SINR Attendee Only Page
Welcome to the SINR Attendee Only Page
Below is information available to you as an attendee of the 2023 Inaugural SINR Institute
WORKSHOP 1
Introduction to Neuropsychological Rehabilitation
Lance Trexler, PhD, HSPP, FACRM
Rehabilitation Neuropsychologist
Clinical Assistant Professor,
Department of Physical Medicine and Rehabilitation,
Indiana University School of Medicine,
Fellow, American Congress of Rehabilitation Medicine
WORKSHOP 1: Introduction to Neuropsychological Rehabilitation [60 min]
Faculty: Lance Trexler, PhD, HSPP, FACRM
Description: The field of neuropsychological rehabilitation has evolved considerably, characterized by significant advances in the evidence for cognitive rehabilitation, the development and testing of new group interventions, and continued research in psychotherapy for those with acquired brain injury. Also, in the last decade, there have been efforts to recognize brain injury as a potentially chronic condition, which provide new opportunities for intervention and could substantially alter the way we provide care. In this workshop, we will review our accomplishments and challenges in neuropsychological rehabilitation as well as the scope of evidence-based interventions available to today’s clinical practitioners. We will also review some introductory principles and stages to the provision and integration of cognitive rehabilitation, psychotherapy, group intervention, and family participation.
Objectives:
At the end of this workshop, the attendee will be able to:
1. Describe the need for managing brain injury as a chronic condition and what the components of a system to do so would look like.
2. Describe the overall domains that comprise the practice of neuropsychological rehabilitation.
3. Describe three different stages of intervention in neuropsychological rehabilitation.
WORKSHOP 1: Introduction to Neuropsychological Rehabilitation [60 min]
Faculty: Lance Trexler, PhD, HSPP, FACRM
Description: The field of neuropsychological rehabilitation has evolved considerably, characterized by significant advances in the evidence for cognitive rehabilitation, the development and testing of new group interventions, and continued research in psychotherapy for those with acquired brain injury. Also, in the last decade, there have been efforts to recognize brain injury as a potentially chronic condition, which provide new opportunities for intervention and could substantially alter the way we provide care. In this workshop, we will review our accomplishments and challenges in neuropsychological rehabilitation as well as the scope of evidence-based interventions available to today’s clinical practitioners. We will also review some introductory principles and stages to the provision and integration of cognitive rehabilitation, psychotherapy, group intervention, and family participation.
Objectives:
At the end of this workshop, the attendee will be able to:
1. Describe the need for managing brain injury as a chronic condition and what the components of a system to do so would look like.
2. Describe the overall domains that comprise the practice of neuropsychological rehabilitation.
3. Describe three different stages of intervention in neuropsychological rehabilitation.
WORKSHOP 2
Therapeutic Assessment and Formulation
Jill Winegardner, PhD
Director of Neuropsychological Rehabilitation, UH Neurological Institute
University Hospitals Cleveland Medical Center
Associate Professor, Department of Neurology
WORKSHOP 2: Therapeutic Assessment and Formulation [90 min]
Faculty: Jill Winegardner, PhD
Description: This workshop will describe a process for carrying out a neuropsychological evaluation that not only answers the referral questions but also becomes a therapeutic and learning experience for the patient and family. Where possible, an interdisciplinary approach yields a variety of observations and information that transcends the contributions of each individual practitioner. The workshop will then introduce the process of neuropsychological formulation, which is intended to capture the consequences of brain injury on physical, cognitive, and emotional well-being for an individual whose sense of personal identity and family/social networks have been integrated with the assessment findings. The impact of the injury consequences on the individual’s daily life is documented and initial goals for rehabilitation are proposed. This formulation is carefully reviewed with the patient, and the patient and family have the last say on goals. The formulation then serves as an anchor to guide the rehabilitation through frequent review and modification with input from the patient and family. Participants will break into small groups to practice writing formulations for hypothetical cases, followed by group discussion.
Objectives:
At the end of this workshop, the attendee will be able to:
1. Describe what is meant by ‘therapeutic assessment.’
2. Apply the process of neuropsychological formulation.
3. Describe the benefits of a structured and shared understanding held by all team members and the patient and family.
WORKSHOP 2: Goal Setting [45 min]
Faculty: Jill Winegardner, PhD
Description: This workshop will discuss the importance of good goal setting throughout the rehabilitation process and will present training on goal setting. Principles of goal setting will be presented, including that it is essential that goals be set by and with the patient, focused on meaningful changes in life roles and functioning rather than on problems, collaborative, and written in a way that makes sense to the patient to foster ownership of goals. Evidence supporting the value of goal setting will be presented. Participants will learn to use and write value-based goals. The use of goals in measuring the success of rehabilitation will be reviewed. There will be an opportunity for participants to break into groups and practice writing goals for hypothetical cases, followed by group discussion.
Objectives:
At the end of this workshop, the attendee will be able to:
1. Describe three principles of good goal setting.
2. Write value-based goals for their patients.
3. Use goals to evaluate outcomes of rehabilitation.
WORKSHOP 4
The Importance of Integrating Fatigue and Speed of Processing into Rehabilitation
WORKSHOP 4: The Importance of Integrating Fatigue and Speed of Processing into Rehabilitation [75 min]
Faculty: John DeLuca, PhD, ABPP-CN, FACRM
Description: Fatigue is one of the most common and debilitating consequences of brain damage in many populations. This talk will address issues of what is fatigue, can we measure it, and can we treat it. Impaired cognitive processing speed (CPS) results from even subtle damage to the brain, here too in most populations affecting the brain. This part of the presentation will discuss assessing CPS, its influence on higher cortical functions and its treatment. A discussion will consist of how interacting cognitive and non-cognitive factors need to be addressed, managed, and treated.
Objectives:
At the end of this workshop, the attendee will be able to:
1. Define cognitive fatigue and discuss its causes as well as how to manage it in rehabilitation.
2. Define speed of processing and identify ways to assess and manage it in rehabilitation.
3. Discuss the importance of identifying and addressing important factors that transcend and influence cognitive domains.
WORKSHOP 5
Individual & Group Cognitive Rehabilitation
Rebecca Eberle, MA, CCC-SLP, FACRM
xxxxx
Tom Bergquist, PhD, ABPP-CN, FACRM FACRM
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WORKSHOP 5: Individual & Group Cognitive Rehabilitation
- PART I: INDIVIDUAL Cognitive Rehabilitation: Overview & case studies [90 min]
- PART II: INDIVIDUAL Cognitive Rehabilitation: Breakout sessions into teams for didactic work and full team assimilation of individual cases. [75 min]
- PART III: GROUP Cognitive Rehabilitation: Overview, scenario case studies & discussion. [90 min]
- PART IV: GROUP Cognitive Rehabilitation: Breakout sessions into teams for didactic work & full team assimilation of cases. [60 min]
Faculty: Rebecca Eberle, MA, CCC-SLP, FACRM and Tom Bergquist, PhD, ABPP-CN, FACRM
Description: Over the last several decades, there has been extensive research on the efficacy of specific interventions to address impairments in cognitive functioning post acquired brain injury. Current rehabilitation providers now have many options for evidence-based and empirically supported interventions for their clients. These treatments address the areas of attention, memory, executive functioning, visual-spatial and praxic impairments, and social communication and pragmatic skills. This workshop will engage the participants in experiential and interactive discussions and activities to facilitate acquisition of clinical reasoning and problem solving through scenarios and cases. The planning and implementation of these concepts will be addressed via individual therapy and group therapy modeling.
Objectives:
At the end of this workshop, the attendee will be able to:
1. Generate decision-making for cognitive treatment options and implementation considerations for provided sample cases of persons with cognitive impairments due to acquired brain injury, through group discussions and small teamwork/collaboration.
2. Demonstrate active goal-setting and decision-making for individual and group cognitive rehabilitation treatments with emphasis on optimizing client engagement, new learning, and generalization of skills into salient and contextualized environments.
3. Identify information gaps and generate ideas to gather necessary information, to facilitate appropriate decision-making for cognitive rehabilitation recommendations to address individual client needs and preferences to support evidence-based treatment.
Grand Rounds/All Faculty Panel
Lance Trexler, PhD, HSPP, FACRM
Rehabilitation Neuropsychologist
Clinical Assistant Professor,
Department of Physical Medicine and Rehabilitation,
Indiana University School of Medicine,
Fellow, American Congress of Rehabilitation Medicine
Grand Rounds/All Faculty Panel [105 min]
Facilitator: Lance Trexler, PhD, HSPP, FACRM
Description: Prior to the Institute, registered participants will receive a template in which they can submit a case study for review. If their case is selected, the participant will have approximately ten minutes to present their case, followed by a panel discussion by the Institute Faculty along with group questions and answers.
Objectives:
At the end of this workshop, the attendee will be able to:
1. Conceptualize Group Psychotherapy in a post-acute setting using historical and content driven material.
2. Specify topics related to the neurorehabilitation process and recovery such as awareness, acceptance, communication, and social skills; realism, adjustment, and therapy termination/the future.
3. Describe the benefits of integrating multi-media ideas into Group Psychotherapy such as presentations by former patients, handouts, artwork, YouTube videos, and movie material.
4. Describe different approaches to individual psychotherapy used in neurorehabilitation and the rationale, evidence based and techniques for each.
5. Explain an existential model of psychotherapy used to promote sense-making and meaning-making after diagnosis of brain tumor, including techniques such as dignity therapy and legacy making projects.
WORKSHOP 5
Individual and Group Psychotherapy
WORKSHOP 6: Individual and Group Psychotherapy
- PART I: Individual and Group Psychotherapy: INDIVIDUAL psychotherapy overview, case studies & group breakout sessions [120 min]
- PART II: Individual and Group Psychotherapy: GROUP psychotherapy overview [60 min]
- PART III: Individual and Group Psychotherapy: GROUP psychotherapy case studies & group breakout sessions [75 min]
Faculty: Pamela Klonoff, PhD, ABPP-CN and Tamara Ownsworth, PhD
Description: This workshop will provide an overview of Individual Psychotherapy and Group Psychotherapy approaches used in post-acute neurorehabilitation settings. Topics will include: the “why,” “when,” “what,” and “how” facets, or issues that bring people into therapy; therapy approaches and processes; evidence of effectiveness; and key techniques for engaging people in therapy and promoting change. Group process issues relevant to neurorehabilitation and recovery will pertain to awareness; acceptance; communication and social skills; realism; adjustment; and therapy termination/the future. In addition to didactics, participants will learn about the benefits of integrating multi-media ideas into Group Psychotherapy such as: presentations by former patients; handouts; artwork; YouTube videos; and movie material. Further, participants will gain an understanding of an existential model of Individual Psychotherapy used to promote sense-making and meaning-making after diagnosis of a brain tumor, including techniques such as dignity therapy and legacy making projects. Case presentations and small breakout groups will support participants in conceptualizing clients’ presenting issues and tailoring approaches to psychotherapy based on their goals and characteristics.
Objectives:
At the end of this workshop, the attendee will be able to:
1. Describe the structure of how to conduct a case study in neuropsychological rehabilitation.
2. Compare and contrast different case studies in neuropsychological rehabilitation.
3. Describe how psychotherapy and cognitive rehabilitation were integrated into these case studies.