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: • • • • • • FEE: • • • • 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: • • • 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: • • • • • • • 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 _________________________________________________________________________________ Last Name First Name MI Dr. Mr. Mrs. Ms. ______________________________________________________________________________________ Nickname Last 4 digits of SSN (required) Race Male Female _______________________________________________________________________________________________________________ Degree/Certification/LicenseEmployer & DepartmentSpecialty _______________________________________________________________________________________________________________ Employer County (required) Home Address (Street/PO Box/City/State/Zip) ______________________________________________________________________________________ Work Address (Street/PO Box/City/State/Zip) Home Office ______ - ______ - ________ ______ - ______ - ________ ______ - ______ - ________ _________________________ Home PhoneWork PhoneFaxEmail Disclaimer: By providing your fax number, email address and telephone number, you have granted permission for us to contact you via the numbers and address indicated. Payment Amount: (Please choose one) $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 Payment Methods Payment enclosed/check number: __________________________________ Payment by credit card (check one) Visa Mastercard Discover American Express ____________ - ____________ - ____________ - ____________ ________ /________ Number Expires _______________________________________________ Name (as appears on card) ____________________________________________________ Cardholder Signature Carolinas HealthCare System Employees (Interdepartmental transfer of funds): _______________________________________________ Department Would you like a vegetarian meal? Yes ____________________________________________________ Business Unit & Department Number No For Office Use Only: CA IN AE DI MC VISA P F CK#____________ AMT_____________
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