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Breaking Barriers: Supporting Individuals with TBI’s
through the Continuum of Vocational Rehabilitation
Hollee Stamper, MSW, LSW, CBISJeff Noonan, M.Ed.,CBIS
March 2014
http://dfw.cbslocal.com/
Today’s Objectives • To learn the definitions of
Acquired Brain Injuries and Traumatic Brain Injuries
• To identify barriers and strategies for individuals with TBI’s to return to work
• To be knowledgeable of resources to support the vocational placement process
Today’s Objectives
• Learn how team approach can support vocational rehabilitation
• Examine case studies of successful volunteer and vocational placements
Brief Introduction to Brain Injury
Acquired Brain Injury (ABI): an injury to the brain, which is not hereditary, congenital, degenerative, or induced by birth trauma. An acquired brain injury is an injury to the brain that has occurred after birth.
Traumatic Brain Injury (TBI): is an injury to the brain caused by an external force after birth
Brief Introduction to Brain Injury
AttentionTypes of Attention: •Selective Attention•Divided Attention•Alternating Attention•Sustained Attention
http://www.flashissue.com/b
MemoryStages: •Encoding •Storage•Retrieval www.examiner.com
Executive-Functioning
Executive-functioning: involves the integration and
management of multiple cognitive skills. These complex processes enables individuals to attain goals and perform everyday activities.
Novel Problem-Solving Strategies
•Define Problem• Identify Possible Solutions• Decide on Solution•Implement•Evaluate
Interpersonal SkillsIndividuals May Encounter Difficulties withInterpersonal Skills Due to:
• Limited Self-Awareness• Poor Impulse-Control• Cognitive Inflexibility
\
www.combativemind.com
Team Approaches to Support Vocational
Success Team Approaches
• Interdisciplinary• Transdisciplinary
www.live-recruitment.co.uk
Case Study: AB• Female
• 46 Years Old Strengths Challenges Willingness to work
Memory Participates in therapies
Ataxia
Division of Vocational Rehabilitation Services (DVRS)
www.ncdhhs.gov
Case Study: CD
• Female• 50 years old
Strengths Challenges
Eagerness to Return to Work Memory
Participates in Treatment Attention
Case Study: CD Division of Vocational Rehabilitation Services Process
OrientationInterview with Intake Counselor
Neuro Functional Assessment Team Meeting to Determine Work Candidacy
Strategies
Memory Aids Role-Play Exercises
Checklist
Case Study: EF
• Female• 30 years old
• Pet Sales Associate
Strengths Challenges
Strong Work Ethic Emotional Regulation
Strong Family Commitment Interpersonal Skills
Case Study: EF
Challenge
Maintaining Professional Boundaries
Strategies Define Boundaries Role-Playing Social Scripts
Case Study: EF
ChallengesNon-Verbal Communication
Engaging in Reciprocal Conversation
Strategies Role-Playing
Natural Supports
Case Study: GH
• Male• 56 Years Old
Strength Challenge
Visual-Spatial Skills Frustration Tolerance
Resources to Support Vocational
Success
http://www.caveylaw.com/prudential-disability-insurance-program-
begins-a-return-to-work-service/
BIAA: Brain Injury Association of America• Can give information on resources
available in your state
Find Your State Brain Injury Association
Website Link: http://www.biausa.org/state-affiliates.htm
Ticket to Work
Video Link :http://www.chooseworkttw.net/about/index.html
Veteran Affairs Resources
• Employment Services• Education and Training• Disability Compensation
Additional Resources
• Volunteer opportunities within organization
• Volunteer opportunities in the community• Transitional or therapeutic employment
opportunities
Conclusion:• Transdisciplinary
Team/Interdisciplinary• Challenges to overcome• Resources
Questions? Jeffrey Noonan, M.Ed, CBIS: [email protected]
Hollee Stamper, MSW, LSW, [email protected]
