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Return to Learn! A Concussion Discussion One small school’s Protocol

This session will cover research on concussions, Mt.A's Return to Learn protocol, and next steps and concerns. Topics include concussion issues, the development of Return to Play standards, Ontario's Rowan's Law, Mt.A's protocol, cognitive processes, accommodations, and key features of the Mt.A model.

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Return to Learn! A Concussion Discussion One small school’s Protocol

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  1. Return to Learn! A Concussion Discussion One small school’s Protocol Anne Comfort. M.Ed Director, Accessibility & Student Wellness

  2. This session will cover:- Research- Mt.A Return to Learn protocol- Next steps and concerns

  3. Research on Concussion Issues:- Dave Ellemberg U de Mtrl- The Neuro- Toronto Rehabilitation Institute- BC Injury Research and Prevention Unit, Concussion Response Tool- NB Trauma Program

  4. Concussions: Not a new idea!2001 – 1st international conference on concussion in sport (Vienna)- development of a Return to Play standard- sideline identification- 3rd party observer

  5. Every US state has a Return to Play law:- youth athletes removed from playOntario’s Rowan’s law- June 2016- Ottawa HS rubgy player- Coroner’s inquest- mandatory education for coaches, players, trainers.

  6. Mt.A. develops a Return to Learn protocolDr Jennifer TomesCognitive psychologist

  7. Process- identification on field or self report- trainer complete “temporary accommodation form”- athlete presents at Access Office

  8. Access staff discuss effects of concussions (Not Medical experts!!!)- symptoms, persistent, varied- life style changes- emotional issues- how to return to school- determining effects on academic- communication to professors- self-determination

  9. Accommodations include:- email and communication to professors- frequent check-ins with client- “mothering”- symptom check-in- note-takers for classes- tutoring as required when appropriate- negotiation with profs

  10. Accommodations (cont’d):- determining academic status- letter of support to withdraw from course or term- test accommodations breaks extra time lower lighting quiet space

  11. Key Features:- check-ins- facilitate communication - student focused- accommodations provided

  12. Barry and Tomes (2015)- 24.5% student/athletes have experiences 4 or more concussionsTomes, Ritchie and Gores (2017 – to be published)- over 50% have hidden symptoms or would do to in the future

  13. Meier et al. (2015)- symptom reporting to athletic trainer vs a confidential setting- far more symptoms reported in confidential setting- This supports the Mt.A. model

  14. For 2016-17:- 13 concussed students- 4 rugby, 3 football, 5 other sports, 1 accident- 2 now on “permanent”accommodations

  15. Concerns:- athletes who are concussed: concussions are self reported not able to make best decisions- once cleared to play, cleared to learn- access staff has no say in return to play

  16. Next steps:- continue with education to athletes- promotion of our service on campus

  17. Questions?More info?Contact Anne Comfortacomfort@mta.cawww.mta.ca/meighen

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