TBI in Elders Web Course Outline

  • MODULE 1: Traumatic Brain Injury 101

    • Section A: Introduction to Traumatic Brain Injury
      • Traumatic Brain Injury
      • Objectives of Module 1
      • Introduction to Traumatic Brain Injury
      • Brain Injury Definitions
      • Incidence Of Traumatic Brain Injury In The United States
      • Who is most at Risk for Traumatic Brain Injury?
      • Traumatic Brain Injury In Adults age 65 and Older
      • Violence, Abuse and Brain Injury
      • New Cases of Traumatic Brain Injury In Massachusetts
      • Incidence of TBI in Massachusetts (2016-2018)
      • Why Haven’t We Heard About TBI Before?
    • Section B: Impact of Traumatic Brain Injury
      • Impact of Traumatic Brain Injury
      • What Happens When A Traumatic Brain Injury Occurs?
      • Primary Events: What Happens During Trauma?
      • Primary Events: What Happens During Trauma?
      • Primary Events: What Happens During Trauma?
      • Primary Events: What Happens During Trauma?
      • Secondary Events: The Body’s Response To The Trauma
      • Secondary Events: The Body’s Response To The Trauma (continued)
      • Severity Of Traumatic Brain Injuries
      • Mild Traumatic Brain Injuries
      • Moderate Traumatic Brain Injuries
      • Severe Traumatic Brain Injuries
      • Complexity of Traumatic Brain Injuries
      • General Patterns of Dysfunction by Location of Injury
      • General Patterns of Dysfunction by Location of Injury
      • General Patterns of Dysfunction by Location of Injury
      • Functions of the Brain Stem
      • Functions of the Cerebellum
      • Functions of the Occipital Lobe
      • Functions of the Frontal Lobe
      • Functions of the Parietal lobe
      • Functions of the Temporal Lobe
      • Recovery from a Brain Injury
      • A Survivor Story: Meet Bill
    • Section C: Consequences of Traumatic Brain Injury and Strategies
      • Consequences of Traumatic Brain Injury and Strategies
      • Consequences of Traumatic Brain Injury
      • Physical Consequences
      • Impairment of Body Movement
      • Speech and Swallowing Problems
      • Pain as a Result of TBI
      • Sensory Difficulties
      • Fatigue and Sleep Disturbances
      • Motor Coordination
      • Cognitive Consequences
      • Memory Impairments
      • A Survivor Story: Meet Terry
      • Slow Processing Speed
      • Cognitive Exercise
      • Attention and Concentration Deficits
      • Language Comprehension Difficulties
      • Expressive Language Difficulties
      • Impaired Executive Functioning: Abstract Reasoning
      • Impaired Executive Functioning: Sequencing, Planning and Problem Solving
      • Inability To Initiate
      • Considerations for Cognitive Consequences & Implementation of Strategies
      • Behavioral/Emotional Consequences
      • Inability to Control Emotions
      • Social Inappropriateness
      • Difficulty with Relationships
      • Basic Behavior Strategies
      • Other Influences on Behavior
    • Section D: Impact of Brain Injuries on Families and Personal Support Networks
      • Impact of Brain Injuries on Families and Personal Support Networks
      • Family and Personal Support Network Responses to Brain Injury: Early Stages
      • Family and Personal Support Network Responses to Brain Injury: Later Stages
      • Long-Term Impact on Families and Personal Support Networks
      • Family and Personal Support Network Decisions & Brain Injuries
      • Family and Personal Support Network Decisions & Brain Injuries
      • Questions To Ask Providers
      • Supporting Families and Caregivers
      • Supporting Families and Caregivers
      • Family and Caregiver Adjustment
    • Section E: Cultural Competence
      • Cultural Competence
      • Cultural Competence
      • How can you pursue cultural competence?
    • Section F: Evaluations & Assessments
      • Evaluations & Assessments
      • Available Evaluations and Assessments
    • Section G: Conclusion
      • Summary
      • Important Things to Remember from Module 1
      • Recap: Tips for Working with Brain Injury Survivors
      • Recap: Tips for working with Brain Injury Survivors
      • Things You Can Do To Help Brain Injury Survivors And Their Families
      • References
    • Sections H: QUIZ
      • Quiz

  • MODULE 2: Screening and Resources

    • Section A: Importance of Screening for Brain Injuries
      • Screening for Brain Injury & Resources
      • Objectives
      • Importance of Screening for Brain Injuries
      • Screening for a Brain Injury
      • Screening for a Brain Injury
    • Section B: Implementation of a Brain Injury Screening Tool
      • Implementation of a Brain Injury Screening Tool
      • Implementing The Screening Tool: WHEN?
      • Implementing The Screening Tool: WHO?
      • Implementing A Screening Tool: HOW?
      • Implementing The Screening Tool: RESULTS
      • Implementing The Screening Tool: FOLLOW-UP
      • Implementing The Screening Tool: NEXT STEPS
      • A Survivor Story: Meet J. Patrick
    • Section C: Programs and Services
      • Programs and Services in Massachusetts
      • From Screening to Community Services Overview Executive Office of Health & Human Services
      • Massachusetts Rehabilitation Commission
      • Community Living Division
      • MRC Connect
      • Statewide Head Injury Program (SHIP)
      • Application Process and Eligibility Determination for SHIP
      • Home and Community Based Waiver Programs
      • Acquired Brain Injury Non-Residential Habilitation Waiver (ABI-N)
      • Traumatic Brain Injury Waiver (TBI)
      • Moving Forward Planning Community Living Waiver (MFP-CL)
      • Brain Injury Grant Programs
      • Independent Living Services
      • Independent Living Services: Transition to Adulthood Program
      • Assistive Technology
      • Home Care Assistance Program (HCAP)
      • Protective Services Unit
      • Vocational Rehabilitation Division
      • Disability Determination Division
    • Section D: Health and Human Services in Massachusetts
      • Health and Human Services in Massachusetts
      • The Executive Office of Elder Affairs
      • Older Adult Protective Services
      • Councils on Aging (COAs)
      • The Massachusetts Commission for the Blind
      • The Massachusetts Commission for the Deaf and Hard of Hearing
      • The Department of Public Health
      • Department of Developmental Disabilities (DDS)
      • Department of Mental Health
      • Department of Veteran’s Services (DVS) Veterans Service Officers
      • Additional State Agencies
      • Brain Injury Association of Massachusetts
      • References
    • Section E: QUIZ
      • QUIZ

  • MODULE 3: Mental Health

    • Section A: Introduction to Mental Illness
      • Brain Injury and Mental Illness
      • Learning Objectives
      • Introduction to Mental Illness
      • Introduction to Mental Illness
      • Statistics
      • Co-occurring Mental Illness and Brain Injury
      • Depression and TBI
      • Symptoms of Depression
      • Bipolar Disorder
      • Symptoms of Bipolar Disorder
      • Anxiety
      • Post-Traumatic Stress Disorder (PTSD)
      • Symptoms of PTSD
      • Fight or Flight System
      • Psychosis
    • Section B: Factors Contributing to Mental Illness
      • Factors Contributing to Mental Illness
      • Factors Contributing to Mental Illness
      • Mental Illness and Brain Injury
      • Brain Anatomy and Mental Illness
      • Brain Messengers (neurotransmitters)
      • Frontal Lobe Injury Presenting as a Psychiatric Disorder
      • Studies on the Incidence of Mental Illness after Brain Injury
      • Is It A Mental Illness Or Brain Injury?
      • Risk Factors for Mental Illness and Brain Injury
    • Section C: Strategies and Therapeutic Techniques
      • Strategies and Therapeutic Techniques
      • Strategies for Supporting a Person Living with a Brain Injury and Mental Illness
      • Strategies for Friends and Family Members
      • Coping Strategies for Those Affected by Mental Illness or Brain Injury
      • Therapeutic Techniques
      • Summary
      • Mental Health Module References References from 2023 Course Update
    • Section D: QUIZ
      • Quiz

  • MODULE 4: Psychopharmacology

    • Section A: Principles of Medication Use
      • Principles of Medication Use
      • Objectives
      • Medications
      • Principles of Medication Use
      • Pharmacological by Diagnosis (Not Just by Symptoms)
      • Pre-Injury Disorders
      • Medical Disorders
      • Sleep Disorders
      • Sensory or Motor Disorders
      • Medication-adverse Effects
      • Psychiatric Symptoms Following a Brain Injury
    • Section B: Principles of Differential Diagnosis
      • Principles of Differential Diagnosis
      • Differential Diagnosis
      • Non-pharmacological Treatments
    • Section C: Pharmacologic Treatment
      • Pharmacologic Treatment
      • Medications For Irritability & Aggression
      • Medications for Medium To Long-Term Irritability & Aggression
      • Irritability & Aggression: Potential Contributions from Medications
      • Insomnia & Disrupted Sleep-Wake Cycle
      • Insomnia & Disrupted Sleep-wake Cycle
      • Other Medication that Impact Neurocognitive Functions
    • Section D: “Off-Label” Use of Medications
      • "Off-Label" Use of Medications
      • Uses of "Off-label" Medications
      • "Off-Label" Use of Medications Targeting Memory and Executive Functions
      • Depression
      • Depression
      • "Off-label" Use of Medications Targeting Emotional or Affective Lability
      • "Off-label" Use of Medications Targeting Pathological Laughing and Crying (Pseudobulbar Affect)
      • Anxiety
      • Summary
      • References
    • Section E: QUIZ
      • Quiz

  • MODULE 5: Alcohol & Drug Use and Brain Injury

    • Section A: Defining Levels of Use of Alcohol, Prescription drug and other Drugs
      • Alcohol and Drug Use and Brain Injury
      • Objectives
      • Defining Levels of Use of Alcohol, Prescription Drugs and other Drugs
      • DSM-V Clinical Criteria for Substance Use Disorder
      • Definitions Of Terms Describing Levels Of Use Of Alcohol, Prescription Drugs And Other Drugs
    • Section B: Prevalence and Older Adults
      • Prevalence and Older Adults
      • Prevalence Of Alcohol Use Among Older Adults
      • Aging and Substance Use
      • Prevalence Of Alcohol Use Among Older Adults
    • Section C: Alcohol Use Disorder and Falls
      • Alcohol Use and Falls
      • Alcohol, Falls and Injuries
      • Alcohol, Falls and Injuries
    • Section D: Prescription Medications And Other Drug Use
      • Prescription Medications And Other Drug Use
      • Definitions Of Problematic Use of Prescription Medications
      • Prescription And Over-the-counter (OTC) Medication Interactions With Alcohol
      • Prescription And Over-the-counter (OTC) Medication Interactions With Alcohol
      • Opioid Prescription Use Illicit Drug Use
      • Addiction - Drug Dependence
    • Section E: Substance Use And Structural Vulnerabilities Of The Brain
      • Substance Use and Structural Vulnerabilities Of The Brain
      • Brain Function and Behavior
      • Science of Addiction
      • The Brain And Substance Use: Habituation
      • Post-Acute Withdrawal Syndrome
      • The Brain and Substance Use: Impact on Functioning
      • The Brain and Substance Use: Risk Factors
    • Section F: Impact Of Substance Use On The Brain
      • Impact Of Substance Use On The Brain
      • The Brain And Substance Use: Permanency Of Changes
      • Aging, Alcohol Use Disorder, And The Impact on the Brain
      • Aging, Alcohol Use Disorder, And The Impact On The Brain
      • Effects of Alcohol and Other Substances on the Injured Brain
    • Section G: Importance Screening For Brain Injuries
      • Importance Screening For Brain Injuries
      • Why Screen for SUD?
      • Screening Tools for Excessive Use
      • Treatment Considerations
      • Barriers to Success in Traditional Treatment
    • Section H: Models Of Engagement And Assessments
      • Models Of Engagement And Assessments
      • Stages of Change
      • Stages of Change
      • Stages of Change
      • Stages of Change
      • Models of Engagement
      • Comprehensive Neuropsychological Assessments
      • General Treatment Strategies
      • Summary
      • References
    • Section I: QUIZ
      • Quiz

  • MODULE 6: Homelessness

    • Section A: Introduction to Homelessness and Risk Factors for Brain Injury
      • Homelessness and Brain Injury
      • Objectives
      • Introduction to Homelessness and Risk Factors for Brain Injury
      • Introduction
      • Consequences of Brain Injury
      • Incidence of Homelessness
      • Risk Factors for Homelessness and Brain Injury
      • Risk Factors for Homelessness and Brain Injury
    • Section B: Challenges and Functional Impact
      • Challenges and Functional Impact
      • Why Diagnosing Brain Injuries Is Important
      • Functional Impact of Brain Injury and Resulting Homelessness: Physical Functioning
      • Functional Impact of Brain Injury and Resulting Homelessness: Cognitive Functioning
      • Functional Impact of Brain Injury and Resulting Homelessness: Potential Contributing Factors
      • Functional Impact of Brain Injury and Resulting Homelessness: Behavioral Functioning
    • Section C: Considerations For Individuals Experiencing Homelessness and Brain Injury
      • Considerations For Individuals Experiencing Homelessness and Brain Injury
      • Functional Impairments
      • Functional Impairments
      • Functional Impairments
      • Impact of Brain Injury on Individuals Experiencing Homelessness
      • Impact of Brain Injury on Individuals Experiencing Homelessness
      • Impact of Brain Injury on Individuals Experiencing Homelessness
      • Veterans and Homelessness
      • Veterans and Homelessness
      • Brain Injury and Homelessness
    • Section D: Testing, Treatment, Resources and Referrals
      • Testing, Treatment, Resources and Referrals
      • Management of Brain Injuries by Providers
      • Management of Brain Injuries by Providers
      • Resources for the Homeless Population in Massachusetts
      • Resources for the Homeless Population in Massachusetts
      • Resources for the Homeless Population in Massachusetts
      • Resources for the Homeless Population in Massachusetts
      • Summary
      • References
    • Section E: QUIZ
      • Quiz

  • MODULE 7: Elevating Employment Success for Job Seekers with Brain Injury

    • Introduction
      • Elevating Employment Success for Job Seekers with Brain Injury
      • Introduction
      • Learning Objectives
      • Inspirational Quote
    • Section 1: Recognizing Brain Injury
      • Recognizing Brain Injury
      • Brain Injury Among Vocational Rehabilitation Participants (Known)
      • Brain Injury Among Vocational Rehabilitation Participants (Suspected)
      • Brain Injury Among Vocational Rehabilitation Participants (Hidden)
      • Executive Functioning Requirements & Challenges Of Job Search
    • Section 2: Empower Your Practice
      • Empower your Practice
      • Some Statistics
      • Some Statistics
      • Reporting TBI But Not Seeking Medical Attention
      • Incidence Necessitates Brain Injury Orientation and Understanding
    • Section 3: Prevalence of Brain Injury
      • Prevalence of Brain Injury
      • Brain Injury - A Multitude of Losses
      • Brain Injury - A Multitude of Losses
      • Heightened Risks Following Brain Injury
      • Special Populations
    • Section 4: Incorporating Screening into Practice
      • Incorporating Screening into Practice
      • Why Screen?
      • Why Screen?
      • First Level Screening - Brief Brain Injury Screening Tool
      • When to Conduct the Two-Question Screen
      • Second Level Screening - Lifetime History of Traumatic Injury and other Acquired Brain Injuries Screening Tool
      • Screening - Person-Centered and Cultural Considerations
      • Screening — Person-Centered and Cultural Considerations
      • The Difference You Make
    • Section 5: Assessment & Evaluation Considerations
      • Assessment & Evaluation Considerations
      • Assessments/Evaluations — Options to Consider
      • Additional Evaluations – Can Take Place Throughout the Vocational Rehabilitation Process
    • Section 6: Tips and Strategies
      • Tips and Strategies
      • Attention and Concentration
      • Slow/Delayed Processing
      • Memory
      • Executive Function
      • Executive Function — Impaired Sensory Motor Skills
      • Executive Function — Initiation/Organization
      • Executive Function — Initiation/Organization
      • Executive Function — Mental Flexibility
      • Emotional/Behavioral
      • Mental Fatigue
      • Communication/Language
      • Inhibition/Impulsivity
      • Sleep
      • More Information
      • Employer Negotiations
      • Accommodations Tips for the Workplace
      • In Review
    • Section 7: Resources and Publications
      • Resources and Publications
      • Resources
      • Presentation Reference Publications
    • Section 8: Quiz
      • Quiz