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•

•

•

Information included in this presentation was
current at the time it was developed.
Presentation materials are reviewed on an
annual basis.
This presentation was not approved for TBI
Waiver Provider continued education hours;
however, remains important training
information for providers serving individuals
with brain injury.

July, 2012

2
Christopher J George, MSW, LGSW, CBIS
Traumatic Brain Injury Services – Center for
Excellence in Disabilities
Mr. George is currently works as a Field Care Manager with
Humana. He is a Certified Brain Injury Specialist (CBIS) and
Licensed Graduate Social Worker (LGSW) with over thirteen years
experience in social services and brain injury. During the
development of this presentation he served as the Coordinator
for the Traumatic Brain Injury (TBI) Services State Program which
provides technical assistance, direct service, training, and
outreach.
Contact information:
www.cedwvu.org/programs/tbi
Toll Free: 1-877-724-8244

July, 2012

3
Upon completion of this training participants
will:
•

•

Be able to define the concept of personcenteredness
Have the skills and knowledge to provide support
of members using a person-centered approach

July, 2012

4
Traumatic Brain Injury (TBI) is
an insult to the brain not of a degenerative or
congenital nature caused by an external physical
force, that may produce a diminished or altered
state of consciousness resulting in an impairment
of cognitive abilities or physical functioning. It can
also result in the disturbance of behavioral or
emotional functioning, may be temporary or
permanent and cause partial or total functional
disability or psychosocial maladjustment.
National Head Injury Foundation
(now the Brain Injury Association of America)

July, 2012

5
•

•

Every 23 seconds, one person in the United States
sustains a traumatic brain injury
Each year, an estimated 1.7 million people sustain
a TBI
Centers for Disease Control and Prevention

July, 2012

6
a non-degenerative, non-congenital insult to the
brain caused by an external physical force resulting
in total or partial functional disability and/or
psychosocial impairment.

July, 2012

7
Watch these short videos before continuing.
(Right click on each link and chose open Hyperlink )

Changes in Circles of Support After Brain Injury
Easy to Misunderstand Behavior of a Person with TBI

July, 2012

8
Person centered support is a philosophy
where people work collectively as a team in
order for the person to achieve their future
goals.
Traumatic Brain Injury Training Curriculum:
Introduction to Person Centered Planning VOL 2
Center for Excellence in Disabilities

July, 2012

9
•
•
•
•

•

Participating in community life
Satisfying Relationships
Making choices in everyday life
Having opportunities to fulfill respected roles
in society
Continuing to develop skills

July, 2012

10






July, 2012

Member first
Team process
Positive, proactive interactions
Meaningful quality of life

11
Management vs. Support
Manage: to handle, direct, control
Support: to give courage, faith or
confidence; help or comfort; to
maintain

July, 2012

12


Focus on agency



Expert Driven



Emphasizes disability







Focus on member and
family

Respects focus person,
family, and team
members
Emphasizes strengths
and abilities

July, 2012

13
 Look beyond the medical assessments and labels to
see the whole person
 Be proactive
 Help members to reach their future life goals
 Focus on strengths, capacity, and empowerment

 YOU are a key player in the support of the member
 You know the member best which can enhance
your ability to contribute creative solutions to
assist the member to achieve success

July, 2012

14
•

•
•

Includes the member on decisions that affect their
life
Respects the member and their dream and choices
Provides support based on the member’s individual
wants and needs

•

Empowers the member and team

•

Facilitates creativity and collaboration

•

Gathers information about the person’s skills,
abilities, interests, and preferences
July, 2012

15
Many individuals who have experienced a Traumatic
Brain Injury, especially to the frontal lobe, have
difficulty with the following:
• Learning from consequences in their lives

• Memory
• Attaching feelings to memories
• Initiation of a behavior
• Impulsivity; meaning the individual does not
think before they act

July, 2012

16
•

•

Person centered support encourages team to focus
on the whole person working to get their life back
on track.
A member with a Traumatic Brain Injury may be
exhibiting challenging behavior which interferes
with success in achieving future life goals. Person
centered support can improve the member’s
quality of life with assistance from friends, family,
and supportive Personal Attendant Service staff.

July, 2012

17
•

•

Change environment and antecedents that
may lead to challenging behavior when
possible to avoid the challenging behavior.
Compensatory Strategies
For example, use visual cues such as reminders
(picture, note, alarm, or calendar) to help with
challenging behavior and TBI.

July, 2012

18
•

•

•

Challenging Behavior can be an extension or
worsening of a behavior that was present
before the injury.
Challenging Behavior can also result from the
TBI itself.
95% of energy needs to focus on Proactive
Strategies.

July, 2012

19
The Center For Excellence in Disabilities with West
Virginia University: Traumatic Brain Injury Training

Curriculum: Introduction to Person Centered
Planning VOL 2

West Virginia Positive Behavior Support Network
(2007): Overview of Positive Behavior Support 3

Hour Training

July, 2012

20
Here are some additional resources that you may
want to explore:
(To view site, right click on link and chose Open
Hyperlink)





CDC - Traumatic Brain Injury - Injury Center
Center for Excellence in Disabilities at West Virginia
University
Preventing, Treating, and Living with TBI

July, 2012

21
•

•
•

To receive your certificate of successful completion
you must first pass the test and complete an online
evaluation.
A score of 80% or higher is required.
Once you have successfully completed this training
module you will receive an email with your
certificate of completion.

July, 2012

22




Please scroll down and take the test below.
Your thoughts and comments are very
important to us. You may submit your
comments here: [insert TBI Training Survey
link]

Thank You!
July, 2012

23

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Person Centered Support and TBI

  • 1.
  • 2. • • • Information included in this presentation was current at the time it was developed. Presentation materials are reviewed on an annual basis. This presentation was not approved for TBI Waiver Provider continued education hours; however, remains important training information for providers serving individuals with brain injury. July, 2012 2
  • 3. Christopher J George, MSW, LGSW, CBIS Traumatic Brain Injury Services – Center for Excellence in Disabilities Mr. George is currently works as a Field Care Manager with Humana. He is a Certified Brain Injury Specialist (CBIS) and Licensed Graduate Social Worker (LGSW) with over thirteen years experience in social services and brain injury. During the development of this presentation he served as the Coordinator for the Traumatic Brain Injury (TBI) Services State Program which provides technical assistance, direct service, training, and outreach. Contact information: www.cedwvu.org/programs/tbi Toll Free: 1-877-724-8244 July, 2012 3
  • 4. Upon completion of this training participants will: • • Be able to define the concept of personcenteredness Have the skills and knowledge to provide support of members using a person-centered approach July, 2012 4
  • 5. Traumatic Brain Injury (TBI) is an insult to the brain not of a degenerative or congenital nature caused by an external physical force, that may produce a diminished or altered state of consciousness resulting in an impairment of cognitive abilities or physical functioning. It can also result in the disturbance of behavioral or emotional functioning, may be temporary or permanent and cause partial or total functional disability or psychosocial maladjustment. National Head Injury Foundation (now the Brain Injury Association of America) July, 2012 5
  • 6. • • Every 23 seconds, one person in the United States sustains a traumatic brain injury Each year, an estimated 1.7 million people sustain a TBI Centers for Disease Control and Prevention July, 2012 6
  • 7. a non-degenerative, non-congenital insult to the brain caused by an external physical force resulting in total or partial functional disability and/or psychosocial impairment. July, 2012 7
  • 8. Watch these short videos before continuing. (Right click on each link and chose open Hyperlink ) Changes in Circles of Support After Brain Injury Easy to Misunderstand Behavior of a Person with TBI July, 2012 8
  • 9. Person centered support is a philosophy where people work collectively as a team in order for the person to achieve their future goals. Traumatic Brain Injury Training Curriculum: Introduction to Person Centered Planning VOL 2 Center for Excellence in Disabilities July, 2012 9
  • 10. • • • • • Participating in community life Satisfying Relationships Making choices in everyday life Having opportunities to fulfill respected roles in society Continuing to develop skills July, 2012 10
  • 11.     July, 2012 Member first Team process Positive, proactive interactions Meaningful quality of life 11
  • 12. Management vs. Support Manage: to handle, direct, control Support: to give courage, faith or confidence; help or comfort; to maintain July, 2012 12
  • 13.  Focus on agency  Expert Driven  Emphasizes disability    Focus on member and family Respects focus person, family, and team members Emphasizes strengths and abilities July, 2012 13
  • 14.  Look beyond the medical assessments and labels to see the whole person  Be proactive  Help members to reach their future life goals  Focus on strengths, capacity, and empowerment  YOU are a key player in the support of the member  You know the member best which can enhance your ability to contribute creative solutions to assist the member to achieve success July, 2012 14
  • 15. • • • Includes the member on decisions that affect their life Respects the member and their dream and choices Provides support based on the member’s individual wants and needs • Empowers the member and team • Facilitates creativity and collaboration • Gathers information about the person’s skills, abilities, interests, and preferences July, 2012 15
  • 16. Many individuals who have experienced a Traumatic Brain Injury, especially to the frontal lobe, have difficulty with the following: • Learning from consequences in their lives • Memory • Attaching feelings to memories • Initiation of a behavior • Impulsivity; meaning the individual does not think before they act July, 2012 16
  • 17. • • Person centered support encourages team to focus on the whole person working to get their life back on track. A member with a Traumatic Brain Injury may be exhibiting challenging behavior which interferes with success in achieving future life goals. Person centered support can improve the member’s quality of life with assistance from friends, family, and supportive Personal Attendant Service staff. July, 2012 17
  • 18. • • Change environment and antecedents that may lead to challenging behavior when possible to avoid the challenging behavior. Compensatory Strategies For example, use visual cues such as reminders (picture, note, alarm, or calendar) to help with challenging behavior and TBI. July, 2012 18
  • 19. • • • Challenging Behavior can be an extension or worsening of a behavior that was present before the injury. Challenging Behavior can also result from the TBI itself. 95% of energy needs to focus on Proactive Strategies. July, 2012 19
  • 20. The Center For Excellence in Disabilities with West Virginia University: Traumatic Brain Injury Training Curriculum: Introduction to Person Centered Planning VOL 2 West Virginia Positive Behavior Support Network (2007): Overview of Positive Behavior Support 3 Hour Training July, 2012 20
  • 21. Here are some additional resources that you may want to explore: (To view site, right click on link and chose Open Hyperlink)    CDC - Traumatic Brain Injury - Injury Center Center for Excellence in Disabilities at West Virginia University Preventing, Treating, and Living with TBI July, 2012 21
  • 22. • • • To receive your certificate of successful completion you must first pass the test and complete an online evaluation. A score of 80% or higher is required. Once you have successfully completed this training module you will receive an email with your certificate of completion. July, 2012 22
  • 23.   Please scroll down and take the test below. Your thoughts and comments are very important to us. You may submit your comments here: [insert TBI Training Survey link] Thank You! July, 2012 23