit Modalities Test

9.  Neuropsychological Testing  Symbol Digit Modalities Test

10.  VCU Brain Injury Screening Tool  Medical Record Review  Neuropsychological Testing  Symbol Digit Modalities Test  Trail Making Test ( Parts A & B)

11.  Neuropsychological Testing  Trail Making Test ( Part A)

12.  Neuropsychological Testing  Trail Making (Part B)

13.  VCU Brain Injury Screening Tool  Medical Record Review  Neuropsychological Testing  Symbol Digit Modalities Test  Trail Making Test ( Parts A & B)  Rey Complex Figure Test (Copy & Recall)

14.  Neuropsychological Testing  Rey Complex Figure Test (Copy & Recall)

15.  VCU Brain Injury Screening Tool  Medical Record Review  Neuropsychological Testing  Symbol Digit Modalities Test  Neuropsychological Testing  Trail Making Test ( Parts A & B)  Rey Complex Figure Test (Copy & Recall)  Rey Auditory Learning Test

16.  Neuropsychological Testing  Rey Auditory Learning Test

17.  1,310 Juveniles evaluated (92% male)

18.  Hit or Hurt Head? - 52.5%  Of This 52.5%  Felt Dazed or confused? - 70%  Experienced Headaches? - 68%  Lost Consciousness? - 29%  Memory Problems? - 27%  Poor Frustration Tolerance?- 25%  Concentration Problems?- 21%

19.  Incidents of Hypoxia - 17%  Prenatal Drug/Alcohol Exposure - 13%  Other Perinatal Trauma - 11%

20.  Clinician Conclusion that Testing was Suggestive of Brain Injury 35.7% of youth tested

21.  Medical Record Indicates History of:  Hypoxia - 28.6%  Prenatal Drug/Alcohol Exposure - 43.7%  Other Perinatal Trauma - 44.8%

22.  Positive Findings for Both Testing Indicators Suggestive of Brain Injury and/or Prenatal Drug/Alcohol Exposure were Positively Correlated With Higher Rates of Institutional Offenses

23.  Inform Treatment Services  Inform Educational Services  Staff Training  Brain Injury Education Videos courtesy of The Brain Injury Association of Virginia: Introduction to Brain Injury Behavioral Implications and Strategies Project Overview