HEADLINER - Brain Injury Alliance of Oregon
Transcription
HEADLINER - Brain Injury Alliance of Oregon
HEADLINER Winter 2013 Vol. XX Issue 1 The Newsletter of the Brain Injury Alliance of Oregon What’s The 11th Annual Pacific Northwest Brain Injury Inside? Conference 2013 BIAOR Executive Director’s Update Page 2 Board of Directors Page 2 Professional & FY 2012-13 Members Page 3-5 The Lawyer’s Desk Page 6 Living with Brain Injury: Conference Overview Page 7 Living with Brain Injury: Focusing on the Future The 30th Annual BIAOR Dinner Dinner Keynote: Master of Ceremony: BIAOR Calendar Page 7 Conference Registration Page 8 BI & the Power of Music Page 10-11 9 Things Not To Say Page 12 Fact of the Matter Page 13-14 Gary Busey Ken Boddie Lifetime Achievement Award: Hillary Clinton Sustains a BI Page 15 Challenging Behaviors Page 16-17 Potential Future Medical Problems Page 18 Students: Returning to School after BI Page 21 Resources Page 22-25 Support Groups Page 26-27 The Headliner Dr. Muriel D. Lezak Hosted By: March 7 - 9, 2013 Brain Injury Alliance of Oregon & Brain Injury Association of Washington Sheraton Airport Hotel Portland, Oregon Winter 2013 21.25 CEUs page 1 Brain Injury Alliance of Oregon Board of Directors Ralph Wiser, JD/President…......Lake Oswego Chuck McGilvary, Vice Pres..…...Central Point Carol Altman, Treasurer…...………...Hillsboro Jeri Cohen, JD. Secretary…………...Creswell Paul Cordo, PhD ……….......……...…Portland Lisa Cunningham……………………...Portland David Dubats ……………….…………Waldport Nancy Irey Holmes, PsyD, CBIS …..Redmond Craig Nichols, JD……………………..Portland Advisory Board Kristin Custer, QLI………..…….….Omaha, NE Wayne Eklund, RN.……………………..Salem Danielle Erb, MD..............….........…...Portland Dr. Herbert Gross ………….……….. California Andrea Karl, MD …….…….…....….Clackamas Dave Kracke, JD.………….….....……Portland Col. Daniel Thompson…………....……..Salem Bruce Wojciechowski, OD…….......Clackamas Staff Sherry Stock, MS CBIST Executive Director Jeri Cohen, JD Associate Director Joyce Phelps, Program Coordinator John Botterman, Editor Becki Sparre, SG Facilitator, Admin, Trainer Brain Injury Alliance of Oregon PO Box 549 Molalla, Oregon 97038-0549 800-544-5243 • Fax: 503-961-8730 www.biaoregon.org [email protected] 501 (c)(3): Fed. ID 93-0900797 Issue Spring Summer Fall Winter Headliner DEADLINES Deadline April 15 July 15 October 15 January 15 Publication May 1 August 1 November 1 February 1 Editor: Sherry Stock, John Botterman Co-Editor: Jeri Cohen, 503-704-6122 Advertising in Headliner Rate Schedule (Color Rate) Issue Annual/4 Issues The President’s Corner By Ralph Wiser, JD BIAOR will celebrate 30 years of presenting cutting edge information at this year’s Brain Injury Conference. The conference will run March 7–9, 2013 at the Sheraton Portland Airport Hotel. You may register for the conference by going to the BIAOR website, www.biaoregon.org. Keynote speakers include Dr. Muriel D. Lezak, Ph.D., professor emeritus at OHSU., Dr. Larry Sherman, Ph.D., OHSU, who will lecture on music and the brain and brain stimulation; Anat Baniel, M.A., an expert in physical movement and its promotion of brain plasticity, and Eddie Black, an instructor for the National Guard and Resiliency Program Manager, who will address issues of TBI and PTSD in the military. Mr. Black served in Iraq in 2005. of BIAOR and honorees who have provided outstanding contributions to BIAOR and the greater Oregon brain injury community. This dinner promises to provide a memorable evening as we reflect on the history of BIAOR and the contributions of those who have contributed so much along the way. On other fronts, the OHSU Brain Institute is providing its annual Brain Awareness Lecture series. The series includes 6 evening lectures, beginning on February 25, and ending on May 20. This lecture series is another avenue to learn cutting edge information about healthy aging of the brain, the subconscious mind, deep brain stimulation, autism, neuroimaging, and shock therapy. All lectures begin at 7 In addition to the keynote speakers, there will be informative presentations p.m. at the Newmark Theater in downtown by a number of experts who serve on Portland. Tickets for one or more lectures the BIAOR Board, Advisory Board, or may be purchased at www.ohsubrain.com/bas, or at the box are members of BIAOR, and experts offices of the Newmark Theater. from throughout the United States. Thirty three vendors from throughout I hope to see you at the annual BIAOR the United States will present products and information concerning conference. rehabilitation and assistance for those who suffer from disorders of the brain. Stay safe. For those seeking professional credit, the conference provides 21.25 CEUs. A highlight of the conference is a dinner honoring the 30th anniversary Ralph Ralph Wiser, JD, can be reached at [email protected] or (503) 620-5577. A: Business Card $100(125) $350(450) B: 1/4 Page $200(250) $700(900) C: 1/2 Page $300(375) $1000(1300) D: Full Page $600(700) $2000(2400) E. Sponsor Headliner $2500 This is my simple religion. There is no need for temples; no need for complicated philosophy. Our own brain, our own heart is our temple; the philosophy is kindness. $10,000 Advertising on BIAOR Website: $10,000 for Banner on every page $5000/year for Home Page $250 for active link Pro-Members page Policy The material in this newsletter is provided for education and information purposes only. The Brain Injury Alliance of Oregon does not support, endorse or recommend any method, treatment, facility, product or firm mentioned in this newsletter. Always seek medical, legal or other professional advice as appropriate. We invite contributions and comments regarding brain injury matters and articles included in The Headliner. page 2 Dalai Lama Winter 2013 The Headliner When looking for a professional, look for someone who knows and understands brain injuries. The following are supporting professional members of BIAOR. Attorneys Oregon Bend † Dwyer Williams Potter Attorney’s LLC, Bend, 541617-0555 www.RoyDwyer.com John Warren West, Law Offices of John Warren West, Bend, 541-382-1955 Eugene. Thomas Cary, Cary Wing Edmunson, PC, Eugene, 541-485-0203 WC Don Corson, Corson & Johnson Law Firm, Eugene, 541-484-2525 Charles Duncan, Eugene, 800-347-4269 † Derek Johnson, Johnson, Clifton, Larson & Schaller, P.C., Eugene 541 484-2434 Tina Stupasky, Jensen, Elmore & Stupasky, PC, Eugene, 541-342-1141, Sisters, 541-549-1617 Portland William Berkshire, Portland 503-233-6507 PI Mark Bocci, Portland, 503-607-0222 PI Jeffrey Bowersox, Lake Oswego, 503-452-5858 PI Tom D'Amore, D'Amore & Associates, Portland 503222-6333 Aaron DeShaw, Portland 503-227-1233 D’Autremont, Bostwick, Carter & Krier, Portland, 503224-3550 ¥ Lori Deveny, Portland, PI 503-225-0440 Jerry Doblie, Doblie & Associates, Portland, 503-226 -2300 Wm. Keith Dozier, Portland 503-594-0333 † R. Brendan Dummigan, Portland 503-223-7770 Peggy Foraker, Portland 503-232-3753 Sam Friedenberg, Nay & Friedenberg, 503-245-0894 € Bill Gaylord, Gaylord Eyerman Bradley,PC, Portland 503-222-3526 Timothy Grabe, Portland, 503-282-5223 Julia Greenfield, Disability Rights Oregon, Portland 503-243-2081 James R. Jennings, PC, Gresham 503-669-3406 PI David Kracke, Nichols & Associates, Portland 503224-3018 PI Sharon Maynard, Bennett, Hartman, Morris & Kaplan, Portland 503-227-4600, SSI/SSD Jeff Merrick, Lake Oswego 503-665-4234 Jeffrey Mutnick, Portland 503 595-1033 Robert Neuberger, Portland 503-228-1221 Craig Allen Nichols, Nichols & Associates, Portland 503-224-3018 ‡ Paulson Coletti, John Coletti, Jane Paulson Portland, 503.226.6361 www.paulsoncoletti.com Stephen Piucci, Piucci & Dozier, Portland 503-2287385 Charles Robinowitz, Portland, 503-226-1464 J. William Savage, Portland 503-222-0200 Joshua Shulman, Shulman DuBois, LLC, Portland, 503-222-4411 € Richard A. Sly, Portland 503-224-0436, SSI/SSD/ PI Steve Smucker, Portland 503-224-5077 The Headliner ¥ Tichenor& Dziuba Law Offices, Portland 503-2243333, Uffelman, John, Adams & Uffleman LLP, Beaverton, 503-644-2146 Richard Vangelisti, Vangelisti Law Offices PC, Portland 503-595-4131 Ralph Wiser III, Wiser & Associates, Inc., Lake Oswego 503 620-5577, PI & SSI/SSDI Salem Adams, Hill & Hess, Salem, 503-399-2667 Richard Walsh, Walch & Associates, PC Keizer, 503304-4886 www.walshlawfirm.net Roseburg Samuel Hornreich, Roseburg, 541-677-7102 Washington Bremerton Seattle Bremerton Kenneth Friedman, Friedman Rubin, Bremerton, 360782-4300 Seattle Richard Adler, Adler Giersch, Seattle, WA 206.682.0300 ‡ Kevin Coluccio, Stritmatter Kessler Whelan Coluccio, Seattle, WA 206-448-1777 www.stritmatteer.com Caregiver & Support Services Micki Carrier, Owner, Caregiver Connectionspecializing in 24 hr care, Portland, 503-246-4672 Cy Osborne, Pegasus Social Services, an Oregon Home Care Services Co, Portland, 503.380.4443 Care Facilities/TBI Housing (subacute, community based, inpatient, outpatient, nursing care, supervised-living, behavior, coma management, driver evaluation, hearing impairment, visual impairment, counseling, pediatric) Stephanie Brooks The Mentor Network, Portland 503258-2440 Kampfe Management Services, Pam Griffith, Portland, 503-788-3266 Apt Karin Keita, Afripath Care Home LLC, Adult Care Home Portland 503-208-1787 Learning Services, Northern CA & CO, 888-419-9955 Joana Olaru, Alpine House, Beaverton, 503-646-9068 † Oregon Rehabilitation Center, Sacred Heart Medical Center, Director: Katie Vendrsco, 541-228-2396 Quality Living Inc (QLI), Kristin Custer, Nebraska, 402573-3777 † Ridgeview Assisted Living Facility, Jolene White, Medford, 541-779-2208 † Sharon Slaughter, Windsor Place, Inc., Salem, 503581-0393 Supported Apt Melissa Taber, Oregon DHS, 503-947-5169 Uhlhorn Program, Eugene, 541 345-4244 Supported Apt Chiropractic/Massage Therapists Carol Ford, Portland Cranial Sacral Therapy, Portland, 503-608-2372 Gretchen Blyss, DC, Portland, 503-222-0551 Thomas Kelly, DC, Chiropractic Neurologist, Kelly Chiropractic, PS, Vancouver, WA, 360-882-0767 Garreth MacDonald, DC, Eugene, 541-343-4343 Bradley Pfeiffer, Bend 541-383-4585 Cognitive Rehabilitation Centers/ Rehab Therapists/ Specialists † Gentiva Rehab Without Walls, Mountlake Terrace, WA 425-672-9219 † Progressive Rehabilitation Associates—BIRC, Portland, 503-292-0765 Lynne Williams, Lynne Williams Cognitive Rehab. Therapy, Central Point 541-655-5925 Counseling Heidi Dirkse-Graw, Dirkse Counceling & Consulting, Inc. Beaverton, OR 503-672-9858 Carol Altman, Homeward Bound, Hillsboro 503-640 Sharon Evers, Face in the Mirror Counseling, Art -0818 Therapy, Lake Oswego 503-201-0337 Ashland View Manor-WestWind Enhanced Care, Dan Donald W. Ford, MA, LMFT, LPC, Portland, 503-297Gregory, Medford, 541-857-0700 2413 Linda Beasley, LPN CBIS, Autumn House, Beaverton, Joyce Kerley (503) 281-4682 503-941-5908 Kate Robinson, MA, CRC, Portland,503-318-5878 Karen Campbell, Highland Height Home Care, Inc, Elizabeth VanWormer, LCSW, Portland, 503-297-3803 Gresham & Portland, 971-227-4350 or 503-618Dentists 0089 Medically Fragile Dr. Nicklis C. Simpson, Adult Dental Care LLC, £ Casa Colina Centers for Rehabilitation, Pomona, Gleneden Beach CA, 800-926-5462 Wally & Donna Walsh, Delta Foundation/Snohomish Educators/Therapy Programs Chalet, Snohomish, WA 360-568-2168 Diana Allen, Linn Benton Lincoln ESD, Albany Care N Love AFH LLC, Corrie Lalangan, Vancouver Jon Pede, Hillsboro School District, Hillsboro, 503-844WA 360-901-3378 1500 Maria Emy Dulva, Portland 503-781-1170 Paul Cordo, PhD, Senior Researcher, OHSU, 503-223Fe Gutierrez, Everlasting Adult Care Home, 3442 Milwaukie, 503-654-6559 Sandra Crews, Southern Oregon ESD, Medford, 541Deanna Gwin, Portland, 503-238-1406 Medically 776-8555 Fragile-Ventilators Ruth Jenkins, Providence Portland Penny Jordan, TBI Team Liaison, Portland, 503-260- Winter 2013 page 3 Looking for an Expert? See our Professional Members here 4958 ± McKay Moore-Sohlberg, University of Oregon, Eugene 541-346-2586 Lisa Myers, Portland Community College Laurie Ehlhardt Powell, CBIRT, Eugene, 541-3460572 Expert Testimony Janet Mott, PhD, CRC, CCM, CLCP, Life Care Planner, Loss of Earning Capacity Evaluator, 425778-3707 Financial Services Kayla Aalberg Eklund, Structured Settlement Broker, Oregon, 503-869-6518 Life Care Planners/Case Manager/Social Workers Gerry Aster, RN, MS, Nurse Case Manager, Vida, 541-896-3001 Priscilla Atkin, Providence Medford Medical Center, Medford, 541.732.5676 Rebecca Bellerive, Rebecca Bellerive, RN, Inc, Gig Harbor WA 253-649-0314 Wayne Eklund, Wayne Eklund RN CNLCP Salem 888-300-5206 Michele Lorenz, BSN, MPH, CCM, CHPN, CLCP, Lorenz & Associates, Medford, 541-538-9401 Vince Morrison, MSW, PC, Astoria, 503-3258438 Michelle Nielson, Medical Vocational Planning, LLC, West Linn, 503-650-9327 Simon B. Paquette, LICSW, LCSW, Vancouver WA 360 903-4385 Thomas Weiford, Weiford Case Management & Consultation, Voc Rehab Planning, Portland 503245-5494 Karen Yates, Yates Nursing Consulting, Wilsonville, 503-580-8422 WA 206-467-7033 Benjamin Luskin, Luskin Empowerment Mentoring, Eugene, 541-999-1217 Marydee Sklar, Executive Functioning Success, Portland, 503-473-7762 Medical Professionals Gerry Aster, RN, MS, South Pasadena CA, 541-8963001 Diana Barron, MD, Brownsville, (541) 451-6930 clinic Marie Ekkert, RN/CRRN, Legacy HealthCare, Portland, 503-413-7918 Marsha Johnson, AnD, Oregon Tinnitus & Hyperacusis Treatment Center, Portland 503-2341221 Kristin Lougee, CBIS, 503-860-8215-cell Carol Marusich, OD, Neuro-optometrist, Lifetime Eye Care, Eugene, 541-342-3100 † Kayle Sandberg-Lewis, LMT,MA, Neurofeedback, Portland, 503-234-2733 Bruce Wojciechowski, OD, Clackamas, Neurooptometrist, Northwest EyeCare Professionals, 503 -657-0321 Physicians Sharon Anderson, MD, West Linn 503-650-1363 Bryan Andresen, Rehabilitation Medicine Associates of Eugene-Springfield, 541-683-4242 Diana Barron, MD. Barron-Giboney Family Medicine, Brownsville, OR (541) 451-6930 Jeffrey Brown, MD, Neurology, Portland 503-2820943 James Chesnutt, MD, OHSU, Portland 503-503-4944000 Maurice Collada, Jr, MD, PC, Neurosurgeon, Salem 503-581-5517 Danielle L. Erb, M.D., Brain Rehabilitation Medicine, LLC, Portland 503 296-0918 John French, MD, Salem Rehabilitation Associates, Salem 503-561-5976 M. Sean Green, MD, Neurology, OHSU, (503) 652Legal Assistance/Advocacy/Non-Profit 2487 ¥ Deborah Crawley, ED, Brain Injury Association of Steve Janselewitz, MD, Pediatric Physiatrist, Pediatric Washington, 253-238-6085 or 877-824-1766 Development & Rehabilitation-Emanuel Children’s £ Disability Rights Oregon, Portland, 503-243-2081 Hospital, Portland Nurse: 503-413-4418 Dept:503Eastern Oregon Center for Independent Living 413-4505 (EOCIL), Ontario 1-866-248-8369; Pendleton 1Andrea Karl, MD, Director, Center for Polytrauma 877-771-1037; The Dalles 1-855-516-6273 Care Unit, Portland, VA Hospital 1-800-949-1004 x £ Independent Living Resources (ILR), Portland, 34029 503-232-7411 Michael Koester, MD, Slocum Center, Eugene, 541£ Jackson County Mental Health, Heather 359-5936 Thompson, Medford, (541) 774-8209 ± Oregon Rehabilitation Medicine, P.C., Portland, 503 £ ThinkFirst Oregon, (503) 494-7801 -230-2833 Francisco Soldevilla, MD, Neurosurgeon, Northwest Legislators Neurosurgical Associates, Tualatin, 503-885-8845 Vic Gilliam, Representative, 503-986-1418 Gil Winkelman, ND, MS, Alternative Medicine, Neurobiofeedback, Counseling, Portland, 503-501Long Term TBI Rehab/Day Program’s/Support 5001 Programs Carol Altman, Bridges to Independence Day Program, Portland/Hillsboro, 503-640-0818 Anat Baniel, Anat Baniel Method, CA 415-472-6622 £ ElderHealth Northwest, Patti Dahlman, Seattle Psychologists/ Neuropsychologists Tom Boyd, PhD, Sacred Heart Medical Center, Eugene 541-686-6355 James E. Bryan, PhD, Portland 503.284.8558 *Caleb Burns, Portland Psychology Clinic, Portland, 503-288-4558 Patricia S. Camplair, Ph. D., OHSU Dept of Neurology, Portland, 503-827-5135 Amee Gerrard-Morris, PhD, Pediatrics, Portland, 503-413-4506 Elaine Greif, PhD, Portland 503-260-7275 Jacek Haciak, PsyD, Oregon State Hospital, Salem, 503-945-2800 Nancy Holmes, PsyD, CBIS, Portland 503-235-2466 Terry Isaacson, PhD, Roseburg Counseling Services, Roseburg 541-957-1290 Sharon M Labs PhD, Portland 503-224-3393 Ruth Leibowitz, PhD, Salem Rehab, 503-814-1203 Michael Leland, Psy.D, CRC, Director, NW Occupational Medicine Center, Inc., Portland, 503-684-7246 Will Levin, PhD, Eugene, 541-302-1892 Susan Rosenzweig, PsyD, Center for Psychology & Health, 503-206-8337 Recreational/Social Activities Off the Couch Events, Shauna Perkins, ED, Portland 503-702-2394 Speech and Language Channa Beckman, Harbor Speech Pathology, WA 253-549-7780 John E. Holing, Glide 541-440-8688 ± Jan Johnson, Community Rehab Services of Oregon, Inc., Eugene, 541-342-1980 Sandra Knapp, SLP, David Douglas School District , Sandy 503-256-6500 Linda Lorig, Springfield, 541-726-5444 Anne Parrott, Legacy Emanuel Hospital Warren 503 -397-6431 State of Oregon Dave Cooley, Oregon Department of Veterans Affairs, Salem, 503-373-2000 Stephanie Parrish Taylor, State of Oregon, OVRS, Salem , (503) 945-6201 www.oregon.gov/DHS/vr Technology/Assistive Devices Performance Mobility, Portland, OR, 503-243-2940 Second Step, David Dubats, Eugene, 877-299STEP Video/Filming NuVideo Productions, LLC, specializing in “day of the life” films Bend, 541-312-8398 Veterans Support Mary Kelly, Transition Assistance Advisor/Idaho National Guard, 208-272-4408 Belle Landau, Returning Veterans Project, Portland, 503-933-4996 Vocational Rehabilitation/Rehabilitation/Workers Comp Arturo De La Cruz, OVRS, Beaverton, 503-2772500 † Marty Johnson, Community Rehab Services of Oregon, Inc., Eugene, 541-342-1980 Deborah Marino, Oregon Commission for Blind, To become a supporting professional member of BIAOR see page 23 or contact BIAOR, [email protected]. page 4 Winter 2013 The Headliner Salem 503-378-6836 ‡ Oregon Completive Employment Project, Salem 503-947-5469 www.win-oregon.com Ben Luskin, Launch Employment Mentoring, Eugene, 541-999-1217 Bruce McLean, Vocational Resource Consultants, Ashland, 541-482-8888 † SAIF, Salem, 503-373-8000 Stephanie Parrish Taylor, State of Oregon, OVRS, Salem, (503) 9456201 www.oregon.gov/DHS/vr/ Kadie Wellington, OVRS, Salem, 503378-3607 Patrons/Professional Members Sharon Anderson, West Linn OR Carol Berger, Talent OR Laurie Burke, TN Bruce Buchanan Jeffrey & Andrea Collins, Colorado Springs, CO Sam Friedenberg, Portland OR George Cohee Jr. Foundation William Griffiths, West Linn Debby Hessick, Aloha Dr. Steven Janselewitz, Portland, OR Dan & Jan LaVoie Helen Mills, Milwaukie Senator Bill Morrisette, Springfield James & Janet Moore, Portland Craig Ness, Wasilla Alaska ± Bill Olson, Salem Meg Rawlings & Russ Rudometkin, Medford Charlene Sparlin, Roseburg Carol Christofero Snider, Lake Oswego ∆ Jane Stewart, JD, Eugene Ralph Wiser, Lake Oswego, OR In Memory Sandra Johnson in memory of Christopher & Dana Reeve Helen Mills in memory of Viola Kucera Sharon Tesch in Memory of Lou Tesch Tina Treasurer In Memory of Tom Treasurer Carol Sherbenou in Memory of David Sherbenou5925 Names in bold are BIAOR Board members † Corporate Member ‡ Gold Member € Silver Member ± Bronze Member ¥ Sustaining Member £ Non-Profit ∆ Platinum To become a professional member see page 23 or go to the BIAOR website: www.biaoregon.org/ store.htm 2012-2013 BIAOR Members Anonymous The Headliner Adams Hill & Hess Richard Adler Karen Alexander Marie & Wilma Alkire Carol Altman John Anderson Bryan Andreson Richard Arndt Francine Aron Betty & Howard Aster Gaetana Avolio Jenny Ayers Bonnie Baker Elisabeth Baker Anat Baniel Richard Banton Tara Barnes-Brown Hazel Barnhart Diana Barron Linda Beasley Janis Beauchamp Rebecca Bellerive Henry J. Bennett John Bergeman Carol Berger Bill Gaylord, Linda Eyerman, Todd Bradley Dan and Janet Blair Nicole Bockelman Cindi Bondi Dave & Joyce BordersAccornero Tom Boyd James Bryan Bruce Buchanan Caleb Burns Brenda Cardin Elizabeth Carlson Shell Carnes Micki Carrier Thomas M. Cary Judie Champie Jim Chesnutt, MD Lauren & Ben Chilson Carol Christofero-Snider Jeri Cohen Maurice Collada Barbara Colleran Kevin Coluccio Ralph Conradt James Coon Cheryl Coon Joseph Cooper Paul Cordo Don Corson Laura Cox Deborah Crawley Kristin Custer Patti Dahlman Tom D'Amore Mary d'Autremont Lina Davis Arthuro De La Cruz Heidi Dirkse-Graw David Dubats Don Duilio Maria Emy Dulva R. Brendan Dummigan Roy Dwyer Wayne Eklund Tami & Criag Ellingson Danielle L. Erb, MD Joyce I. Erickson Sharon Evers Michael Flick Peggy Foraker Jennifer Frank Chris Frost Charley Gee Justin Goe Sean Green, MD Dan Gregory Elaine Greif Fe Gutierrez Deanna Gwin Rainer Haegebarth Cheryl Hall Karen Harris Jay Herzog Daniel Hill Werner Hinojosa Dennis Hogan John E. Holing Nancy Holmes Samuel Hornreich Joyce J. Huff Linda Huyler Ellie Isaacson Jackson County Mental Health Steven Janselewitz, MD Sharon Janzen Jan Johnson Terry Johnson Sandra Johnson Kampfe Management Services Geri Karow Lorna Lee Karwoski Karin Keita Mary Kelly Thomas Kelly, DC Patricia Kessler Sandra Knapp Jane Kucera Thompson Kevin Kuehn Sharon M Labs Corrie Lalangan Donald E. Lange Charlie Larson Dan & Jan LaVoie Lisa Lee Michael Leland Will Levin Muriel D. Lezak Linda Longstreet Michele Lorenz Kristin Lougee Heather Ludwig Mayo Marsh Carol Marusich Steve Mathers Sharon Maynard Dorothy McClelland Stewart McCollom, JR Katharine McDuffie Winter 2013 Chuck McGilvray James Meade, Jr Jeff Merrick Helen Mills Jean Minsky Evelyn Moore Janice Moore McKay Moore-Sohlberg Robert Neuberger Cynthia Newton Wendy Newton Laurie Nicholas Craig Allen Nichols Michele Nielsen Nancy Ocumpaugh Donna Olson Barbara Parmenter John Coletti & Jane Paulson Jon Pede Performance Mobility, Inc Shauna Perkins, ED Jenny Peters Robert Pfeiffer Lynn Pizzo Susan Powell Linda Powers Progressive Rehabilitation Associates Kathleen Pugerude Klara Pustkowski Amy Ream Ann Reed Belle Landau, ED Returning Veterans Project Julie Reynolds Ridgeview Assisted Living Kenneth Rislow Charles Robinowitz Barry Rollins, Learning Services Virginia Rondel Rowan Rosehart Keltz Susan Rosenzweig Gregg Rousseau Dave Rudd Beth Scarth Jim & Jackie & Steve Schwab Charlotte Shuck Joshua Shulman Nicklis C. Simpson Richard A. Sly J. Lawrence Smith Charlene Sparlin Anne Stacey Merri Steele Brian Stephens Alex Streeter Sue Subbot Patricia Suhr Teresa Swerdlick Stephaine Parrish Taylor, OVRS Bob Taylor Hank Therien Kayt Zundel ThinkFirst Oregon Ray Thomas Keith Tichenor John Uffelman Richard Vangelisti Edward Vorholt, Jr Garry Wall Dennis & Janet Wallace Richard Walsh Wally & Donna Walsh Kendra Ward Chris Ward Gloria & Ed Way Tom Weiford Warren John West Jack West Wendy Wharton Fern Wilgus Peter & Kathy Wilkie Vicki Williamson Addison Wilson Windsor Place Gil Winkelman Ralph Wiser III Dave & Ann Witkin Holly Wunsch Linda Ziebell Who is at the highest risk for traumatic brain injury (TBI)? Males are about twice as likely as females to sustain a traumatic brain injury The two age groups with the highest risk for TBI are 0 to 4 year olds and 15 to 19 year olds In young adults, aged 15 to 19, the leading cause of traumatic brain injuries are motor vehicle accidents. African Americans have the highest death rate from TBI page 5 The Lawyer’s Desk: A Look at TBI Legal Representation © By David Kracke, Attorney at Law Nichols & Associates, Portland, Oregon The most important person in a civil lawsuit is the reasonable person. Every fact, all the evidence, every decision made is filtered through the eyes of the reasonable person, and it is usually what the reasonable person would do that is the standard by which all other decisions and issues presented in the case are measured. It is a good standard. It assumes that we expect others, and ourselves, to conform to certain standards that, when objectively measured, essentially ask that we all observe the golden rule and treat others as we hope they will treat us. In this respect, a lawsuit decides if, and to what degree, a person’s actions deviated from the standard reasonableness. It is the way we redress actions that have already happened, and while a result against an unreasonable person will usually cause that unreasonable person to modify their future behavior, the net effect on our society, in general, is usually limited in scope. Max’s Law has resulted in positive change; more important in our national discussion on concussion impacts than arguably any other law in our country (sharing that distinction with Zach’s Law in Washington, our neighbor’s legislative push contemporaneous with Max’s Law). But that is no reason to stop advancing, proactively, toward the goal of reducing the incidence of both concussions, and most importantly, second impact syndrome. Max’s Law requires all high school athletic coaches to receive annual concussion symptom recognition training. It also requires all concussed players to receive clearance from a qualified medical professional before that player can again join the teammates on the playing field. The law protects high school athletes, but that protection is not enough. There are other vulnerable athletes not covered by the requirements of Max’s Law. High school athletes are generally between the ages of fourteen and eighteen, and we all know that before So what tools do we have to prevent the almost all high school athletes ever unreasonable action before it happens? play high school sports, they have As I’ve written before, one of the played organized sports for years primary tools is the implementation of through the youth league ranks. Max’s new legislation. We have the Law does not cover youth athletic opportunity to add a tenet to the code coaches below the high school level, governing our collective actions with nor does it cover the coaches of nonthe hope that when that tenet is high school recreational league incorporated into our society’s complex coaches for high school aged athletes fabric, we will all be less prone to act who play on organized sports teams unreasonably, and less prone to cause outside of the high school arena. damage as a result. injury, concussions afflict the very young as much, and arguably even more, than they afflict high school aged athletes. Concussions occur in recreational league settings, youth league settings and city league settings as often as they occur in high school league settings. Doctors I know report an increasing incidence of second impact syndrome among our youngest athletes, illustrating with unfortunate force where our next efforts should be focused. We need to do more to protect our most vulnerable young athletes against concussions, and we need to do more to educate those coaches who are there nurturing these nascent athletes as they begin their athletic endeavors. Does it matter that the coaches we need to educate about concussions and second impact syndrome are more than likely a player’s mom or dad who may or may not have any formal coaching training? Does it matter that some uninformed, un-thinking critic will cry nanny state? Does it matter that the concussion education will require the coach to take a free, on-line course and test, about a half-hour’s worth of education? The answer to all three questions is a resounding “No!” Our youngest players deserve to have educated coaches just like their high school counterparts. Max’s Law deserves The problem, however, is that a We took a legislative step forward with to evolve into Max’s Law II where we say it concussion knows no bounds with Max’s Law, but the law is not a monolith regard to age or athletic league. When it works at the high school level; let’s make it that can afford to rest on its laurels. work for all our young athletes. comes to inflicting its devastating HANDICAP VEHICLES AND MOBILITY EQUIPMENT IN CO , OR & WA Performance Mobility is committed to providing the highest quality wheelchair accessible transportation to enhance quality of life for individuals and families. You'll find an informational, no-pressure approach and mountains of experience to meet your transportation needs. page 6 Winter 2013 This session our legislators will consider this question, and if all goes well, they’ll decide that the reasonable action is to protect all our young athletes now that Max’s Law has given us a blueprint for doing just that. David Kracke is an attorney with the law firm of Nichols & Associates in Portland. Nichols & Associates has been representing brain injured individuals for over twenty two years. Mr. Kracke is available for consultation at (503) 224-3018. The Headliner Living with Brain Injury: Focusing on the Future Come join us for the 11th Annual Northwest Brain Injury Conference and the 30th Annual BIAOR Conference. The highlight of this years conference is our 30th Anniversary Dinner. The featured Keynote at the Dinner will be Gary Busey, a film and stage actor, and artist. He has appeared in a variety of films, including Lethal Weapon, Point Break, and Under Siege. He was nominated for an Academy Award for Best Actor in 1978 for his role in The Buddy Holly Story. On December 4, 1988, Gary Busey was severely injured in a motorcycle accident in which he was not wearing a helmet. His skull was fractured, and doctors feared he suffered permanent brain damage. Master of Ceremony will be local news anchor, Ken Boddie. BIAOR is honored to present awards for exceptional work on behalf of people living with brain injuries over that last thirty years. These will include an Lifetime Achievement Award to Dr. Muriel D. Lezak for the numerous books she has written on brain injury; Outstanding Advocacy Awards to Tootie Smith, David Kracke, James Chesnutt, MD, Senator Bill Morrisette, Representative Vic Gilliam, Max and Ralph Conradt without their hard work we would not have passed our sports concussion legislation which has been picked up as the model for the National Legislation; Danielle Erb, MD, who is the only medical doctor exclusively treating individuals with brain injury; McKay Moore Sohlberg, PhD, is a nationally recognized leader in the field of TBI and has worked as a clinician, researcher, and administrator in the development of programs to assist those with brain injury; Dr. Bruce Wojciechowski, OD, is a neuro-optometrists 2013 BIAOR Calendar of Events For updated information, please go to www.biaoregon.org Call the office with any questions or requests March 7 March 8 Pre-Conference Workshop Art & Music Rehabilitation After a Brain Injury BIAOR Conference Dinner, Music, Dancing and Wine Tasting March 7-9 Annual Pacific Northwest Regional Conference 2013: Living with Brain Injury Focusing on the Future www.biaoregon.org/ annualconference.htm August Walk For Brain Injury working to help people with brain injury for over 20 years; Karen Campbell, who established the first foster home in the state of Oregon for people with disabilities, 32 years ago; Jan Johnson, who established the first community rehabilitation program for people with brain injury nineteen years ago; and to Elizabeth Hovde, a brain injury survivor, for building the awareness of brain injury in her columns in the Oregonian. The Pre-Conference will focus on the matter in which music, art and physical therapists take an individualized approach when working with clients who are living with a brain injury. The creative arts therapies can be used to improve associated symptoms through interactive art-making experiences designed and adapted to emphasize each client’s strengths. Sensory stimulation through the arts promotes increased attention, while the creation of a story or a song can be used to memorize and recall personal information. Neurologic Music Therapy techniques are utilized to promote rehabilitation of speech and motor abilities through active instrument play, singing and movement to music such as in the case of Congresswoman Giffords. Therapists will demonstrate and discuss, in group sessions throughout the day, how providing music, drama, martial arts and art therapy can improve positive outcomes. Therapists will take a collaborative approach and conduct sessions with speech therapists, occupational therapists and physical therapists in a co-treatment model. Friday and Saturday will focus on the latest technology and treatment available for brain injury. These presentations will include: Keynote Speakers Friday: Look where we have come in 30 years--what is in the future? - Dr. Muriel D. Lezak Breakthrough practical applications of brain plasticity principles in the recovery from Traumatic Brain Injury - Anat Baniel, clinical psychologist, dancer and leader in the field of (Continued on page 9) The Headliner Winter 2013 page 7 Registration Form 11th Annual Pacific Northwest Brain Injury Conference 2013 30th Annual BIAOR Conference Living with Brain Injury: Focusing on the Future Sheraton Portland Airport Hotel Register Now online at www.biaoregon.org (Note: A separate registration form is needed for each person attending. Please make extra copies of the form as needed for other attendees. Members of BIAWA, BIAOR, BIAID, VA and OVRS receive member rates) First Name Last Name Badge Name Affiliation/Company Address City State Phone Fax Email Please check all that apply: ____ Zip I am interested in volunteering at the conference. Please call me. ___ Call me about sponsorship/exhibitor opportunities. 7 hour Certified Brain Injury Specialist Training/Test for Certification—Thursday (No Refunds) Pre-Registration is required: Book, training & exam included-must register before 2/15 __ Pre-Conference Workshop-Music, Art, Cognitive & Physical Therapies—Thursday $600 $ Member Non-Member $100 $175 Amount $ Conference Registration Fees: Registration fees include: continental breakfast, lunch & conference related materials. Meals not guaranteed for on-site registrations. There are no refunds, but registration is transferable. Contact BIAOR, 800-544-5243 for more information or questions. The following fees are per person: ___ VIP Special—3 Days of Conference & Dinner $500 $575 $ ___ Professional (CEUs) 2 Day Friday & Saturday $350 $450 $ ___ Professional (CEUs)1 Day Only: ___ Friday ___ Saturday $200 $300 $ ___ Saturday Survivor/Family (no CEUs) $100 $175 $ ___ Saturday Only Courtesy (Brain Injury Survivors with limited means-limited number) $25 $35 $ ___ Membership Professional $100 Family $50 Basic $35 Survivor $5 $ ___ Scholarship Contribution (donation to assist in covering the cost of survivors with limited funds) $ Reception & 30th Anniversary Dinner Reception 5:30 -6:30 pm, Dinner begins at 6:45pm Separate Charge from Conference (After Feb 20) $ 100 ($125) $125 ($150) $ Credit Card Number _____-_____-______-_____ Exp Date ___/___ Sec code ____ Signature ____________________________________Pre-conference, Registration & Dinner Total $ ________ CC Address if different than above ____________________________________________________________ (Please add totals from Registration Fee, Reception/Dinner and Scholarship Contribution for final total costs) Make Checks out to BIAOR—Mail to: BIAOR, PO Box 549, Molalla OR 97038 or fax: 503.961.8730 Phone: 800-544-5243 www.biaoregon.org/annualconference.htm [email protected] Online Registration: www.biaoregon/store.htm Registrations are transferrable but there are no refunds. Hotel: Sheraton Portland Airport Hotel 8235 NE Airport Way, Portland, OR 97220 503.281.2500 Agenda Thursday 8 am - 5 pm Pre-Conference Workshop Discount room rate Ask for BIAOR discount 503-281-2500 Rooms are limited Friday & Saturday 7 am - 8 am: Breakfast 8 am - Noon: Keynote and Break– Outs Noon - 1 pm: Lunch and Networking 1 pm - 5 pm: Keynote and Break-Outs CEUs: AFH, CRCC, CDMC, OT, SLP, CLE. Please contact us if you would like one that is not listed Total CEU Hours 21.25 page 8 Winter 2013 * Friday and Saturday-Breakfast and Lunch provided ** Thursday—lunch and breaks provided The Headliner (Conference Continued from page 7) NeuroMovement Keynote Speakers Saturday: Music and the Brain - Larry Sherman, PhD. Senior Scientist, ONPRC, OHSU Brain Institute, Professor, Department of Cell and Developmental Biology, Portland, Oregon The Returning Veterans - What they need, what are they going through: Cultural, social, organizational sources of hindrance and support for returning veterans - Eddie Black, Oregon National Guard Resiliency Program Manager Brain Injury and the Returning Military 101Bronwyn G. Pughe, MA, MFA, TBI Program Education Specialist, Administrator Traumatic Brain Injury Program, Madigan Healthcare System When War Comes Home: The Emotional Trauma of Caregiving - Marilyn Lash, M.S.W. The Psychology Behind TBI and the Behaviors That May Be Present- Nancy Irey Holmes, PhD Stroke - What is it--Will I recover - John DenBoer, PhD, Clinical Neuropsychologist/ Psychologist, Casa Colina Centers for Rehabilitation Technology – Tomorrow & Today - Jonathan Gray Hope and Recovery Principles in the Treatment of ABI - Jacek A. Haciak, PsyD Cognitive Curbcuts: Visual Scheduling, Video Modeling, and Personal Wellness supports for Self-Management - Dr. Tom Keating Advances in Stroke Recovery - Paul Cordo, PhD OHSU Conducting Mental Status Examinations with a Traumatic Brain Injury Patient - John DenBoer, PhD, Clinical Neuropsychologist/ Psychologist, Casa Colina Centers for Rehabilitation Acupuncture and Complementary Medicine in the Management of Traumatic Brain Injury Douglas Wingate, MAcOM, Lac Brain Injury and Hidden Vision Problems - Dr. Bruce Wojciechowski, OD Brain Tumors-Why We Should Care -- Edward Allen Neuwelt, M.D., Professor of Neurology, Oregon Health The Role of Music Therapy in Rehabilitation Lillieth Grand, MS, MT-BC Using Improv/Theatre Activities with BI Survivors - Ruth Jenkins, MS, CCC-SLP Legal pitfalls of presenting a TBI Case - Arthur Lertiz, JD Defuse Tensor Imaging and Other Medical Advances to Identify Brain Injury and Win Your Case - Dr. Aaron DeShaw, JD The Future of Prosthetic Cognition - Kathy Moeller Assistive technology - low to high assistive devices to live life to the fullest with brain injury Susan Powell, MS/P, OTR/L, ATP Madigan Training Assistive Technology in the Environment - Laurie Ehlhardt Powell, PhD (Conference Continued on page 11) Winter Sudoku The object is to insert the numbers in the boxes to satisfy only one condition: each row, column and 3 x 3 box must contain the digits 1 through 9 exactly once. (Answer on page 15) The Headliner Winter 2013 page 9 Brain Injury and the Powers of Music Neuroscience reports successful outcomes with specially engineered music therapy programs. Reports of music making a difference abound in science and classical literature. In Bible days musicians were sent ahead of Warriors to maintain morale and to set the climate of victory for battle. Recently there has been much emphasis given to the Mozart effect. Every preschooler effortlessly learns the alphabet by singing a catchy tune. Both educators and neurologists have long understood music’s role in brain development and memory retention. Song and speech occupy separate but related areas of the brain. As demonstrated by research with the victims of traumatic brain injury (TBI), far from being merely a method of rote learning, music may actually open blocked channels or expose new pathways in the brain, speeding the language recovery of accident victims and stroke and dementia patients. In some studies music has been emphasized as being able to even enhance mathematical ability. Aphasia is defined as a disability or impairment in language, whether written, read or spoken. One of the most devastating consequences of TBI is often the partial or complete loss of language. Sufferers are unable to communicate even basic thoughts. Although they know what they want to say, the trauma to the brain has destroyed the neural pathways that make speech possible. People with aphasia may find it difficult to assign names to ordinary objects or to complete simple sentences. Seemingly miraculously, however, they may be able to sing the phrases that elude them in speech. There is little doubt that music plays an important role in clinical recovery for many people with brain injury. Music has been found to improve many people with brain injuries ability to hear in noisy environments and therapists have seen improvements in auditory processing speed and attention. In the past, there has been little hope that a person’s brain could heal itself. But scientists today are now looking at music therapy, specifically something called melodic intonation therapy, to help with speech recovery for brain injury victims. Scientists have found that when they page 10 slowly bring their patients through four simple steps of music therapy using rhythm, pitch, vision and hearing, the patients’ brains are able to sing words that they aren’t able to speak. For example, if a patient were asked to say the line (or lyrics) from the Beatles song, “All You Need is Love” they would not able to do so. Their brains would simply not be able to remember the words, or – if they do know the words – in what order the words should be. But if the same patient were told to sing the exact same line using the rhythm and tune of the song, the patient would be able to do so, remembering all the words as they sang, and do so quite normally. Impaired auditory processing skills can be seen with imaging techniques as an abnormally enlarged auditory cortex is with the neurons responding over a greater area producing increased sensitivity as a compensatory measure. Unfortunately this also produces a greater signal to noise ratio in the brain. This may translate to reduced auditory accuracy in noisy environments. The ability to filter extraneous interference and to accurately discriminate sound is compromised. This same process takes place in chronic pain patients who are slower to feel the initial sensation of pain but are found to have increased sensitivity to pain, less tolerance and this pain is spread over a wider area. One logical way to solve this problem would be to help the brain create a new path, making it less reactive to all stimuli and more sensitive to discriminating important stimuli. The orderly cadence of classical music in its mathematical formation can act as a filing cabinet for the auditory cortex. The frequency filtering allows the brain to come out of an automatic mode and learn a new way of hearing. The stereophonic listening gives the brain an opportunity to generalize where and how it will process new sound. The world reacted with shock when U.S. Representative Gabrielle Giffords was shot during an assassination attempt in January 2011. Giffords’ injuries included severe brain trauma, and aphasia is one of the side effects that she struggles with to this day. The use of music therapy during her lengthy and Winter 2013 continuing rehabilitation has made a significant impact on Gifford’s progress and quality of life. From being able to sing only the final word of a familiar musical phrase, she has progressed to the point of singing entire songs. Gifford’s case illustrates the importance of continuing to seek new therapies for TBI patients in the quest for recovery. Scientific advances in the understanding and treatment of traumatic brain injury enhance the benefits for everyone who struggles with this devastating condition. The beauty of music therapy is that it doesn’t require costly equipment or specialized knowledge to implement. Patients undergoing extensive and stressful speech rehabilitation report that simply listening to familiar music can relax them, and being able to sing along with beloved songs gives them a much-needed sense of accomplishment. People who suffer from mild or occasional aphasia can increase their quality of life by setting common tasks to simple tunes, or by singing phrases when spoken words escape them. Song is often used to awaken dormant skills in comatose or stroke patient’s, evoking auditory response and initiating corrective response. Individuals may be unable to say words but they can repeat them when they are sung to them by a participating therapist. This was the case for Giffords. After singing, they then say the same words that were impossible for them just moments before. It may be that when people cycle between speaking and singing the contour and spacing of musical sounds may be decoded by additional areas in the brain which can then act as a conduit to the language centers of the brain. This may be because language (Headaches Continued on page 11) The Headliner (Headaches Continued from page 10) (Conference Continued from page 9) uses motor, auditory and visual skills. What I Wish I Had Known ... The Positive Brain Injury Support group of Portland Singing may engage other brain areas and then cue brain neurons to act as a construction crew to make a detour around the damaged area or to enlist nearby neurons to build a strong new path. Recently neuro imaging tools have advanced so that changes caused by this kind of learning can be demonstrated by an increase in white and gray matter cells in the brain. Music also serves as a relaxing way to restore cognitive reserve and reduce the fight or flight response created by learning anxiety. Many brain therapy patients spend hours in occupational, speech pathology, and physical therapy every day. This concentration is required to build new paths in the brain, however in early stages of recovery the brain is vulnerable and becomes tired. Music can provide a restful interlude in the midst of these other therapies. People with brain injury report that using music between other therapies refreshes them and allows them to be more productive. The other major benefit of music therapy for brain injury victims that cannot be undervalued is that the ability of the patients to remember lyrics and sing their favorite songs does wonders for their depression and frustration after their injuries. Using Martial Arts for Physical Therapy - Ben Luskin and Tony Ellis Two Stories of Survival - Dr. James Meade and Gordon Viggiano Video: Brain Injury: Voices of a Silent Epidemic will be shown each day at lunch Brain Injury: Voices of a Silent Epidemic - Cindy Daniel, BRAVE Publications, Andy Palumbo, Outside the Lab, Harvey E. Jacobs, Ph.D. Brain Injury: Voices of a Silent Epidemic guides viewers on a journey about brain injury – its causes and effects on people who are injured and those around them. Many survivors of brain injury can appear to be completely uninjured in their day-to-day lives, but the fact remains that altered brains often result in persistent hidden challenges that can have adverse and dramatic daily effects. Just as advances in neurology have improved the survival rate of those who sustain a brain injury, improved understanding of these injuries by laypersons and professionals will improve recovery and reintegration of brain injury survivors. The biggest benefit of attending a conference is connecting with kindred spirits, folks whose work you admire and which inspires you. Conferences have a way of renewing the passion that brings like-minded people together, and being part of collaboration is a privilege that you can truly value. Attending a conference provides an opportunity to learn from experts, share ideas with others, and identify new knowledge and techniques in your field. Given the knowledge explosion in the current information-rich era, attending this conference is a great way to keep abreast of emerging themes and technology and, perhaps most importantly, network. Register now. See page 8 for Conference Registration form. While there is still much research that needs to be done on the subject of music therapy for brain injury victims, it gives hope to doctors, scientists, therapists and people with brain injuries for what will develop in the future. Learn more about music and brain injury and how to use this therapy at the 2013 NW Pacific Brain Injury Conference, March 7-9 at the Sheraton Portland Airport Hotel. Source: www.lapublishing.com/ blog/2012/music-traumatic-brain-injury/; www.floridabraininjurylaw.com/musictherapy-for-brain-injury-victims; www.traumaticbraininjurycenters.com/20 10/10/why-does-music-therapy-matter/ The Headliner Fox Tower 805 SW Broadway, Suite 2540 Portland, OR 97205 503-277-1233 Winter 2013 866-843-3476 page 11 9 Things NOT to Say to Someone with a Brain Injury Brain injury is confusing to people who don’t have one. It’s natural to want to say something, to voice an opinion or offer advice, even when we don’t understand. And when you care for a loved one with a brain injury, it’s easy to get burnt out and say things out of frustration. Here are a few things you might find yourself saying that are probably not helpful: 1. You seem fine to me. The invisible signs of a brain injury — memory and concentration problems, fatigue, insomnia, chronic pain, depression, or anxiety — these are sometimes more difficult to live with than visible disabilities. Research shows that having just a scar on the head can help a person with a brain injury feel validated and better understood. Your loved one may look normal, but shrugging off the invisible signs of brain injury is belittling. Consider this: a memory problem can be much more disabling than a limp. 2. Maybe you’re just not trying hard enough (you’re lazy). Lazy is not the same as apathy (lack of interest, motivation, or emotion). Apathy is a disorder and common after a brain injury. Apathy can often get in the way of rehabilitation and recovery, so it’s important to recognize and treat it. Certain prescription drugs have been shown to reduce apathy. Setting very specific goals might also help. always verbal. “I’ve already told you this” comes through loud and clear just by facial expression. 5. Do you have any idea how much I do for you? Your loved one probably knows how much you do, and feels incredibly guilty about it. It’s also possible that your loved one has no clue, and may never understand. This can be due to problems with awareness, memory, or apathy — all of which can be a direct result of a brain injury. You do need to unload your burden on someone, just let that someone be a good friend or a counselor. 6. Your problem is all the medications you take. Prescription drugs can cause all kinds of side effects such as sluggishness, insomnia, memory problems, mania, sexual dysfunction, or weight gain — just to name a few. Someone with a brain injury is especially sensitive to these effects. But, if you blame everything on the effects of drugs, two things could happen. One, you might be encouraging your loved one to stop taking an important drug prematurely. Two, you might be overlooking a genuine sign of brain injury. It’s a good idea to regularly review prescription drugs with a doctor. Don’t be afraid to ask about alternatives that might reduce side effects. At some point in recovery, it might very well be the right time to taper off a drug. But, you won’t know Do beware of problems that mimic apathy. Depres- this without regular follow-up. sion, fatigue, and chronic pain are common after a 7. Let me do that for you. brain injury, and can look like (or be combined Independence and control are two of the most with) apathy. Side effects of some prescription drugs can also look like apathy. Try to discover the important things lost after a brain injury. Yes, it root of the problem, so that you can help advocate may be easier to do things for your loved one. Yes, it may be less frustrating. But, encouraging for proper treatment. your loved one to do things on their own will help 3. You’re such a grump! Irritability is one of the most common signs of a brain injury. Irritability could be the direct result of the brain injury, or a side effect of depression, anxiety, chronic pain, sleep disorders, or fatigue. Think of it as a biological grumpiness — it’s not as if your loved one can get some air and come back in a better mood. It can come and go without reason. promote self-esteem, confidence, and quality of living. It can also help the brain recover faster. Do make sure that the task isn’t one that might put your loved one at genuine risk — such as driving too soon or managing medication when there are significant memory problems. 8. Try to think positively. That’s easier said than done for many people, and even harder for someone with a brain injury. Repetitive negative thinking is called rumination, and it can be common after a brain injury. Rumination is usually related to depression or anxiety, and so treating those problems may help break the negative thinking cycle. Furthermore, if you tell someone to stop thinking about a certain negative thought, that thought will just be pushed further towards the front of the mind (literally, to the prefrontal cortex). Instead, find a task that is especially enjoyable for your loved one. It will help to distract from negative thinking, and release chemicals that promote more positive thoughts. 9. You’re lucky to be alive. This sounds like positive thinking, looking on the bright side of things. But be careful. A person with a brain injury is six times more likely to have suicidal thoughts than someone without a brain injury. Some may not feel very lucky to be alive. Instead of calling it “luck,” talk about how strong, persistent, or heroic the person is for getting through their ordeal. Tell them that they’re awesome. Source: http://www.brainline.org/content/2012/10/9things-not-to-say-to-someone-with-a-brain-injury.html; Written by Marie Rowland, PhD, EmpowermentAlly. www.brainhealthconsulting.com. It’s hard to live with someone who is grumpy, moody, or angry all the time. Certain prescription drugs, supplements, changes in diet, or therapy that focuses on adjustment and coping skills can all help to reduce irritability. 4. How many times do I have to tell you? It’s frustrating to repeat yourself over and over, but almost everyone who has a brain injury will experience some memory problems. Instead of pointing out a deficit, try finding a solution. Make the task easier. Create a routine. Install a memo board in the kitchen. Also, remember that language isn’t page 12 Winter 2013 The Headliner The Headliner Winter 2013 page 13 page 14 Winter 2013 The Headliner Center on Brain Injury Research and Training (CBIRT) Update Hillary Clinton Sustains a Brain Injury Brain Injuries: What Can Go Wrong? Blow to the head On January 31, 2013, Governor John Kitzhaber signed Executive Order 13-02 re-establishing the Governor’s Task Force on Traumatic Brain Injury! The Task Force is charged with developing policies with state agencies that focus on improved service delivery for individuals with TBI. 4 Task Force members will address coordination of services by developing joint policies between state agencies, healthcare organizations, and Veterans’ Affairs. The Task force will also address prevention, education, employment, and housing issues related to TBI. The executive order is available on our website at, http://www.cbirt.org/ news/task_force/ Please follow us on Facebook at CBIRT Online! There is a direct link at the bottom of cbirt.org. Winter Sudoku (Answer from page 9) 3 4 1 6 2 9 7 9 8 7 5 5 6 9 3 7 1 8 2 3 1 4 8 9 9 1 6 3 8 7 5 2 4 6 8 8 4 7 1 2 3 6 The Headliner 1 9 5 1 2 1 5 9 4 6 7 Brain is jostled inside the skull Blood vessels crisscrossing the surface of the brain are torn Secretary of State Hillary Clinton on December 15, 2012, sick with the flu, fainted and hit her head sustaining a concussion. A few days later she learned that she had a small blood clot between the brain and the skull behind the right ear. After time in the hospital and rest she returned to work wearing thick glasses. The prism lens that the secretary was wearing are known as fresnel prism lens and is common in cases like these. Fresnel prisms usually come in the form of a piece of thin, transparent plastic that can be adhered to existing lenses. The special grooves in these prisms change the way light enters the eye, making them useful in treating double vision. Dr. James Liu, director of the Center for Skull Base and Pituitary Surgery at the Neurological Institute of New Jersey, said that concussion and head injury can lead to blurred or double vision in some cases, and that this symptom can linger for a while during recovery. "It is possible that blurred or double vision can last up to weeks and even months," he said. "This really depends on the severity of the head injury. In cases of concussions, these symptoms are usually temporary and eventually resolve with time." In general, following a concussion, during which the brain is rattled inside the skull, tiny blood vessels crisscrossing the surface of the brain can rupture and bleed, leading to clots as the body attempts to stem the flow of blood. Vessels that are nestled in the folds of brain tissue can also tear during a blow to the head and lead to clotting. But in both of these cases, says Dr. Lee Schwamm, vice chairman of the Department of Neurology and director of the Stroke Services at Massachusetts General Hospital, blood thinners would be the last treatment doctors would recommend since the drugs might increase the risk of additional bleeding and swelling in the brain. Winter 2013 OR Vessels between the brain and skull are torn OR Vessels are stretched but not torn Clots, made up of immune cells and other blood factors, form to repair tears or lesions in vessels Normal blood flow in brain is blocked Flow out of brain is restricted Swelling and Neurological symptoms Flow into brain is inhibited Stroke That’s not the case if the clot occurs in the space between the brain and the skull, says David Hovda, director of the UCLA Brain Injury Research Center. In those circumstances, doctors would be more concerned about ensuring that any clogged vessels are unobstructed so blood that has circulated through the brain and is on its way back to the heart is flowing freely. In older (Hillary Clinton Continued on page 19) page 15 What are One of the major reasons our brains are so big is that it takes a lot of computing power to learn how to live with other humans. So it's no wonder this ability to get along with each other often suffers when our brains get injured. A WORKING DEFINITION In a nutshell, problems occur when behaviors could result in harm for the person with a brain injury or others, or could restrict the individual's access to the community. Eric Emerson, a behavioral specialist, We humans tend to judge each other describes this as “culturally abnormal behavior of such intensity, frequency through our behavior, and anyone or duration that the physical safety of acting outside the accepted boundaries can be in danger of being the person or others is placed in excluded. There are literally serious jeopardy [and] ... behavior thousands of 'rules' that people may which Is likely to seriously limit or deny break unknowingly after acquiring a access to the use of ordinary can include: brain injury. community faculties. (Emerson 1995). • How close to stand to other people A challenging behavior is one that we • When it is appropriate to interrupt find hard to accept; it literally another person who is speaking challenges our ability to understand • When and how to show emotions why it is happening. A complex • How to interpret and respond to behavior is one which makes it difficult non-verbal communication to initially see the reasons for the • What parts of a person's body maybe seen naked, or touched, and behavior. under what circumstances Challenging behavior and complex • When to speak, and how to get a behavior are strongly linked together in point across. the context of a brain injury. Examples of challenging and complex behaviors are: • Physical or verbal aggression • Self-injury • Property destruction • Disinhibition and hypersexuality • Impulsivity and emotional lability • Inflexibility and concrete thinking. It is very tempting to see challenging behaviors as deliberate action resulting in grief for everyone. But understanding the causes of a particular behavior allows us to respond appropriately, instead of with an instinctive reaction which may only exacerbate the situation. THREE MAIN CAUSES This example highlights the complex nature of trying to work out why particular behaviors are occurring, but also how the solutions can be quite easy once the problems are (Impact of ABI Continued on page 17) BEHAVIOR? So what’s with this challenging behavior and complex behavior stuff? Why not just call a spade a spade and say it’s bad behavior, throwing a tantrum, or being downright difficult? The problem is that when we use negative and judgmental words our actions tend to follow suit, and the behavior will only deteriorate in response. But if we use page 16 objective terms like challenging behavior then we are more likely to be objective in our thoughts and actions. Is a behavior really ‘bad’? Consider the driver who is doing the speed limit but everyone else is speeding about ten miles over the limit. Despite obeying the law, this driver will probably get the horn, some tailgating, the finger and other Winter 2013 inducements to speed up. We humans believe that normal behavior is simply what most of us do; if someone starts behaving outside the ordinary then it doesn’t take long for that behavior to challenge our understanding. So if an elderly lady want to join a rock band after having a stroke, think twice before assuming this is behavior that needs to be managed. The Headliner understood. The causes of any behavior can be categorized into three categories; psychological, social and biological factors. behavioral issues. Social factors:These include general health, psychiatric disorders, medical conditions, medications (side-effects), use of alcohol or other drugs, stress Psychological factors: Emotional problems with depression, grief and and communication deficits. loss, anxiety, stress and frustration Biological factors: The frontal and are very common after a brain temporal lobe of the brain are very injury. Alcohol or other drugs are important for controlling our behavior often used as a coping mechanism, and emotions. Damage to the temporal but this usually only exacerbates lobes can result in problems with FRONTAL LOBE The frontal lobe is responsible for planning, organization, initiation of behavior, ability to Inhibit behavior, self-awareness, selfmonitoring, flexibility In thinking and behavior, reasoning and decision- making. So injury to the frontal lobe can lead to many possible changes in behavior including: • Decreased ability to organize information • Difficulty sequencing activities and behavior • Unpredictable behavior due to poor planning • May not complete activity or follow through • Frustration when things don't go according to plan memory and language, both play major roles in managing our behavior. An understanding of just how much these factors can influence behavior can make it much easier for family members to understand and respond appropriately to specific behaviors. The diagram following maps out many common challenging behaviors and which parts of an injured brain may cause them. • Confusion about what to do and when to do things • Clutter and lost Items • Low motivation, apathy and lack of interest • Easily bored and frustrated • Inappropriate social and sexual behavior • Verbal and physical aggression or anger • Impulsive behavior • Repetitive and perseverative behaviors • Impaired self-awareness and judgment • Reduced motivation to change behavior • Unaware of behavior’s Impact on others • Poor awareness of own or other people’s emotions • Inability to self-manage emotions • Concrete inflexible thinking • Difficulty thinking of alternative ideas or behavior • Argumentativeness • Irritability with others • Misunderstanding of what others do or say • Difficulty with problem-solving and logic • May take longer to make decisions. Parietal Lobe The parietal lobe is responsible for spatial awareness, perception of self, objects and people in space, and perceptual processing of information. Potential problems here include: • Confusion or uncertainty • Lack of trust or confidence in self, others and environment • Effort needed for activities leads to fatigue and irritability • Misperception of sensory information can lead to paranoia. SYSTEM The limbic system is located above the brain stem, and is responsible for regulation of emotional state and perception of emotions In self and others. Potential Issues here Include: • Rapid mood changes • Lack of empathy or responsiveness to others • Egocentricity or self-focused • Impatience and low tolerance of others • May want needs met immediately and difficulty waiting • Irritability and anger • Anxiety and depression. TEMPORAL LOBE The temporal lobe is responsible for communication, memory, new learning and remembering tasks. instructions. events and one’s own behavior. Problems include: • Misunderstanding or misinterpreting communication • Difficulty expressing ideas, feelings and preferences • Difficulty regulating voice, tone, volume and rate of speech • Forgetting conversations, instructions and decisions made • Confusion and memory loss may lead to paranoia • Frustration with effort, difficulty or failure. The Headliner Winter 2013 BRAIN STEM • CEREBELLUM The cerebellum and brain stem are responsible for regulation of arousal and alertness, sleep, physical functions and mobility. Problems here include: • Sleep disorders • Fatigue • Sensitivity to noise, light, temperature and fatigue • Lack of Interest In previously enjoyed activities. page 17 Potential Future Medical Problems Caregivers and family members are in a unique position to spot medical problems that may emerge after leaving the hospital need to be to various problems and that may the need for or follow-up developing after the person is home and no longer in or rehabilitation settings may not be as recognized as a of brain and valuable treatment time can be lost if caregivers are of some medical of brain injury. Heterotopic Ossification (HO) is a condition in which there is bone growth in selected joints, most commonly in the hips, and elbows. It usually occurs within the first months after and is most often by the when or painful of motion is seen. can retard or slow the growth of the bone. HO, along with in system problems, such as forms of and worsening muscle stiffness) and problems causing warns of future problems that must be addressed. Hearing problems can occur for a number of both mechanical and when the ear and/or lobes have been damaged. All patients should have an otoscopic and hearing followed by behavioral testing. in the ear canal, middle ear injury, and/or lobe can cause dysfunction. Visual system changes and is often by brain injury. at the are often the first to notice in the eyes, such as and other of a problem. A is with an ophthalmologist and with the problem can be brought under control. 1450 Standard Plaza 1100 SW Sixth Ave Portland, OR 97204 1-888-883-1576 www.tdinjurylaw.com Protecting the Rights of the Injured the therapist functioning methods for compensating and for any deficits. In it is important that and be Some of the more common systems problems double cuts, sector rapid and near-sightedness. Neuroendocrine in women some ders that chronic are occurring post injury. these may have been monitored well in the acute phase of the reported or more that they were problems such as weight gain, thyroid in hair and body and skin women of chronic sleep blood a reduction in of immunity to and complaints. are that damage in the limbic system and pituitary may play a role in these disturbances. Personal Injury Practice Areas: Brain Injury Accidents Automobile Accidents Maritime Accidents Construction Accidents Trucking Accidents Medical Malpractice Wrongful Death page 18 Dangerous Premises Defective Products Bicycle Accidents Motorcycle Accidents Sexual Harassment/Abuse Aviation Accidents Legal Malpractice Winter 2013 The Headliner (Hillary Clinton Continued from page 15) patients, this space is slightly more expansive than that among younger people since the brain tends to shrink gradually with age. Schwamm, who has not treated Clinton but has treated patients with concussions and clots, says there are two other, relatively rare scenarios in which the concussion itself might lead to a need for blood thinners. Clinton apparently hit her head after a fall while dehydrated from a stomach virus, and if her head were twisted on impact, small tears, or dissections, might have shredded the arteries that feed blood to the brain, leading to clots. Blockages in these arteries can prevent the brain from receiving the oxygen-rich blood it needs, leading to a stroke, so doctors often use bloodthinning drugs to prevent clots from growing. The other possibility, Schwamm says, is that the clot formed in the veins that drain blood from the brain, so the danger of having that flow interrupted and backing up in the brain would also require treatment with anticoagulants. But these types of clots are relatively rare, affecting less than 1 in 100,000 patients hospitalized for clot-related problems. More likely, says Schwamm, is that the concussion led more indirectly to the clot. Patients recovering from such a fall often stick to a period of bed rest and immobility that can trigger a clot outside of the brain. “If there is postconcussive syndrome, you have persistent headaches, dizziness, nausea and you feel poorly, so people end up lying in bed, which is a setup for a clot developing in the leg,” says Schwamm. Learn more about vision issues at the brain injury conference March 9 in Dr. Bruce Wocijeckoswki’s presentation. Has Medicaid or Medicare denied your request for coverage for assistive technology--such as a wheelchair or CPAP machine--that was prescribed by your doctor? Disability Rights Oregon may be able to help. Contact us at (503) 243-2081. Jan E. Friedman, Attorney Disability Rights Oregon 610 SW Broadway, Suite 200 Portland, OR 97205 The Headliner 503- 243-2081 or 1-800-452-1694 TTY: 503-323-9161 or 1-800-556-5351 Fax: 503-243-1738 Fall 2012 page 19 I've got the brain of a four year old. I'll bet he was glad to be rid of it. Groucho Marx At Windsor Place, we believe in promoting the self-confidence and self-reliance of all of our residents Sharon Slaughter Windsor Place, Inc. 3009 Windsor Ave. NE Salem Oregon 97301 www.windsorplacesalem.org Executive Director [email protected] Phone: 503-581-0393 Fax: 503-581-4320 page 20 Winter 2013 The Headliner Students: Returning to School After Brain Injury steps as goals and tackle them one at a time As each step is completed, it as an of success a break between each step each preceding step before moving onto the next. high of or are the student should be able to take time-out, having for this with teachers. needs to be as an opportunity to and perspective, not punishment. Impulsive behavior may need to present this to them to them with this It may help if your doctor or writes a letter to document that you a disability. You will need to the accommodations or help you such as: Extra time for assignments and exams Exams in a quiet room Copies of teacher’s notes if your concentration is affected. are often a genuine case of doing what seemed to be a good idea at the time. Strategies should be with so Short-term memory that can be Students may lose books and replaced with an It is equipment, forget and also helpful to on a that the arrangements, ask the same Some study strategies can as a sign for the and or forget will be student to stop and think about what they are supposed which Some to try are: they are doing. It could be a word, or a to be in. there are ways to sign A good diet, and rm up in the In time it will memory and it can be an exercise become an automatic process. to work out new and to compensate for problems. Accommodations drugs now have Students with poor memory will need All Structure your days and week with a that make for become with using memory daily planner, diary or electronic people with in terms of time aids and will need constant organizer for tests and These by who Use memory prompts such as are of the should be of how to respond notepads, and a notice board impacts on a student’s abilities to memory issues. on study times, most such as short-term memory difficulties, better in than evenings Stress, frustration and anger lack of concentration, Structure your study times and stick A common to stress to stress and lowered them no matter how you feel is a of or being Students should Join study groups or find a ‘study trapped in a over which we contact their to make no control. or for tests and environments can add to assignments. a student’s that they are being Many schools and will of The student new should be able to choose from a if you let number of options in with them know that you these emotions. a for these is should be and where of brain avoided. this isn’t in many and so you can act as good insurance Representing RALPH E. WISER Attorney Brain Injured Individuals ARE YOU A MEMBER? The Brain Injury Alliance of Oregon relies on your membership dues and donations to operate our special projects and to assist families and survivors. Many of you who receive this newsletter are not yet members of BIAOR. If you have not yet joined, we urge you to do so. It is important that people with brain injuries, their families and the professionals in the field all work together to develop and keep updated on appropriate services. Professionals: become a member of our Neuro-Resource Referral Service. Dues notices have been sent. Please remember that we cannot do this without your help. Your membership is vitally important when we are talking to our legislators. For further information, please call 1-800-544-5243 or email [email protected]. See page 23 to sign up. The Headliner Winter 2013 Auto and other accidents Wrongful Death Sexual Abuse Elder Abuse Insurance issues and disputes Disability: ERISA and Non-ERISA, SSD, PERS One Centerpointe Drive, Suite 570 Lake Oswego, Oregon 97035 Phone: (503) 620-5577 Fax: (503) 670-7683 Email: [email protected] FREE INITIAL CONSULTATION Free Parking/Convenient Location page 21 Oregon Centers for Independent Living Why do men have more brain injuries??? Contact List CIL ABILITREE Director: Glenn Van Cise EOCIL (Eastern Oregon Center for Independent Living) Director: Kirt Toombs LOCATION 20436 Clay Pigeon Court Bend, OR 97702 1-541-388-8103 322 SW 3rd Suite 6 Pendleton, OR 97801 (541) 276-1037 1-877-711-1037 (Toll Free) 400 E Scenic Dr., Ste 2349 The Dalles, OR 97058 541-370-2810 1-855-516-6273 1021 SW 5th Avenue Ontario, OR 97914 (541) 889-3119 or 1-866248-8369 COUNTIES SERVED Crook, Deschutes, Jefferson Gilliam,, Morrow, Umatilla, Union, Wheeler Columbia , Hood River, Sherman, Wasco Baker, Grant, Harney, Malheur , Wallowa HASL (Independent Abilities Center) Director: Randy Samuelson 305 NE "E" St. Grants Pass, OR 97526 (541) 479-4275 Josephine, Jackson, Curry, Coos , Douglas LILA (Lane Independent Living Alliance) Director: Sheila Thomas 99 West 10th Ave#117 Eugene, OR 97401 (541) 607-7020 Lane, Marion, Polk, Yamhill, Linn, Benton, Lincoln ILR (Independent Living Resources) Director: Barry Fox-Quamme SPOKES UNLIMITED Director: Christina Fritschi 1839 NE Couch Street Portland, OR 97232 (503) 232-7411 Clackamas, Multnomah, Washington 1006 Main Street Klamath Falls, OR 97601 (541) 883-7547 Klamath, Lake UVDN (Umpqua Valley disAbilities Network) Director: David Fricke 736 SE Jackson Street, Roseburg, OR 97470 (541672-6336 (voice) Douglas The Brain Injury Alliance of Oregon can deliver a range of trainings for your organization. These include: • CBIS Training (Certified Brain Injury Specialist) • TBI & PTSD in the Returning Military • Vocational Rehabilitation-working with clients • Methamphetamine and Brain Injury • ADA Awareness—Cross Disability Training including cognitive interactive simulation • Judicial and Police: Working with People with Brain Injury • Traumatic Brain Injury: A Guide for Educators • Native People and Brain Injury • Brain Injury 101 • Anger Management and TBI • Aging and TBI • How Brain Injury Affects Families • Brain Injury for Medical and Legal Professionals- What you need to know Caregiver Training Domestic Violence and TBI Dealing with Behavioral Issues Returning to Work After Brain Injury And more! • • • • For more information contact Sherry Stock, Executive Director, Brain Injury Alliance of Oregon at [email protected] 800-544-5243 page 22 Winter 2013 The Headliner Understanding Mild Traumatic Brain Injury (MTBI): An Insightful Guide to Symptoms, Treatment and Redefining Recovery Understanding Mild Traumatic Brain Injury (MTBI): An Insightful Guide to Symptoms, Treatment and Redefining Recovery Edited by Mary Ann Keatley, PhD and Laura L. Whittemore $16.00 The Essential Brain injury Guide The Essential Brain Injury Guide provides a wealth of vital information about brain injury, its treatment and rehabilitation. Written and edited by leading brain injury experts in non-medical language, it’s easy to understand. This thorough guide to brain injury covers topics including: Understanding the Brain and Brain Injury; Brain Injury Rehabilitation; Health, Medications and Medical Management; Treatment of Functional Impacts of Brain Injury; Children and Adolescents; Legal and Ethical Issues; and MORE! Used as the primary brain injury reference by thousands of professionals and para-professionals providing direct services to persons with brain injury over the past 15 years. $60.00 Recovering from Mild Traumatic Brain Injury A handbook of hope for military and their families. Edited by Mary Ann Keatley, PhD and Laura L. Whittemore This clear and concise handbook speaks to our Wounded Warriors and their families and helps them navigate through the unknown territory of this often misunderstood and unidentified injury. It provides an insightful guide to understanding the symptoms, treatment options and redefines "Recovery" as their new assignment. Most importantly, the intention of the authors is to inspire hope that they will get better, they will learn to compensate and discover their own resiliency and resourcefulness. $18.00 Ketchup on the Baseboard Ketchup on the Baseboard tells the personal story of the authors' family’s journey after her son, Tim, sustained a brain injury. Chronicling his progress over more than 20 years, she describes the many stages of his recovery along with the complex emotions and changing dynamics of her family and their expectations. More than a personal story, the book contains a collection of articles written by Carolyn Rocchio as a national columnist for newsletters and journals on brain injury. $20 A Change of Mind A Change of Mind by Janelle Breese Biagioni is a very personal view of marriage and parenting by a wife with two young children as she was thrust into the complex and confusing world of brain injury. Gerry Breese, a husband, father and constable in the Royal Canadian Mounted Police was injured in a motorcycle crash while on duty. Janelle traces the roller coaster of emotions, during her husband’s hospital stay and return home. She takes you into their home as they struggle to rebuild their relationship and life at home. $20 Fighting for David Leone Nunley was told by doctors that her son David was in a "persistent coma and vegetative state"--the same diagnosis faced by Terri Schiavo's family. Fighting for David is the story how Leone fought for David's life after a terrible motorcycle crash. This story shows how David overcame many of his disabilities with the help of his family. $15 The Caregiver's Tale: The True Story Of A Woman, Her Husband Who Fell Off The Roof, And Traumatic Brain Injury From the Spousal Caregiver's, Marie Therese Gass, point of view, this is the story of the first seven years after severe Traumatic Brain Injury, as well as essays concerning the problems of fixing things, or at least letting life operate more smoothly. Humor and pathos, love and frustration, rages and not knowing what to do--all these make up a complete story of Traumatic Brain Injury. $15 The Headliner Brain Injury Alliance of Oregon New Member Renewing Member Name: ___________________________________________ Street Address: _____________________________________ City/State/Zip: ______________________________________ Phone: ___________________________________________ Email: _____________________________________________ Type of Membership Survivor Courtesy $ 5 (Donations from those able to do so are appreciated) Basic $35 Family $50 Students $25 Non Profit $75 Professional $100 Sustaining $200 Corporation $300 Lifetime $5000 Sponsorship Bronze $300 Silver $500 Gold $1,000 Platinum $2,000 Additional Donation/Memorial: $________________ In memory of: ______________________________________ (Please print name) Member is: Individual with brain injury Family Member Other:_________ Professional. Field: _______________________________ Book Purchase ($2 per book for mailing): The Caregiver’s Tale $15 Change of Mind $20 Fighting for David $15 Ketchup on the Baseboard $20 The Essential Brain Injury Guide $60 Recovering from MTBI $18 Understanding MTBI $16 Type of Payment Check payable to BIAOR for $ ________________________ Charge my VISA/MC/Discover Card $ __________________ Card number: _________ __________ _________ __________ Expiration date: _____________ Security Code from back _________ Print Name on Card: __________________________________ Signature Approval: __________________________________ Date: ______________________________________________ Please mail to: BIAOR PO Box 549 Molalla, OR 97038 800-544-5243 Fax: 503– 961-8730 www.biaoregon.org • [email protected] 501 (c)(3) Tax Exempt Fed. ID 93-0900797 Winter 2013 page 23 Resources For Parents, Students, Educators and Professionals Returning Veterans Project Returning Veterans Project is a nonprofit organization comprised of politically unaffiliated and independent health care practitioners who offer free counseling and other health services to veterans of past and current Iraq and Afghanistan campaigns and their families. Our volunteers The Oregon TBI Team include mental health professionals, acupuncturists and other allied health care providers. We believe it is our collective responsibility to offer education, support, and healing for the short and long-term The Oregon TBI Team is a multidisciplinary group repercussions of military combat on veterans and their families. For more information contact: Belle of educators and school professionals trained in Bennett Landau, Executive Director, 503-933-4996 www.returningveterans.org email: pediatric brain injury. The Team provides in-service [email protected] training to support schools, educators and families of students (ages 0-21) with TBI. For evidence Center for Polytrauma Care-Oregon VA based information and resources for supporting Providing rehabilitation and care coordination for combat-injured OIF/OEF veterans and active duty students with TBI, visit: www.tbied.org service members. For more information about Oregon’s TBI Contact: Ellen Kessi, LCSW , Polytrauma Case Manager [email protected] 1-800-949-1004 www.cbirt.org/oregon-tbi-team/ x 34029 or 503-220-8262 x 34029 Melissa Nowatske 541-346-0597 [email protected] or [email protected] “Brain Injury Partners: Navigating the School System,” an interactive, multimedia intervention, is now available on-line free of charge. The easy-to-use website is designed to give parents of school-aged children with a brain injury the skills they need to become successful advocates. http://free.braininjurypartners.com/. Parent Training and Information A statewide parent training and information center serving parents of children with disabilities. 1-888-988-FACT Email: [email protected] http://factoregon.org/?page_id=52 LEARNet Provides educators and families with invaluable information designed to improve the educational outcomes for students with brain injury. www.projectlearnet.org/index.html FREE Brain Games to Sharpen Your Memory and Mind www.realage.com/HealthyYOUCenter/Games/ intro.aspx?gamenum=82 http://brainist.com/ Home-Based Cognitive Stimulation Program http://main.uab.edu/tbi/show.asp? durki=49377&site=2988&return=9505 Sam's Brainy Adventure http://faculty.washington.edu/chudler/flash/ comic.html Neurobic Exercise www.neurobics.com/exercise.html Brain Training Games from the Brain Center of America www.braincenteramerica.com/exercises_am.php page 24 Washington TBI Resource Center Providing Information & Referrals to individuals with brain injury, their caregivers, and loved ones through the Resource Line. In-Person Resource Management is also available in a service area that provides coverage where more than 90% of TBI Incidence occurs (including counties in Southwest Washington. For more information or assistance call: 1-877-824-1766 9 am –5 pm www.BrainInjuryWA.org Vancouver: Carla-Jo Whitson, MSW CBIS 360-699-4928 [email protected] Legal Help Disability Rights Oregon (DRO) promotes Opportunity, Access and Choice for individuals with disabilities. Assisting people with legal representation, advice and information designed to help solve problems directly related to their disabilities. All services are confidential and free of charge. (503) 243 -2081 http://www.disabilityrightsoregon.org/ Legal Aid Services of Oregon serves people with low-income and seniors. If you qualify for food stamps you may qualify for services. Areas covered are: consumer, education, family law, farmworkers, government benefits, housing, individual rights, Native American issues, protection from abuse, seniors, and tax issues for individuals. Multnomah County 1-888-610-8764 www.lawhelp.org Lewis & Clark Legal Clinic is a civil practice clinic for the Northwestern School of Law of Lewis & Clark College. Representing low-income individuals experiencing a cariety of civil and administrate problems. 503-768-6500 Oregon Law Center Legal provides free legal services to low income individuals, living in Oregon, who have a civil legal case and need legal help. Assistance is not for criminal matter or traffic tickets. http://oregonlawhelp.org Oregon State Bar Lawyer Referral Services refers to a lawyer who may be able to assist. 503-6843763 or 800-452-7636 The Oregon State Bar Military Assistance Panel program is designed to address legal concerns of Oregon service members and their families immediately before, after, and during deployment. The panel provides opportunities for Oregon attorneys to receive specialized training and offer pro bono services to service members deployed overseas. 800-452-8260 St. Andrews Legal Clinic is a community non-profit that provides legal services to low income families by providing legal advocacy for issues of adoption, child custody and support, protections orders, guardianship, parenting time, and spousal support. 503-557-9800 Winter 2013 The Headliner Affordable Naturopathic Clinic in Southeast An affordable, natural medicine clinic is held the second Saturday of each month. Dr. Cristina Cooke, a naturopathic physician, will offer a sliding-scale. The clinic is located at: Naturopaths see people with a range of health concerns including allergies, diabetes, fatigue, high blood-pressure, and issues from past physical or emotional injuries. For more information of to make an appointment, please call: Dr. Cooke, 503-984-5652 The Southeast Community Church of the Nazarene 5535 SE Rhone, Portland. Have you had an insurance claim for cognitive therapy denied? If so call: Julia Greenfield, JD Staff Attorney Disability Rights Oregon 620 SW Fifth Avenue, Ste 500, Portland, OR 97204 Phone: (503) 243-2081 Fax: (503) 243 1738 [email protected] Financial Assistance Tammy Greenspan Head Injury Collection A terrific collection of books specific to brain injury. You can borrow these books through the interlibrary loan system. A reference librarian experienced in brain injury literature can help you find the book to meet your needs. 516-249-9090 Long Term Care—Melissa Taber, Long Term Care TBI Coordinator, DHS, State of Oregon 503-947-5169 The Low-Income Home Energy Assistance Program (LIHEAP) is a federally-funded program that helps lowincome households pay their home heating and cooling bills. It operates in every state and the District of Columbia, as well as on most tribal reservations and U.S. territories. The LIHEAP Clearinghouse is an information resource for state, tribal and local LIHEAP providers, and others interested in low-income energy issues. This site is a supplement to the LIHEAP-related information the LIHEAP Clearinghouse currently provides through its phone line 1800-453-5511 www.ohcs.oregon.gov/OHCS/ SOS_Low_Income_Energy_Assistance_Oregon.shtml Food, Cash, Housing Help from Oregon Department of Human Services 503-945-5600 http://www.oregon.gov/DHS/assistance/index.shtml Housing Various rental housing assistance programs for low income households are administered by local community action agencies, known as CAAs. Subsized housing, such as Section 8 rental housing, is applied for through local housing authorities. 503-986-2000 http://oregon.gov/ OHCS/CSS_Low_Income_Rental_Housing_ Assistance_Programs.shtml Oregon Food Pantries http://www.foodpantries.org/st/ oregon Central City Concern, Portland 503 294-1681 Central City Concern meets its mission through innovative outcome based strategies which support personal and community transformation providing: • Direct access to housing which supports lifestyle change. • Integrated healthcare services that are highly effective in engaging people who are often alienated from mainstream systems. • The development of peer relationships that nurture and support personal transformation and recovery. • Attainment of income through employment or accessing benefits. The Headliner Need Help with Health Care? Oregon Health Connect: 855-999-3210 Oregonhealthconnect.org Information about health care programs for people who need help. Project Access Now 503-413-5746 Projectaccessnnow.org Connects low-income, uninsured people to care donated by providers in the metro area. Health Advocacy Solutions - 888-755-5215 Hasolutions.org Researches treatment options, charity care and billing issues for a fee. Coalition of Community Health Clinics 503-546-4991 Coalitionclinics.org Connects low-income patients with donated free pharmaceuticals. Oregon Prescription Drug Program 800-913-4146 Oregon.gov/OHA/pharmacy/OPDP/Pages/index.aspx Helps the uninsured and underinsured obtain drug discounts. Central City Concern, Old Town Clinic Portland 503 294-1681 Integrated healthcare services on a sliding scale. Valuable Websites www.BrainLine.org: a national multimedia project offering information and resources about preventing, treating, and living with TBI; includes a series of webcasts, an electronic newsletter, and an extensive outreach campaign in partnership with national organizations concerned about traumatic brain injury. www.iCaduceus.com: The Clinician's Alternative, web-based alternative medical resource. www.oregon.gov/odva: Oregon Department of Veterans Affairs http://fort-oregon.org/: information for current and former service members www.idahotbi.org/: Idaho Traumatic Brain Injury Virtual Program Center-The program includes a telehealth component that trains providers on TBI issues through videoconferencing and an online virtual program center. www.headinjury.com/ - information for brain injury survivors and family members http://activecoach.orcasinc.com Free concussion training for coaches ACTive: Athletic Concussion Training™ using Interactive Video Education www.braininjuryhelp.org Peer mentoring help for the TBI survivor in the Portland Metro/ Southern Washington area. 503-224-9069 www.phpnw.org If you, or someone you know needs help-contact: People Helping People Sharon Bareis 503-875-6918 www.oregonpva.org - If you are a disabled veteran who needs help, peer mentors and resources are available http://oregonmilitarysupportnetwork.org - resource for current and former members of the uniformed military of the United States of America and their families. http://apps.usa.gov/national-resource-directory/National Resource Directory The National Resource Directory is a mobile optimized website that connects wounded warriors, service members, veterans, and their families with support. It provides access to services and resources at the national, state and local levels to support recovery, rehabilitation and community reintegration. (mobile website) http://apps.usa.gov/ptsd-coach/PTSD Coach is for veterans and military service members who have, or may have, post-traumatic stress disorder (PTSD). It provides information about PTSD and care, a self-assessment for PTSD, opportunities to find support, and tools–from relaxation skills and positive self-talk to anger management and other common self-help strategies–to help manage the stresses of daily life with PTSD. (iPhone) Winter 2013 page 25 Oregon Brain Injury Support Groups Astoria Astoria Support Group 3rd Tuesday 6-7:30 Pacific NW Occupational Therapy Clinic 1396 Duane St. Astoria OR 97103 Kendra Ward 1-888-503-7760 Bend CENTRAL OREGON SUPPORT GROUP 2nd Saturday 10:30am to 12:00 noon St. Charles Medical Center 2500 NE Neff Rd, Bend 97701 Rehab Conference Room, Lower Level Joyce & Dave Accornero, 541 382 9451 [email protected] Ablitree Thursday Support Group Every Thursday 10:30 am-12pm Fox Hollow Assisted Living Center 2599 NE Studio Rd, Bend OR 97701 Rich Zebrowski 541-388-8103 x 203 [email protected] Corvallis STROKE & BRAIN INJURY SUPPORT GROUP 1st Tuesday 1:30 to 3:00 pm Church of the Good Samaritan Lng 333 NW 35th Street, Corvallis, OR 97330 Call for Specifics: Shawn Johnson, CCC-SLP 541-768-5157 [email protected] Hillsboro Westside SUPPORT GROUP 3rd Monday 7-8 pm For brain injury survivors, their families, caregivers and professionals Tuality Community Hospital 335 South East 8th Street, Hillsboro, OR 97123 Carol Altman, (503)640-0818 Klamath Falls SPOKES UNLIMITED BRAIN INJURY SUPPORT GROUP 2nd Tuesday 1:00pm to 2:30pm 1006 Main Street, Klamath Falls, OR 97601 Dawn Lytle 541-883-7547 [email protected] SPOKES UNLIMITED BRAIN INJURY RECREATION 4th Tuesday Contact Dawn Lytle for additional information: 541-883-7547 [email protected] Lebanon BRAIN INJURY SUPPORT GROUP OF LEBANON 1st Thursday 6:30 pm Lebanon Community Hospital, Conf Rm #6 525 North Santiam Hwy, Lebanon, OR 97355 Lisa Stoffey 541-752-0816 [email protected] Coos Bay (2) Traumatic Brain Injury (TBI) Support Group 2nd Saturday August 9th 3:00pm – 5:00pm Kaffe 101, 171 South Broadway Coos Bay, OR 97420 [email protected] Medford Southern Oregon Brainstormers Support & Social Club 1st Tuesday 3:30 pm to 5:30 pm 751 Spring St., Medford, Or 97501 Lorita Cushman @ 541-621-9974 [email protected] Growing Through It- Healing Art Workshop Wednesdays, 9-10:30am The Nancy Devereux Center 1200 Newmark Avenue, Coos Bay, Oregon Bittin Duggan, B.F.A., M.A., 541-217-4095 [email protected] Molalla BRAIN INJURY SUPPORT GROUP OF MOLALLA 5:30 pm—7:00, Every Monday Support group and Hydro-exercise - Molalla Pool Sherry Stock [email protected] 503-740-3155 Must Be Pre-Registered Eugene (3) Head Bangers 3rd Tuesday, Feb., Apr., June, July, Aug., Oct. Nov. 6:30 pm - 8:30 pm Potluck Social Monte Loma Mobile Home Rec Center 2150 Laura St;, Springfield, OR 97477 Susie Chavez, (541) 342-1980 [email protected] Newport BRAIN INJURY SUPPORT GROUP OF NEWPORT 2nd Saturday 2-4 pm 4909 S Coast Hwy Ste 340, South Beach, OR 97366 (541) 867-4335 or [email protected] www.progressive-options.org Community Rehabilitation Services of Oregon 3rd Tuesday, Jan., Mar., May, Sept. and Nov. 7:00 pm - 8:30 pm Support Group St. Thomas Episcopal Church 1465 Coburg Rd.; Eugene, OR 97401 Jan Johnson, (541) 342-1980 [email protected] BIG (BRAIN INJURY GROUP) Tuesdays 11:00am-1pm Hilyard Community Center 2580 Hilyard Avenue, Eugene, OR. 97401 Curtis Brown, (541) 998-3951 [email protected] page 26 Oregon City 3rd Friday 1-3 pm (on hiatus) Clackamas Community College Sonja Bolon, MA 503-816-1053 [email protected] Portland (14) BRAINSTORMERS I 2nd Saturday 10:00 - 11:30am Women survivor's self-help group Wilcox Building Conference Room A 2211 NW Marshall St., Portland 97210 Next to Good Samaritan Hospital Jane Starbird, Ph.D., (503) 493-1221 [email protected] Winter 2013 BIRC Alumni Support Group On hiatus until further notice BRAINSTORMERS Il 3rd Saturday 10:00am-12:00noon Survivor self-help group Emanuel Hospital, Rm 4225 2801 N Gantenbein, Portland, 97227 Steve Wright [email protected] 503-816-2510 BIRRDsong Support Group 1st Saturday, 9:30-11 am Peer Support Group for Survivors & Family Wistar-Morris Room 2211 NW Marshall St., Portland 97210 Next to Good Samaritan Hospital [email protected] CROSSROADS (Brain Injury Discussion Group) 2nd and 4th Friday, 1-3 pm Independent Living Resources 1839 NE Couch St, Portland, OR 97232 Sarah Gerth, 503-232-7411 [email protected] Must Be Pre-Registered FAMILY SUPPORT GROUP 3rd Saturday 1:00 pm-2:00 pm Self-help and support group Currently combined with PARENTS OF CHILDREN WITH BRAIN INJURY Emanuel Hospital, Rm 1035 2801 N Gantenbein, Portland, 97227 Joyce Kerley (503) 320-6092 [email protected] FARADAY CLUB Must be pre-registered 1st Saturday 1:00-2:30pm Peer self-help group for professionals with BI Emanuel Hospital, Rm. 1035 2801 N Gantenbein, Portland, 97227 Arvid Lonseth, (503) 680-2251 (pager) [email protected] HELP (Help Each Other Live Positively) 4th Saturday - 1:00-3:00 pm TBI Survivor self-help group (Odd months) TBI Family & Spouse (Even Months) Cognitive Enhancement Center 604 SE Water Ave Portland 97214 Brad Loftis, (503) 760-0425 [email protected] Please contact at least two days in advance OHSU Sports Concussion Support Group For Youth and Their Families who have been affected by a head injury 3rd Tuesday, 7:00-8:30 pm OHSU Center for Health and Healing 3303 SW Bond Ave, 3rd floor conference room Portland, OR 97239 For more information or to RSVP contact Jennifer Wilhelm 503-494-3151 [email protected] Sponsored by OHSU Sports Medicine and Rehabilitation The Headliner Brain Injury Support Groups provide face-to-face interaction among people whose lives have been affected by brain injury, including Peer Support and Peer Mentoring. PARENTS OF CHILDREN WITH BRAIN INJURY 3rd Saturday 12:30 - 2:30 pm self-help support group. 12:30-1 pm Currently combined with THRIVE SUPPORT GROUP for Pizza then joins FAMILY SUPPORT GROUP Emanuel Hospital, Rm 1035 2801 N Gantenbein, Portland, 97227 Joyce Kerley (503) 281-4682 [email protected] Positive Brain Injury Support Group For career persons with brain injury Every other Monday 4:30- 6 pm 4511 SE 39th Ave., Portland, 97202 Call: Nancy Holmes, PsyD, (503) 235-2466 MUST BE PRE-REGISTERED Positive Family Support Group For families, friends, and caregivers of Brain Injury Survivors $20, scholarships available 2nd and 4th Monday's 4:30- 6:00pm Starting Jan. 14th 2013 4511 SE Cesar Chavez Blvd., Portland, OR 97202 Nancy Holmes, PsyD (503) 235-2466 THRIVE SUPPORT GROUP 3rd Saturday 12:30 - 2:30 pm Brain Injury Survivor support group Ages 15-25 Emanuel Hospital, MOB West Medical Office building West Directly across from parking lot 2 501 N Graham, Portland, 97227 Kate Robinson, 503-318-5878 [email protected] MUST BE PRE-REGISTERED TBI Caregivers Support Group 4th Thursday 7-8:30 pm 8818 NE Everett St, Portland 97220 Karin Keita 503-208-1787 [email protected] MUST BE PRE-REGISTERED TBI SOCIAL CLUB Location varies, call for times & locations Meets twice a month - days and times vary call for information Michael Flick, 503-775-1718 Greater Persons Toastmasters Club (for People with Brain Injury) On Hiatus until further notice Caleb Burns, (503) 913-4517 Roseburg UMPQUA VALLEY DISABILITIES NETWORK 2nd Monday 12 noon - 1:15pm 736 SE Jackson St, Roseburg, OR 97470 (541) 672-6336 [email protected] Toleration is the greatest gift of the mind; it requires the same effort of the brain that it takes to balance oneself on a bicycle. - Helen Keller The Headliner Salem (3) SALEM BRAIN INJURY SUPPORT GROUP 4th Thursday 4pm-6pm Salem Rehabilitation Center, Conf Rm 2 A/B 2561 Center Street, Salem OR 97301 Megan Snider (503) 561-1974 [email protected] SALEM COFFEE & CONVERSATION Fridays 11-12:30 pm Ike Box Café 299 Cottage St, Salem OR 97301 SALEM STROKE SURVIVORS & CAREGIVERS SUPPORT GROUP 2nd Friday 1 pm –3pm Salem Rehabilitation Center 2561 Center Street, Salem OR 97301 Scott Werdebaugh 503-838-6868 Ruby McEliroy 503-390-3372 IDAHO & WASHINGTON TBI SUPPORT GROUPS Quad Cities TBI Support Group Second Saturday of each month, 9 a.m. Tri State Memorial Hosp. 1221 Highland Ave, Clarkston, WA Deby Smith (509-758-9661; [email protected]) Stevens County TBI Support Group 1st Tuesday of each Month 6-8 pm Mount Carmel Hospital, 982 E. Columbia, Colville, WA Craig Sicilia 509-218-7982; [email protected] Danny Holmes (509-680-4634) Spokane Family & Care Giver BI Support Group 4th Wednesday of each month, 6 p.m. St. Luke's Rehab Institute, 711 S. Cowley, #LL1, Spokane, WA Melissa Gray ([email protected]) Craig Sicilia (509-218-7982; [email protected]) Michelle White (509-534-9380; [email protected]) *TBI Self-Development Workshop “reaching my own greatness” *For Veterans 2nd & 4th Tues. 11 am- 1 pm Spokane Downtown Library 900 W. Main Ave., Spokane, WA Craig Sicilia (509-218-7982; [email protected]) Spokane County BI Support Group 4th Wednesday of each month 6:30 p.m.-8:30 p.m. 12004 E. Main, Spokane Valley WA Craig Sicilia (509-218-7982; [email protected]) Toby Brown (509-868-5388) Spokane County Disability/BI Advocacy Group 511 N. Argonne, Spokane WA Craig Sicilia (509-218-7982; [email protected]) VANCOUVER, WA TBI Support Group 2nd and 4th Thursday 2pm to 3pm Legacy Salmon Creek Hospital, 2211 NE 139th Street conference room B 3rd floor Vancouver WA 98686 Carla-Jo Whitson, MSW, CBIS [email protected] 360-991-4928 Moses Lake TBI Support Group 2nd Wednesday of each month, 7 p.m. Samaritan Hospital 801 E. Wheeler Rd # 404, Moses Lake, WA Jenny McCarthy (509-766-1907) STARS/Treasure Valley BI Support Group 4th Thursday of each month 7-9 pm Idaho Elks Rehab Hosp, Sawtooth Room (4th Floor), Boise ID Kathy Smith (208-367-8962; [email protected]) Greg Meyer (208-489-4963; [email protected]) Pullman TBI Support Group 3rd Tuesday of each month, 7-9p.m. Pullman Regional Hospital, 835 SE Bishop Blvd, Conf Rm B Pullman, WA Alice Brown (509-338-4507) Southeastern Idaho TBI support group 2nd Wednesday of each month 12:30 p.m. LIFE, Inc., 640 Pershing Ste. A, Pocatello, ID Tracy Martin (208-232-2747) Clay Pierce (208-904-1208 or 208-417-0287; [email protected]) Pullman BI/Disability Advocacy Group 2nd Thursday of each month, 6:30-8:00p.m. Gladish Cultural Center, 115 NW State St., #213 Donna Lowry (509-725-8123) Twin Falls TBI Support Group 3rd Tuesday of each month 6:30-8 p.m. St. Lukes’ Idaho Elks Rehab Hosp, Twin Falls, ID Keran Juker ([email protected]; 208-737-2126) SPOKANE, WA Spokane TBI Survivor Support Group 2nd Wednesday of each month 7 p.m. St. Luke's Rehab Institute, 711 S. Cowley, #LL1, Spokane, WA Craig Sicilia (509-218-7982; [email protected]) Michelle White (509-534-9380; [email protected]) Valerie Wooten (360-387-6428) *Northern Idaho TBI Support Group *For Veterans 3rd Sat. of each month 1-3 pm Kootenai Med. Center, 2003 Lincoln Way Rm KMC 3 Coeur d’Alene, ID Sherry Hendrickson (208-666-3903, [email protected]) Craig Sicilia (509-218-7982; [email protected]) Ron Grigsby (208-659-5459) Winter 2013 page 27 NON-PROFIT ORG U. S. Postage PAID PORTLAND, OR PERMIT NO. 3142 The Brain Injury Alliance of Oregon Formally the Brain Injury Association of Oregon PO Box 549 Molalla OR 97038 [email protected] 503-224-5077 fax: 503-299-6178 Vehicle Donations How To Contact Us Brain Injury Alliance of Oregon (BIAOR) PO Box 549 Molalla, OR 97038 Toll free: (800) 544-5243 Email: [email protected] Website: www.biaoregon.org Fax: 503-961-8730 BIAOR Open biaor [email protected] BIAOR Advocacy Network [email protected] Through a partnership with VDAC (Vehicle Donations to Any Charity), The Brain Injury Alliance of Oregon, BIAOR, is now a part of a vehicle donation system. BIAOR can accept vehicles from anywhere in the country. VDAC will handle the towing, issue a charitable receipt to you, auction the vehicle, handle the transfer of title, etc. Donations can be accepted online, or call 1-866-3321778. The online web site is http://www.v-dac.com/org/? id=930900797 This newsletter was sponsored in part by cbirt.org. page 28 Thank you to all our contributors and advertisers. Winter 2013 The Headliner