1. Functional Cognitive Rehabilitation Hollee Stamper, MSW, LSW, CBIS Jeff Noonan, M.Ed.,CBIS

2. Bancroft provides opportunities to children and adults with diverse challenges to maximize their potential. Our New Core Values! Accountable * Results-driven * Respectful * Innovative A community where every individual has a voice, a purpose and a rightful place in society. Our Vision Our Mission

3. Today’s Objectives 1. Describe the role of assessment in functional cognitive rehabilitation. 2. Explain the importance of real life goals and real world settings in cognitive rehabilitation. 3. Learn about the interface of technology and functional cognitive rehabilitation.

4. 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

5. Brief Introduction to Brain Injury

6. Cognitive Challenges

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

8. Memory Stages: Encoding Storage Retrieval

9. Objectives 1. Describe the role of assessment in functional cognitive rehabilitation.

10. Mayo-Portland Adaptability Inventory (MPAI-4) Table 1: MPAI-4 Items by subscales Ability IndexAdjustment IndexParticipation Index Mobility Use of Hands Vision Audition Motor Speech Communication Attention/Concentration Memory Fund of Information Novel problem-solving Visuospatial Abilities Dizziness Anxiety Depression Irritability, anger, aggression Pain and headache Fatigue Sensitivity to mild symptoms Inappropriate social interaction Impaired self-awareness Family/significant relationships Initiation Social contact Leisure/recreation Initiation Social contact Leisure/recreational activities Self-care Residence Transportation Work/school Money management

11. Neuropsychological Screenings Evaluate cognitive, motor and behavioral abilities Provide information on deficits and strengths Assist with developing effective treatment plans

12. Texas Functional Living Scale

13. Compensatory Strategies in Cognitive Rehabilitation

14. Objectives 2.Explain the importance of real life goals and real world settings in cognitive rehabilitation.

15. Case Study: AB Money-Management

16. 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.

17. Case Study AB: Money-Management Cognitive and emotional factors impacting money-management Cognitive and emotional factors impacting money-management: Inability to Identify Needs vs. Wants Poor Impulse Control Emotional Regulation Struggles

18. Functional Cognitive Therapy in Practice Evaluate cognitive impairments Identify impact of impairments in daily functioning Develop treatment goals Implement treatment plan

19. “ Train and Place” vs. “Place and Train” Train and Place lacks integration of real life settings Typically used in educational systems Requires generalization of skills

20. The Importance of Place and Train in Brain Injury Incorporates real life settings Eliminates generalization of skills Builds natural supports

21. Case Study: CD Meal Preparation Initiation Sequencing Memory Organization

22. Self-Medication Trials Functional Assessments Assess Safety Evaluate Medication Adherence Awareness of Medical Conditions

23. Objectives 3. Learn about the interface of technology in functional cognitive rehabilitation.

24. Technology and Rehabilitation Compensatory Strategies with Technology: -Electronic Calendars -Checklist Applications -Alarms/Alerts -Digital Clocks -

25. Electronic Devices Cell phones/Smartphones Tablets/iPads Laptops Desktops

26. Applications and Rehabilitation Applications can be used on smart devices to help people compensate for deficits in: Memory Initiation/Orientation Money Management

27. Money-Management Applications Mint Expense IQ Money Manager Checkbook Register IDEAL Currency Identifier

28. Medication Management Application MedCoach Medication Reminder By Great Call, Inc.

29. THANK YOU

30. Questions? Jeffrey Noonan, M.Ed, CBIS: Jeffrey.Noonan@bancroft.org Jeffrey.Noonan@bancroft.org Hollee Stamper, MSW, LSW, CBIS Hollee.Stamper@bancroft.org