This course outlines key aspects of the therapy process during rehabilitation of executive cognitive functions following TBI. While established protocols and approaches to treating many components are outlined in the literature, these are best accomplished when in the context of a therapeutic relationship and client-centered program. Participants of this course will learn ways to establish this context within individual and group interventions to maximize functional outcomes and the transition from the hospital setting to the home and community.
This is the second course in a two-part series by Dr. Wheeler. The first course, Challenges of Community Reintegration Following Traumatic Brain Injury should be viewed first.
Steven Wheeler, PhD, OTR/L, CBIS, is an Associate Professor and Associate Chair of Occupational Therapy at the West Virginia University School of Medicine. Dr. Wheeler has published as well as presented both nationally and internationally on community reentry issues following traumatic brain injury (TBI). Dr. Wheeler is a consultant with NeuroRestorative, a leading provider of post-acute rehabilitation services for people with brain and spinal cord injuries and other neurological challenges. He is also a Governors Appointee on the West Virginia TBI/SCI Rehabilitation Fund Board. Dr. Wheeler received his PhD with a specialty in occupational therapy from Virginia Commonwealth University. His dissertation topic was Community Participation and Life Satisfaction following Intensive Community Based Rehabilitation using a Life Skills Training Approach.
In this chapter, Dr. Wheeler describes the roles of the interdisciplinary team in the TBI rehabilitation process. Participants will learn the components of the “Whatever it Takes” approach to TBI rehabilitation and discuss the impact of impaired self-awareness on the TBI rehabilitation process.
Dr. Wheeler identifies some of the key challenges to establishing a therapeutic relationship with client’s who have impaired awareness of deficits. The participant will learn strategies for establishing therapeutic rapport and therapeutic relationships during the TBI rehabilitation process. This chapter concludes with a discussion of strategies to manage and overcome awareness deficit during the TBI rehabilitation process.
This chapter describes the role of goal setting in the rehabilitation process following TBI. Participants will learn the value of group activities to promote social participation during the TBI rehabilitation process. They will gain an appreciation of the role of the family and caregivers during the TBI rehabilitation process.
Dr. Steven Wheeler and Occupational Therapist Tim Rich discuss the first three chapters of this course.They discuss topics such as the need to understand executive functions when working with TBI and the impact of funding on rehabilitation.