Mild Traumatic Brain Injury A Therapy and

This hands-on resource manual provides practical and useful suggestions for developing individualized therapy tasks to promote a client's successful return to the demands of the home, school, or work environment. Written by clinicians for clinicians, this book integrates the diversified roles of the speech-language pathologist and emphasizes the interdependency of evaluation, treatment, information sharing, and involvement of the entire rehabilitation team in treating this challenging population.

Foreword

ix

(2)

Leonard L. LaPointe, Ph. D.

Preface

xi

(4)

Definition of Mild Traumatic Brain Injury

xv

1 THE DIVERSIFIED ROLES OF THE SPEECH-LANGUAGE PATHOLOGIST

1

(18)

Evaluation, Treatment, and Information Sharing

2

(1)

Involvement with the Entire Rehabilitation Team

3

(1)

Counseling and Education of Clients and Family Members

3

(2)

Coordination of Return to School or Work with Adjunct Educators and Vocational Counselors

5

(2)

Education of the Insurer or Other Funding Source

7

(2)

Involvement in Litigation and Preparation for Depositions and Testimony

9

(3)

Appendix 1-A Sample Letter: Academic

12

(1)

Appendix 1-B Sample Letter: Vocational

13

(1)

Appendix 1-C Sample Letter: Reimbursement Dispute

14

(2)

Appendix 1-D Sample Letter: Treatment Authorization

16

(1)

Sources of Additional Information

17

(2)

2 ASSESSMENT OF MILD-TO-MODERATE TRAUMATIC BRAIN INJURY

19

(42)

Neuropsychological Evaluation and Assessment Considerations

21

(4)

The Importance of an Integrated Assessment

25

(2)

Test Administration

27

(1)

Complex Attention

28

(1)

Memory Skills

29

(1)

Verbal Communication Skills

30

(1)

Written Communication Skills

31

(2)

Verbal Information Processing Skills

33

(1)

Written Information Processing Skills

34

(1)

Executive Functioning Skills

35

(1)

Reasoning Skills

36

(1)

Mathematical Skills

37

(1)

Preparing the Cognitive-Language Evaluation Report

38

(3)

Appendix 2-A Client Interview: Home Questionnaire

41

(2)

Appendix 2-B Client Interview: Work Questionnaire

43

(2)

Appendix 2-C Client Interview: School Questionnaire

45

(2)

Appendix 2-D Observation Checklist for Evaluations

47

(2)

Appendix 2-E Client Response to Assessment

49

(2)

Appendix 2-F Sample Evaluation Segments

51

(5)

Appendix 2-G Vocational Recommendations

56

(2)

Appendix 2-H Standardized Tests: Publisher and Purchasing Information

58

(2)

Sources of Additional Information

60

(1)

3 TREATMENT OF MILD-TO-MODERATE TRAUMATIC BRAIN INJURY

61

(8)

Facilitating a Positive Therapeutic Relationship

62

(1)

Interest Survey

62

(1)

Importance of Relevant Therapy Tasks

63

(1)

Rationale for Selected Skills to Target

63

(2)

Additional Therapy Resources

65

(1)

Appendix 3-A Techniques for Developing a Therapeutic Relationship with the Client

66

(1)

Appendix 3-B Personal Interest Survey

67

(1)

Sources of Additional Information

68

(1)

4 TREATING COMPLEX ATTENTION IMPAIRMENTS

69

(44)

Definition

70

(1)

Other Contributing Cognitive Impairments

70

(1)

Functional Implications of Attention Impairments

71

(3)

Compensatory Strategies

74

(1)

Therapy Tasks

75

(36)

Home Practice Tasks

111

(1)

Suggestions for Families

112

(1)

5 TREATING FUNCTIONAL AND PROSPECTIVE MEMORY IMPAIRMENTS

113

(32)

Definitions

114

(1)

Other Contributing Cognitive Impairments

114

(2)

Functional Implications of Memory Impairments

116

(3)

Compensatory Strategies

119

(2)

Therapy Tasks

121

(22)

Home Practice Tasks

143

(1)

Suggestions for Families

144

(1)

6 TREATING WORD RETRIEVAL AND THOUGHT FORMULATION IMPAIRMENTS

145

(52)

Definitions

146

(1)

Other Contributing Cognitive Impairments

146

(2)

Functional Implications of Word Retrieval and Thought Formulation Impairments

148

(3)

Compensatory Strategies

151

(1)

Therapy Tasks

152

(43)

Home Practice Tasks

195

(1)

Suggestions for Families

196

(1)

7 TREATING INFORMATION PROCESSING IMPAIRMENTS (AUDITORY AND VISUAL)

197

(28)

Definition

198

(1)

Other Contributing Cognitive Impairments

198

(2)

Functional Implications of Information Processing Impairments

200

(3)

Compensatory Strategies

203

(1)

Therapy Tasks

204

(19)

Home Practice Tasks

223

(1)

Suggestions for Families

224

(1)

8 TREATING EXECUTIVE FUNCTIONING IMPAIRMENTS

225

(18)

Definition

226

(1)

Other Contributing Cognitive Impairments

226

(2)

Functional Implications of Executive Functioning Impairments

228

(3)

Compensatory Strategies

231

(1)

Therapy Tasks

232

(9)

Home Practice Tasks

241

(1)

Suggestions for Families

242

(1)

9 THERAPY DOCUMENTATION, TRANSITION, AND DISCHARGE

243

(10)

The Usefulness of Quality Therapy Documentation

244

(1)

Documenting Task Performance for Tasks in this Manual

244

(1)

Transition and Discharge from Therapy

244

(1)

Follow-Up

245

(1)

Appendix 9-A Sample Re-evaluation

246

(7)

References

253

(2)

Index

255

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Mild Traumatic Brain Injury A Therapy and Resource Manual

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Table of Contents

Supplemental Materials