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Explore the impact of traumatic brain injury (TBI) on individuals of all ages, from children to adults, covering hidden disabilities, return to roles, family involvement, and community resources. Delve into workers' competencies, community disparities, effective resource mobilization, policy considerations like insurance coverage and stigma, and future service program improvements. Discover research studies, cultural impacts on caregiving, long-term treatment funding, and advancements in vocational rehabilitation. Learn from experts at University of Wisconsin-Madison and Virginia Commonwealth University.
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Traumatic Brain Injury Part III -Interview with Don Mickey, Charles Degeneffe, & Jim Amell University of Wisconsin-Madison Social Work 644
Challenges Across the Life Span • Realization of injury’s impact • TBI as a hidden disability • Children • Fitting in
Challenges Across the Life Span (2) • TBI as a hidden disability (cont.) • Adolescents • Return to classroom • Adults • Physical appearance • Return to previous role(s)
Workers’ Skills and Knowledge Competencies • Acknowledgement of injured person’s prior life • Understanding of organically-based behavior • Understanding of nature and differential impact of injury • Family involvement
Community Resources • Contingent on region or community • U.S. Brain Injury Association • Funding programs – Brain Treatment Waiver (WI) • Neuropsychologists who specialize
Cross-State Differences in Community Resources • WI v. CA: difference in state infrastructure • NM – money allocation • Brain Injury Association as first step
Effective Resource Mobilization • Case management or service coordination • Knowledge of available resources • Education and training of professionals
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
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
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