The Power Point Program presented by Val Lougheed at the Mental Health and Injury conference on April 19th, 2011, in Winnipeg, Manitoba, for the Rehabilitation Return to Work Partnership

1. Val Lougheed Northern Lights Canada Mental Health & Injury: Rehab, Recovery and Return to Work 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. Rated PG-113 People Strongly Cautioned! May contain bad language, brief nudity, sexual overtones, and drug usage.

7. Beginning My Story

11. Sept. 9, 2003 - morning

12. Sept. 9 – p.m.

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

18. Research

21. Foundation for Understanding Experience

23. February 2004 – Present Starting Point

24. Identity Disintegration and The Re-organization of Self March 2004

25. “ 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)

26. Sliding Down the Slope (Dalhousie, March 2005) Early 1900’s Oxycodone ™ developed in Germany 1995 Purdue Pharmacy (USA) launches OxyContin ™ – controlled-release formula 1996 Approved in Canada 2002 OxyContin ™ earns Purdue more than $1 billion U.S. 2003 OxyContin ™ is one of Canada’s 3 most-prescribed narcotic painkillers Nov. 2003 – Oct. 2004 783,762 prescriptions for OxyContin ™ dispensed in Canada

27. Sliding Down the Slope

30. ABI – Measuring Loss “ Pre-morbid intelligence is a crucial variable …” Subjective Report – difficulty retrieving words and communicating ideas Objective Report – above-average performance on neuropsychological measures (Prigatano, 1999, p. 59)

31. Losing My Grip My IWRP August 2004

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

35. HIP Oct to Nov – Full-time December – Part-time

36. GO TO WORK

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

38. GRTW – The Reality

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

50. Lesson ASSUMPTIONS REVEAL BIAS

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

54. Oct. 3 – Dec. 11

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

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

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

61. 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)

67. “ 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

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

73. “ Emotions are not in the head – they are in every cell in the body.” (Pert (1995), in Bolen, 1996, p. 7) Pscyhoimmunoendocrine Network

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

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

79. Michael Merzenich Neuroplastician Neuroplasticity

80. Harnessing the Power

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

87. “ 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

88. Scaling the Canyon

89. Sept., 2005 Waskesiu

94. Breast Cancer Reconstructive Surgery March 2006

95. Convocation M.Ed. -- June 2006

99. Rehab, Recovery and Return to Work 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)

100. Rehab, Recovery and Return to Work Recovery Crombez, October, 2003 Curing Focus on the illness/ impairment [outside] Healing Focus on the person [inside]

101. Be Still

103. Keep Your Fork

105. 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