0. 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

2. March 2014

3. 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

4. Today’s Objectives
Learn how team approach can support vocational rehabilitation
Examine case studies of successful volunteer and vocational placements

5. 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

6. Brief Introduction to Brain Injury

7. Attention Types of Attention: Selective Attention Divided Attention
Alternating Attention
Sustained Attention

8. Memory
Stages:
Encoding
Storage
Retrieval

9. 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.

10. Novel Problem-Solving Strategies
Define Problem
• Identify Possible Solutions
• Decide on Solution
Implement
Evaluate

11. Interpersonal Skills Individuals May Encounter Difficulties with
Interpersonal Skills Due to:
Limited Self-Awareness
Poor Impulse-Control
Cognitive Inflexibility \

12. Team Approaches to Support Vocational Success
Interdisciplinary
Transdisciplinary

13. Case Study: AB Female 46 Years Old Strengths Challenges
Willingness to work Memory
Participates in therapies Ataxia

14. Division of Vocational Rehabilitation Services (DVRS)

15. Case Study: CD Female 50 years old Strengths Challenges
Eagerness to Return to Work Memory
Participates in Treatment Attention

16. 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

17. Case Study: EF Female 30 years old Pet Sales Associate
Strengths Challenges
Strong Work Ethic Emotional Regulation
Strong Family Commitment Interpersonal Skills

18. Case Study: EF
Challenge Maintaining Professional Boundaries Strategies Define Boundaries Role-Playing Social Scripts

19. Case Study: EF Challenges Strategies Non-Verbal Communication
Engaging in Reciprocal Conversation
Strategies
Role-Playing
Natural Supports

20. Case Study: GH Male 56 Years Old Strength Challenge
Visual-Spatial Skills Frustration Tolerance

21. Resources to Support Vocational Success

22. BIAA: Brain Injury Association of America
Can give information on resources available in your state
BIAA: Brain Injury Association of America

23. Find Your State Brain Injury Association
Website Link:

24. Video Link :http://www.chooseworkttw.net/about/index.html
Ticket to Work
Video Link :

25. Veteran Affairs Resources
Employment Services
Education and Training
Disability Compensation

26. Additional Resources Volunteer opportunities within organization
Volunteer opportunities in the community
Transitional or therapeutic employment opportunities

27. Conclusion: Transdisciplinary Team/Interdisciplinary
Challenges to overcome
Resources

28. Questions?
Jeffrey Noonan, M.Ed, CBIS: Hollee Stamper, MSW, LSW, CBIS