Annual Traumatic Brain Injury Conference 2014 TBI Treatment: Beyond the Brain

Annual Traumatic Brain Injury Conference 2014
TBI Treatment: Beyond the Brain
Friday, October 24, 2014
8:45 am – 4:30 pm (Registration begins at 7:45 am)
CMC Northeast - Hamrick Theatre
Medical Arts Building
920 Church Street
Concord, NC 28025
Annual Traumatic Brain Injury Conference 2014
TBI Treatment: Beyond the Brain
AGENDA
7:45 - 8:45 am Registration / Sign In / Visit Exhibitors
8:45 - 9:00 am Welcome and Overview of Conference
9:00 - 10:00 am Provision of Substance Abuse Services for Individuals with SA/TBI in their
Communities
Connie C. Mele, MSN, RN, LCAS, PMHCNS‐BC, CARN‐AP
10:00 - 10:15 am Break and Visit Exhibitors
10:15 - 11:30 am Medical & Pharmacological Treatments for TBI
John Wooten, MD
11:30 - 12:30 pm Vestibular and Ocular Treatments after mildTBI
CAPT Henry P. McMillan
CPT Jasmin I. Filpo
12:30 - 1:30 pm Lunch
1:30 - 2:30 pm Post‐Traumatic Headache
Alan G. Finkel, MD, FAAN, FAHS
2:30 - 2:45 pm Break
2:45 - 3:45 pm
Strategies for Cognitive and Attention Challenges following TBI
Janet Niemeier, PhD
3:45 - 4:30 pm Empowering Families and Caretakers of TBI Survivors
Reverend Debbie A. Leonhardt, MA, MDiv, LPC, NCC, NCSC, MAC, CCFC
Denise Boggs
4:30 pm
Adjourn
DIRECTIONS AND PARKING
Directions:
From the South/Charlotte Area • Take I-77 N to I-85 N
• Take exit 58 off of I-85
• Follow the South 29/601/Concord signs
• Turn left at the 4th light
• The hospital is located on the right
From the North • Take exit 58 off of I-85
• Follow the South 29/601/Concord signs
• Turn left at the 4th light
• The hospital is located on the right
Parking:
Please park in the Visitor Parking Deck.
For more information regarding directions or parking, visit
the following website:
http://www.carolinashealthcare.org/cmc-northeast-mapsand-directions
Location:
CMC Northeast - Hamrick Theatre
Medical Arts Building
920 Church Street
Concord, NC 28025
FACULTY
Denise Boggs
Living Waters Ministry
Bio:
Denise Boggs has been in Christian ministry since 1986 and
co-founded Living Waters Ministry with her husband Lee in
1998. After a horrific car accident that almost took their son
William’s life they purchased a 30 acres farm in the foothills of
Hiddenite, NC. The farm became a family recover center where
their son recovered from a severe TBI and 6 strokes. Today the
farm is a Retreat Lodge where families come to deal with heart
issues that are associated with caring for a love one with a TBI
as well as observing and learning how to develop their own
family based recovery program. Denise has authored several
books, and travels frequently as a conference speaker. Denise
just completed a TBI Emotional Recover Manual along with coauthor Debbie Leonhardt. The manual is a step by step manual
for emotional recovery based on the Boggs success story of their
son’s recovery and Debbie Leonhardt’s own 20 year journey of
TBI recovery. Denise and Lee have been married for 35 years
and have 3 wonderful children, Crystal (married to Jon), Casey
(married to Zach), and William, and four grandsons.
Presentation Title:
Empowering Families and Caretakers of TBI Survivors
(Co-Presenter - Debbie Leonhardt, MA, MDiv, LPC, NCC, NCSC,
MAC, CCFC)
Presentation Description:
This presentation is focused on the families and caretakers of
TBI Survivors. The goal is to empower families with tools to
unlock their loved one’s heart and emotions. Debbie and Denise
are coauthoring a manual that will be published for the TBI
community. Topics they will cover from the manual include:
Stages of Emotional Development; Emotional Needs; Emotional
Recovery; Grieving Losses; Restructuring Family Roles; Setting
Healthy Boundaries; Independent Living Strategies.
CPT Jasmin I. Filpo
Bio:
CPT Jasmin I. Filpo is an Optometrist at Womack Army Medical
Center and an Adjunct Clinical Professor at Midwestern
University, Arizona College of Optometry. She earned her Doctor
of Optometry degree from Southern College of Optometry,
completed a residency program in Primary Care Optometry from
Northeastern State University at Womack Army Medical Center.
Dr. Filpo is a Fellow of the American Academy of Optometry. Dr.
Filpo currently provides Neuro-optometric care for Department
of Brain Injury Medicine at Fort Bragg, North Carolina.
Presentation Title:
The Balancing Act of mTBI: Vestibular & Ocular Rehabilitation
(Co-Presenter - CAPT Henry McMillan)
Presentation Description:
Vestibular Rehabilitation Summary: Physical complications
often present in service members following a mild traumatic
brain injury/concussion. These symptoms can include dizziness,
impaired balance, poor postural control, coordination issues,
vision dysfunction and the inability to recover exertional
capabilities. Vestibular evaluations following a concussion are
utilized to objectively identify these impairments, develop an
appropriate treatment plan in conjunction with other members
of a multidisciplinary treatment team, and ultimately return
each soldier back to active duty without any restrictions and
performing at the level of a high class athlete.
Vision Rehab Lecture Summary: Symptoms of Post Trauma
Vision Syndrome can include: Blurred vision, double vision, light
sensitivity, reading problems, poor reading comprehension,
limited attention or concentration, poor spatial judgment,
impaired depth perception, loss of peripheral vision, poor visual
memory, and headaches with visual tasks. These hidden visual
problems can also affect balance, coordination and cognitive
function. Patients may have poor eye-hand coordination or
problems judging stairs. Driving may become difficult and
motion may cause the patient to feel ill. Visual fatigue is common
symptom. Optometrists can diagnose and treat visual processing
problems that appear after brain injury. They can work closely
with a rehabilitation team such as occupational, physical
and speech therapists to help the patient recover from brain
injury. Vision Rehabilitation Treatment can include: Eyeglasses
or contact lenses to improve eyesight, bifocal eyeglasses for
better focus flexibility and reading, lenses to expand peripheral
awareness, specialized filters to eliminate double vision or light
sensitivity, and prism lenses to improve spatial orientation. The
goal of vision rehabilitation treatment is to maximize recovery.
Alan G. Finkel, MD, FAAN, FAHS
President and CEO, The Carolina Headache Foundation
Director, Carolina Headache Institute
Bio:
Dr. Finkel received his medical degree from SUNY at Buffalo,
School of Medicine, Buffalo, completed residency in Neurology
at the University of North Carolina in Chapel Hill and a
Fellowship in Pain Management and Headache Medicine in
1990. He is Board Certified in Neurology, Pain Medicine and is a
Diplomate in Headache Medicine through the United Council for
Neurologic Subspecialties where he was a Director from 2004 2009. He is currently in private practice at the Carolina Headache
Institute in Chapel Hill, NC and is the founder, President and
CEO of the Carolina Headache Foundation. He is a Consultant/
Contractor for General Dynamics Information Technology
and the Defense Veterans Brain Injury Centers at Fort Bragg/
Womack Army Medical Center in Fayetteville, North Carolina
where he treats and studies military post traumatic headache.
He holds adjunct professorships in Psychiatry, Anesthesiology
and Dentistry at the University of North Carolina at Chapel Hill,
where he directed the University Headache Clinic from 1993 to
2009. Awards and Honors include: Castle Connolly America’s
Top Doctors, The Leading Physicians of the World, Top Doctors
for Women” Women’s Health Magazine and he was awarded
the John R Graham Senior Clinicians’ Forum Award of the
American Headache Society in 2006 for his work establishing the
subspecialty of Headache Medicine. Offices held include Chair
of the Post-Traumatic Headache Section of AHS and he was a
past chair of the Headache and Face Pain Section of the AAN.
Current interests include health care policy, Headache Medicine
and work in military post traumatic headache and Brain Injury
Medicine.
Presentation Title:
Post Traumatic Headache
FACULTY
Presentation Description:
• This presentation will describe the current state of
understanding of headaches occurring after traumatic
brain injury. The following objectives will be covered:
Discuss the epidemiology of headache after TBI
• Provide a context for the state of assessment and
treatment of headache after mild TBI
• Describe special population including sports and
military
• Assess the current status of evaluation and treatment of
mild TBI
Debbie A. Leonhardt, MA, MDiv, LPC, NCC, NCSC,
MAC, CCFC
Counselor
Alexander Counseling and Consulting Services
Bio:
Reverend Debbie A. Leonhardt is President/CEO of Alexander
Counseling and Consulting Services in Taylorsville, NC. She
serves as an adjunct instructor in Human Services Technology
and Substance Abuse Technology at Western Piedmont
Community College in Morganton, NC. Debbie is a past member
of the Board of Directors of the Brain Injury Association of North
Carolina, and is the author of Survival Sit: A Guide for Survivors of
Brain Injury and Their Families.
Presentation Title:
Empowering Families and Caretakers of TBI Survivors
(Co-Presenter - Denise Boggs)
Presentation Description:
See Co-Presenter, Denise Boggs Section for Description
CAPT Henry P. McMillan
Bio:
CAPT Henry P. McMillan was commissioned in 1995 with the
United States Public Health Service Commissioned Corps after
graduating with a Bachelor of Science degree in Physical Therapy
from the University of North Carolina at Chapel Hill. He holds a
Bachelor of Arts in Biology from UNC-Chapel Hill, a Doctorate
in Physical Therapy from Creighton University in Omaha, NE,
a Master’s in Business Administration from Fayetteville State
University in Fayetteville, NC and a Post-Master’s certificate
in Community Preparedness and Disaster Management from
the School of Global Health at the University of North Carolina
at Chapel Hill. CAPT McMillan is also certified as a Vestibular
Rehabilitation Certified Specialist with the American Physical
Therapy Association.
CAPT McMillan has served in a variety of Physical Therapy and
staff positions in his 19 year career. He is currently the Chief,
Department of Brain Injury Medicine at Womack Army Medical
Center, Fort Bragg, NC. Previous assignments include: Staff
Therapist at Gallup Indian Medical Center, Gallup, NC, Staff
Therapist and Rehabilitation Director at the Federal Medical
Center, Federal Bureau of Prisons, Butner, NC, Transformation
Officer at the Office of Commissioned Corps Operations, Office
of the Surgeon General, Washington, DC and Section Chief for
NeuroRehabilitation, Department of Brain Injury Medicine,
Womack Army Medical Center, Fort Bragg, NC.
Presentation Title:
The Balancing Act of mTBI: Vestibular & Ocular Rehabilitation
(Co-Presenter - CPT Jasmin Filpo)
Presentation Description:
See Co-Presenter, CPT Jasmin Filpo Section for Description
Connie C. Mele MSN, RN, LCAS, PMHCNS-BC,
CARN-AP
Director of Provided Services for Mecklenburg County
The Carlton G. Watkins Center
Bio:
Connie has worked the field of substance abuse since 1979. She
has held various job positions in the field of addictions, from
a staff nurse in a Methadone Clinic, a Director of Nursing at an
inpatient treatment facility, to implementing a new inpatient
program, and an outpatient behavioral health clinic. She
has spent the last thirteen years in the Public Mental Health,
Substance Abuse and Developmental Disabilities system. In her
role as Program Administrator for Substance Abuse Services
for Mecklenburg County, she was successful in obtaining a
$1.5 million grant from SAMHSA (Substance Abuse, Mental
Health Services Administration) to implement an integrated
treatment program. This program treats those clients who are
suffering from severe and persistent mental illness as well as
substance abuse. She is currently the Director of the Provided
Services Organization of Mecklenburg County. She assisted
with the development of a SAMHSA grant for Jail Diversion of
Veterans who have PTSD (Post Traumatic Stress Disorder) and/
or TBI (Traumatic Brain Injury). She is working with the state of
North Carolina on a SAMHSA grant that they received to educate
substance abuse providers how to screen for Traumatic Brain
Injuries and how to adjust substance abuse treatment services
if the person has a TBI. She is also currently working on a grant
that will integrate the care of people who have substance abuse,
mental health and chronic health issues. The North Carolina
Governor’s Institute has asked her to work on the development
of a curriculum to be offered in all nursing schools on how to
deal effectively with the addicted patient.
Presentation Title:
How to Deal Effectively with the TBI Patient that has a Substance
Use Disorder
Presentation Description:
It is doubly challenging to deal with a patient who has a TBI and
a Substance Use Disorder ( SUD). Treatments and techniques
that work well with each of these conditions individually, do
not necessarily work well when the patient has both. It can be
equally challenging for the patient and the treatment provider.
Many patients that survive a TBI had a substance use disorder
prior to their injury. In some cases the SUD contributed to the
TBI. Then there are those individuals who are vulnerable to
developing a SUD after their TBI due to unemployment, isolation,
loneliness, depression, impulsive behavior, poor decision making
and/or decreased awareness. We will look at the correlation of
TBI, SUD and MH ( Mental Health )given that the characteristics
can be very similar and often result in a misdiagnosis. Many
survivors of a TBI have difficulty in a traditional SUD treatment
program, we will discuss modifications that can be beneficial to
the individual, the treatment provider and other participants in
the group. These changes are imperative if the individual is to be
successful in SUD treatment program.
FACULTY
Janet Niemeier, PhD
Presentation Title:
Potential Pharmacological Treatments for Patients with Traumatic
Brain Injury
Bio:
Dr. Niemeier received her PhD from Virginia Commonwealth
University and subsequently did postdoctoral work at
University of Virginia. She completed a fellowship at Drexel
University College of Medicine in Executive Leadership in
Academic Medicine for Women (ELAM), and is Board Certified
in Rehabilitation Psychology. She joined the Department of
Physical Medicine and Rehabilitation at Carolinas Rehabilitation
in 2012, where she is currently a Professor and Director of
Research. Dr. Niemeier is a nationally and internationally
recognized clinician/researcher. Her work has been externally
funded for 15 years by such agencies as NIH, NIDRR, and
NARSAD. Her social-behavioral research projects include a
manualized intervention for improving functional status of
persons with TBI1, a manualized intervention for improving
productivity after brain injury2, and a visual attention strategy
to improve outcomes following brain injury in persons with
hemispatial inattention or neglect, The Lighthouse Strategy3.
More recently she and a cross-field collaborative research team
at Carolinas Healthcare System are exploring biomarkers that
may help shed light on treatments for persons with disabilities
related to SCI and TBI.
Presentation Description:
This presentation will discuss the typical symptom complexes,
presenting in patients with mild traumatic brain injury, that may
be an opportunity for pharmacologic intervention (medications
and supplements). Pre-existing disorders and genetic
histories are critical to the decisions in treatment options. This
presentation will review the medications more commonly used
in these patients with an emphasis on the rationale and potential
benefits of treatment. Common potential side effects and
problems with these medications will also be reviewed.
Neuropsychologist; Director PMR Research
Carolinas Rehabilitation
Presentation Title:
Evidence-based Strategies for Cognitive Challenges After
Acquired Brain Injury: The Lighthouse Strategy as an Example
Presentation Description:
Dr. Niemeier will provide an up-to-date overview of evidencebased cognitive rehabilitation interventions for common and
disruptive memory, problem-solving, and attention deficits after
ABI. In addition, she will provide a description of her Lighthouse
Strategy intervention for hemispatial inattention following brain
injury and demonstrate the method for attendees.
John Wooten, MD
Neurologist
Raleigh Neurology Associates
Bio:
John Wooten, MD is a Child Neurologist at Raleigh Neurology
Associates (RNA) and the Director of Concussion Services
at Wake Medical Center in Raleigh, NC. He sees a diverse
population of pediatric neurology patients with all types of
central and peripheral nervous system disorders such as brain
injury, epilepsy, headaches, behavioral problems, chromosomal
disorders, brain malformations, and cerebral palsy, etc. Over the
past 6 years he has dedicated increasingly more time and efforts
to the evaluation and treatment of mild traumatic brain injury
pediatric and adolescent patients, seeing 250 to 500 new brain
injuries per year. The vast majority are mild to moderate TBI
patients. He is a native of North Carolina with a background of
experience and education including Duke undergraduate Class
of `80, Wake Forest Medical School Class of ‘84, certifications in
Pediatrics, Neurology, and Child Neurology. He spent 12 years
active duty in the USAF as a pediatrician, child neurologist, and
flight surgeon before returning to Raleigh in 2000 to establish
the Child Neurology department at RNA.
TARGET AUDIENCE:
Case managers, social workers, psychologists, psychiatrists,
licensed professional counselors, educators, school
personnel, mental health professionals, clergy, clinicians,
nurses, health and human service practitioners, physical
therapists, occupational therapists, speech pathologists,
recreational therapists, athletic trainers and other
interested persons and health care professionals.
DESCRIPTION:
Traumatic brain injury (TBI) is a major public health issue
that has devastating consequences for the people who
sustain a brain injury and their families. TBI often presents
with complex and difficult to manage sequelae that
requires expertise across multiple disciplines to accurately
diagnose and treat. This conference offers presentations by
experts who will address issues related to individualized
treatment for specific disorders as part of a total treatment
plan that can help patients with TBI to live healthy,
independent and satisfying lives.
OBJECTIVES:
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Describe best practice strategies to address
cognitive and attention deficits after brain injury
Discuss unique medical and pharmacological
treatments for TBI
Describe vestibular and ocular treatments after a
mild TBI
Discuss optimal treatments for post-traumatic
headache
Explain substance abuse (SA) treatment for
individual with co-occurring TBI and SA
Describe stages of emotional recovery for families
effected by TBI
$100.00 Student Rate (Before Sept. 24) Full time students only - (Must show ID day of the
conference when signing in)
Includes Breakfast and Lunch
$125.00 Student Rate (Starting Sept. 24) Full time students only - (Must show ID day of the
conference when signing in)
Includes Breakfast and Lunch
$175.00 Pre-Registration (Before Sept. 24) Includes Breakfast and Lunch
$195.00 Registration (Starting Sept. 24) Includes Breakfast and Lunch
CREDIT: (no partial credit will be awarded)
0.6 CEUs / 6.0 Clock Hours NBCC / 6.0 Contact Hours
(Category A) North Carolina Psychologists /
6.0 Continuing Nursing Education Contact Hours
Charlotte AHEC is an NBCC-Approved Continuing
Education Provider (ACEP) and may offer NBCC-approved
clock hours for events that meet NBCC requirements. The
ACEP solely is responsible for all aspects of the program.
Charlotte AHEC is an approved provider by the North
Carolina Psychology Board and designates Contact Hours
(Category A) for NC Psychologists.
Charlotte AHEC is an approved provider of continuing
nursing education by the North Carolina Nurses
Association, an accredited approver by the American
Nurses Credentialing Center’s Commission on
Accreditation.
Charlotte AHEC, as part of the NC AHEC system, is an
approved provider by the North Carolina Board of Physical
Therapy Examiners with regard to activities directly related
to physical therapy for continued competence.
REGISTRATION & PAYMENT INFORMATION:
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Event # 43660
Payment must accompany registrations
Registrations and payment by credit card are
accepted through our website at
www.charlotteahec.org
• Register by faxing the registration form to
704.512.6561
• Register by mailing the registration to:
Charlotte AHEC Registrar
P. O. Box 32861
Charlotte, NC 28232-2861
CANCELLATION POLICY:
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Charlotte AHEC follows the Charlotte-Mecklenburg
School System cancellation schedule for
workshops at the Center for Learning and
Development
Participants that are registered for a live or online
workshop and cancel between 2-weeks and up to
48-hours prior to the program will receive a 70%
refund or full credit toward a future Charlotte AHEC
program
If you cancel more than 2-weeks in advance of the
workshop, there is a $25 cancellation fee or full
credit toward a future Charlotte AHEC program
No refunds will be given for individuals who cancel
less than 48-hours prior to the program
No transfers or refunds will be given for no-shows
Substitutes are welcome (please notify us in
advance of the program)
Cancellations MUST be made in writing (fax, mail,
or email)
ADA STATEMENT:
If you need any auxiliary aids or services identified in
the American with Disabilities Act in order to attend this
conference, please call Jorge Rudko at 704.512.6576
CONTACT INFORMATION:
Jorge Rudko, Education Specialist
704.512.6576 or [email protected]
REGISTRATION FORM
EVENT # 43660
Annual Traumatic Brain Injury Conference 2014
TBI Treatment: Beyond the Brain
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$100.00 Student Rate (Before Sept. 24) Full time students only
(Must show ID day of the conference when signing in) - Includes Breakfast and Lunch
$125.00 Student Rate (Starting Sept. 24) Full time students only
(Must show ID day of the conference when signing in) - Includes Breakfast and Lunch
$175.00 Pre-Registration (Before Sept. 24) - Includes Breakfast and Lunch
$195.00 Registration (Starting Sept. 24) - Includes Breakfast and Lunch
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