Course Outline
Module 1: Significance of TBI and introductory information on how the brain works
Section A: Introduction to TBI
Brain injury definitions
Iowa Code definition of brain injury
Incidence of TBI in the US
Comparison of new cases annually in the US
TBI and children in the US
Cost of TBI in the US
New cases of TBI in Iowa
TBI Hospitalization rate in Iowa by County
TBI in Iowa by cause and age, Deaths
TBI in Iowa by cause and age, Hopsitalizations
TBI in Iowa by cause and age, ED visits
Who is most at risk for TBI?
Why haven’t we heard about TBI before?
Section B: What happens when a TBI occurs?
TBI Events
Primary events -- what happens during trauma
Secondary events -- the body’s response
Severity of TBI
Mild TBI
Moderate TBI
Severe TBI
Complexity of TBI
Section C: Impact of TBI
General patterns of dysfunction by location of injury
Functions of the brain
Functions of the frontal lobe
Functions of the temporal lobe
Functions of the parietal lobe
Functions of the occipital lobe
Functions of the cerebellum
Functions of the brain stem
Need for public services
Effects on family members
Effects of TBI on children
Substance abuse and TBI
Recovery
Case Study
Section D: Assessment
Test your knowledge
Module 2: Common physical, behavioral and cognitive impairments and interaction strategies
Important Things to remember from Module 1
Consequences of TBI
Section A: Physical consequences & strategies
Physical changes
Impairment of body movement
Speech and swallowing problems
Pain as a result of TBI
Sensory difficulties
Fatigue and sleep disturbances
Motor coordination -- it’s harder than you think!
Section B: Cognitive consequences & strategies
Cognitive changes
Memory impairments
Slowed processing speed
Attention/concentration deficits
Language comprehension difficulties
Expressive language difficulties
Impaired executive functioning: abstract reasoning
Impaired executive functioning: sequencing, planning and problem solving
Inability to initiate
Things to consider
Processing speed (exercise)
Section C: Behavioral consequences & strategies
Behavioral changes
Inability to control emotions
Social inappropriateness
Difficulty with relationships
Basic behavior strategies
Using antecedents and consequences to elicit appropriate behavior
Other influences
Substance abuse
Section D: Cultural Competence
Cultural competence
How can you pursue cultural competence?
Section E: Conclusion
Recap: Tips for working with people with TBI
What you can personally do to help people with TBI
Case studies
Section F: Assessment
Test your knowledge
Module 3: Screening for a history of TBI
Screening for TBI
The HELPS screening tool
When should the screening tool be administered?
To whom should the screening tool be administered?
Each letter in the HELPS acronym stands for a question
H - Have you ever Hit your Head or been Hit on the Head?
E - Were you ever seen in the Emergency room, hospital, or by a doctor because of an injury to your head?
L - Did you ever Lose consciousness or experience a period of being dazed and confused because of an injury to your head?
P - Do you experience any of the following Problems in daily life since you hit your head?
S - Have you ever experienced a Significant Sickness?
How to score HELPS?
If screening leads you to suspect TBI
Case study
Test your knowledge
Module 4: Public services available for eligible persons with TBI
Services available to people experiencing brain injury
Building Blocks for Service Planning
Long Term Care Programs - Overview
Long Term Care Programs - Eligibility
Long Term Care Programs - Available Services
Advocacy and Support Programs - Overview
Advocacy and Support Programs - Eligibility
Advocacy and Support Programs - Available Services
Community Mental Health Services Program - Overview
Community Mental Health Services Program - Eligibility
Community Mental Health Services Program - Available Services
Department of Human Services (DHS) in Iowa - Overview
Department of Human Services (DHS) in Iowa - Eligibility
Department of Human Services (DHS) in Iowa - Available Services
Iowa Vocational Rehabilitation Services - Services & Eligibility
Iowa Vocational Rehabilitation Services - Overview
Iowa Work Incentive Planning and Assistance
Iowa Workforce Development and Disability Navigators
Employment Network
Vocational Rehabilitation and employment VetSucess Program - Eligibility
Vocational Rehabilitation and employment VetSucess Program - Overview
Special Education and Early Intervention Services - Overview
Special Education and Early Intervention Services - Eligibility
Special Education and Early Intervention Services - Available Services
Substance Abuse Services - Overview
Substance Abuse Services - Eligibility
Substance Abuse Services - Available Services
Conclusion