Power point version of Trauma, Rehabilitation and Recovery -- It Takes a Village; Pacific Coast Brain Injury Conference, Vancouver, February 15, 2012

1. Val Lougheed Northern Lights Canada Real Work * Real People * Real Results Real People with Real Lives It Takes a Village Trauma, Rehabilitation and Recovery – ~ Keep Your Fork ~ 1-800-361-4642 * www.northernlightscanada.ca * vlougheed@northernlightscanada.ca

2. “ You don’t want your impairments to define you – you want them to inform you.” (Hanita Dagan, personal communication, 2005)

6. February 2004 – Present Starting Point

7. Be Still

10. Rated PG-113 People Strongly Cautioned! May contain bad language, brief nudity, sexual overtones, and drug usage.

11. Beginning 1978

14. VIDEO CLIP Val being interviewed in Minden

16. Sept. 9, 2003 - morning

17. Sept. 9 – p.m.

18. Sept. 15 2003 – Jan. 19 2004 Journey Back to Life

25. February 2004 – Present Starting Point

27. The Re-organization of Self March 2004

28. “ In the aftermath of traumatic life events … [the] sense of self has been shattered.” (Herman, 1992, p. 61) “ An existential crisis …” (Hanita Dagan, personal communication, 2005)

29. Sliding Down the Slope

30. Sliding Down the Slope

33. ABI – Measuring Loss Subjective Report – difficulty retrieving words and communicating ideas Objective Report – above-average performance on neuropsychological measures (Prigatano, 1999; p. 59)

34. Losing My Grip My IWRP August 2004

36. Rescued in the Valley of Despair Head Injury Program Oct. – Dec. 2004

38. GRTW – The Plan Jan. 3 – Feb. 7, 2005 (5 weeks)

39. GRTW – The Reality

40. GRTW – The Reality

41. GRTW – The Reality

42. GRTW – The Reality

43. GRTW – The Reality

44. GRTW – The Reality

45. GRTW – The Reality

46. GRTW – The Reality

47. GRTW – The Reality

49. WSPE Work-Site Performance Evaluation©

53. Lesson ASSUMPTIONS REVEAL BIAS

55. Symptom Overlap (co-morbidity) (Michael Sullivan, Centre for Research on Pain and Disability, McGill University, September, 2006) Pain, Trauma, Depression, ABI

57. Oct. 3 – Dec. 11

59. Pain Research 1600’s – Rene Descartes (philosopher)

60. Pain Research 1950’s – Wilder Penfield (brain surgeon)

62. Pain Research Patrick Wall (physiologist) Ronald Melzack (psychologist)

64. Pain – The Future SCN9A (Globe and Mail, March 24, 2007) Glia Cells (Scientific American, November, 2009) Poppy Genes (U of Calgary -- Calgary Sun, March 15, 2010)

68. “ In every encounter, basic trust is in question.” ( Herman, 1992, p. 92) “ Survivors feel unsafe in their bodies – and in any relationship with other people.” (Herman, 1992, p. 160) Rehab & Recovery

70. DISSO CIA TION Trauma Research

71. VIDEO CLIP Adrenaline: Flight or Fight Response Trauma Research

72. Fight

73. Freeze

81. “… depression [caused by trauma] is not the same as ordinary depression.” ( Herman, 1992, p. 118) Depression

82. Candace Pert, 1997; pp. 171 -- 179 Psychoimmunoendocrine Network

85. Affects more than IQ …. Touches core … of a person’s self-esteem (Prigatano, 1999; p. 58) ABI

86. Back to Wilder Penfield – 1950’s ABI Localizationist

87. VIDEO CLIP Story of Paul Bach-y-Rita’s dad Paul Bach-y-rita Neuroplasticity Video Clip; link to Neuroplasticity – YouTube; bren49764 00 – 2:20

88. Paul Bach-y-Rita – 1934 – 2006 Scientist and Rehab Doctor Neuroplasticity - 1969

89. Michael Merzenich Neuroplastician Neuroplasticity

90. Harnessing the Power

94. “ The words and attitudes of others … are potent. They help or hex healing and recovery.” “ Expectations are powerful.” (Bolen, 1996; p. 94) Body-Mind Connection

95. VIDEO CLIP Esther Sternberg Dr. Esther Sternberg Demo Reel – YouTube; 00 -- .36

96. Cortisol and Immune Cells Sternberg, 2001; p. 112

99. Quantum Connection The Living Matrix Braden, 2007; p. 45

100. “ Loss of identity can evoke a personal crisis, creating a need for change.” (Ornelas, in Smith & Johnson (Eds), 1997; p. 172) The Re-Organization of Self Identity Research

101. Scaling the Canyon

102. Sept., 2005 Waskesiu

107. Breast Cancer Reconstructive Surgery March 2006

108. Convocation M.Ed. -- June 2006

112. It Takes a Village Rehabilitation (habiter – to live inside) “ Rehabilitation is the learning to live inside not only one’s body, however it is after an injury or illness, but inside one’s very being.” (Kabat-Zinn, in Meili, 2003; p. 241)

113. It Takes a Village Recovery Crombez, October; 2003 Curing Focus on the illness/ impairment [outside] Healing Focus on the person [inside]

114. Be Still

116. Keep Your Fork

118. Voc Rehab Canada (VRCAN) is a national consortium of experienced regional vocational rehabilitation companies. VRCAN provides customers with single-point access to VR services anywhere they are needed in Canada, whether on an individual service or contract basis. Member companies include: For more information, please feel free to contact us at 1-800-361-4642 Argus Management Consultants, Inc. Sandra Preeper & Associates Advantage Rehabilitation Consultants Ltd. Rehabilitation Alternatives Limited / Vocational Alternatives Software OPTIMA Rehabilitation CVE Inc. Northern Lights Canada Occupational Rehabilitation Group of Canada (ORGOC) Western Rehabilitation Specialists Inc. Diversified Rehabilitation Group Genesis Rehabilitation Ltd. Rehabilitation Focus