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2009 Commonwealth Neurotrauma Initiative

2009 Commonwealth Neurotrauma Initiative. Youth with Brain Injury Project. presented by: William D. Brock, PhD. 2009 the Department of Juvenile Justice entered into the Commonwealth Neurotrauma Initative , Youth with Brain Injury Project.

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2009 Commonwealth Neurotrauma Initiative

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  1. 2009 Commonwealth Neurotrauma Initiative Youth with Brain Injury Project presented by: William D. Brock, PhD

  2. 2009 the Department of Juvenile Justice entered into the Commonwealth NeurotraumaInitative, Youth with Brain Injury Project. • Championed by Delegate Scott, this was a multi-agency effort that included: • Department of Juvenile Justice • Virginia Commonwealth University • Department of Correctional Education • Department of Aging and Rehabilitative Services • Brain Injury Association of Virginia • Department of Education

  3. Objectives of the Project • Create a standardized assessment protocol to identify youth with brain injury. • Study the prevalence of brain injury among youth committed to the DJJ.

  4. Components of the Assessment • VCU Brain Injury Screening Tool

  5. VCU Brain Injury Screening Tool

  6. Components of the Assessment • Medical Record Review • VCU Brain Injury Screening Tool

  7. Medical Record Review

  8. Components of the Assessment • Medical Record Review • VCU Brain Injury Screening Tool • NeuropsychologicalTesting • Symbol Digit Modalities Test

  9. Neuropsychological Testing • Symbol Digit Modalities Test

  10. Components of the Assessment • Medical Record Review • VCU Brain Injury Screening Tool • NeuropsychologicalTesting • Symbol Digit Modalities Test • Trail Making Test ( Parts A & B)

  11. Neuropsychological Testing • Trail Making Test ( Part A)

  12. Neuropsychological Testing • Trail Making (Part B)

  13. Components of the Assessment • Medical Record Review • VCU Brain Injury Screening Tool • NeuropsychologicalTesting • Symbol Digit Modalities Test • Trail Making Test ( Parts A & B) • Rey Complex Figure Test (Copy & Recall)

  14. Neuropsychological Testing • Rey Complex Figure Test (Copy & Recall)

  15. Components of the Assessment • Medical Record Review • VCU Brain Injury Screening Tool • NeuropsychologicalTesting • Symbol Digit Modalities Test • Neuropsychological Testing • Trail Making Test ( Parts A & B) • Rey Complex Figure Test (Copy & Recall) • Rey Auditory Learning Test

  16. Neuropsychological Testing • Rey Auditory Learning Test

  17. Between April 2010 and June 2013 • 1,310 Juveniles evaluated (92% male)

  18. VCU Brain Injury Screening Tool • Hit or Hurt Head? - 52.5% • Of This 52.5% • Felt Dazed or confused? - 70% • Experienced Headaches? - 68% • Lost Consciousness? - 29% • Memory Problems? - 27% • Poor Frustration Tolerance? - 25% • Concentration Problems? - 21%

  19. Medical Record Review • Incidents of Hypoxia - 17% • Prenatal Drug/Alcohol Exposure - 13% • Other Perinatal Trauma - 11%

  20. Neuropsychological Testing • Clinician Conclusion that Testing was Suggestive of Brain Injury • 35.7% of youth tested

  21. Testing Suggestive of Brain Injury and… • Medical Record Indicates History of: • Hypoxia - 28.6% • Prenatal Drug/Alcohol Exposure - 43.7% • Other Perinatal Trauma - 44.8%

  22. Institutional Behavioral Correlates • Positive Findings for Both Testing Indicators Suggestive of Brain Injury and/or Prenatal Drug/Alcohol Exposure were Positively Correlated With Higher Rates of Institutional Offenses

  23. Utilization of Results • Inform Treatment Services • Inform Educational Services • Staff Training • Brain Injury Education Videoscourtesy of The Brain Injury Association of Virginia: • Introduction to Brain Injury • Behavioral Implications and Strategies • Project Overview

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