TBI in Elders Web Course Outline

    • Objectives of Module 1
    • Section A: Introduction to Traumatic Brain Injury
      • Brain Injury Definitions
      • Incidences of Traumatic Brain Injury in the United States
        • Who is a Risk for Traumatic Brain Injury?
      • Traumatic Brain Injury in Adults age 65 and Older
        • Violence, Abuse and Brain Injury
        • Elders At-Risk for Abuse
      • New cases of Traumatic Brain Injury in Massachusetts
        • Incidence of TBI In Massachusetts (2008-2010)
      • Why Haven’t We Heard About TBI Before?
    • Section B: Impact of Traumatic Brain Injury
      • What Happens When a Traumatic Brain Injury Occurs?
        • Primary Events – What Happens During Trauma?
        • Secondary Events – The Body’s Response To Trauma
      • Severity of Traumatic Brain Injuries
        • Mild Traumatic Brain Injuries
        • Moderate Traumatic Brain Injuries
        • Severe Traumatic Brain Injuries
      • Complexity of Traumatic Brain Injuries
        • General Patterns of Dysfunction by Location of Injury – Left Side of the Brain
        • General Patterns of Dysfunction by Location of Injury – Right Side of the Brain
        • General Patterns of Dysfunction by Location of Injury – Diffuse Injury
        • Functions of the Brain Stem
        • Functions of the Cerebellum
        • Functions of the Occipital Lobe
        • Function of the Frontal Lobe
        • Functions of the Parietal Lobe
        • Functions of the Temporal Lobe
      • Recovery from a Brain Injury
        • A Survivor’s Story Video – Meet Bill
    • Section C: Consequences of Traumatic Brain Injuries and Strategies
      • Consequences of Traumatic Brain Injuries
      • Physical Consequences
        • Impairment of Body Movement
        • Speech and Swallowing Problems
        • Pain as a Result of TBI
        • Sensory Difficulties
        • Fatigue and Sleep Disturbances
        • Motor Coordination
      • Cognitive Consequences
        • Memory Impairments
          • A Survivor’s Story Video – Meet Terry
        • Slowed Processing Speed
        • Attention and Concertation Deficits
        • Language Comprehension Difficulties
        • Expressive Language Difficulties
        • Impaired Executive Functioning: Abstract Reasoning
        • Impaired executive functioning: Sequencing, Planning, and Problem Solving
        • Inability to Initiate
      • Considerations for Cognitive Consequences and Implementation of Strategies
      • Behavioral Consequences
        • Inability to Control Emotions
        • Social Inappropriateness
        • Difficulty with Relationships
        • Basic Behavior Strategies
        • Other Influences on Behavior
    • Sections D: Impact of Traumatic brain Injuries on Families
      • Family Responses to TBI: Early Stages
      • Family Responses to TBI: Later Stages
      • Long-Term Impact on Families
        • Family Decisions and Traumatic Brain Injuries
        • Questions Families Should Ask Providers
      • Supporting Families
        • Family Adjustment
    • Section E: Cultural Competence
      • Cultural Competence
        • How Can You Pursue Cultural Competence
    • Section F: Evaluations and Assessments
      • Available Evaluations and Assessments
    • Section G: Summary
      • Important Things to Remember from Module 1
      • Recap: Tips for Working with TBI Survivors
      • Things you Can Do To Help Survivors and Their Families
    • Section H: QUIZ
      • Test your knowledge – 18 Questions
    • Objectives of Module 2
    • Section A: Importance of Screening for Brain Injuries
      • Screening for a Traumatic Brain Injury - Importance
      • Screening for a Traumatic Brain Injury – History
    • Section B: Implementation of The HELPS Screening Tool
      • Implementing the Screening Tool: WHEN?
      • Implementing the Screening Tool: WHO?
      • Implementing the Screening Tool: HOW?
        • The Letter “H“ In HELPS
        • The Letter “E“ In HELPS
        • The Letter “L“ In HELPS
        • The Letter “P“ In HELPS
        • The Letter “S“ In HELPS
      • Implementing the Screening Tool: SCORING
      • Implementing the Screening Tool: RESULTS
      • Implementing the Screening Tool: NEXT STEPS
        • A Survivor’s Story Video – Meet J. Patrick
    • Section C: Programs and Services at the Massachusetts Rehabilitation Commission
      • Overview of Massachusetts Executive Office of Health and Human Services
        • Massachusetts Rehabilitation Commission (MRC)
          • Community Living Division
            • Community Based Services Department
              • Community Base Services: Statewide Head Injury Program
              • Community Base Services: ABI/MFP Waiver Programs
              • Acquired Brain Injury Non-Residential Rehabilitation Waiver (ABI-N)
              • Traumatic Brain Injury Waiver (TBI)
              • Money Follows the Person Community Living Waiver (MFP-CL)
              • Initiatives Managed by the Community Based Services Department
            • Independent Living Services
              • Independent Living Services: Transition to Adulthood Program
              • Independent Living Services: Assistive Technology
            • Home Care Assistance Program (HCAP)
            • MRC Protective Service Unit
            • Consumer Involvement Program
          • Vocational Rehabilitation Division
          • Disability Determination Division
    • Section D: Health and Human Services in Massachusetts
      • Executive Office of Elder Affairs (EOEA)
        • Accessing Elder Services through EOEA
        • Elder Protective Services
        • Councils on Aging
      • Massachusetts Commission for the Blind (MCD)
        • Contacting the Massachusetts Commission for the Blind
      • Massachusetts Commission for the Deaf and Hard of Hearing (MCDHH)
        • Contacting the Massachusetts Commission for the Deaf and Hard of Hearing
      • Department Public Health (DPH)
        • Contact and Reporting at DPH
      • Department of Developmental Disabilities (DDS)
        • Service Coordination and Eligibility
      • Department of Mental Health (DMH)
        • Accessing DMH Services
      • Department of Veteran Services (DVS)
        • Contact the Department of Veterans’ Services
        • Veteran Service Officers
      • Additional Contacts for State Agencies
        • Department of Transitional Assistance (DTA)
        • Office of Refugees and Immigrants (ORI)
        • Department of Youth Services (DYS)
        • Department of Children and Families (DCF)
      • Brain Injury Association of Massachusetts (BIA-MA)
    • Section E: QUIZ
      • Test your knowledge – 18 Questions
    • Objectives of Module 3
    • Section A: Introduction to Mental Illness
      • Statistics
      • Co-Occurring Mental Illness and Traumatic Brain Injury (TBI)
      • Depression and TBI
        • Symptoms of Depression
      • Bipolar Disorder
        • Symptoms of Bipolar Disorder
      • Anxiety
        • Types of Anxiety Disorders
      • Post-traumatic Stress Disorder (PTSD)
        • Symptoms of PTSD
      • Fight or Flight System
      • Psychosis
    • Section B: Factors Contributing to Mental Illness
      • Factors Contributing to Mental Illness
        • Biological, Psychological and Environmental Factors
      • Mental Illness and TBI
      • Brain Anatomy and Mental Illness
        • Brain Messengers (Neurotransmitters)
        • Frontal Lobe Injury Presenting as a Psychiatric Disorder
      • Studies on the Incidence of Mental Illness after Brain Injury
        • Is it a Mental Illness or Traumatic brain Injury?
      • General Risk Factors
        • Risks Factors and Brain Injury
    • Section C: Strategies and Therapeutic Techniques
      • Strategies for Supporting a Person Living with Brain Injury and Mental Illness
      • Strategies for Friends and Family Members
      • Coping Strategies for Those Affected by Mental Illness or brain Injury
      • Therapeutic Techniques
      • Summary
    • Section D: QUIZ
      • Test your knowledge – 13 Questions
    • Objectives of Module 4
    • Section A: Principles of Medication Use
      • Medications
      • Principles of Medication Use
      • Pharmacology by Diagnosis (Not Just By Symptoms)
        • Pre-Injury Disorders
        • Medical Disorders
        • Sleep Disorders
        • Sensory or Motor Disorders
      • Medication Adverse Effects
      • Psychiatric Symptoms Following a Brain Injury
    • Section B: Principles of Differential Diagnosis
      • Principles of Differential Diagnosis
      • History, History, History
      • Non-Pharmacologic Treatments
    • Section C: Pharmacologic Treatment
      • Medications for Irritability and Aggression
        • Medications for Medium to Long-term Irritability and Aggression
        • Irritability and Aggression: Potential Contributions from Medications
      • Insomnia and Disrupted Sleep-Wake Cycle
      • Other Medications that Impact Neurocognitive Functions
    • Section D: “Off-Label” Use of Medications
      • Uses of “Off-label” Medications
        • “Off-label” Use of Medications Targeting Memory and Executive Functions
      • Depression
        • “Off-label” Use of Medications Targeting Emotional or Affective Lability
        • “Off-label” Use of Medications Targeting Pathological Laughing and Crying (Pseudobulbar Affect)
      • Anxiety
      • Summary
    • Section E: QUIZ
      • Test your knowledge – 13 Questions
    • Objectives of Module 5
    • Section A: Defining Levels of Use of Alcohol, Prescription drug and other Drugs
      • DSM 5 - Clinical Criteria For Substance Use Disorders
      • Definitions of Terms Describing Level of Use of Alcohol, Prescription Drugs and Other Drugs
    • Section B: Prevalence and Elders
      • Prevalence of Alcohol Use Disorders Among Elders
      • Aging and Substance Use
    • Section C: Alcohol Use Disorder and Falls
      • Alcohol, Falls and Injuries
    • Section D: Prescription Medications and Other Drug Use
      • Definition of Problematic Use of Prescription Medications
      • Prescription and Over-The-Counter (OTC) Medications Interactions with Alcohol
      • Illicit Drug Use
      • Addiction – Drug Dependence
    • Section E: Substance Use and Structural Vulnerabilities of the Brain
      • Brain Function and Behavior
      • Science of Addition
      • The Brain and Substance Use: Habituation
        • Post-Acute Withdrawal Syndrome
      • The Brain and Substance Use: Impact on Functioning
      • The Brain and Substance Use: Risk Factors
    • Section F: Impact of Substance Use on the Brain
      • The Brain and Substance Use: Permanency of Changes
      • Aging, Alcohol use Disorder and the Impact on the Brain
      • Effects of Alcohol and Substances on the Injured Brain
    • Section G: Importance of Screening for Brain Injuries
      • Why Screen for SUD in Older Adults?
      • Screening Tools for Substance Use Disorders
      • Treatment Considerations
      • Barriers to Success in Traditional Treatment
    • Section H: Models of Engagement and Assessments
      • Models of Engagement
        • Stages of Change
        • Motivational Interviewing
        • Cognitive behavioral Therapy
        • Dialectical Behavioral Therapy
        • Comprehensive Neuropsychological Assessments
        • General Treatment Strategies
      • Summary
    • Section E: QUIZ
      • Test your knowledge – 13 Questions
    • Objectives of Module 6
    • Section A: Introduction to Homelessness and Risk Factors for TBI
      • Introduction – Prevalence
        • Consequences of Brain Injury
        • Incidences of Homelessness
        • Homelessness and Brain Injuries
    • Section B: Challenges and Functional Impact
      • Why Diagnosing Brain Injuries is Important?
      • Functional Impact of Brain Injuries and Resulting Homelessness: Physical Functioning
      • Functional Impact of Brain Injuries and Resulting Homelessness: Cognitive Functioning
      • Functional Impact of Brain Injuries and Resulting Homelessness: Potential Contributing Factors
      • Functional Impact of Brain Injuries and Resulting Homelessness: Behavioral Functioning
    • Section C: Considerations Specific to Working with Homeless Individuals with TBI
      • Functional Impairments
      • Impact of Brain Injury on Persons Experiencing Homelessness
        • Barriers, Shelters, and Substance Use disorders
      • Veterans and Homelessness
      • Brain Injury and Homelessness
    • Section D: Testing, Treatment, Resources and Referrals
      • Management of Brain Injuries by Providers
      • Resources for the Homeless Population in Massachusetts
      • Summary
    • Section E: QUIZ
      • Test your knowledge – 13 Questions