TBI Info Session & - PowerPoint Presentation

TBI Info Session & Panel Discussion 3/20/17 UCCS Office of Veteran and Military Student Affairs & HealthCircle Veterans Health and Trauma Clinic

Introductions Liz Gerdeman, Brain Injury Alliance of ColoradoRobin Wininger, The Defense and Veteran Brain Injury CenterKristin Samuelson, UCCS Assistant Professor Lisa Barker, UCCS Veterans Health and Trauma ClinicJorge Arredondo, State Veteran Service OfficerSusan Holmes, Operation TBI FreedomIda Dilwood, UCCS Disability Services OVMSA & VHTC

What is a TBI? “An alteration in brain function, or other evidence of brain pathology, caused by an external force ” (Menon et al., 2010, p. 1638; Common Data Elements for research on TBI and Psychological Health)

Is a Concussion the same thing as a TBI? TBIs are described as Mild, Moderate, or SevereMost clinicians consider concussions to be very mild TBIs. Some use the terms “concussion” and “mild TBI” interchangeably.

Children 0 to 4 years, older adolescents aged 15 to 19 years, and adults 65 years+ are most at risk Over 75% are mild TBI Males are almost twice as likely to sustain a TBI as femalesFalls are the leading cause of TBIs in the United States (globally, motor vehicle accidents are #1) National TBI Statistics In 2010, 2.5 million TBIs occurred in the U.S. Data from the Centers for Disease Control and Prevention

Analysis by CB Eagye and Gale Whiteneck, PhD, at Craig Hospital of the Colorado Lifetime TBI and Associated Outcomes Prevalence Study (1) Whiteneck G, Cuthbert J, Corrigan J, Bogner J. Prevalence of Self-Reported Lifetime History of Traumatic Brain Injury and Associated Disability: A Statewide Population-Based Survey. J Head Trauma Rehabil. 2016 Jan/Feb;31(1):E55-E62 and (2) Whiteneck G, Cuthbert J, Corrigan J, Bogner J. Risk of Negative Outcomes After Traumatic Brain Injury: A Statewide Population-Based Survey, J Head Trauma Rehabil. 2016 Jan/Feb;31(1):E43-E54

Analysis by CB Eagye and Gale Whiteneck, PhD, at Craig Hospital of the Colorado Lifetime TBI and Associated Outcomes Prevalence Study (1) Whiteneck G, Cuthbert J, Corrigan J, Bogner J. Prevalence of Self-Reported Lifetime History of Traumatic Brain Injury and Associated Disability: A Statewide Population-Based Survey. J Head Trauma Rehabil. 2016 Jan/Feb;31(1):E55-E62 and (2) Whiteneck G, Cuthbert J, Corrigan J, Bogner J. Risk of Negative Outcomes After Traumatic Brain Injury: A Statewide Population-Based Survey, J Head Trauma Rehabil. 2016 Jan/Feb;31(1):E43-E54

Analysis by CB Eagye and Gale Whiteneck, PhD, at Craig Hospital of the Colorado Lifetime TBI and Associated Outcomes Prevalence Study (1) Whiteneck G, Cuthbert J, Corrigan J, Bogner J. Prevalence of Self-Reported Lifetime History of Traumatic Brain Injury and Associated Disability: A Statewide Population-Based Survey. J Head Trauma Rehabil. 2016 Jan/Feb;31(1):E55-E62 and (2) Whiteneck G, Cuthbert J, Corrigan J, Bogner J. Risk of Negative Outcomes After Traumatic Brain Injury: A Statewide Population-Based Survey, J Head Trauma Rehabil. 2016 Jan/Feb;31(1):E43-E54

Funds from surcharges on convictions of speeding tickets, DUI, DWAI, & the children’s helmet law Education Grants Research Grants Services CO Department of Human Services Case management for youth & adults with brain injury Specialized support & consultation about school-related issues for children/youth with brain injury Brain injury specific classes and workshops Trainings to community providers about brain injury and resources BIAColorado.org 303.355.9969

The Defense and Veterans Brain Injury Centerthe primary operational TBI component of the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury Robin Wininger, MS, CBIS Regional Education Coordinator robin.r.wininger.ctr@mail.mil 719-526-8636

These three pillars illustrate the many ways DVBIC supports Service members, veterans, families and providers at our 16 network sites, which can be military treatment facilities, VA medical centers, or in community settings . Serving Those Who Have Served Research Clinical Investigations Congressionally Mandated Studies Epidemiological Research Statistical Analysis Translation of Research Program Evaluation Clinical Affairs Care & Consultation Identification & Sharing Best Practices Clinical Guidelines & Recommendations TBI Surveillance Regional Care Coordination TBI Health Outcomes Education Educational Tools & Resource Development TBI Awareness & Training Product Distribution & Dissemination Family Caregiver Program Regional Education Coordination 12

Common mTBI Signs and Symptoms “Medically Ready Force…Ready Medical Force” 13 For most people, most concussion symptoms resolve within days or weeks .

TBI and Co-morbid Conditions “Medically Ready Force…Ready Medical Force” 14 “If you’ve seen one TBI, you’ve only seen one TBI” Yesterday’s Understanding Today’s Understanding Source: Defense Health Agency 2015 DCoE Summit

TBI Recovery Support Program Nationwide network of Recovery Support Specialists TBI expertise, resources and support for military and veterans Assists clients as they negotiate through complex systems of care Return to duty or transition to civilian life “Medically Ready Force…Ready Medical Force” 15 Eligibility: Service members (including National Guard and reservists) or veterans who have sustained a TBI, their family members or caregivers The program provides: Support, education, advocacy, and advice Tracking of symptoms, monitoring of treatment compliance and outcomes Connection to TBI and psychological health services Up to 24 months’ follow-up care

Treatments for TBI Initial Treatment depends on severity of injury. Post-acute treatment is best addressed in a multi-disciplinary setting (for moderately to severely injured individuals)Post-acute treatment of mild injuries is often symptom based.

Presenter: Susan Holmes, Program Manager Presentation for: UCCS TBI Info Session Date: 20 MAR 2017

Program Overview Privately funded program began in 2008, with services provided statewide for a individually tailored program. Since 2008, served approximately 1,700 Service Members and Veterans and over 5,000 families and community partners/care teams. Services provided by Military Support Specialists, who are Veterans and certified brain injury specialists. Eligibility Criteria: Served in any branch/component of the military at least one day on or after 11 SEP 2001. Active Duty Service Members and Veterans residing in Colorado. Evidence or history of Traumatic Brain Injury. TBI must have occurred after start of military service, whether active, Reserve or Veteran status.

Program Services Comprehensive Non-Clinical Case Management Crisis Management Benefits Assistance & Navigation (Governmental, Non-Governmental Agencies, DoD & VA) Medical and Mental Health Resources and Referrals Emergency Financial Assistance Assistive Technology Support Employment & Education Counseling, Programming & Referrals Coordination of Volunteer & Recreational Therapy Opportunities Outreach/Community Partnerships and Collaboration Peer Support and Mentorship: Operation Phoenix Recovery (Combat Veteran Peer Mentor Group ) Support For Support (S4S) Caregiver Group Training & Education Synchronized and Vetted Communication with Military/VA

Fred Hinton, Eligibility Specialist (303) 789-8836 fhinton@craighospital.org Susan Holmes , Program Manager (303) 789-8835 sholmes@craighospital.org 24 S. Weber Street | Suite 200 | Colorado Springs, CO 80903 P: (855) 355-6824 | F: (719) 358-6009Email: OTF@craighospital.org Website: www.operationtbifreedom.orgLike us on Facebook.com/operationtbifreedom Program Contact Information

How can a history of TBI affect my Education? Ida Dilwood, MPADirector, UCCS Disability ServicesMain Hall – 105 719 255-3653 or 719 255-3354 idilwood@uccs.edu

Student Growth

Our Intake Process Student Self Identifies Meets with Accommodation Coordinator for intake interviewDocumentation Reviewed Accommodations are determined Interactive Process: Faculty, Student, DS Faculty Accommodation Letters provided to student electronically Continuous support for student/faculty provided by Disability Services

Research Opportunities For individuals who are experiencing memory problems due to concussion/TBI or PTSD, research opportunities are available. Please contact Kristi Samuelson-- ksamuel3@uccs.edu or brainrx@uccs.edu

Other panel contacts: Jorge ArredondoVeteran Service Officer1355 S. Colorado Blvd., Building C, Suite 113 Denver, Colorado 80222 303-284-6077303-284-3163 fax

How can a Neuropsychologist help if you’ve had a concussion or TBI? Sometimes individuals who have experienced a concussion or TBI report problems remembering, slowed thinking, or difficulty paying attention.A Neuropsychologist is trained to look closely at your medical history and symptoms; and administer tests to look at memory, attention, and other aspects of your thinking. They put all this information together in a report and make recommendations about what kind of treatment you might need, and which services might be most helpful to you.

For Concussion/TBI or Neuropsychological Screenings Neuropsychological screenings for current Veteran or Active Military students at UCCS or PPCC are offered at the Veterans Health and Trauma Clinic. This service may be offered at no cost to you. At your request, your test results can be shared with other service providers (such as UCCS Disabilities Services) to provide the documentation you need for academic accommodations.More comprehensive neuropsychological evaluation are also available at the VHTC. Cost may be covered by your insurance, copay may apply. Sponsored by the Military and Veterans Pathways to Success (MVPS) program funded by The Anschutz Foundation.   For more information, or to schedule an evaluation, please contact the Veterans Health and Trauma Clinic, 719 255-8003; fax: 719 255-8075 . Contact is Lisa Barker, Ph.D.