GLUCKSTEINP E R S O N A L I N J U R Y L A W Y E R S

&ASSOCIATESLLP

The ABI Journey: Pediatrics to Seniors

19th Annual Conference on Neurobehavioural

Rehabilitation in Acquired Brain Injury

May 10–11, 2012Hamilton Convention Centre

Hamilton, Ontario

2 The ABI Journey: Pediatrics to Seniors

Casual FridayShow your support for the Hamilton Health Sciences Rehabilitation Resource Centre and Camp Dawn by purchasing a $5.00 sticker and dress-ing casually on Friday May 11, 2012.

Convention Centre FacilitiesThe temperature varies from room to room. Please dress accordingly.

Caregiver sponsorships A limited number of caregiver spon-sorships are available. For informa-tion call Joyce Lambert at 905-521-2100 ext. 40833.

LiabilityHamilton Health Sciences hereby assumes no liability for any claims, personal injury, or damage:

• To any individual attending this conference.

Target AudienceThis conference will be of interest to ABI Rehabilitation Professionals, Psychologists, Physicians, Program Planners, Insurance and Legal Representatives and Advocates.

Attendance CertificatesConference attendance certificates will be placed in your delegate kit. Delegates are encouraged to review self-assessment guidelines issued by their professional college/associa-tion for continuing education credits or contact their professional college or association for further informa-tion.

Evaluation PrizesDelegates who complete an evalua-tion form will be eligible for a draw. The draws will occur during lunch and evening Reception.

• That may result from the use of technologies, program, products and/or services at this conference.

• That may arise out of, or during this conference.

For further information please contactJoyce Lambert

ABI Conference Regional Rehabilitation Centre, HHSLevel 1 North, Room B1-106F237 Barton Street EastHamilton, ON L8L 2X2

Phone 905-521-2100 ext. 40833 Email jlambert@hhsc.ca

Conference Goals• Explore and review the

latest ABI research and current directions in diagnosis and treatment of pediatrics, adults and seniors

• Examine innovations and approaches to assessment and treatment in brain injury across the lifespan

• Provide an opportunity to network, share experiences and cultivate partnerships

Gouws & Associatesp s y c h o l o g i s t s

and its Affiliate Division

HSIC Inc.Human & System Interface Consulting

PERSONAL INJURY LAWYERS

LLP

19th Annual Conference on Neurobehavioural Rehabilitation in Acquired Brain Injury May 10–11, 2012 3

Plen

ary

Sess

ions

Jacobus Donders PhD, ABPP Mary Free Bed Rehabilitation Hospital, Grand Rapids, MI

Traumatic Brain Injury Across the Age SpanThis discussion of traumatic brain inju-ry (TBI) at various points across a lifes-pan. Similarities as well as differences will be reviewed between causation and manifestation of TBI in children, young adults, and seniors. The impor-tance of confounding premorbid and comorbid factors will be described, with particular consideration of how demographic and psychological vari-ables may affect outcomes. Long-term outcome data with regard to injuries sustained earlier in life will also be highlighted. Specific vulnerabilities of those at both of the extreme ends of the age spectrum to sequelae of TBI will be illustrated.

Philip S. Fastenau Ph.D. Neurological Institute, University Hospital Case Medical Centre

Vulnerability of the Developing Brain to Concussion and Guidelines for Clinical Management of YouthGuidelines for concussion manage-ment have been developed based on research with young adults, but recent studies document slower recovery for children and adoles-cents. This session will review neu-robiological, cognitive, & behavioral changes associated with concussive injury and recovery and will summa-rize risk factors for prolonged recov-ery. Recent research will be summa-rized regarding greater vulnerability in younger brains. Implications for management with youth and recent guidelines will be presented and dis-cussed.

Brian Misiaszek MD, FRCPSC Chief of Geriatrics, Hamilton Health Sciences

ABI & Aging: Approaches Used in the Elderly PopulationThis presentation will discuss assess-ment and treatment modalities used with aging individuals who have suffered a brain injury. There will be a review of some of the medica-tions and treatment options that are unique to this population. The dif-ferences in approach when treating dementia versus brain injury will be discussed.

19th Annual Conference on Neurobehavioural Rehabilitation in Acquired Brain Injury

Plenary Sessions continued on page 4 ➢

The ABI Journey: Pediatrics to Seniors

4 The ABI Journey: Pediatrics to Seniors

Concurrent SessionsA1 Liana McLeod Research Assistant

Bruce Linder Ph.D., C. Psych Brain Injury Services

“Back to the Future” in Skill Training - Demonstrations of Effective Skill Training with Adults With ABI Using Direct Training TechniquesCommunity-based neurobehav-ioural rehabilitation has evolved from early stages in history of applied behaviour analysis (ABA) skill training techniques to a less struc-tured “apprenticeship” teaching model. Many agencies struggle with decisions about how much effort to commit to skill training. The appren-ticeship model often becomes the default choice. Clinical experience suggests that informal teaching is often ineffective and more time consuming. This presentation will provide case examples of successful

teaching using intensive ABA Direct Training Techniques.

A2 Denise Johnson RegPT, MCPA Hamilton Health Sciences

Standing Minimally Responsive Patients Across AgesThe use of supported standing with minimally responsive patients results in tremendous impact on their recovery.  What does the evidence suggest?  What is required to stand a  minimally responsive patient in a systematic and effective way?  Clinically we see improvements in level of alertness, head control, visual tracking, bowel and bladder as well as motivation.   It requires a lot of specialized equipment, staffing and time.  We need to offer patients best practices to optimize their recov-ery while using time and resources effectively.  In this session we will examine the effectiveness of sup-ported standing with ABI patients to determine if such a resource intensive practice is worthwhile.

Leslie Birkett B.Sc. OT, OT Reg. (Ont)

Jane Storrie Ph.D., C Psych Storrie, Velikonja and Associates

Meet Hope 10 Years OutTraditionally, a two year window of opportunity for recovery from brain injury is anticipated. Clinicians typi-cally view residual impairment as permanent. Recent research and experience, however, have dem-onstrated otherwise. We present a case in which a patient dramatically improved 10 years after a signifi-cant brain injury. Noting changes in awareness, cognitive flexibility and empathy. While our ideas regard-ing outcome clearly need to be re-evaluated, it is imperative to work towards the creation of funding models to ensure ABI patients the opportunity to recover to their full potential.

Maria Schultheis Ph.D. Drexel University, New Jersey

“Virtual Rehabilitation”: Unique Opportunities and ChallengesVirtual reality (VR) technology offers rehabilitation a unique opportunity to evaluate everyday functional activ-ities in an ecologically valid manner. VR applications are now being devel-oped and tested which focus on component cognitive processes (e.g. attention, memory) and functional behaviors (e.g. meal preparation, driving) . Findings from these studies provide support for the feasibility and potential value of VR. Yet, additional work remains to be done to success-fully transition VR rehabilitation appli-cations into the clinic. The current session will provide an overview of VR, discuss remaining considerations in the use of technology with clinical populations and present an example of current work with a Virtual Reality Driving Simulator (VRDS) to evaluate driving in neurological populations.

19th Annual Conference on Neurobehavioural Rehabilitation in Acquired Brain Injury May 10–11, 2012 5

A3 Bob Lomax Social Worker

Kelly Williston Wardell Occupational Therapist, SJHC, London Parkwood Hospital

Family Education Across the Lifespan Using OTNOngoing education for people with an ABI is an important issue over their lifetime, as recovery is a lifelong pro-cess. Access to education is necessary even when survivors no longer have access to rehabilitation services/pro-fessionals, or were never able to access them. In this spirit, Parkwood Hospital hosts an 8-week Survivor and Family Education Series that is videocon-ferenced and webcast through the Ontario Telemedicine Network (OTN) to various locations within the region. Speakers include survivors and clini-cians, who speak about many recov-ery issues across the life span for survi-vors (ages 16 to 70+) and their families and friends.

A4 Philip S. Fastenau Ph.D Neurological Institute, University Hospital Case Medical Centre

Case Studies in Child & Adolescent Concussion ManagementChildren and adolescents are at great-er risk for prolonged recovery from concussion, and lifestyle changes fol-lowing injury can be critical to achiev-ing a steady and full recovery. Specific principles and strategies for manage-ment of concussion in younger indi-viduals will be presented and will be illustrated by a series of case studies.

B1 Rebecca Bond B.A, B.Ed Gene Uchida B.Comm. B.Ed. Gary Blake B.A. (Psych)

Hamilton Health Sciences

The Never-Ending Call Bell & the World’s Longest Shift: A Way of Dealing with Difficult to Manage Behaviours in Long-Term and Other Residential Care FacilitiesFollowing brain injury, survivors in Ontario can come to reside in facili-

ties with care providers having little or no experience in ABI or behav-ioural management techniques.

If left without intervention, behav-ioural difficulties following ABI can escalate, leading to discharges and evictions. This can leave the survivor of brain injury homeless and at risk.

Care providers are interested and able to learn. Helping them under-stand the variables associated with certain behaviours, and the proce-dures for management, can stabilize a brain injured individual in his or her environment resulting in fewer potential crises in the community.

B2 Judith Gargaro Research Coordinator, Toronto Rehab and West Park Healthcare Centre

Kathryn Boschen Research Scientist, University of Toronto

Using Peer Support Mentoring to Support Persons with ABI and their Families in the Community

An external evaluation of a recent-ly-implemented telephone-based

Concurrent Sessions continued on page 8 ➢

Peer Support Mentoring Program for all ages was conducted. The psychological and social effects of ABI typically do not manifest until discharge into the community, and often remain for years post-injury. Mentors and their matched part-ners separately completed a series of study-specific telephone ques-tionnaires at intake, the start of their partnership and at its completion. Data from 120 successfully complet-ed partnerships was collected. Gains were seen in mood, confidence and community integration. Participants viewed the Program as meeting a need for lifelong support, and gains were observed in both partners and mentors.

6 The ABI Journey: Pediatrics to Seniors

Thursday, May 10th7:45–8:30 Registration & Continental Breakfast

8:30–8:45 Announcements Welcome

Murray Martin, Jennifer KodisJohn Zsofcsin

8:45–9:30 Survivor’s Perspective Jim Flood

9:30–10:30 Traumatic Brain Injury Across the Age Span Jacobus Donders

10:30–11:00 Refreshment Break & Poster Presentations

11:00–12:00 Vulnerability of the Developing Brain to Concussion and Guidelines for Clinical Management of Youth Philip S. Fastenau

12:00–1:15 Lunch & Poster Presentations

1:15–2:15 “Virtual Rehabilitation”: Unique Opportunities and Challenges Maria Schultheis

2:30–3:30 ConcurrentSessionsA(SelectOne)A1 “Back to the Future” in Skill Training – Demonstrations of Effective Skill Training with Adults

with ABI Using Direct Training TechniquesLiana McLeod Bruce Linder

A2 Standing Minimally Responsive Patients Across Ages Denise Johnson

A3 Family Education Across the Lifespan Using OTN Bob Lomax, Kelly Williston Wardell

A4 Case Studies in Child & Adolescent Concussion Management Philip S. Fastenau

3:30–4:00 Refreshment Break & Poster Presentations

4:00–5:00 ConcurrentSessionsB(SelectOne)B1 The Never-Ending Call Bell & the World’s Longest Shift: A Way of Dealing with Difficult

to Manage Behaviours in Long-Term and Other Residential Care Facilities Gary Blake, Gene Uchida, Rebecca Bond

B2 Using Peer Support Mentoring to Support Persons with ABI and their Families in the Community Judith Gargaro, Kathryn Boschen

B3 Concussion in Sport Janice Harvey, Colleen Cupido

5:00 Cocktail Reception & Band

19th Annual Conference on Neurobehavioural Rehabilitation in Acquired Brain Injury May 10–11, 2012 7

Friday, May 11th7:45–8:45 Buffet Breakfast & Announcements

8:45–9:45 ABI & Aging: Approaches used in the Elderly Population Brian Misiaszek

9:45–10:45 Meet Hope 10 years Out: Looking at a Model for Treatment Success Several Years Post-Injury Leslie Birkett, Jane Storrie

10:45–11:15 Refreshment Break & Poster Presentations

11:15–12:15 ConcurrentSessionsC(SelectOne)C1 Expectations and Realities: Lifespan Issues Following Brain Injury Rolf B. Gainer

C2 Cogmed Working Memory Training John Cole

C3 Assessing Client Risk for Adults with ABI – The Development and Validation of a Risk Assessment Scale at Brain Injury Services

Vlad Bartchouk, Bruce Linder

12:15 Farewell Lunch

We Thank All of our Sponsors for their Generous Support

PlatinumGluckstein and Associates

Himelfarb Proszanski

MacDonald & Swan

Oatley, Vigmond Law office

Ross and McBride

Thomson Rogers

GoldAlert/Best Nursing and Home Care

Bayshore Home Health

Gouws and Associates/HSIC Inc.

Howie, Sacks and Henry, LLP

McLeish Orlando

Paquette Travers and Deutschmann

SilverMichael Lamont

Mackesy Syme

Alan Wynperle

BronzeABI Community Services

Bartimaeus

Bronze (cont’d)Neurologic Rehabilitation Institute of Ontario

Brenda Power OT

Gifts in KindLisa KeithSp

onso

rs

8 The ABI Journey: Pediatrics to Seniors

B3 Janice Harvey MD, FCFP, Dip Sports Med

Colleen Cupido B.P.E., BHScPT, Sport Cert., MSc (Kin) McMaster University, David Braley Centre

Concussion in SportThis presentation will provide an overview of Sport Concussions including injury definition and clas-sification system, assessment tools commonly used in sport, ImPACT testing, concussion management, graded exertion protocol and return to play guidelines. We will also pro-vide a brief introduction to the David Braley Sport Medicine and Rehabilitation Centre at McMaster University and discuss the resources available to community patients.

C1 Rolf B. Gainer Ph.D. Neurologic Rehabilitation Institute of Ontario

Expectations and Realities: Lifespan Issues Following Brain InjuryBrain injury creates a lifetime of dis-ability for the person but also affects others in their life. As more individu-als enter into the ranks of those living with severe disabilities caused by ABI, we are better able to understand the convergence between brain injury disability and the accelerated conse-quences of aging. These life processes include: social role return; maintain-ing independence; family life and returning to valued activities. Growing old with severe disabilities involves the early onset of health problems which are furthered by disparities in healthcare resources and access to them. The role of the caregiver is an important aspect in the lifespan issues which confront the person and their desire to maintain independence. The consequences of aging with a brain injury require significant management

of resources, many of which include the caregiver and social networks.

C2 John Cole Ph.D, C Psych

Steve Jett Ph.D, C Psych Cambridge Psychology Centre

Cogmed Working Memory TrainingCogmed Working Memory Training is an engaging, home computer-based training program. It is brief (5 weeks), yet it yields results that show stability and even improvement in memory (verbal, visuospatial, short term, and working memory) at completion, at 3-6 months follow-up and beyond . Cogmed has been applied with ADD/ADHD children, ABI patients, pediat-ric brain cancer survivors, and other groups. Different modules have been designed to be used by pre-school children, school aged children, and adults. The presenters will outline the theory and research behind the Cogmed Program and discuss its application with ABI survivors across the lifespan.

C3 Vlad Bartchouk Brain Injury Services Bruce Linder Ph.D., C. Psych, Brain Injury

Services

Assessing Client Risk for Adults with ABI. The Development and Validation of a Risk Assessment Scale at Brain Injury Services

Despite concerns about client risk in community agencies that service adults with ABI, there are no known published standardized assessment tools which can be used to deter-mine risk for individual clients. This talk will present the development and validation of a staff rating scale for levels of risk and levels of severity in such areas of relevant risk as falls, skin, health, behaviours, skills, mental health, addictions, and vulnerability.

Delegate Registration

Name

Profession

Agency or Organization (please specify)

Address

City

Bus. phone

E-mail

Postal/Zip

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ext.

I CONSENT to having my name appear on a published registrant list YES NO

PaymentPlease make cheque payable (in Canadian funds) to Hamilton Health Sciences – ABI Conferenceand return your completed form(s) with your cheque to:

Joyce Lambert

ABI Conference Regional Rehabilitation Centre Level 1 North, Room B1-106F 237 Barton Street East Hamilton, ON L8L 2X2

Delegate Registration FeeEarlyRegistrationon or before April 13, 2012

Single $325

3 or more $300 ea

Caregivers or Full-time student $150

GroupRate: A minimum of three registrations received together from the same organization is required. Subtract $25 from each registration.

Registration after April 13, 2012

Single $400

3 or more $375 ea

Caregivers or Full-time student $150

Confirmation of registrationA written acknowledgement of your registration will not be sent to registrants prior to the event. Receipts will be provided in your registrant package.

Registration includes breakfasts, lunches, refreshment breaks, reception (excluding beverages) and delegate kits.

Concurrent Session SelectionIwillattend (please circle):

Session A1 A2 A3 A4

Session B1 B2 B3

Session C1 C2 C3

Please indicate any dietary limitations:

For further information contactJoyce Lambert 905-521-2100 ext. 40833 jlambert@hhsc.ca

✃

Exhibitor Registration

Name

Organization

Address

City

Bus. phone

E-mail

Postal/Zip

Fax

Prov./State

ext.

Exhibitor Registration FeeEarlyRegistration $750 Postmarked on or before April 13, 2012

Registration $850 After April 13, 2012

Exhibitor Requirements I will require a table

I will require an electrical outlet

Exhibitor Registration includes a display area and registration for one exhibitor.

Send your completed registration to: Joyce Lambert

ABI Conference Regional Rehabilitation Centre Level 1 North, Room B1-106F 237 Barton Street East Hamilton, ON L8L 2X2

Phone 905-521-2100 ext. 40833

Email jlambert@hhsc.ca

Cancellation policyHamilton Health Sciences reserves the right to cancel this event due to insufficient registration or circumstanc-es beyond our control. Cancellations received before April 23, 2012 will be refunded. No refunds will be issued for cancellations received after this date.

Exhibit spaceExhibitor space is available to agencies who wish to share information about their programs at the conference. Display area includes: an 8’x10’ space; draped table; one chair. The exhibitor’s room has limited provision for electrical outlets. The Exhibitor Registration includes a display area and one registration for the exhibitor. To reserve exhibit space, please complete the Exhibit Space form. Your space is confirmed upon receipt of the completed form. Exhibit setup time for the conference is from 06:00–07:45 a.m. on May 10th 2012. Removal time is from 2:00–2:30 p.m. on May 11th 2012. For further information:

Joyce Lambert 905-521-2100 ext. 40833 jlambert@hhsc.ca

✃

Driving Instructions

From London and BeyondFollow the 401 East to Toronto. Take Exit 235 and merge onto Hwy 403 East to Brantford/Hamilton. Exit at Hwy 8 East/Main Street in Hamilton. Follow Main Street to Summers Lane. Turn left on Summers Lane. The Hamilton Convention Centre will be on your right hand side. Underground parking is on the left hand side.

From Toronto and BeyondTake the QEW West to HWY 403 Hamilton. Exit at Hwy 8 East/Main Street exit in Hamilton. Follow Main Street to Summers Lane. Turn Left on Summers Lane. The Hamilton Convention Centre will be on your right hand side. Underground park-ing is on the left hand side.

From Niagara Falls and BeyondTake the QEW West to Hamilton. Take Exit 89 Burlington Street. Turn left at Wellington Street. Turn right at King Street. Turn left at Caroline Street. Turn left on to Main St. Follow Main Street to Summers Lane. Turn Left on Summers Lane. The Hamilton Convention Centre will be on your right hand side. Underground parking is on the left hand side.

1 Hamilton Convention Centre

2 Hamilton Place

3 City Hall

4 Sheraton Hotel

5 Copps Coliseum

6 Central Library

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AccommodationsThere are several hotels within walking distance or a short drive of the confer-ence site. Please call the hotels directly for conference rates:*

• SheratonHotel* 116 King Street West 905-529-5515 or 1-800-514-7101

• CourtyardbyMarriottHamilton 1224 Upper James Street 905-383-7772

*A limited number of rooms have been block booked at the conference rate and are available on a first come first served basis until April 2, 2012.

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GLUCKSTEINP E R S O N A L I N J U R Y L A W Y E R S

&ASSOCIATESLLP

The ABI Journey:Pediatrics to Seniors

Thank you to our Platinum and Gold Sponsors

Platinum Sponsors

Gold Sponsors

Gouws & Associatesp s y c h o l o g i s t s

and its Affiliate Division

HSIC Inc.Human & System Interface Consulting

PERSONAL INJURY LAWYERS

LLP