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Resource Facilitation in Brain Injury. Institute of Medicine TBI Workshop July 2005. Simplified Brain Behavior Relationships. Parietal Lobe • Sense of touch • Differentiation: size, shape, color • Spatial perception • Visual perception.

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resource facilitation in brain injury

Resource Facilitation in Brain Injury

Institute of Medicine TBI Workshop July 2005

slide2

Simplified Brain Behavior Relationships

Parietal Lobe• Sense of touch• Differentiation: size, shape, color• Spatial perception• Visual perception

Frontal Lobe• Initiation• Problem solving• Judgment• Inhibition of behavior• Planning/anticipation• Self-monitoring• Motor planning• Personality/emotions• Awareness of abilities/limitations• Organization• Attention/concentration• Mental flexibility• Speaking (expressive language)

Parietal Lobe

Frontal Lobe

Occipital Lobe

Occipital Lobe• Vision

Temporal Lobe

Cerebellum•Balance• Coordination• Skilled motor activity

Cerebellum

Brain Stem

Temporal Lobe• Memory• Hearing• Understanding language (receptive language)• Organization and sequencing

Brain Stem• Breathing• Heart rate• Arousal/consciousness• Sleep/wake functions• Attention/concentration

changes after brain injury
Changes After Brain Injury

Physical Changes

Cognitive Changes

Behavior Changes

  •  Motor coordination
  •  Hearing and visual changes
  •  Spasticity and tremors
  • Fatigue and/or weakness
  • Taste and smell
  •  Balance
  •  Mobility
  •  Speech
  •  Seizures
  •  Memory
  •  Decision making
  •  Planning
  • Sequencing
  • Judgment
  •  Processing speed
  •  Organization
  • Self-perception
  • Problem solving
  • Thinking
  •  Depression
  •  Mood swings
  • Disinhibition
  • Lack of response to social cues
  • Problems with emotional control
  •  Difficulty relating to others
  • Reduced self-esteem
  • Stress, anxiety, and frustration
what do people need
What Do People Need?
  • Long-term Residential
  • Personal Care
  • Recreation/ Socialization
  • Respite
  • Special Education
  • Supported Employment
  • Substance Abuse Treatment
  • Rehabilitative Therapies
  • Transportation
  • Vocational Services
  • Assessment/Evaluation
  • Behavioral Services
  • Community/Family Education
  • Companion Services
  • Durable Medical Equipment
  • Emotional Support
  • Financial Assistance
  • Housing
  • Individual/Family Counseling
  • Legal Advice
  • Life Skills Training
where do people get it
Where Do People Get It?

Systems to Navigate

SSA Office

VA Center

MR/DD & Disability Services

Special Ed

Acute Rehab

Youth & Family Services

Aging Svcs

Medical Assistance

Hospi tal

Public Safety

VR

Housing

SNF

Health/MH

Transportation

Corrections

P&A

ILC

Advisory Council

State BIA

transportation example
Transportation Example

Metro Rail

DC Dept of Transportation

WMATA

Metro Bus

VA Dept of Transportation

Metro Access

MD Dept of Transportation

Washington Flyer

County School Bus

County Ride On Bus

?

how do people pay for it
How Do People Pay For It?
  • Private Insurance (HMO, PPO, etc)
  • Legal Judgment/Settlement
  • Workers Compensation
  • State & Federal Public Funding:
    • Medicare
    • Medicaid (State Plan & Waivers)
    • Federal Block Grant
    • VA Benefits
    • Trust Fund
    • State General Revenue
    • State Special Revenue (eg Tobacco Settlement Fund, No Fault, PIP)
  • Self Pay
what is resource facilitation
Resource facilitation is a partnership that helps people and communities choose, get and keep information, services and supports to make informed choices and meet their goals.What is Resource Facilitation?

Info & Resources

Resource Facilitation

Case Management

A word about… Coordination Service vs. System

how does rf work
How Does RF Work?

RF Activities

RF Costs

  • Assessment
  • Planning
  • Identification
  • Negotiation
  • Monitoring
  • Reassessment
  • Outreach
  • Education & Training

About $101/mo plus cost of services as compared to $4000/mo for nursing home care in FY 1999

Persons Served

  • 6250 people served
  • 16 Public/Private Programs
what guides facilitators
What Guides Facilitators?

Principles for Resource Facilitation

  • Facilitation is individualized
  • Facilitation is accessible
  • Facilitation is holistic
  • Facilitation is effective and valued
  • Facilitation is participant directed
  • Facilitation is creative and flexible
  • Facilitation builds community partnerships
thank you
Thank You!
  • Susan H. Connors
  • President and CEO
  • Brain Injury Association of America
  • 8201 Greensboro Drive, Suite 611
  • McLean, VA 22102
  • 703-761-0750 ext. 627
  • shconnors@biausa.org