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Traumatic Brain Injury Part III -Interview with Don Mickey, Charles Degeneffe, & Jim Amell

Traumatic Brain Injury Part III -Interview with Don Mickey, Charles Degeneffe, & Jim Amell. University of Wisconsin-Madison Social Work 644. Challenges Across the Life Span. Realization of injury’s impact TBI as a hidden disability Children Fitting in. Challenges Across the Life Span (2).

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Traumatic Brain Injury Part III -Interview with Don Mickey, Charles Degeneffe, & Jim Amell

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  1. Traumatic Brain Injury Part III -Interview with Don Mickey, Charles Degeneffe, & Jim Amell University of Wisconsin-Madison Social Work 644

  2. Challenges Across the Life Span • Realization of injury’s impact • TBI as a hidden disability • Children • Fitting in

  3. Challenges Across the Life Span (2) • TBI as a hidden disability (cont.) • Adolescents • Return to classroom • Adults • Physical appearance • Return to previous role(s)

  4. Workers’ Skills and Knowledge Competencies • Acknowledgement of injured person’s prior life • Understanding of organically-based behavior • Understanding of nature and differential impact of injury • Family involvement

  5. Community Resources • Contingent on region or community • U.S. Brain Injury Association • Funding programs – Brain Treatment Waiver (WI) • Neuropsychologists who specialize

  6. Cross-State Differences in Community Resources • WI v. CA: difference in state infrastructure • NM – money allocation • Brain Injury Association as first step

  7. Effective Resource Mobilization • Case management or service coordination • Knowledge of available resources • Education and training of professionals

  8. Policy Considerations • Bioethics – immediate post-injury versus long-term needs • Insurance coverage and need for additional services • 1998 NIH Conference & medical model • Lack of awareness at national, state, and local level • Stigma associated with brain injury

  9. Future Direction in Service Programs • New research studies • Quiet v. noisy post-coma environment • Mild TBI and PET scans - adjustment to living with someone different from pre-injury personality and behavior • Family caregiving – cultural impacts • National funding for long-term treatment • Increased awareness and improved professional training

  10. Future Direction in Service Programs (2) • Research and impact on service programs • Transition from centers into communities – long-term emphasis • Vocational rehabilitation and supported employment – Virginia Commonwealth University

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