Traumatic Brain Injury Part III Interview with Don Mickey, Charles Degeneffe,

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Traumatic Brain Injury Part III -Interview with
Don Mickey, Charles Degeneffe, Jim Amell

• University of Wisconsin-Madison
• Social Work 644

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Challenges Across the Life Span

• Realization of injurys impact
• TBI as a hidden disability
• Children
• Fitting in

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Challenges Across the Life Span (2)

• TBI as a hidden disability (cont.)
• Adolescents
• Return to classroom
• Adults
• Physical appearance
• Return to previous role(s)

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Workers Skills and Knowledge Competencies

• Acknowledgement of injured persons prior life
• Understanding of organically-based behavior
• Understanding of nature and differential impact
  of injury
• Family involvement

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Community Resources

• Contingent on region or community
• U.S. Brain Injury Association
• Funding programs Brain Treatment Waiver (WI)
• Neuropsychologists who specialize

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Cross-State Differences in Community Resources

• WI v. CA difference in state infrastructure
• NM money allocation
• Brain Injury Association as first step

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Effective Resource Mobilization

• Case management or service coordination
• Knowledge of available resources
• Education and training of professionals

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Policy Considerations

• Bioethics immediate post-injury versus
  long-term needs
• Insurance coverage and need for additional
  services
• 1998 NIH Conference medical model
• Lack of awareness at national, state, and local
  level
• Stigma associated with brain injury

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Future Direction in Service Programs

• New research studies
• Quiet v. noisy post-coma environment
• Mild TBI and PET scans - adjustment to living
  with someone different from pre-injury
  personality and behavior
• Family caregiving cultural impacts
• National funding for long-term treatment
• Increased awareness and improved professional
  training

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Future Direction in Service Programs (2)

• Research and impact on service programs
• Transition from centers into communities
  long-term emphasis
• Vocational rehabilitation and supported
  employment Virginia Commonwealth University