Information Package - Fraser Valley Brain Injury Association
Transcription
Information Package - Fraser Valley Brain Injury Association
Produced by For the Greater Vancouver area of British Columbia, Canada Sixth Printing January 2011 Table of Contents Introduction to Information and Resource Package Acquired Brain Injury Understanding Changes after Acquired Brain Injury Understanding the Brain Fraser Valley Brain Injury Association Fraser Valley Brain Injury Association Services Resources in BC Children and Adolescent Resources Community Services Counsellors, Counselling Services and Support Services Drop In, Day Programs and Support Groups Education Financial Services Government Services Health Services Special Equipment and Rehabilitation Housing and Residential Services Internet Resources Jobs, Skills and Training Legal Multicultural/Aboriginal Services Recreation and Leisure Seniors‟ Services Transportation 2 3 4 5 6 7 Information and Resources for the Bellingham and Sumas Washington, USA, area Community Services Government Agencies Recreation / Leisure Rehabilitation Facilities Brain Injury Associations/Support Groups 50 50 50 50 51 51 Stress Management Tips How to Know When You are Stressed Acquired Brain Injury and Nutrition Children with Acquired Brain Injury Return to School After Acquired Brain Injury What to Ask when Interviewing a Lawyer 52 53 54 55 56 57 Appendix A-Your Important Phone Numbers Appendix B-Meetings/Appointments/Tests Tracking Sheet Practical Applications 58 59 60 8 10 13 17 18 19 20 21 24 29 32 33 37 38 41 46 48 1|Page Fraser Valley Brain Injury Association Information and Resource Package - Updated March 2011 Introduction to Information and Resource Package The members, Board and staff of the Fraser Valley Brain Injury Association would like to thank the Rotary Club of Abbotsford/Sumas and Soroptomist International of Abbotsford for their support in making this resource package possible. FIRST PRINTING FUNDED BY: The Abbotsford/Sumas Rotary Club Soroptomist International of Abbotsford EDITING/PRODUCTION COORDINATION AND SUPERVISION: Carol Paetkau, Fraser Valley Brain Injury Association DESIGN AND PRODUCTION: Jodie Millward, Fraser Valley Brain Injury Association Monique Babich, Fraser Valley Brain Injury Association We gratefully acknowledge the contributions of Jodie Millward, Joy Scobie, GF Strong Rehabilitation Centre and The Brain Injury Association of Washington to the development of this package. Used properly, this package will assist you to: Become more knowledgeable in regards to survivors of acquired brain injury Become more aware of the resources available within your area Be responsible for “the next step” following discharge Be aware of your “resource contacts” in the community Make appropriate decisions for required care. Please note: Inclusion in this Information and Resource Manual does not imply an endorsement by the Fraser Valley Brain Injury Association nor does it guarantee eligibility for services. Each organization has its own criteria for providing services. People with brain injuries and their families work with health service providers and community service organizations to identify and learn to use various strategies to help address any of the difficulties that they may be having. This resource manual is designed to assist with the search for resources and services available in your community. This information package will be updated periodically by the FVBIA, to reflect changes in community resources, contact persons and telephone numbers. Please be advised that numbers and resources can change without notice. If you think that we are missing anything or if you know about any resources you think should be included, please contact the FVBIA at 604-557-1913 or Toll-Free 1-866-557-1913. If you require services that are not listed here, you can contact the FVBIA for assistance or Enquiry BC at 1-800663-7867 Please note: This list may not be complete, but by contacting these resources you will be expanding your “network”, thus increasing your chances of getting your needs met. Appendices A and B are examples of ways to keep track of your resources and meetings. Please feel free to photocopy them and any of the material in this resource package for your own use. 2|Page Fraser Valley Brain Injury Association Information and Resource Package - Updated March 2011 Acquired Brain Injury An acquired brain injury is defined as: „Damage to the brain, which occurs after birth and is not related to a congenital or a degenerative disease. These impairments may be temporary or permanent and cause partial or functional disability or psychosocial maladjustment.‟ World Health Organization (Geneva 1996) Specifically, acquired brain injuries are caused by: Traumatic forces to the head which cause damage to the brain - Car crashes - Gunshot wounds to the head - Objects falling on the head - Falls - Assaults Stroke - Blood flow to the brain being blocked by a blood clot or a blood vessel bursting in the brain. - Embolism - Thrombosis - Aneurysm Bleeding in the brain - Intracranial surgery - Hemorrhage - Hematoma Lack of oxygen to the brain - Anoxia/hypoxia - Near-drowning - Cardiac arrest (heart stops beating) - Drug overdose Infections in the brain Toxic exposure - Carbon monoxide poisoning - Inhaling toxic chemicals - Solvent sniffing - Excessive and prolonged use of drugs and/or alcohol Fluid build-up in the brain Brain tumours 3|Page Fraser Valley Brain Injury Association Information and Resource Package - Updated March 2011 Understanding Changes After Acquired Brain Injury Acquired brain injuries can result in changes to how a person functions in the following areas: Physical Changes - Problems with walking, sitting, transfers, bathing, household tasks - Slurred speech - Chronic pain including headaches - Fatigue and sleep difficulties Cognitive Changes - Taking more time to make sense of information - Problems with planning, organizing or starting tasks - Problems with vision - Problems understanding conversations, coming up with the right word, talking in grammatically complete sentences - Lack of focus - Poor memory - Difficulty with judgement and decision making - Perseveration – getting „stuck‟ on a topic, idea or activity - Confusion – may not know the date, year, time of day, where you are - Impulsivity – act before you think - Disinhibition – no “social filter” to tell you when you shouldn‟t do or say something Emotional Changes - Irritability – “short fuse” - Mood disorders like depression, anxiety, anger management problems - Emotional lability – crying for no apparent reason - Emotional or behavioural outbursts - “Normal” emotional responses to the incredibly devastating impact of the brain injury - Sadness, anger, frustration, loss of sense of self, anxiety about having another stroke or injury Social Changes - Awkwardness or inappropriate behaviour because of difficulty reading social cues - Isolating yourself because you feel different and therefore leading to being treated differently - Trouble with social and work relationships because of awkwardness and poor coping skills - Family breakdowns - Loss of privacy, independence, future plans, income - Change in roles – e.g. was a caregiver, now has to receive care from others 4|Page Fraser Valley Brain Injury Association Information and Resource Package - Updated March 2011 Understanding the Brain Here is a simplified analogy of how the brain works: I find it helps to understand how the brain works if you think of the brain as a company. The company runs at peak efficiency when all the parts are working. Up at the front of the company (frontal temporal lobes) are the vice presidents, and there are several vice presidents. They make the plans for the company; they decide who is going to do what and when. As things get under way, they get feedback or information as to how well things are going and they judge it - that looks good or not so good; and they make further decisions – change that, keep this; and show appreciation or annoyance. So, up at the front you have planning, organization, decision-making, judgment and appreciation. In the middle (parietal association cortex) are the managers and each manager runs his own department. On the left side of the brain is a speech department (move the tongue and lips and throat muscles), a language department (find the words that you want, know what the words mean) and a motor department (move the right arm and right leg). On the right side is another motor department (move the left arm and left leg), and a spatial reasoning department (find your way around a building, know where you are when driving a car, down to the basic getting your arm through a sleeve). Also over there is a music department and a few incidentals. The right side is the picture side and the left side is the talking side. Now the managers, they know what the plan is from the vice presidents, and they make sure it gets carried out. And in order to do this, they communicate frequently with each other; they send messages back and forth. At the bottom, (limbic region, amygdala, basal ganglia) are the workers. They don‟t know what the plan is from the vice presidents, but they know their job and they do the same job day in and day out. Things like appetite control, need for water, staying alert and awake or going to sleep, and basic emotions – turn on the tears, make the face red, and increase the pulse rate. Basically in a brain injury, someone gets fired. It can be a vice president, a manager or a worker, depending on the injury. You can also have someone going on a leave of absence; that occurs when there is a temporary swelling or loss of blood supply that is returned in a short time. The result of the injury is to reduce the efficiency of the company. Messages get sent but aren‟t picked up. The vice presidents get annoyed, the managers get fatigued, and the emotional workers get overwrought. Confusion reigns. A primary purpose of rehabilitation is to find out who got fired and who is still on the job, so messages can be re-routed and the company can become more and more efficient again. Verna Amell, Ph.D. Psychologist *Reprinted with permission of the BC Rehab Society- now known as the Vancouver Hospital and Health Sciences Centre 5|Page Fraser Valley Brain Injury Association Information and Resource Package - Updated March 2011 Fraser Valley Brain Injury Association Mission Statement Fraser Valley Brain Injury Association‟s mission is to be a resource and advocate for people with an acquired brain injury, their families and their supporters in the Fraser Valley. We strive to be a resource for the community regarding brain injury and brain injury prevention. The Fraser Valley Brain Injury Association (FVBIA) started in 1991 as a support group for individuals who had an acquired brain injury and their families in the Chilliwack area and later in Abbotsford, BC. The groups were facilitated and nurtured by John Simpson, a renowned case manager in the field of brain injury. The members of these groups formed FVBIA in 1997. The purpose of FVBIA is to provide support, assistance and information to people who have an acquired brain injury, their families and other caregivers. Conservatively, we know that between 7,800 to 14,000 people in BC sustain an acquired brain injury each year from car crashes, falls, assaults, blows from blunt objects, sports related injuries, anoxia, brain tumours, stroke, aneurysm, infections, diseases, metabolic causes such as anorexia and diabetes as well as people who have drug/alcohol interactions, toxins or brain surgery. We are involved in coordinating the development of appropriate services, opportunities, rehabilitation and training for people with acquired brain injury. FVBIA has contracted the operation of drop-in programs in Chilliwack and Abbotsford for people with an acquired brain injury. These programs are operated by Communitas Supportive Care Society (formerly MCC SCS). The Association is actively involved in promoting the prevention of brain injury through promotion of correct use of bicycle helmets. We are also active in advancing public awareness, knowledge and appreciation of the specific needs of people with brain injury and their families. We provide free in-services about brain injury and resources to agencies, schools, students, families, local hospitals and service providers. We believe prevention to be the greatest cure. Please contact our office for information on services pertaining to prevention, education and safety. In addition, FVBIA provides case management services for adults and children. survivors and families are also offered throughout the Fraser Valley. Support groups for We also offer a variety of recreational supports and groups. Please contact us for information as services and programs do change over time. Fraser Valley Brain Injury Association (FVBIA) #204 – 2890 Garden Street Abbotsford, BC V2T 4W7 Email: [email protected] Website: www.fvbia.org 604-557-1913 or Toll-Free 1-866-557-1913 Fax: 604-850-2527 FVBIA is funded in part by Fraser Health‟s Acquired Brain Injury Program, the Province of BC, Chilliwack Bingo, United Way of the Fraser Valley, ICBC Rehabilitation as well as through donations, memberships, grants and various fundraising events. FVBIA is a Registered Charity. 6|Page Fraser Valley Brain Injury Association Information and Resource Package - Updated March 2011 Fraser Valley Brain Injury Association Services The FVBIA offers support to children, youth and adults with acquired brain injuries, their families and supporters through a variety of different programs. Please call Fraser Valley Brain Injury Association for more information on case management services, social and leisure programs, skill development and other resources that are presently available. Current programs are listed in the HeadsUp Newsletter, which can be found on the Fraser Valley Brain Injury Association‟s website www.fvbia.org . Art & Photography Groups: Each year, FVBIA offers a variety of art, drawing, theatre and photography classes taught by qualified instructors. Contact FVBIA for details. Survivor & Family Support Group Meetings: For details on support group times and locations in the Lower Mainland, please contact the FVBIA office at 604-557-1913 or toll-free at 1-866-557-1913. For other support groups in British Columbia, contact Headline News at [email protected] . FVBIA Drop-in & Leisure Programs: Abbotsford: Call 604-557-1913 or Toll Free 1-866-557-1913 for more information or check the FVBIA website www.fvbia.org for the latest edition of the “Heads UP!” newsletter for details. Chilliwack Drop-In: Call 604-557-1913 or Toll Free 1-866-557-1913 for more information or check the FVBIA website www.fvbia.org for the latest edition of the “Heads UP!” newsletter for details. Hope Leisure Program: Call 604-557-1913 or Toll Free 1-866-557-1913 for more information or check the FVBIA website www.fvbia.org for the latest edition of the “Heads UP!” newsletter for details. The Drop-In and Leisure programs are run by qualified facilitators and focus on meeting the social and emotional needs of those who attend. Members are involved in the planning and organization of activities, menu planning, and meal preparation. For details on other drop-in and leisure program times and locations in the Lower Mainland, please contact the FVBIA office at 604-557-1913 or toll-free at 1-866-557-1913. For other drop-in and [email protected] . leisure programs in British Columbia, contact Headline News 7|Page Fraser Valley Brain Injury Association Information and Resource Package - Updated March 2011 at Resources and Services in British Columbia Child and Adolescent Resources Child and Youth Mental Health A doctor‟s referral is required for this service Community Brain Injury Program for Children & Youth in BC 1-877-451-5511 Fraser Valley Child Development Centre: Offers access to speech, occupational and physical therapists Abbotsford Chilliwack Hope Mission Langley 604-852-2686 604-824-8760 604-869-5467 Ext. # 104 604-820-9536 604-534-1155 GF Strong Rehab Centre Provides rehabilitation services and other specialized services 604-734-1313 Help Line for Children A 24-hour province-wide toll free line for children needing help, or for any person who knows of a child who is abused or neglected 604-310-1234 Help Line for Youth Toll-free 1-866-661-3311 Website: www.youthinbc.com Impact Society – Youth Addiction Prevention Services 604-853-1766 Kids Help Phone A 24-hour service for children and adolescents in need 1-800-668-6868 Abbotsford Childcare Resource & Referral 604-850-7934 Abbotsford Community Services – Youth Resource Centre Provides services for youth and families in conflict, youth justice services, counselling and support services 604-870-4972 Aldergrove Community Youth Services Family strengthening, prevention / support for youth 604-857-2116 Chilliwack Community Services - Youth Services Youth suicide prevention and intervention 604-792-6632 604-792-4267 Langley Youth and Family Services Provides counselling and intervention for children and youth up to age 17 to prevent anti-social behaviour and conflict with law 604-514-2900 Legal Services Society For information about free legal services Toll-free 1-866-577-2525 8|Page Fraser Valley Brain Injury Association Information and Resource Package - Updated March 2011 Child and Adolescent Resources cont’d: Ministry of Children and Family Development: Offers child protection services, social worker, some recreation Abbotsford Hope Chilliwack Mission Langley 604-870-5880 604-869-4900 604-702-2311 604-820-4300 604-514-2711 Sunny Hill Hospital Provides a variety of services for children and adolescents such as rehabilitation, counselling, sexual health issues, communication devices and therapy 604-453-8300 Abbotsford Youth Commission 604-854-8785 Chilliwack Youth Commission – Chilliwack Community Services 604-792-4267 Langley Youth Commission (virtual) Website: Non-profit organizations working to involve youth in identifying, promoting and assisting with improvement of services and programs for young people in the community www.LangleyYouth.com Youth Employment: Career Tracks Youth Employment Centre Must be age 15 to 30 and unemployed Chilliwack 604-793-6644 Fraser Valley Skills Link Work Experience Program Must be 15 to 30, unemployed, referral required Abbotsford Toll-free Chilliwack Toll-free 604-504-5515 1-877-504-5515 604-703-1505 1-866-700-1505 Service Canada Centres for Youth (SCCY) For information about jobs, education, careers or finances Websites: www.servicecanada.gc.ca www.youth.gc.ca Youth Employment Resource Centre (YERC) Free services to unemployed/underemployed youth aged 15 to 30 Abbotsford Langley 604-859-9454 604-534-8874 Youth Employment Zone Assists youth to develop job search skills Langley 604-514-3110 9|Page Fraser Valley Brain Injury Association Information and Resource Package - Updated March 2011 Community Services Chilliwack Resource Centre Referral service, provides information on free community services, Income tax preparation, phone/fax/photocopying services 604-702-9595 Community Services Provide a variety of services to the public such as volunteer drivers, Planned Parenthood, Meals on Wheels... Abbotsford or Agassiz/ Harrison Chilliwack Hope Mission Langley 604-859-7681 604-870-3764 604-796-2585 604-792-4267 604-869-2466 604-826-3634 604-534-7921 Abbotsford Chilliwack Langley 604-852-9305 604-792-0001 604-514-7375 Abbotsford Agassiz/ Harrison Aldergrove Chilliwack 604-859-5749 604-796-2585 604-857-1671 604-792-3663 604-792-0001 604-869-2466 604-826-3634 604-533-0671 Salvation Army Provides a variety of services such as assistance with life skills, providing support, aiding in employment searches and offers volunteer opportunities Food Banks Hope Mission Langley 10 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Community Services Cont’d Thrift Stores: Abbotsford: Above the Underground – Second Hand Clothing 9 -31940 South Fraser Way, Abbotsford 604-504-1988 Hidden Treasures Thrift Store 2657 W. Railway Street, Abbotsford 604-855-0221 Bibles for Mission Society 2337 West Railway, Abbotsford 604-854-6682 Life‟s Second Chance Thrift Store 31550 South Fraser Way, Abbotsford 604-854-5928 MCC Abby East Thrift Shop 105 – 34150 South Fraser Way, Abbotsford 604-850-2221 MCC Thrift & Furniture Shop 31872 South Fraser Way, Abbotsford or 604-850-0017 604-854-2062 Salvation Army Thrift Store 34081 Gladys Ave., Abbotsford 604-852-9305 Value Village 31970 South Fraser Way, Abbotsford 604-850-3712 Agassiz: Agassiz-Harrison Community Thrift Store 6919 Cheam Ave., Agassiz 604-796-9932 Chilliwack: Bibles for Missions Thrift Shop 9280 Nowell Street, Chilliwack 604-793-1996 Bibles for Missions Thrift Store 45790 Luckakuck Way, Chilliwack 604-858-9444 Chilliwack Hospital Auxiliary Thrift Shoppe 9236 Main Street, Chilliwack 604-793-9222 First Baptist Clothing Bank 5518 Vedder Road, Chilliwack 604-858-0606 MCC Thrift Store 45774 Kipp Ave., Chilliwack 604-792-3731 11 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Community Services Cont’d Thrift Stores cont’d: MCC Yarrow Thrift Shop 42232 Yarrow Central Road, Chilliwack 604-823-4344 Mother Teresa‟s Place 8909 Mary Street, Chilliwack 604-795-7110 Salvation Army Thrift Store/Soup Kitchen/Food Bank 45746 Yale Road, Chilliwack 604-792-0001 The Chilliwack Lions Club Flea Market 46293 Yale Road, Chilliwack 604-792-3483 Thrifty Boutique (Chilliwack Hospice Society) 260-45428 Luckakuck Way, Chilliwack 604-846-2226 Value Village 2090-45150 Luckakuck Way, Chilliwack 604-847-0667 Hope: Ed‟s Old Place 555 Wallace Street, Hope 604-869-2583 Langley: Bibles for Missions Thrift Store 5785 200th Street, Langley 604-533-3995 Langley Salvation Army Thrift Store 19868 Langley Bypass, Langley 604-530-1321 Mission: MCC Thrift & Furniture Shop 32608 Fraser Crescent, Mission 604-826-1515 Salvation Army 7221 Park Street, Mission 604-826-1315 Other: Diabetes Clothes Line 1-800-505-5525 12 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Counsellors, Counselling Services and Support Services Alcohol and Drug Treatment: Abbotsford Addictions Centre Adult and Youth Addiction Services 604-850-5106 Lower Mainland Outside Lower Mainland 604-660-9382 1-800-663-1441 Chilliwack Addiction & Prevention Services (C.A.P.S.) Information and outpatient counselling services, prevention, intervention and treatment services 604-795-5994 GF Strong Alcohol & Drug Program Provides coordinated interdisciplinary services including short-term intervention, education, resources, consultation 604-737-6393 Kelty Resource Centre Links children, youth and families with appropriate mental health and addictions resources 604-875-2084 1-800-665-1882 Toll-free Langley Community Services Parenting, addictions counselling, groups 604-534-7921 Counsellors: Contact the FVBIA for professional counsellors in your area who have experience working with people with acquired brain injuries and their families. BC Association of Clinical Counsellors 1-800-909-6303 Emergency Supports: Ann Davis Transition Society (Chilliwack) Provides shelter and support for abused women, therapy, advocacy, counselling, groups 604-792-2760 Central Fraser Valley Telecare Crisis Line (Abbotsford) 604-852-9099 Crisis Centre South Fraser Regional Crisis Line (Langley) Fraser Health Crisis Line Telephone support services for people in distress. Map of BC with local contact numbers. 604-872-1811 (24 hrs.) 604-951-8855 Or 1-800-SUICIDE (784-2433) Website: 1-877-820-7444 www.crisiscentre.bc.ca SAFER Counselling service for suicidal crisis. Sexual Abuse Support Services (SASS) 604-879-9251 Langley 604-534-2171 13 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Counsellors, Counselling Services and Support Services cont’d Victim Services: BC Centre for Elder Advocacy & Support Seniors Information and Help Line (Mon – Fri, 10 am to 3 pm) Toll-free 604-437-1940 1-866-437-1940 Chilliwack Community Services Specialized victim assistance: information, support, referrals and court assistance for assault/abuse 604-792-4267 Ministry of the Attorney General Trained resource people to assist victims of crime 250-387-1866 Public Safety and Solicitor General Ministry Crime Victims Assistance Program Victim Services VictimLINK (24 hrs) Crisis line for victims of family violence or sexual assault 1-866-660-3888 Abbotsford Chilliwack Langley Mission 604-864-4757 604-393-3024 604-532-3200 604-820-3504 1-800-563-0808 Other: ABI Outreach Services Contracted service provider for the Community Brain Injury Program. For those who have trouble functioning; services include housing and advocacy. 604-603-7592 BC Neuropsychiatry Program (Vancouver Coastal Health) Serves adults with brain injury causing serious disturbances in behaviour, mood, intellectual abilities or thinking processes Offers inpatient unit and outpatient clinic at UBC Hospital Referral (with physician‟s support) through Provincial Coordinator at 604-822-7369 604-822-9758 Canadian Disabled Individuals Association (CDIA) Provides a directory of resources and free services for disabled individuals and service providers Website: 604-301-1029 www.disabledindividuals.ca Early Response Brain Injury Service (Concussion Service) (Vancouver Coastal Health/GF Strong Rehabilitation Centre) Early intervention program for people with mild TBI 604-714-4186 GF Strong Acquired Brain Injury Program 604-734-1313 14 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Counsellors, Counselling Services and Support Services cont’d Other cont’d: (Vancouver Coastal Health/GF Strong Rehabilitation Centre) Offers inpatient, outpatient, outreach and clinical support services Website: www.gfstrong.vch.ca Fraser Health Authority Acquired Brain Injury Program Provides short term rehabilitation, neuropsychological assessments and community support services For those with limited or no third-party funding Medical documentation of injury required 604-520-4175 Fraser Health Concussion Clinic (ABI Program) Early intervention services for adults with concussion/mild TBI, not work-related, serves entire Fraser Health region Referrals up to 6 months post injury 604-520-4175 Mission City Home Support 604-826-9980 Planned Lifetime Advocacy Network (PLAN) Helps set up personal support networks for people with mild TBI Can also assist with financial issues and applying for benefits 604-439-9566 Website: Self-Management Program for Chronic Mild Traumatic Brain Injury (Vancouver Coastal Health/GF Strong Rehabilitation Centre) Offers a 10-session program to improve functional performance Must be 6 months post-injury; physician‟s referral required Self Management Programs (Chronic Disease, Chronic Pain, Diabetes) University of Victoria‟s Centre on Aging Free, interactive 6-session workshops offered at a variety of times and locations throughout BC. Self-referral 604-734-1313 Ext #2126 Toll-free South Fraser Home Support Society Toll-free WorkSafe BC‟s Brain Injury Program Focus is on early recognition of mild TBI and early education, and may be coordinated with a graduated return-to-work program Assessment and treatment are through community-based facilities throughout the Lower Mainland 604-940-1273 1-866-902-3767 604-575-9030 Stroke Recovery Association of BC Langley & Abbotsford/Mission Stroke Recovery Groups www.plan.ca 604-688-3603 1-888-313-3377 604-882-4672 604-232-7787 15 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Counsellors, Counselling Services and Support Services cont‟d Hospice Societies: Abbotsford Hospice Society 33134 Marshall Road 604-852-2456 Cascade Hospice (Home) 45586 McIntosh Drive, Chilliwack 604-795-6088 Chilliwack Hospice Society 45360 Hodgins Avenue 604-795-4660 Langley Hospice Society May provide Home Nursing Care, Long Term Care, Community Rehabilitation Services and Health Services for Community Living, Grief Counselling 604-530-1115 Mission Hospice Society 7311 James Street, Unit E 604-826-2235 604-820-0704 Stroke Recovery Association of BC Offer a range of programs designed to support stroke survivors in the community after they leave hospital and their caregivers. Branches are located in: Abbotsford, Burnaby, Coquitlam, Langley, Maple Ridge/Pitt Meadows, Port Coquitlam, Surrey, Tsawwassen/Delta &White Rock. or 604-688-3603 Toll-free: 1-888-313-3377 Website: www.strokerecoverybc.ca 16 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Drop In, Day Programs and Support Groups Please note: Inclusion in this Information and Resource Manual does not imply an endorsement by the Fraser Valley Brain Injury Association nor does it guarantee eligibility for services. Each organization has its own criteria for providing services. For support groups and associations in your area, contact the Fraser Valley Brain Injury Association or refer to the Headline, a Provincial news magazine on acquired brain injury in BC. Contact the [email protected] to receive the Headline four times a year and for an up to date listing of resources and support groups throughout BC. Fraser Valley Brain Injury Association Drop in programs in Abbotsford, Chilliwack & Hope Toll-free Website: 604-557-1913 1-866-557-1913 www.fvbia.org Communitas Supportive Care Society Operates FVBIA Drop in programs in Abbotsford & Chilliwack and Circles of Support for people with acquired brain injury 604-850-6608 Semiahmoo House Society Day Programs & Drop In program in Surrey, BC. Drop In is every Tuesday from 1:30 to 7:30 pm Day Programs are Wednesday, Thursday, Friday - referral from Fraser Health required 604-592-1006 Howe Sound Rehabilitation Services Society (Headway Centres) Drop In programs in Vancouver and New Westminster New Westminster Scheduled programs also available Vancouver Centres operate Monday to Friday 604-936-9944 604-520-0130 604-732-4446 17 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Education Please contact the FVBIA for a list of Educational Consultants in your area. Ministry of Advanced Education Private Career Training Institutions Agency of BC For information regarding post secondary education Student Financial Assistance Student Loans (Student Aid) Website: 1-800-661-7441 www.pctia.bc.ca 250-387-6100 1-800-561-1818 Direct Line: 604-660-2610 Website: www.hrdc-drhc.gc.ca University of the Fraser Valley (Switchboard) Students with disabilities (Chilliwack Resource Centre) Students with Disabilities (Abbotsford) Abbotsford Campus (Adult Ed) *Call for information on services available for people with disabilities. 604-792-0025 604-795-2843 604-864-4609 604-504-7441 BC Adult Basic Education (ABE) Website: www.ufv.ca/uup/Adult_Dogwood.htm The BC Adult Graduation Diploma (Adult Dogwood) is issued by the Government of BC and can be earned through the Upgrading and University Preparation Department at UFV. For information, contact the nearest Upgrading and University Preparation (UUP) office to discuss your education and career goals with an instructional assistant. Abbotsford 604-854-4578 Abbotsford / Chilliwack 604-854-4597 604-792-0025 Ext 2534 Chilliwack 604-795-2807 Hope 604-869-9991 Mission 604-820-6015 Website: www.ufv.ca/uup/Prospective_Students.htm GED (General Educational Development) Preparation The GED covers five subject areas and testing is held seven times per year at UFV and at other sites throughout the province. The UFV Bookstore carries self-study books including practice tests. The application form can be completed online. Website: http://www.ufv.ca/uup/GED.htm 18 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Financial Services Please note: Inclusion in this Information and Resource Manual does not guarantee eligibility for services or financial assistance. Each organization has its own criteria for providing services. Please contact the organization directly for further information. BC Coalition of People with Disabilities Advocacy Access Help line 1-800-663-1278 Advocacy group with respect to pension plan, All programs except advocacy 604-872-1278 disability appeals, MHR and MCF, Administration 604-875-0188 disability rights, building access and home support Email: [email protected] Website: www.bccpd.bc.ca Chilliwack Community Services (debt counselling, legal advocacy) Free non-judgmental service available to anyone with Email: financial problems Website: Ministry of Housing and Social Development: Income Assistance, EI, CPP, Child Tax Benefits Inquire about Disability Benefits Abbotsford Chilliwack /Agassiz Hope Mission Langley Planned Lifetime Advocacy Network (PLAN) Assists with financial issues and applying for disability benefits Canada Revenue Agency Business Information (24 hrs) Federal Gas Tax Rebate can be as much as 1.5 cents per litre Consumer Taxation Branch (Tax Info Line) (Customer Service and Information Line) Provincial Fuel tax rebate, 25% ICBC disability discount 604-792-4267 [email protected] www.comserv.bc.ca 604-870-5811 604-703-6900 604-869-4929 604-814-1000 604-532-3666 Website: 604-439-9566 www.plan.ca Toll-free: 1-800-959-5525 604-660-4524 Website: www.fin.gov.bc.ca/rev.htm Credit Counselling Society of BC Income Tax Discount $4,200.00 credit or deduction for a person with a disability Contact an accountant for more information about eligibility requirements. 1-888-527-8999 T2201 Form BC Housing Provides information on housing subsidies and low cost housing 1-800-257-7756 Homeowner‟s Grants Administration Disability Grant for those who qualify for aid or reduction in property taxes 250-356-8904 1-888-355-2700 19 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Financial Services cont’d: Property tax deferment - for local taxes, contact your local city hall - for rural tax information- Enquiry BC 250-387-0555 Canada Mortgages and Housing Residential Rehabilitation Assistance Programs (R.R.A.P.) Funds renovations needed to accommodate any disabilities Special Education Technology BC (Set BC) Specialized equipment and funding 604-731-5733 1-800-639-3938 Tech Support Only Website: 604-261-9450 1-866-738-3375 http://setbc.org Government of Canada Income Security Programs Old Age Security Guaranteed Income Supplement Canada Pension Plan Survivors and Disabled Benefits 1-800-277-9914 CPP (Canadian Pension Plan) *For TTY/DD device users only *For Vocational Rehabilitation Program *For service in French 1-800-277-9914 1-800-255-4786 1-800-277-9914 1-800-277-9915 CPP includes a disability pension, child and spouse benefits, and death benefits. You may be eligible for a monthly pension if you are under 65, have had to stop work because of a medical condition and paid into the CPP for at least four of the last six years or paid into CPP for at least 25 years and made valid contributions to the Plan in three of the last six years. Canada Revenue Agency (Individual Income Tax Enquiries) Hearing Impaired/TTY Child Tax Benefits Seniors‟ Supplement 1-800-959-8281 1-800-665-0354 1-800-387-1193 1-877-815-2363 Government Services Enquiry Canada Information on Federal Government services Website: Enquiry BC Vancouver (Service BC) Victoria (Service BC) TDD/TTY 1-800-0-Canada 1-800-622-6232 http://canada.gc.ca Toll-free 1-800-663-7867 604-660-2421 250-387-6121 1-800-661-8773 Email: [email protected] Website: www.gov.bc.ca/bvprd/bc/index.do 20 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Health Services Each Health Authority has specific programs or departments for acquired brain injury services. Contact your regional health authority office for information. Health Authorities: Provincial Health Services Authority (PHSA) (Vancouver) 604-675-7400 Fraser Health Authority (Surrey) Toll-free Acquired Brain Injury Program Interior Health Authority (Kelowna) 604-587-4600 1-877-935-5669 604-520-4175 250-862-4200 Northern Health Authority (Prince George) Toll-free 250-565-2649 1-866-565-2999 Toll-free 604-736-2033 1-866-884-0888 Toll-free 250-370-8699 1-877-370-8699 Vancouver Coastal Health Authority (Vancouver) Vancouver Island Health Authority (Victoria) Other Health Services: Adult and Youth Addiction Services Lower Mainland Outside Lower Mainland 604-660-9382 1-800-663-1441 BC NurseLine - “811 Health Link” Toll-free 1-866-215-4700 BC Cancer Agency (Fraser Valley Centre) Toll-free 1-800-523-2885 Brain Tumour Foundation of Canada Toll-free 1-800-265-5106 Cerebral Palsy Association of BC (Vancouver) Toll-free 1-800-663-0004 604-408-9484 Eating Disorder Resource Centre of BC (Kelty Resource Centre) Toll-free 1-800 665-1822 Heart and Stroke Foundation of BC & Yukon Research, health promotion and advocacy Vancouver Office Head Office 1-888-473-4636 604-736-4088 604-736-4404 Health and Seniors Information Line Toll-free 1-800-465-4911 Healthy Kids Program Toll-free 1-866-866-0800 Toll-free 604-732-9191 1-800-667-3438 Health Link BC – Dietician Services Medical Services Plan (MSP) and Fair Pharmacare 21 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Health Services Cont’d Health Insurance BC (Outside Vancouver & Victoria) (Vancouver area) Website: Toll-free 1-800-663-7100 604-683-7151 www.healthservices.gov.bc.ca/msp Health Units: Health Units can be contacted for information and help regarding nutrition, speech and hearing, child development, dental, public health & other issues. Fraser Health Authority Head Office 604-587-4600 Abbotsford Health Unit #104 – 34194 Marshall Road 604-864-3400 Agassiz Health Unit 7243 Pioneer Ave, P.O. Box 104 604-793-7160 Chilliwack Heath Unit 45470 Menholm Road 604-702-4900 Hope Health Unit 444 Park Street 604-860-7630 Mission Health Unit 32618 Logan Ave 604-814-5500 Langley Public Health Unit 22033 Fraser Highway 604-539-2900 For contact information for Health Units outside the Fraser Valley, contact your Health Authority (page 21) Mental Health Centres: Contact Mental Health for questions about mental health issues such as depression. Abbotsford Agassiz Community Health Services Chilliwack Creative Centre Society (Abbotsford) Hope (Adult) Langley (Adult) Mission Child & Youth Mental Health Mental Health Info Line Mental Health After Hours Service 604-870-7800 604-793-7160 604-702-4860 604-850-1168 604-860-7733 604-514-7940 604-814-5600 Toll-free Toll-free 604-514-2711 1-800-661-2121 1-877-384-8062 22 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Health Services Cont’d Epilepsy and Seizure Disorders: Epilepsy and Seizure Education BC Epilepsy Society, Vancouver (Long Distance or Outside BC) Website: 1-866-374-5377 604-875-6704 www.bcepilepsy.com Website: 604-853-7399 www.epilepsy.cc Toll-free Website: 604-875-0188 1-800-663-1278 www.bccpd.bc.ca Centre for Epilepsy & Seizure Education in BC (Abbotsford) Sexual Health: BC Coalition of Persons with Disabilities Brain Wave Harmony Health & Vitality Centre, Langley Balances and optimizes brain to assist with sexual function Options for Sexual Health, Vancouver Offers clinics, education services, advocacy 778-278-2220 Website: www.brainwaveharmony.ca 604-731-4252 www.optionsforsexualhealth.org Website: Sexual Health Services at G.F Strong Rehabilitation Centre/ Vancouver Hospital & Health Sciences Centre Provides information and education services Physician‟s referral required The Sex Information and Education Council of Canada (SIECCAN) Arrticles from “The Canadian Journal of Human Sexuality” Website: 604-737-6233 www.gfstrong.vch.ca Website: 416-466-5304 www.sieccan.org Shade Consulting Ltd., Vancouver Sexual Health & Disability Education Website: Offers social skills, lifeskills, and sexuality education for people with disabilities and those who support them Sexual Health and Fertility after Brain and Spinal Cord Impairment Being developed by practicing physicians and sexual health nurses, covering a wide variety of topics Website: The Sexual Health Network Provides easy access to sexuality information, education, support and other resources Sunny Hill Education Resource Centre (SHERC)/Family Resource Library Offers a free lending library of sexuality and disability related resources within BC 604-434-9579 www.shadeconsulting.ca www.scisexualhealth.com Website: www.sexualhealth.com Website: www.bcchildrens.ca 23 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Health Services Cont’d Special Equipment and Rehabilitation Please note: Inclusion in this Information and Resource Manual does not imply an endorsement by the Fraser Valley Brain Injury Association nor does it guarantee eligibility for services. Each organization has its own criteria for providing services and may charge a fee for services. Please contact the organization directly for more information. This may not be a complete list of all available services in your area. Assistive Technology British Columbia 604-264-8295 The Disability Foundation, Tetra Society of North America Non-profit society that conducts research and development of technical aids. Recruits skilled engineers and technicians to create the assistive devices. Individuals pay only for materials. Toll-free BC Association for Individualized Technology & Supports for People With Disabilities Toll-free The Technology for Independent Living Program provides technology to assist with communication and with managing devices in the home. Website: BC Centre for Ability (Vancouver) Individualized therapy and support service (Community Brain Injury Program for Children and Youth) Toll-free Website: Chilliwack & District Senior Resources Society Has listings of people with medical equipment for sale 604-872-1278 www.bccpd.bc.ca 604-324-3611 1-877-324-3611 www.bcpara.org 604-793-9979 CNIB Offers low vision services, peer support, information Medichair www.bcits.org Toll-free 1-877-451-5511 Website: www.centreforability.bc.ca Website: GF Strong Rehabilitation Centre (Vancouver Coastal Health) Provides rehabilitation and a variety of specialized servicesConsultation, assessment, evaluation, intervention, education 604-326-0175 1-866-326-1245 604-451-5511 BC Coalition for People with Disabilities BC Paraplegic Association Offers Swap „N Shop Forum 604-688-6464 1-877-688-8762 Toll-free Website: 604-431-2121 1-800-563-2642 604-734-1313 www.gfstrong.com Toll-free Fraser Valley 1-800-667-0087 604-852-3191 Toll-free 604-473-9363 1-877-673-4636 Neil Squire Society Offers assistive technology, “Computer Comfort” 24 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Special Equipment and Rehabilitation Cont’d Website: www.neilsquire.ca Website: 604-985-5371 www.nsdrc.org Website: 604-232-2404 www.rcdrichmond.org North Shore Disability Resource Centre Richmond Centre for Disability Rick Hansen Foundation Toll-free 604-295-8149 1-800-213-2131 Red Cross Equipment Loans Cupboard: Abbotsford (Monday-Saturday, 11:00am-1:00pm) Chilliwack (Monday/Wednesday/Thursday/Friday 9:00am-12:00pm) Langley (Monday-Friday: 9:00 am – 12:00) 604-556-3526 604-792-2343 604-881-1113 Canadian Red Cross Society - Aids to Independent Living Project Provides medical equipment on a no-charge, long-term loan basis 604-709-6600 Rehabilitation Resources: Acquired Brain Injury Program (Vancouver Coastal Health/ GF Strong Rehabilitation Centre) Offers inpatient, outpatient and outreach services Back in Motion (Richmond) An early intervention program for people with mild TBI 604-737-6335 604-273-7600 Direct line 604-233-2348 Website: www.backinmotion.com BC Rehab Foundation (Non-profit located at GF Strong) Supports people with disabilities throughout BC through education, research, activities, recreation and wellness programs Columbia Speech and Language Services Works with people who have communication disorders stemming from a brain injury – word-finding problems, disorganized or perseverative speech, difficulty understanding what is heard or read. 604-737-6383 Website: www.bcrehab.com 604-875-9100 Community Therapists or CTI (Occupational Therapy) 604-681-9293 Offers rehabilitation services for people with mild to severe brain injury - education, functional assessments, at-home help Links people to local community resources Website: www.communitytherapists.com Lifemark (Vancouver) A Concussion Clinic for people who are at least 6 months post-injury. Insurance referrals only; fee for service; province-wide 604-687-5911 25 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Special Equipment and Rehabilitation Cont’d Parley Services 604-868-5586 Offers support management services focusing on behavioural problems and psychosocial needs. Goals are to empower and to increase functional capacity and self-reliance Province-wide services Website: www.parleyservices.com Raincoast Community Rehabilitation Services 604-444-3770 Specializes in community-based assessment, rehabilitation and Toll-free 1-800-535-9988 treatment, vocational assessments and services, and long-term support for people with TBI. Provides cognitive, psychosocial and physical rehabilitation in the community. Litigation services . Website: www.raincoastrehab.ca Spectrum Society for Community Living – Acquired Brain Injury Program 604-323-1433 A community-based program offering individualized one-to-one lifeskills support, assisting people to maintain the highest level of independence. Includes physical rehabilitation therapy, vocational support, lifeskills Website: www.spectrumsociety.org Occupational Therapy: Contact Fraser Valley Brain Injury Association for Occupational Therapists in your area who have experience working with people with acquired brain injury. British Columbia Society of Occupational Therapists Toll-free Website: 604-736-5645 1-888-736-5645 www.bcsot.org Speech & Language Therapy: Contact Fraser Valley Brain Injury Association for Speech and Language Therapists in your area who have experience working with people with acquired brain injury. BC Association of Speech Language Pathologists Website: http://www.bcaslpa.ca/ Stroke Recovery: Stroke Recovery Association of BC Some Stroke Recovery Branches offer programs run by rehabilitation 604-688-3603 professionals. Toll-free:1-888-313-3377 Website: www.strokerecoverybc.ca Physiotherapy: Abbotsford: Abbotsford Chiropractic Center 220-3033 Immel Street, Abbotsford Abbotsford Sports & Orthopaedic Physiotherapy 201-32920 Ventura Avenue, Abbotsford 604-850-6408 604-854-6310 26 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Special Equipment and Rehabilitation Cont’d Physiotherapy Cont’d CBI Physiotherapy & Rehabilitation Centre 4-34252 Marshall Road, Abbotsford 604-852-5655 Glenn Mountain Orthopaedic & Sports Physiotherapy Rehabilitation Centre 105-2526 Yale Court, Abbotsford 604-557-0198 McCallum Physiotherapy Clinic 204-2151 McCallum Road, Abbotsford 604-853-3443 OASIS (Orthopaedic & Sports Injury Services) 3106 Clearbrook Road, Abbotsford 604-855-0155 Pro Motion Physiotherapy & Sports Injury Clinic 100A-2955 Gladwin Road, Abbotsford 604-852-3180 Sport & Spine Physiotherapy 2375 West Railway Street, Abbotsford 604-854-3545 Aldergrove: Aldergrove Physiotherapy & Rehabilitation Clinic 27-3100 272nd Street, Aldergrove 604-607-1414 Chilliwack: Fraser Valley Physiotherapy & Rehabilitation Centre 2-9145 Corbould Street, Chilliwack 220A-6640 Vedder Road, Chilliwack 604-792-2141 Lock Physiotherapist Corp 604-819-4248 Wickers D L 41-45905 Yale Road, Chilliwack 604-792-6979 604-824-0001 Langley: Langley Physiotherapy Clinic 420-6325 204th Street, Langley 604-530-6511 OASIS (Orthopaedic & Sports Injury Services) 3-880 202nd Street, Langley 604-881-0155 27 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Special Equipment and Rehabilitation Cont’d Physiotherapy Cont’d Mission: Cedar Valley Physiotherapy & Pain Clinic 112-32423 Lougheed Highway, Mission 604-814-3336 McRae Avenue Physiotherapy Clinic 32724 McRae Avenue, Mission 604-820-1808 Mission Physiotherapy C-32757 Logan Avenue, Mission 604-826-7729 604-826-7742 OASIS Physiotherapy Mission 7650 Grand Street, Mission (at Mission Leisure Centre) 604-820-8285 Special Equipment and Rehabilitation Cont’d Other: Abbotsford ACM Care Centre 11-2168 McCallum Road For Pain & Stress Control, Anxiety & Depression 604-850-1088 Brain Wave Harmony Health & Vitality Centre 105-19610 64th Avenue, Langley Services include Physiotherapy, Hypnotherapy, and Art Therapy in overcoming the results of TBI. Balances and optimizes the brain to help with anxiety, depression, stress, anger, memory problems. Canadian Art Therapy Association (CATA) 778-278-2220 Website: www.brainwaveharmony.ca Website: www.catainfo.ca/directory_online.php Cedar Valley Physiotherapy & Pain Clinic 112-32423 Lougheed Highway, Mission Offers Classic Hatha Yoga for those suffering from chronic pain, anxiety, stress and insomnia Expressive Art Therapy (Abbotsford) (S. Brooke Anderson) 604-814-3336 Website: www.sbandersonart.com Mission Acupuncture Clinic 33460 Cardinal Street, Mission 604-820-8243 Murrayville Acupuncture 108-22314 Fraser Highway, Langley 604-308-6342 Sumas Mountain Chiropractic & Acupuncture 102-34609 Delair Road, Abbotsford 604-852-3930 28 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Housing and Residential Services BC Housing - Rental Assistance Program Supportive Housing and rent subsidy program for working families, emergency housing 604-433-2218 Toll-free 1-800-257-7756 Website: www.bchousing.org BC Non-Profit Housing Association Toll-free Website: Communitas Supportive Care Society (Abbotsford) Individualized Living Options Program Homeless Outreach Providers 604-850-6608 (Salvation Army) (Salvation Army) (Transition Society) (Stepping Stone) (Community Services) Abbotsford Chilliwack Hope Langley Mission Howe Sound Rehabilitation Services Society Assisted Independent Living Program provides accommodation options, family care homes and semi-independent living Residential Tenancy Office Provides information about your rights as a tenant/ landlord, and dispute resolution services. Tenant Resource & Advisory Centre (TRAC) 604-291-2600 1-800-494-8859 www.bcnpha.ca 604-852-9305 604-792-0001 604-869-5111 604-530-5033 604-826-3634 604-936-9944 1-800-665-8779 Website: www.rto.gov.bc.ca Admin 604-255-3099 Information Hotline 604-255-0546 Toll-free 1-800-665-1185 Tenants‟ Rights Coalition Toll-free 1-800-665-1185 Vancouver Resource Society Provides accessible housing with support services Assisted living, independent living, apartment living Website: 604-731-1020 www.vrs.org 29 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Housing and Residential Services Cont’d Private Residential Facilities: Group Home Providers: Lower Mainland/Fraser Valley L & T Services #202 - 2661 Kingsway Vancouver, BC V5R 5H4 Hylan Home 32223 Hylan Avenue Abbotsford, BC V2T 1S8 Connect Langley (Connect Communities) 20445 - 73A Avenue Langley, BC V2Y 1V1 Website: Fax: 604-439-7545 604-439-1326 Fax: 604-850-8122 604-850-8176 604-534-0705 www.connectcommunities.ca Classic Caregivers 1550 - 1200 W. 73rd Ave. Vancouver, BC V6P 6G5 Cheshire Home Society #202 – 625 5th Ave New Westminster, BC V3M 1X4 Evergreen Cottages 8382 – 156th Ave Surrey, BC V3S 3R7 1-888-263-5168 604-540-0686 604-540-0684 Fax: Fax: 604-597-7906 604-597-9025 Bear Creek House 13799 88th Avenue Surrey, BC V3W 3L2 604-936-9944 Guildford Glen House #27-14880 101a Ave. Surrey, BC V3R 7V5 604-936-9944 30 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Housing and Residential Services Cont’d Private Residential Facilities: Kamloops Westsyde Care Residence 2980 Westsyde Road Kamloops, BC V2B 7E9 Ponderosa Community Respite Program 425 Columbia Street Kamloops, BC V2C 2T4 Fax: 250-579-7675 250-579-7682 Fax: 250-374-5735 250-374-5799 Fax: 250-762-4378 250-762-0167 Kelowna Avonlea Care Centre Limited 1658 Blondeaux Crescent Kelowna, BC V1Y 4J7 Connect Lake Country (Connect Communities) 11438 Bottom Wood Lake Road Winfield, BC V4V 1V4 250-469-9358 Victoria Cridge Centre for the Family MacDonald House (B I Services) 1251 Santa Rosa Avenue Victoria, BC V8Z 2V5 Fax: 250-479-5299 250-479-2490 Fax: 250-562-6265 250-562-6264 Fax: 250-564-2447 250-564-6928 Prince George Prince George Brain Injury Group Society (Quince Street House) 2012 Quince Street Prince George, BC V2L 5B4 Email: [email protected] (Office) 1237 4th Ave Prince George, BC V2L 3J5 Email: [email protected] . There may be other qualified family care homes in your area. Please contact your local brain injury association for more information. Your local Health Authority may have housing resources as well if you qualify for services 31 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Internet Resources Alberta Brain Injury Help Line BC Brain Injury Association Brain Games & Education (interactive site) Brain Injury Association of America Brainstreams BrainTrust Canada (COBIS) Bulkley Valley Brain Injury Association Central Okanagan Brain Injury Society Centre for Neuro Skills TBI Resource Guide Comox Valley Head Injury Society Fraser Valley Brain Injury Association Kamloops Brain Injury Association Nanaimo Brain Injury Society Northern Alberta Brain Injury Society Ontario Brain Injury Association Pacific Coast Brain Injury Conference Prince George Brain Injured Group Society South Okanagan Similkameen BI Society Stroke Recovery Canada Stroke Recovery Association of BC Tools for Living The Healing Exchange – Brain Trust The Perspective Network Traumatic Brain Injury Resource Centre Victoria Brain Injury Society Waiting While Someone is in a Coma http://www.abihelp.org www.bcbraininjuryassociation.com www.lumosity.com www.biausa.org www.brainstreams.ca http://braintrustcanada.com www.bvbia.ca www.braintrustcanada.com www.neuroskills.com www.cvhis.org; www.cvheadinjury.com www.fvbia.org www.kbia.ca www.nbis.ca www.nabis.ab.ca www.obia.on.ca www.pcbic.org www.pgbig.ca www.sosbis.com www.strokerecoverycanada.com www.strokerecoverybc.ca www.livingafterbraininjury.com www.braintrust.org www.tbi.org www.braininjuryresources.org www.vbis.ca www.waiting.com 32 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Jobs, Skills and Training Abbotsford Community Living (Abbotsford Community Services) 604-870-4972 Abbotsford Community Services - Employment Development Office Free 1:1 counselling related to issues surrounding barriers to employment and physical disabilities 604-859-7681 Agassiz-Harrison Community Employment Services 604-796-0266 Bowman Employment Services Funding for training if unemployed, 15 to 30 & not eligible for E.I. Toll-free 604-504-5515 1-877-504-5515 Toll-free Chilliwack 604-859-6790 1-866-859-6790 604-702-0361 CARE (Career Assistance & Resources for Employment) Must be unemployed, working under 20 hours per week, or on E.I. Abbotsford Mission 604-755-3388 604-814-0732 Career & Employment Zone (CEZ) Aldergrove Langley 604-607-6718 604-534-8874 Bridging the Gap (Employment Readiness for Women) Chilliwack Community Services 604-792-4267 Chilliwack Employment Services (CES) 604-702-4664 Chilliwack Society for Community Living Must qualify for services by IQ level 604-792-7726 Community Employment Resource Centre Must be unemployed or working fewer than 20 hrs per week Community Employment Services Community Futures – Fraser Valley Self Employment Program Community Futures South Fraser Community Skills Centre Chilliwack Langley 604-793-6670 604-534-8874 Agassiz 604-796-0266 Abbotsford Chilliwack Toll-free 604-864-5770 604-793-4334 1-877-827-8249 Aldergrove Langley Mission 778-908-2784 604-532-3808 604-826-0626 Compass Setting Career Directions (MCC Employment Centre) Douglas College Foundations Workplace Skills Must be unemployed or working fewer than 20 hours per week 604-859-4500 Abbotsford Chilliwack 604-852-5520 604-793-9050 33 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Jobs, Skills and Training Cont’d Employment Program for Persons with Disabilities Ministry of Social Development Information Line For those who want to volunteer, work full-time, part-time, or be self-employed - if not funded through ICBC, WorkSafe BC or on long-term disability. Individualized services include career planning, skill assessment, pre-employment, job training, placement and supports (including disability), transportation assistance) * Vancouver Coastal Open Door Group (formerly THEO BC) *Fraser Region – WCG International HR Solutions Toll-free 1-866-866-0800 Vancouver Fraser 1-866-377-3670 1-866-689-7150 Fraser Valley Skills Link Work Experience Program Must be 15 to 30, unemployed, referral required Abbotsford Toll-free Chilliwack Toll-free 604-504-5515 1-877-504-5515 604-703-1505 1-866-700-1505 Fraser Valley Wage Subsidy Program (Bowman) Must be unemployed and receiving EI or on EI in the last 3 years Abbotsford Toll-free Chilliwack Toll-free 604-504-5515 1-877-504-5515 604-703-1505 1-866-700-1505 Jobwave Job Seekers‟ Club (Buxton Consulting) Chilliwack 604-792-2807 Langley Association for Community Living Must qualify for services by IQ level 604-534-8611 MCC Employment Centre (group learning, online participation) No specific focus on disabilities, must be unemployed or working fewer than 20 hours per week 604-859-4500 Mission Association for Community Living 604-826-9080 MSA Society for Community Living (Abbotsford) 604-852-6800 Neil Squire Society Employment Program for Persons with Disabilities Toll-free 604-217-4847 1-877-673-4636 Must be unemployed / underemployed and have a physical disability that is a barrier to employment Open Door Group (Open Door Social Services Society) 604-876-0773 (Formerly THEO BC) Helps people to find employment, identifies hiring needs, provides Toll-free 1-866-377-3670 information and support around accommodations and puts forward qualified candidates based on matching skills and abilities Supports employers to hire persons with disabilities and barriers to employment Website: www.opendoorgroup.org Vancouver and Richmond areas only 34 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Jobs, Skills & Training Cont’d: Raincoast Community Rehabilitation Services Provides vocational assessments and services Toll-free 604-444-3770 1-800-535-9988 Website: www.raincoastrehab.ca Service Canada Centre Abbotsford Chilliwack 604-854-5852 604-792-1371 Strategic Success @ Work Abbotsford 604-854-6292 Student Services at Thompson Rivers University (Open University) Toll-free Triangle Community Resources Chilliwack Langley Mission Abbotsford Abbotsford Chilliwack 604-792-8000 604-539-9850 604-814-0052 604-859-0033 604-854-1500 604-792-8000 Abbotsford Toll-free Chilliwack Mission Buxton Consulting Toll-free 604-556-0411 1-866-689-7150 604-795-5988 604-814-0626 604-792-2807 1-866-689-7150 RITE - 6 week program for men WRITE - 6 week program for women Aboriginal Outreach Triumph Vocational Services Must have a medically verified disability Vocational Rehabilitation Program – GF Strong Rehabilitation Centre/Vancouver Coastal Health Provides supportive counselling, assessment and guidance, graduated return-to-work program, liaison with employers and insurance plan consultants, obtaining funding and benefits, exploring job accommodations 604-734-1313 Website: www.gfstrong.vch.ca Work Exploration Program (Kwantlen College – Langley) For students with disabilities The Workforce 1-800-663-9711 604-599-3215 Boston Bar/Hope 604-869-2279 Youth Employment Resource Centre (YERC) Free services to unemployed/underemployed youth 15 to 30 Abbotsford Langley 604-859-9454 604-534-8874 Youth Employment Zone Assists youth to develop job search skills Langley 604-514-3110 35 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Other Work Related Resources: Workers‟ Compensation Appeal Tribunal (WCAT) 1-800-663-2782 Worker‟s Compensation Board (WorkSafe BC) WorkSafe BC Claim Reporting & Information Centre WorkSafe Emergency Line after 4:30 pm Toll-free 1-888-967-5377 1-866-922-4357 Workers‟ Advisors Office- assists injured workers Toll-free 1-800-663-4261 Employment Standards Information Line *Monday – Friday, 8:30am - 4:30pm 1-800-663-3316 Website: http://www.labour.gov.bc.ca/esb/ 36 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Legal Whoever is responsible for choosing the lawyer should ensure that the lawyer being considered is familiar and knowledgeable about acquired brain injury issues. Because some people are hesitant to actually “interview” a lawyer, we would suggest that you not even start the process without first inquiring at the FVBIA for names of lawyers in your area with experience in brain injury. Please see page 57 for a list of questions that you should ask if you do interview a lawyer. Chilliwack Community Services Access to Justice Legal Services: legal information and court preparation provided by volunteer lawyers 604-792-4267 604-393-3251 Nidus Personal Planning Resource Centre & Registry Representation Agreement Resource Centre (Vancouver) 604-408-7414 Find out about your rights on making health care decisions and what might happen if you become incapable of making decisions (representation agreements, powers of attorney). For Legal Aid services, contact your local Community Services. UBC Law Students' Legal Advice Program (Poverty Law) 604-822-5791 Transunion For people under threat of being taken advantage of or the victims of identity theft. Toll-free 1-800-663-9980 Equifax For people under threat of being taken advantage of or the victims of identity theft. Toll-free 1-800-465-7166 37 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Multicultural/Aboriginal Services Aboriginal Services: Aboriginal Housing Aboriginal Homeless Outreach Program (Housing Matters BC) Vancouver 604-251-7200 Provides access to housing, income assistance, communitybased support services Available through the Salvation Army in Abbotsford, Chilliwack Aboriginal Transformative Justice Services Kla-how-eya Aboriginal Centre of Surrey Aboriginal Cultural Society BC Aboriginal Network on Disability Society (BCANDS) Provides a variety of support services and resources to promote the betterment of aboriginal people with disabilities 604-251-7200 Surrey 604-584-2625 250-381-7303 Toll-free 1-888-815-5511 Website: www.bcands.bc.ca Chehalis Band Office 604-796-2116 Community Futures – CFDC Sto:lo Unit 29 – 6014 Vedder Road, Chilliwack Offers business support, lending and training 604-858-0009 Mamele‟ Awt Qweesome Housing Society 137-34110 Lougheed Highway, Mission 604-820-3324 Matsqui Indian Band 31989 Harris, Abbotsford 604-826-6145 Mission Aboriginal Family Place 136-34110 Lougheed Highway, Mission 604-820-4693 Mission Indian Friendship Centre Society 33150-A 1st Avenue, Mission 604-826-1281 Seabird Band Office 604-796-2177 Sto:lo Employment Services Bldg 5, 7201 Vedder Road, Chilliwack 604-847-3299 Sto:lo Nation Sto:lo Nation , Xyolhemeylh 604-858-0468 604-858-0113 Xolhemet Society Supports victims of family violence, offers shelter, housing, Transition House, resources, legal advocacy 604-858-0468 Xyolhemeylh Child & Family Services 2335 McCallum Road, Abbotsford 5-7201 Vedder Road, Chilliwack 34110 Lougheed Highway, Mission 604-870-5888 604-824-2518 604-820-2595 38 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Multicultural Services: Abbotsford Community Services – Immigrant Services 604-859-7681 Provides legal assistance, assistance with disability applications Website: www.abbotsfordcommunityservices.com Affiliation of Multicultural Societies and Service Agencies of BC (AMSSA) Includes over 75 multicultural agencies providing immigrant settlement and multicultural services Toll-free Links to Multicultural Health, Immigrant Settlement and Integration, and Multiculturalism and Diversity Website: Has online resources and research/publications Links to Lower Mainland Community Services by region Burnaby Chinese Brain Injury Support Group Meets twice monthly Cantonese, Mandarin and English spoken 604-718-2780 1-888-355-5560 www.amssa.org 604-877-8606 Chilliwack Community Services 604-792-4267 Website: www.comserv.bc.ca DIVERSEcity Community Resources Society (DCRS) (Surrey) Immigrant Services Society of BC (ISS) (Vancouver) Provides a variety of services – educational, settlement, and employment Promotes integrated and equitable communities Website: 604-597-0205 www.dcrs.ca Website: 604-684-2561 www.issbc.org Indo Canadian Seniors‟ Society 778-552-7227 Langley Community Services Society Website: Mission Community Services Society (MCSS) Website: 604-534-7921 www.lcss.ca 604-826-3634 www.missioncommunityservices.com Multi-Lingual Orientation Service Association for Immigrant Communities (MOSAIC) (Vancouver) Addresses issues affecting immigrants and refugees during settlement and integration. No fee Employment Programs, English Language Centres. Family Programs focusing on Early Childhood Development and Education, Violence Prevention & Counselling, and Youth; Family Support Programs; Multicultural Victim Services Program; Community Outreach; Interpretation & Translation Services 604-254-9626 Website: www.mosaicbc.com 39 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Multicultural/Aboriginal Services Cont’d OPTIONS: Surrey Community Services Society Pacific Immigrant Resources Society (PIRS) (Vancouver) Provides programs and services for immigrant women and their young children Provides opportunities to develop knowledge, skills and confidence needed to participate more actively in the community More than 40 different languages spoken 604-596-4321 Website: www.options.bc.ca 604-298-5888 Website: www.pirs.bc.ca Website: 604-596-7722 www.pics.bc.ca Progressive Intercultural Community Services Society (PICS) SUCCESS (Vancouver) Offers advocacy, social, educational and health services to persons of diverse ethnic descent Vancouver Multicultural Society Represents ethno-cultural communities in the Lower Mainland Coordinates public education and advocacy projects that increase knowledge and acceptance of diversity issues, human rights and anti-racism 604-684-1628 Website:www.successbc.ca 604-731-4648 40 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Recreation and Leisure Leisure Centres: Please contact the recreation/leisure centre in your area for information regarding how to qualify for discount prices based on income or disability, or for adapted programs if you need them. Try something new, like tai chi or yoga. Chances are, you‟ll feel better, and these programs can be a great way to get involved in your community at the same time! Abbotsford: Abbotsford Recreation Centre 604-853-4221 Matsqui Recreation Centre 604-855-0500 Taoist Tai Chi Society Offers regular tai chi classes only 604-795-4040 www.taoist.org Website: Aldergrove: Aldergrove Kinsmen Community Centre 604-856-2899 Aldergrove Neighbourhood Services (Activity Information) 604-857-4662 Chilliwack: Cheam Leisure Centre (YMCA) 604-824-0231 Chilliwack Family YMCA Has adapted aquatics (4 levels) and pool is accessible via lift 604-792-3371 Chilliwack Landing Leisure Centre 604-793-7946 Pacific Riding for the Disabled A non-profit society run by volunteers, offering a unique form of physiotherapy for children and young adults with physical disabilities. No Fee. 604-858-2149 Hope: FVBIA Hope Leisure Program Toll-free Hope Recreation Centre 604-557-1913 1-866-557-1913 604-869-2304 41 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Recreation/ Leisure Cont’d: Langley: Al Anderson Memorial Pool 4949 207 Street, Langley 604-514-2860 Douglas Recreation Centre 20550 Douglas Crescent, Langley 604-514-2866 Pacific Riding for Developing Abilities (PRDA) Offers therapeutic equestrian activities and educational opportunities for people with disabilities 604-530-8717 Website: www.prda.ca Taoist Tai Chi Society, Surrey/Langley Offers adapted tai chi classes Website: 604-507-0700 www.taoist.org Timms Community Centre 20355 Douglas Crescent, Langley 604-514-2940 Valley Therapeutic Equestrian Association. 3330-256 Street, Langley Offers horseback riding opportunities for people with disabilities 604-857-1267 Walnut Grove Community Centre 604-882-0408 W.C. Blair Recreation Centre 604-533-6170 Mission: Mission Leisure Centre 7650 Grand Street, Mission 604-820-5350 Social/Recreational Resources in the Lower Mainland: ABI Community Leisure Program (CLP) (Howe Sound Rehabilitation Services Society) A community-based individualized day program operating weekdays and focusing on leisure, social and recreational activities Based in New Westminster and Surrey Referral from Fraser Health ABI Program required BC Mobility Opportunities Society (Disability Foundation) Provides challenging outdoor recreation activities 604-936-9944 604-688-6464 Website: www.disabilityfoundation.org BC Wheelchair Sports Association (Vancouver) Provides opportunities for athletes with physical disabilities 604-333-3520 42 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Recreation/ Leisure Cont’d: Disabled Sailing Association of BC (Disability Foundation) Offers supported sailing instruction in adapted sailboats 604-688-6464 Website: www.disabledsailingbc.org Disabled Skiers Association of BC (DSABC) (Richmond) Offers adaptive snow sports 604-333-3630 Friday Frappe Frenzy Meets at 7 pm on the 4th Friday of the month at Blenz Coffee (the corner of 6th Street and 6th Avenue) in New Westminster A social event open to everyone 604-540-9234 Gardening DIGA (Disabled Independent Gardeners Association) 604-688-6464 (Disability Foundation) Adaptations for various types of gardens and equipment, workshops Website: www.disabilityfoundation.org/diga Jewish Community Centre of Greater Vancouver Offers weekly rehab swim classes, skills and exercises 604-257-5111 Kickstart (Disability Arts & Culture), Burnaby Website: 604-292-1296 www.kickstart-arts.ca Stan Strong Pool (Out of George Pearson Centre) A warm, wheelchair accessible pool offering learn to swim lessons, exercise and recreational swimming. (A medical form is needed for access) Stand up for Mental Health Stand up comedy performed by mental health consumers & people with brain injuries 604-321-3231 Website: 604-707-0483 www.standupformentalhealth.com Step by Step (Adapted Walking Program) (GF Strong Rehabilitation) A modified weekly walking program 604-737-6413 Surrey Parks, Recreation & Culture Outreach and Support Services or Taoist Tai Chi Society, Vancouver Offers adaptive tai chi classes Vancouver Adapted Music Society (VAMS) (Disability Foundation) Provides equipment allowing involvement in making music and performing Website: 604-502-6321 604-502-6353 604-681-6609 www.taoist.org 604-688-6464 Website: www.vams.org 43 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Recreation/ Leisure Cont’d: Vancouver Adapted Snow Sports (VASS) Offers ski and snowboard programs at Grouse, Seymour and Cypress Mountains for people with disabilities Vancouver Parks Board Adapted Programs (Access Services) Offers a wide range of adapted programs and facilities for people with disabilities 604-646-8277 Website: www.vass.ca 604-257-8500 44 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Recipe for Life Great chefs know that there is no getting around it. The secrets to any good recipe are amazing ingredients and lots of slow, steady blending. This Recipe for Life has it all! Preparation Time: As long as it takes Yields: 1 happy individual Serves: Everyone Ingredients: 1 part of Enthusiasm 1 part Interest 1 dash of Hope for the Future 1 part Strength 1 part Courage 1 part Openness Add Growth to taste Garnishes: Fun, Joy & Spirit Directions: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. In life‟s blender, gently mix 1 part enthusiasm with 1 part interest until anticipation rises. Tease in 1 part openness to explore new possibilities. Toss out any self-doubt. Add 1 dash of hope for the future. Mix ingredients until smooth. When lumps of doubt are gone, add 1 part strength to become involved. With care, gently add 1 more part courage to make the call. Carefully nurture the budding involvement until ingredients are fully- blended. Add growth to taste. Garnish with sprigs of fun, joy and spirit. Enjoy for a lifetime! Nutrients per Serving: 3 jigs of Happiness 2 jigs Satisfaction 1 jig of Wellbeing Mary McKee, Carol Paetkau Fraser Valley Brain Injury Association 45 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Seniors’ Services Abbotsford Community Services - Seniors‟ Services Department Meals on Wheels, medical transportation, Community Response Network 604-870-3772 604-870-3764 Abbotsford Peer Support for Seniors 604-850-0011 Abbotsford Senior Health Awareness 604-853-5541 Abbotsford Seniors Association Drop In Centre, social activities, wellness checkups, computer classes 604-853-4014 Aldergrove Veterans and Seniors Society 604-856-3271 B C Centre for Elder Advocacy & Support Seniors Help and Information Line Provides assistance and support to those who are or may be abused or whose rights have been violated Toll-free Bus Passes for Seniors 604-437-1940 1-866-437-1940 1-866-866-0800 Chilliwack Community Services (4 offices) Offers a variety of services including Seniors‟ Advocate, assistance with income tax & government forms, specialized victim assistance 604-792-4267 Chilliwack & District Seniors‟ Resources Society Offers a variety of services and programs including social recreation, activities, education, housing, day programs, grocery shopping, bus tours, assistance with forms and letters 604-793-9979 Community Information Resource Bureau for Seniors (Abbotsford Community Services) 604-870-3763 Driving Miss Daisy Seniors‟ Services Provides accompaniment and assistance with transportation 604-302-0479 Friendship House Society (Abbotsford) 604-853-9716 Health Canada Printable “Services for Seniors Guide” Website: www.seniors.gc.ca www.hc-sc.gc.ca Health and Seniors‟ Information Line Toll-free 1-800-465-4911 Indo Canadian Seniors‟ Society 778-552-7227 Mission Seniors‟ Connection (Mission Community Services) 604-826-3634 46 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Seniors’ Services Cont’d Old Age Security & Canada Pension Plan 1-800-277-9914 SAFER (Shelter Aid for Elderly Renters) (Seniors‟ Supportive Housing) Helps make rents affordable for BC seniors with low to moderate incomes Accessible, affordable housing with support services 604-433-2218 1-800-257-7756 Toll-free Website: www.bchousing.org Seniors Healthy Aging Resource Society Friendly Visiting Program Seniors‟ Supplement or Toll-free 604-557-2879 604-854-1793 1-877-815-2363 ** Also check for local Community Services listed on page 10 and Health Services listed on page 21. 47 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Transportation Community Drivers: Chilliwack Community Services Abbotsford Community Services Provides rides to medical and therapy appointments Run by volunteers HandyDART: Abbotsford & Mission Chilliwack Langley/Surrey/White Rock/Aldergrove Register first at Access Transit Chilliwack Abbotsford 604-792-4267 604-859-7681 604-855-0080 604-795-5121 604-575-6600 778-452-2860 Driver Rehabilitation and Testing: The cognitive, emotional and physical changes associated with brain injury can affect a person‟s driving ability. Problems with attention, concentration, judgment, problem solving, decision making and speed of information processing can all lead to unsafe driving practices. Noise and sights may cause distraction, irritation and/or agitation. Physical changes may affect the ability to control a vehicle, and reflexes and reaction times may be slower. Poor visual/auditory and perceptual skills also have an effect on a person‟s ability to drive safely. When these problems occur, a comprehensive driving evaluation by a driver rehabilitation specialist can assist with determination of safe driving potential. BC Driver Rehab Programs are best for clients who have a goal and potential to resume driving. The goal of Driver Rehab is to assist clients to resume driving, offering assessments, lessons, compensatory strategies and vehicle modification (if needed) to enable participation in Driving as an Activity of Daily Living. (FIT Consultants) ***Drive Able Programs are best for clients who have dementia, progressive cognitive conditions with memory impairments (not clients with TBI or visual and /or physical impairments). (FIT Consultants) Community Therapists “Functional Driving Evaluation” 604-681-9293 Driver Rehabilitation conducted by OT‟s in partnership with Ext #153 physician, driving instructor and the Driver Fitness Program (OSMV) Includes off-road remediation and on-road retraining Serves Vancouver, Surrey, Fraser Valley Website: www.communitytherapists.com Driver Rehabilitation Program at George Pearson Centre/GF Strong Centre 604-322-8335 Offers in-clinic assessments, on-road assessments, on-road rehabilitation, lessons and vehicle/equipment assessments Access to OT‟s, driving schools, recognized by SMV Requires physician‟s or OSMV referral Serves Vancouver area; fee for service Website: www.gfstrong.vch.ca Functional Independence Therapy (FIT) Consultants Offers adapted driving assessments, low vision driving assessments, equipment consultations, on-road lessons Province-wide mobile service 604-263-5286 48 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Transportation Cont’d Holy Family Hospital Driver Rehabilitation Program Offers driver screening, driving assessments and lessons Serves Vancouver area 604-322-2617 Superintendent of Motor Vehicles (Victoria) Or Toll-Free through Enquiry BC ICBC Driver Licensing Centre/General Enquiries 250-387-7747 1-800-663-7867 604-661-2800 1-800-663-3051 1-800-950-1498 1-888-715-7775 Driver Licensing Services Road Test Booking Line ICBC does not engage in driver rehabilitation, but on the recommendation of an occupational therapist, ICBC‟s Rehab Coordinator may refer insured individuals to a driver rehabilitation program. The costs would be covered by the insured‟s Part 7. Other: BC Ferries 1-888-223-3779 Bus Passes for seniors and persons with disabilities Toll-free 1-866-866-0800 MSP Automated Service (Travel Assistance Program) All Medical Service Plan (MSP) subscribers are eligible for free passenger fare for the patient and escort (approved by your physician) Toll-free Or 1-800-661-2668 250-952-2657 Northern Thunderbird Air (Vancouver) Toll-free 1-800-663-3905 Via Rail Physician-approved escort travels free. Website: 1-888-842-7245 www.viarail.ca 49 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Resources and Services for the Bellingham and Sumas, Washington, USA Region This is not a complete list of services available in the State of Washington. Please contact the Brain Injury Association of Washington for such services as legal information, educational consultants, occupational consultants, health matters and any other necessary services. Brain Injury Association of Washington TBI Help Line 206-897-5755 1-877-824-1766 Toll Free 360-671-5714 360-715-1563 1-877-715-1563 Claims - Toll-Free Website: 360-647-7300 1-800-547-8367 www.lni.wa.gov 401 Broadway, 4th Floor Seattle, WA 98122 E-mail: [email protected] Home Page: http://www.biawa.org; www.braininjurywa.org Community Services: Domestic Violence & Sexual Assault Services of Whatcom County **24 Hour Hotline 24 hour a day help line for crisis and service information. They can direct you to food banks, transportation information and various other services in your area. Government Agencies: Bellingham Department of Labour & Industries Employment Standards 1-866-219-7321 Injury / Hospitalization Reporting 1-800-423-7233 Social Security *Financial assistance based on either Social Security Insurance or supplemental security income based on financial need. 1-800-772-1213 Website: www.ssa.gov Recreation / Leisure: Bellingham Parks and Recreation 360-778-7000 Whatcom County Parks and Recreation 360-733-2900 YMCA- Bellingham *Located at 1256 N. State St. in Bellingham 360-733-8630 YMCA- Lynden *Located at 100 Drayton St. in Lynden 360-354-5000 50 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Rehabilitation Facilities: This is not a complete list of services offered in the state of Washington. Please contact the Brain Injury Association of Washington for a complete listing. Bellingham St. Joseph Hospital, 809 East Chestnut (South Campus) Outpatient, Physical, Occupational and Speech Therapy Clinic. 360-715-6420 St. Joseph Hospital, 2901 Squalicum Parkway (Main Campus) ER, Medical Services, Diagnostic and/or Treatment Services, Nursing Services, Support Services. 360-734-5400 Providence Everett Medical Centre, 916 Pacific Ave (Pacific Campus) P.O. Box 1067 Everett WA, 98201 Rehab Unit Main Switchboard (Information) 425-258-7600 425 -261-2000 Tacoma: Tacoma General Hospital & Mary Bridge Children‟s Hospital 315 Martin Luther King Jr. Way Tacoma WA 98405 Inpatient and outpatient rehabilitation services 253-403-1000 St. Joseph Medical Centre 1717 South J Street Tacoma WA 98405 Inpatient, outpatient and home health rehabilitation services 253-426-4101 Serving Greater Seattle and Spokane Areas: Rehab without walls Provides comprehensive barrier free rehabilitation services in the home. 425-672-9219 Brain Injury Associations/Support Groups for Washington, USA Bellingham (Health Support Centre) Family Caregiver Network (Snohomish County) (Family Caregiver Resource Program) Website: 360-733-6714 425-290-1240 1-800-422-2024 www.snocare.org 51 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Tips for Stress Management The harder you find it to spare 20 minutes a day for relaxation, the more desperately you probably need it. The following is a list of things that we can do for self-care: Gather your support system – Identify the people you know you can talk to and give yourself permission to do that. Express your anger – It is normal and healthy to feel angry at times. Express that anger in positive ways. Remember anger can be a great motivator. Get political - Educate yourself on the issues that are causing you this distress. Write letters, sign petitions. Turn your anger at the injustice into something positive. Keep a journal or write letters – Writing down your feelings is a way of letting them go. You may want to write an angry or sad letter to someone. Your decision to send the letter is not as important as being able to express your emotions. Exercise – Whether it is walking, tennis, or aerobics, exercise gives a healthy release of emotions. Talk to a co-worker – Try to find an opportunity in each day to process with a trusted co-worker who you know will listen without judging. Enjoy the outdoors – Try walking outside and taking a minute to allow all your senses to work. It may help you to clear your mind and equip you to put things into perspective. Allow room for creativity – Not all of us have the skills of an artist, a poet, or a painter, and creative activities can serve as great outlets and can also be fun. There are many different ways to be creative; try cooking, baking, home decorating or gardening Get silly – Humour is a great way to release tension. Tap into your child self; do something unexpected like blow bubbles out the window of your car while in a traffic jam and so forth….Be creative! Find time for yourself - At work we are often struggling to meet the needs of others and for many of us, home can be much the same. Take some time for yourself to do the things you need to do. Scheduling some private time every day so that taking care of yourself becomes a habit. Consider taking a day-off from your regular responsibilities for no other reason than to indulge yourself. REMEMBER - YOU DESERVE IT! Make a list – of all the wonderful things you can do for yourself such as having a hot bath by candlelight, read poetry, lie on the grass and watch the stars, eat Italian ice cream, etc. 52 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 How to Know When You are Stressed Sleep disturbances, Insomnia Intestinal pain Lack of concentration Resentment Rapid pulse Shallow Breathing Feeling that you are no longer in control Decrease in sex hormones Sore jaw, headaches Compromised immune system (colds, flu) Diarrhea Hardening of the arteries Fatigue Lack of appetite Feeling dozy or yawning High uric acid levels causing gout High blood pressure “Spacing out” – forgetting things Benefits of Humour in Your Life Coping strategy Reduced tension, anxiety and stress – lower stress hormones Increased creativity, learning, motivation and energy Increased immunity – releases immunoglobulin A Reduced blood pressure, heart and respiration rate Reduced pain by releasing endorphins Improved creative problem solving Increased productivity Improved relationships, camaraderie You CAN return to balance everyday. Your reaction is your choice! Will this matter in two years? How else might I look at this? Is there another less stressful way I could do this? What is the situation teaching me? What can I learn from this? What would a calm person do? Can I actually change this situation? If not, how can I make peace with this? What old fear is being expressed? Is this a good time for a strategic pause? Is this something that I can avoid in the future? How? Am I being a perfectionist here? Is “good enough” good enough? What is the worst that can happen here? What unexpected good could come out of this? Is this reaction based in reality or is it my fear talking here? 53 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Acquired Brain Injury and Nutrition Brain Injury may change the way you relate to food. For some survivors, memory problems may affect food intake. Damage to the brain can cause an inability to feel full or hungry, causing you to eat too much or too little without realizing it. You may have a changed or absent sense of taste or smell. This often happens in the earlier stages of recovery and may disappear as time goes on. This could also be a side effect of medication you are on. The simplest way to manage many nutritional concerns is to create a meal plan and record what you are eating. This way, if you have problems remembering when you ate, or cannot tell when you are full, you can refer to the record you are keeping. Canada’s Food Guide to Healthy Eating Canada‟s Food Guide to Healthy Eating provides basic information of good nutrition, encouraging you to enjoy a variety of foods. Canada‟s Food Guide to Healthy Eating identifies the four food groups and recommends the number of servings per day required by healthy Canadians. Factors such as age, weight, gender, activity and medical concerns will influence how many servings are required from each of the four groups. Serving sizes can be adjusted to meet individual needs. Emphasize cereals, breads, other grain products, vegetables and fruit. Ensure that individual needs for energy, protein, and other nutrients are met. A nutritional assessment and follow-up by a dietician may be required. Your doctor can probably recommend a dietician for you to contact. When choosing foods, take into account any problems you have with swallowing or food allergies. A speech-language pathologist can assess and treat swallowing problems; a dietician can help with food allergies. Choose low fat dairy products, lean meat, and food prepared with little or no fat. If you are overweight, you may need to control portion sizes as well as fat content. If you are underweight or have increased energy requirements, you may need to eat higher fat foods and maintain a healthy weight. You can also achieve and maintain a healthy body weight by participating in regular physical activity. Keep in mind that you may be restricted in what you can do because of poor balance, poor vision, fatigue, or other complications resulting from your brain injury. Keep looking for something that you are physically able to do, that you enjoy, and that contributes to your therapy. Physical, recreational, or occupational therapists may provide advice on the kinds of activities most suitable for you. Limiting salt may help control high blood pressure and fluid retention if you have these concerns. Caffeine, which is found in coffee, tea, some colas and chocolate, is a stimulant. Your ability to tolerate caffeine may be very limited, and it may be best to avoid all caffeine, especially in the initial stages of recovery. Even if the stimulating effect of caffeine is not a problem, Health Canada suggests having no more than four cups of brewed coffee (or the caffeine equivalent in other foods and beverages) per day. Eating well is an important part of recovering from illness and maintaining good health. Follow Canada‟s Food Guide. If you are concerned about your nutritional needs, ask your doctor for a referral to an outpatient dietician. [Source: Alberta Brain Injury Network: Survival Guide (2003)] 54 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Children with Acquired Brain Injury What to Expect from Your Child: The following changes may affect your child‟s behaviour. This is not an exhaustive list. Your child may experience many of these changes or none at all: Fatigue Irritability, angry outbursts, and impulsiveness Passive behaviour Depression Forgetfulness Poor organizational skills Difficulty following directions Immature behaviour Inappropriate sexual behaviour Fatigue Fatigue is the most common problem children experience after sustaining a brain injury. Your child may also suffer from vision problems, light sensitivity, or headaches that they did not have before the injury. To prevent fatigue, you may need to give your child rest periods in a quiet place. Remember, it is important that your child participate in school and other activities only when they have the mental and physical energy to do so. Irritability and Angry Outbursts Irritability and angry outbursts are also common among children learning how to deal with the stimulation of school, day care and/or playgrounds. Look at what precedes the behaviour. Do you notice a pattern? Is there something you can change, such as introducing a rest period, that will help prevent or reduce the frequency of the behaviour? Immature or Inappropriate Behaviour Immature behaviours include interrupting frequently, making tactless remarks, displaying messy eating habits, or repeating words over and over. Inappropriate behaviours may also include making inappropriate sexual comments, or gestures or actions that are out of context. Grief, Guilt & Depression Many parents of young brain injury survivors experience grief, guilt, and/or depression over what has been lost. These are normal emotional responses. You need to grieve your losses and so may your child. You may feel guilt over the circumstances of the injury even if it could not reasonably have been prevented. Guilt is often expressed as anger and blame directed at others. Depression is another common response. If you or your child are finding it difficult to move through the emotions, contact your local school board, Regional Health Authority, local Child and Family Service Authority or local Brain Injury Association and ask about counselling. [Source: Alberta Brain Injury Network: Survival Guide (2003)] FVBIA has a booklet for children ages 5 to 10, “The Road Ahead: Next Exit: Hope” It is a helpful look at how brain injury affects the whole family. 55 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Return to School after Acquired Brain Injury In the case of a child with a brain injury, both the family and the child may be eager for a return to school. There are resources available to assist with this transition: In the education system, most school boards provide special needs services, so your child does not necessarily have to attend a specific school. The manner in which schools provide services, however, may vary. Your local brain injury association can be of assistance when your child returns to school. It can provide education on brain injury to your school, consult with teachers, and provide a link to the hospital and other medical services. Health Professionals. The health professionals most likely to be involved with your child‟s return to school are psychologists, speech / language pathologists, and occupational therapists. Brain injury associations, health professionals, and the education system should work as a team with the family and child. Because school is a highly stimulating environment, it will be difficult at first for your child to deal with all the noise and activity. This is why many children return to school gradually. Your child may start by attending a few hours, two or three days a week, without educational demands. As they gain energy, attendance is gradually increased and a curriculum started. Eventually, your child may be able to attend full days, five days a week. In rural areas, transportation limitations may mean that your child is at school for longer periods than appropriate. If fatigue in school is a problem, ask if your child can have a rest period. [Source: Alberta Brain Injury Network: Survival Guide (2003)] 56 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 What to Ask When Interviewing a Lawyer 1. How many brain injury cases has the lawyer handled? 2. If a child is involved, how many cases involving children from infants up to 18? A lawyer that does not have a lot of experience working with children is not appropriate if you are dealing with an injured child. 3. Ask for the name of at least three families for you to talk to. 4. Many of the very good lawyers have extremely competent and experienced legal assistants and you should ask at the beginning, if that particular lawyer uses legal assistants at all times and ask to meet them as well. 5. Ask for the court registry number of any cases in which that lawyer may have been involved, where there has been a judgement. 6. How does that lawyer work with ICBC? 7. Does that lawyer ever act as a defence lawyer for ICBC? 8. What are the names of the experts usually used by the lawyer for neuropsychology, neurology and vocational? 9. What is the fee structure? (a) What is the percentage charged on a contingency basis? (b) What is that lawyer‟s practice when it comes to disbursements? (Disbursements are those expenses that have to be incurred in a lawsuit such as: investigation reports, specialists to do independent medical examinations, neuropsychologists, different doctors and so on. Each of these reports will cost many thousands of dollars.) (c) Does the lawyer charge interest if he advances the disbursements? (d) Does the lawyer expect the family to cover the cost of the disbursements as incurred? 10. Be well organized when you go to meet a lawyer and bring this sheet with you, and paper to record the responses. There is absolutely no harm in making sure that the lawyer knows that you are checking out other lawyers as well. 11. Meet with at least three different lawyers before deciding, more if you are not happy with the first three that you meet. 12. When interviewing the lawyer, remember that this is likely to be a long-term relationship until the case settles or goes to court, so you must be very comfortable with that lawyer. Again, a reminder, interview at least three different lawyers. 57 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 APPENDIX A This page can be used to keep track of important numbers and resources. This will help you keep names and numbers in one place for easy access. Name Position (What are they helping Organization you with?) Phone/Fax/Email 58 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 APPENDIX B Meetings/Appointments/Tests: Date: Time: ___________ With whom: ___________ Where: ___________ What do I need to bring or do before the appointment? For example, how will I get there? What happened/results: What I need to do next: Comments/Thoughts: 59 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Practical Applications Behaviour Modification Behaviour Modification is a technique used to take unwanted behaviours and change them into positive appropriate behaviours using reinforcements. Determine what the behaviour is that needs to be changed and why. Determine what the trigger is (antecedent), determine the behaviour, and figure out the consequences. Are they reinforcing the behaviour and in what way? Are there more desirable behaviours? Can they be reinforced in similar ways? Behavioural/Psychosocial Changes Lack of insight Suggestions Doesn‟t understand others‟ reactions to behaviour Increase social awareness Interrupts others Use role play/modeling May become involved in altercations Avoid confrontation Resents supervision Stress need for safety Doesn‟t recognize physical and cognitive limitations Adjust activities to limitations Build on success rather than failure Irritability/frustration tolerance Suggestions Less tolerant of noise/distractions Help the person pinpoint problems and find ways to cope Gets frustrated with help Redirect away from source of frustration and provide alternatives Refuses to participate in group activities Be proactive (identify triggers and avoid if possible) Attempt to provide feedback when they are in a better mood Stress reduction techniques Learn to detect behaviours leading up to outbursts Allow time to get away from situation Provide empathy 60 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Behavioural/Psychosocial Changes Cont’d Aggression Suggestions Hitting etc… Develop a cueing system Swearing, foul language Assertiveness/anger management training Provide professional counselling Staff educated in non-violent crisis intervention training Recognize and reinforce positive coping and communication skills Allow them to leave and regroup. Provide feedback at a safer time Non-compliance Suggestions Does not comply with rules and expectations Write down instructions so they can work independently Encourage peers to get involved Give feedback Don‟t argue, provide clues from the environment Provide time for “fun” or interesting activities Social Immaturity Suggestions Makes inappropriate comments Provide immediate feedback and offer alternatives Laughs out loud during serious discussions Role plays and “what if…” scenarios Tells anyone who will listen about their injury Acts as if things revolve around them Apathy Develop non-verbal cueing system May appear “lazy”, lethargic, unmotivated Assist them with keeping a list of activities to be completed daily May not think to plan and initiate activities Give a choice between doing one thing or another Appears to forget to complete tasks Help them explore what they want, set easy goals for them to achieve Videotape behaviour and review together Suggestions 61 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Cognitive Changes Attention Suggestions Difficulties with focusing, attention, filtering out distractions Use short concise instructions Difficulty maintaining attention, shifting from topic to topic Use clearly defined objectives Difficulty dividing attention between activities and tasks Use novel, unusual, relevant and stimulating activities May appear lost, may wander May need one to one instructions Chores/activities incomplete Minimize distractions Memory Suggestions Appears forgetful Use visual reminders such as schedules, check lists, calendars, post-it notes etc and teach/remind them to use them May be unable to remember names, faces or tasks/appointments Use alarms/cues to signal transitions Can‟t learn new information Traditional memory strategies (rehearsal, mnemonics) may not work Has little recall of details when reading May appear disoriented Reasoning & Abstract Thinking Suggestions Difficulty grasping abstract language Explain things in concrete terms Misses sarcastic humour or jokes Speak plainly Responses may be lengthy and provide very little information Be aware of deficits and adjust your expectations for spontaneous conversations 62 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Cognitive Changes Cont’d Problem Solving Suggestions Unable to “think” their way through processes Difficulty perceiving exact nature of the problem Difficulty identifying more than one solution and comparing them Post rules where everyone can see them. May have difficulty making choices Judgment Encourage peers to get involved Is easily persuaded by others Use signals to cue the person to their behaviour Is careless about safety Help them create boundaries for themselves Speaking and Writing Work with them to recognize unsafe relationships using role play, feedback, etc Suggestions Can‟t find the words to express themselves Provide structure by asking specific questions Give feedback Provide supervision and monitoring Suggestions Give immediate feedback Does not provide much detail May speak too quickly or too slowly Encourage word retrieval through descriptions May make up stories and information to fill in gaps Be patient Uses cliché phrases or uses same sentence structure over and over Encourage them to know their limitations so they can explain it to others 63 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Cognitive Changes Cont’d Listening Comprehension Suggestions Misunderstands instructions and comments Use concrete language Needs information repeated Use clear, short explanations accompanied by written directions Can‟t follow conversations Use simple vocabulary and short sentences Easily confused by too much information Summarize and repeat information Takes everything literally Use visual aids to reinforce verbal information Organizational Ability Suggestions Difficulty organizing events into appropriate sequences Limit number of steps in a task Gets lost in daily routine Give cues Disorganized or incomplete tasks Provide written schedule of routine, maps, etc Sequence instructions Check off steps as completed Use/develop compensatory tools Information Processing Suggestions Thinks and answers more slowly Present information in small chunks Can‟t complete task within allotted time Allow extra time for them to answer Be patient Tangential Communication Suggestions Rambles, doesn‟t acknowledge listener‟s interest or attention Interrupt rambling speech May monopolize conversation Focus attention on key issues 64 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Physical Changes Fatigue Suggestions Looks pale & tired Review medical information Tunes out and doesn‟t pay attention Check on sleeping patterns Cognitive ability deteriorates at the end of the day Avoid over stimulation Disinterest in normally appealing activities Provide frequent rests Unable to complete tasks Schedule most demanding activities in peak performance times (i.e., late mornings) Headaches Closely monitor time of day that fatigue sets in, medication and fatigue factors. See if medication schedule can be adjusted. Suggestions Complains of pain Allow them to leave activity to lie down Unable to pay attention or concentrate Monitor the activity and time of day to identify patterns to the headaches May be soft tissue related Talk to Physician re: medications, massage, physiotherapy or other alternatives. Seizures Suggestions Seizures range from petit mal to grand mal Familiarize yourself with warning signs (aura) Identify possible side effects of medication Check with the physician Educate all staff re: seizure protocol 1.Keep Calm. 2.Protect from further injury. 3.Do not restrain the person 4.Do not insert anything in the mouth. 5.After the seizure subsides, roll the person on his side. 6.If a seizure lasts longer than 5minutes, or repeats without full recovery, SEEK MEDICAL ASSISTANCE IMMEDIATELY. 7.Talk gently to the person. Let him rest. 65 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Physical Changes Cont’d Muscle Paralysis and Weakness Suggestions Unable to write neatly Provide adaptive equipment (computer, palm pilots, tape recorder) Clumsy Consult with occupational therapist for seating, safety issues around the home etc… May tire easily See if they will use a backpack Can‟t carry items for any distance Balance and Coordination Suggestions Appears clumsy, unstable and prone to accidents Review medical history and medications Unsafe in crowded areas Consult with occupational therapist re: safety in the home such as railings, supports for bathtub/shower etc… Fine Motor Coordination Suggestions Prints and writes slowly/messily Consider a computer or palm pilot Hand tremors during activities Consult with occupational therapist Can‟t pick up or manipulate small objects Use hand grips for pens/pencils Oral-Motor Coordination Suggestions May drool or have difficulty swallowing Allow adequate time for them to express themselves Can‟t articulate words clearly Sit face to face Slow rate of speech Keep working with them to ensure that you understand what they are trying to communicate Breathy, hoarse or nasal voice quality Consult with speech and language therapist 66 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Physical Changes Cont’d Visual Deficits Suggestions Difficulty seeing objects in part of their visual field Review medical information Difficulty perceiving spatial orientation of objects Consult with physician, ophthalmologist, neuro-opthamologist, optometrist, occupational therapist or CNIB. Difficulty picking out the important object from the background Provide large print books or books on tape Difficulty scanning and reading material Place materials in best visual field Difficulty recognizing objects if they pass by too quickly Limit the amount of visual information on a page May be overwhelmed in visually stimulating setting Assess and monitor safety in the community Check with CNIB for accommodations for visual impairments and services Sense of Touch Suggestions Reduced ability to sense touch or temperature Provide reminders or cues to check temperature if needed Hypersensitive to sense, touch or temperature Monitor closely for injuries May require a gradual desensitization program for hypersensitivity Hearing Suggestions May have partial or full hearing loss in one or both ears Install a flashing light system for smoke detectors, phone etc. May seem to not be paying attention or non-responsive Consult with resources for people with hearing impairments for accommodations/adaptations Misses direction or information Assess and monitor safety in the community 67 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011 Emotional Changes Emotional Suggestions Difficulty controlling emotions Recognise that even though the response is overtly dramatic, the underlying emotion may not be at all that strong. Crying too much or laughing inappropriately Ignore the behaviour when it occurs Model calm behaviour yourself Depression Suggestions Lack of interest in life, excessive sleeping, Sexual withdrawal Although people with acquired brain injuries have difficulty benefiting from traditional forms of counselling, it is definitely worth seeking help to deal with depression especially if suicidal thoughts are expressed Therapy for depression needs to be concrete and task oriented and requires repetition Use diversionary tactics to get their minds off depressive thoughts Excessive TV watching Structure their schedules Flatness of affect Familiarize yourself with other indications of their emotions rather than relying just on facial expressions. Lack of motivation 68 | P a g e F r a s e r V a l l e y B r a i n I n j u r y A s s o c i a t i o n Information and Resource Package - Updated March 2011