This is a presentation on TBI basics and person centered principles of neuropsychological assessment and rehabilitation.

1. Neuropsychological Assessment and Rehabilitation: Person Centered Principles Presented at the Pennsylvania Psychological Association Continuing Education and Ethics Conference, Pittsburgh PA., October 9, 2009 Presenters Mick Sittig , Ph.D. Rehabilitation Psychologist, ReMed of Pittsburgh Tad T. Gorske, Ph.D. Assistant Professor, Physical Medicine and Rehabilitation, University of Pittsburgh

2. “ The presentation of brain facts about specific damages is meaningless to patients unless they can begin to understand how the changes in their brains are lived out in everyday experiences and situations” (Varella, 1991 as stated in McInerney and Walker, 2002)

6. Rates of TBI hospitalization and death by age group

7. Proportion of TBI related hospitalizations and deaths Transportation Falls Firearms Assaults Other

22. Mild injury 0-20 minute loss of consciousness GCS = 13-15 PTA < 24 hours Moderate injury 20 minutes to 6 hours LOC GCS = 9-12 Severe injury > 6 hours LOC GCS = 3-8

23. What Happens as the Person with Moderate or Severe Injury Begins to Recover After Injury?

26. Cognitive Impairments after TBI

42. Pilot Study Results NAFI (Neuropsychological Assessment Feedback Intervention) vs. TAU (Treatment As Usual)

43. Pilot Study Results: D&A Use NAFI = 6; TAU = 5

44. Pilot Study Results: D&A Use

45. Pilot Study Results: Depression NAFI = 7; TAU = 5

49. Case of CE

50. Case of CE

51. Case of CE

52. Case of CE

53. Case of CE