Discussion 32017 UCCS Office of Veteran and Military Student Affairs amp HealthCircle Veterans Health and Trauma Clinic Introductions Liz Gerdeman Brain Injury Alliance of Colorado Robin Wininger ID: 760851
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TBI Info Session & Panel Discussion 3/20/17
UCCS Office of Veteran and Military Student Affairs & HealthCircle Veterans Health and Trauma Clinic
Slide2Introductions
Liz Gerdeman, Brain Injury Alliance of ColoradoRobin Wininger, The Defense and Veteran Brain Injury CenterKristin Samuelson, UCCS Assistant ProfessorLisa Barker, UCCS Veterans Health and Trauma ClinicJorge Arredondo, State Veteran Service OfficerSusan Holmes, Operation TBI FreedomIda Dilwood, UCCS Disability Services
OVMSA & VHTC
Slide3What 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)
Slide4Is 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.
Slide5Children 0 to 4 years, older adolescents aged 15 to 19 years, and adults 65 years+ are most at riskOver 75% are mild TBIMales 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
Slide6Analysis 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
Slide7Analysis 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
Slide8Analysis 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
Slide9Slide10Funds 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 injurySpecialized support & consultation about school-related issues for children/youth with brain injuryBrain injury specific classes and workshops Trainings to community providers about brain injury and resources
BIAColorado.org
303.355.9969
Slide11The 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 ResearchStatistical AnalysisTranslation of Research Program Evaluation
Clinical Affairs
Care & ConsultationIdentification & Sharing Best PracticesClinical Guidelines & RecommendationsTBI SurveillanceRegional Care CoordinationTBI Health Outcomes
Education
Educational Tools & Resource Development TBI Awareness & TrainingProduct Distribution & DisseminationFamily Caregiver ProgramRegional Education Coordination
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Slide13Common mTBI Signs and Symptoms
“Medically Ready Force…Ready Medical Force”
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For most people, most concussion symptoms resolve within days or weeks
.
Slide14TBI and Co-morbid Conditions
“Medically Ready Force…Ready Medical Force”
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“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
Slide15TBI Recovery Support Program
Nationwide network of Recovery Support SpecialistsTBI expertise, resources and support for military and veterans Assists clients as they negotiate through complex systems of careReturn to duty or transition to civilian life
“Medically Ready Force…Ready Medical Force”
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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 adviceTracking of symptoms, monitoring of treatment compliance and outcomesConnection to TBI and psychological health servicesUp to 24 months’ follow-up care
Slide16Treatments 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.
Slide17Presenter: Susan Holmes, Program Manager
Presentation for: UCCS TBI Info Session
Date: 20 MAR 2017
Slide18Program 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.
Slide19Program Services
Comprehensive Non-Clinical Case ManagementCrisis ManagementBenefits Assistance & Navigation (Governmental, Non-Governmental Agencies, DoD & VA)Medical and Mental Health Resources and ReferralsEmergency Financial AssistanceAssistive Technology SupportEmployment & Education Counseling, Programming & Referrals
Coordination of Volunteer & Recreational Therapy OpportunitiesOutreach/Community Partnerships and CollaborationPeer Support and Mentorship:Operation Phoenix Recovery (Combat Veteran Peer Mentor Group)Support For Support (S4S) Caregiver GroupTraining & Education Synchronized and Vetted Communication with Military/VA
Slide20Fred Hinton, Eligibility Specialist(303) 789-8836fhinton@craighospital.orgSusan Holmes, Program Manager(303) 789-8835sholmes@craighospital.org24 S. Weber Street | Suite 200 | Colorado Springs, CO 80903P: (855) 355-6824 | F: (719) 358-6009Email: OTF@craighospital.orgWebsite: www.operationtbifreedom.orgLike us on Facebook.com/operationtbifreedom
Program Contact Information
Slide21How can a history of TBI affect my Education?
Ida Dilwood, MPADirector, UCCS Disability ServicesMain Hall – 105719 255-3653 or 719 255-3354idilwood@uccs.edu
Slide22Student Growth
Slide23Our Intake Process
Student Self Identifies
Meets with Accommodation Coordinator for intake interview
Documentation 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
Slide24Research 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
Slide25Other panel contacts:
Jorge Arredondo
Veteran Service Officer
1355 S. Colorado Blvd.,
Building C, Suite 113
Denver, Colorado 80222
303-284-6077
303-284-3163 fax
Slide26How 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.
Slide27For 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.
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