the HEADLINER Fall 2012 Vol. XIX Issue 4 The Newsletter of the Brain Injury Alliance of Oregon What’s The 11th Annual Pacific Northwest Brain Injury Inside? Conference 2013 BIAOR Executive Director’s Update Page 2 Board of Directors Page 2 Professional & 2012 Members Page 3-5 The Lawyer’s Desk Page 6 Living with Brain Injury: Conference Introduction Page 7 The 30th Annual Oregon Brain Injury Conference Living with Brain Injury: Focusing on the Future BIAOR Calendar Page 7 Conference Registration Page 8 Acts One, Two and Three Page 9 Headaches Page 10-11 Fact of the Matter Page 13-14 Life After BI Page 15 Hosted By: Impact of ABI Page 16 Brain Injury Alliance of Oregon & Brain Injury Association of Washington Returning to Work Page 17-18 Brain Surgery in Stone Page 21 Resources Page 22-25 March 7 - 9, 2013 Sheraton Airport Hotel Portland, Oregon 20.5 CEUs Support Groups Page 26-27 The Headliner Fall 2012 page 1 Brain Injury Alliance of Oregon Board of Directors Ralph Wiser, JD/President….....Lake Oswego Chuck McGilvary, Vice Pres..…..Central Point Carol Altman, Treasurer/Sec………...Hillsboro Paul Cordo, PhD ……….......……...…Portland Lisa Cunningham……………………...Portland David Dubats ……………….…………Waldport Nancy Irey Holmes, PsyD CBIS…….Redmond Advisory Board Kristin Custer, QLI………..…….….Omaha, NE Wayne Eklund, RN.……………………..Salem Danielle Erb, MD..............….........…...Portland Dr. Herbert Gross ………….……….. California Andrea Karl, MD …….…….…....….Clackamas Dave Kracke, JD.………….….....……Portland Col. Daniel Thompson…………....……..Salem Bruce Wojciechowski, OD…….......Clackamas Staff Sherry Stock, MS CBIST Executive Director Jeri Cohen, JD Associate Director John Botterman, Editor Becki Sparre, SG Facilitator, Admin, Trainer Brain Injury Alliance of Oregon PO Box 549 Molalla, Oregon 97038-0549 800-544-5243 • Fax: 503-961-8730 www.biaoregon.org [email protected] 501 (c)(3): Fed. ID 93-0900797 Issue Spring Summer Fall Winter Headliner DEADLINES Deadline April 15 July 15 October 15 January 15 Publication May 1 August 1 November 1 February 1 Editor: Sherry Stock, John Botterman Co-Editor: Jeri Cohen, 503-704-6122 Advertising in Headliner Rate Schedule (Color Rate) Issue Annual/4 Issues A: Business Card $100(125) $350(450) B: 1/4 Page $200(250) $700(900) C: 1/2 Page $300(375) $1000(1300) D: Full Page $600(700) $2000(2400) E. Sponsor Headliner $2500 $10,000 Advertising on BIAOR Website: $10,000 for Banner on every page $5000/year for Home Page $250 for active link Pro-Members page Policy The material in this newsletter is provided for education and information purposes only. The Brain Injury Alliance of Oregon does not support, endorse or recommend any method, treatment, facility, product or firm mentioned in this newsletter. Always seek medical, legal or other professional advice as appropriate. We invite contributions and comments regarding brain injury matters and articles included in The Headliner. page 2 BIAOR Executive Director Update Hello everyone, I wanted to give you an office update so that you are aware of what BIAOR is doing for those we serve. Let me start with our mission statement: Creating a better future through brain injury prevention, research, education, and advocacy. Prevention: Awareness and Prevention activities include: Bike Rodeos; helmet give-aways; community presentations in settings that range from schools to professional meetings to state prisons; coach training to prevent concussions; Brain Injury Simulation trainings to businesses, Oregon Judicial Departments, Police Departments; fundraisers throughout the year; and Matter of Balance Trainings for ThinkFirst Oregon at OHSU; Research: We do not fund research. Rather, we facilitate research in the field of brain injury by disseminating current requests for input as well as for volunteers relating to TBI research. The latest research study to which we are referring family members and survivors is located on the home page of our website (www.biaoregon.org) Education: Education is offered through conferences, workshops, trainings, seminars and presentations, and our quarterly newsletter, the Headliner, reaches more than 6000 members and supporters. Last year alone, BIAOR conducted 271 trainings, workshops, seminars and presentations. In 2010-11, we conducted more than 120. Advocacy: BIAOR’s advocacy is varied and personal. Information and Referral: BIAOR serves as a clearinghouse for community resources through both our 1-800-544-5243 toll free helpline (receiving over 5400 calls a year), and the over 10,000 emails received each year, pursuant to which survivors, family and professionals alike are referred to community, state and national services, resources, and professionals serving the brain injury community, The Headliner includes our professionals members and resources pages as well as additional resources and support group information. More than 550 information packets were mailed, including over 1500 DVDs, in 20112012, and the BIAOR website had over 72000 unique users in 2011-2012. Peer mentoring and support is provided to survivors and members of their families. Sherry Stock covers northern and eastern Oregon, Jeri Cohen covers Eugene through Roseburg and Chuck McGillvray covers Medford to Roseburg. Support Groups: BIAOR facilitates more than 60 support groups throughout the state by referring survivors and family members to them and listing them in the Headliner and on the website. Support Services are provided by dispersing Fall 2012 donated computers, fostering volunteer opportunities and work trials for survivors in rehabilitation, both in the office and in the community through training volunteers in the office to improve office skills. Legislative and Individual Advocacy. We evaluate state and federal policies, rules, budget issues, bills and legislation and, when necessary, gather support and people to testify or contact legislators. We have successfully drafted, advocated for, presented testimony on and seen passed three pieces of legislation in Oregon. In 2007, to increase awareness, BIAOR drafted legislation, SJR 21, making March Brain Injury Awareness Month in the State of Oregon. In 2009, BIAOR drafted SB 348 (Max’s Law - Sports Concussion) which was unanimously passed. This legislation is now being used as the national model and has been introduced federally by Senator Udall of New Mexico. In 2009, BIAOR also drafted SB (TBI Health Care Mandate - stating that all health care plans serving members in the State of Oregon must provide coverage of medically necessary therapy and services for the treatment of traumatic brain injury) which was passed. We work to educate legislators and voters on brain injury issues as well as both board members and many community groups to raise awareness of brain injury. We are involved with the BIAOR Board ongoing ad hoc “Blues Committee” which, in conjunction with Laurie Ehlhardt Powell of the Center for Brain Injury Research and Training, Julia Greenfield of Disability Rights Oregon and Kathy de Domingo of Progressive Rehabilitation Associates, testified before the Oregon Health Authority medical board and was successful in changing the Oregon Health Plan level of concussion so that it provides funding to medical providers for its treatment. BIAOR is also very actively involved with the returning military. We attend Stand Downs statewide, are a founding member of the Reintegration Team, and work closely with many veterans groups. We frequently find ourselves in the role of advocate for individuals confronted by issues related to brain injury. We engage in advocacy through membership in stakeholder organizations and activities at the federal, state and local levels some of which are as follows: National Veterans Treatment Courts, Member United States Brain Injury Alliance, Founding Board (Executive Director Update Continued on page 12) The Headliner When looking for a professional, look for someone who knows and understands brain injuries. The following are supporting professional members of BIAOR. Attorneys Oregon Bend † Dwyer Williams Potter Attorney’s LLC, Bend, 541617-0555 www.RoyDwyer.com John Warren West, Law Offices of John Warren West, Bend, 541-382-1955 Eugene. Thomas Cary, Cary Wing Edmunson, PC, Eugene, 541-485-0203 WC Don Corson, Corson & Johnson Law Firm, Eugene, 541-484-2525 Charles Duncan, Eugene, 800-347-4269 † Derek Johnson, Johnson, Clifton, Larson & Schaller, P.C., Eugene 541 484-2434 Tina Stupasky, Jensen, Elmore & Stupasky, PC, Eugene, 541-342-1141, Sisters, 541-549-1617 Portland William Berkshire, Portland 503-233-6507 PI Mark Bocci, Portland, 503-607-0222 PI Tom D'Amore, D'Amore & Associates, Portland 503222-6333 Aaron DeShaw, Portland 503-227-1233 D’Autremont, Bostwick, Carter & Krier, Portland, 503224-3550 ¥ Lori Deveny, Portland, PI 503-225-0440 Wm. Keith Dozier, Portland 503-594-0333 † R. Brendan Dummigan, Portland 503-223-7770 Peggy Foraker, Portland 503-232-3753 Sam Friedenberg, Nay & Friedenberg, 503-245-0894 € Bill Gaylord, Gaylord Eyerman Bradley,PC, Portland 503-222-3526 Timothy Grabe, Portland, 503-282-5223 Julia Greenfield, Disability Rights Oregon, Portland 503-243-2081 James R. Jennings, PC, Gresham 503-669-3406 PI David Kracke, Nichols & Associates, Portland 503224-3018 PI Sharon Maynard, Bennett, Hartman, Morris & Kaplan, Portland 503-227-4600, SSI/SSD Jeff Merrick, Lake Oswego 503-665-4234 Jeffrey Mutnick, Portland 503 595-1033 Robert Neuberger, Portland 503-228-1221 Craig Allen Nichols, Nichols & Associates, Portland 503-224-3018 ‡ Paulson Coletti, John Coletti, Jane Paulson Portland, 503.226.6361 www.paulsoncoletti.com Stephen Piucci, Piucci & Dozier, Portland 503-2287385 Charles Robinowitz, Portland, 503-226-1464 J. William Savage, Portland 503-222-0200 Joshua Shulman, Shulman DuBois, LLC, Portland, 503-222-4411 € Richard A. Sly, Portland 503-224-0436, SSI/SSD/ PI Steve Smucker, Portland 503-224-5077 ¥ Tichenor& Dziuba Law Offices, Portland 503-2243333, Uffelman, John, Adams & Uffleman LLP, Beaverton, 503-644-2146 The Headliner Richard Vangelisti, Vangelisti Law Offices PC, Portland 503-595-4131 Ralph Wiser III, Wiser & Associates, Inc., Lake Oswego 503 620-5577, PI & SSI/SSDI Salem Adams, Hill & Hess, Salem, 503-399-2667 Richard Walsh, Walch & Associates, PC Keizer, 503304-4886 www.walshlawfirm.net Roseburg Samuel Hornreich, Roseburg, 541-677-7102 Washington Bremerton Seattle Bremerton Kenneth Friedman, Friedman Rubin, Bremerton, 360782-4300 Seattle Richard Adler, Adler Giersch, Seattle, WA 206.682.0300 ‡ Kevin Coluccio, Stritmatter Kessler Whelan Coluccio, Seattle, WA 206-448-1777 www.stritmatteer.com Caregiver & Support Services Micki Carrier, Owner, Caregiver Connectionspecializing in 24 hr care, Portland, 503-246-4672 Cy Osborne, Pegasus Social Services, an Oregon Home Care Services Co, Portland, 503.380.4443 Care Facilities/TBI Housing (subacute, community based, inpatient, outpatient, nursing care, supervised-living, behavior, coma management, driver evaluation, hearing impairment, visual impairment, counseling, pediatric) Carol Altman, Homeward Bound, Hillsboro 503-640 -0818 Ashland View Manor-WestWind Enhanced Care, Dan Gregory, Medford, 541-857-0700 Linda Beasley, LPN CBIS, Autumn House, Beaverton, 503-941-5908 Karen Campbell, Highland Height Home Care, Inc, Gresham & Portland, 971-227-4350 or 503-6180089 Medically Fragile £ Casa Colina Centers for Rehabilitation, Pomona, CA, 800-926-5462 Wally & Donna Walsh, Delta Foundation/Snohomish Chalet, Snohomish, WA 360-568-2168 Care N Love AFH LLC, Corrie Lalangan, Vancouver WA 360-901-3378 Maria Emy Dulva, Portland 503-781-1170 Fe Gutierrez, Everlasting Adult Care Home, Milwaukie, 503-654-6559 Deanna Gwin, Portland, 503-238-1406 Medically Fragile-Ventilators Jay Herzog, The Mentor Network, Portland 503-2582440 Kampfe Management Services, Pam Griffith, Portland, 503-788-3266 Apt Karin Keita, Afripath Care Home LLC, Adult Care Home Portland 503-208-1787 Fall 2012 Learning Services, Northern CA & CO, 888-419-9955 Joana Olaru, Alpine House, Beaverton, 503-6469068 † Oregon Rehabilitation Center, Sacred Heart Medical Center, Director: Katie Vendrsco, 541-228-2396 Quality Living Inc (QLI), Kristin Custer, Nebraska, 402-573-3777 † Ridgeview Assisted Living Facility, Jolene White, Medford, 541-779-2208Melissa Taber, Oregon DHS, 503-947-5169 Uhlhorn Program, Eugene, 541 345-4244 Supported Apt † Sharon Slaughter, Windsor Place, Inc., Salem, 503581-0393 Melissa Taber, Oregon DHS, 503-947-5169 Chiropractic/Massage Therapists Carol Ford, Portland Cranial Sacral Therapy, Portland, 503-608-2372 Thomas Kelly, DC, Chiropractic Neurologist, Kelly Chiropractic, PS, Vancouver, WA, 360-882-0767 Garreth MacDonald, DC, Eugene, 541-343-4343 Lawrence Nelson, Wilsonville, 503-722-7733 Bradley Pfeiffer, Bend 541-383-4585 Cognitive Rehabilitation Centers/ Rehab Therapists/Specialists Jane Conboy, certified TAT Trainer, Portland 503-7033703 † Gentiva Rehab Without Walls, Mountlake Terrace, WA 425-672-9219 † Progressive Rehabilitation Associates—BIRC, Portland, 503-292-0765 Lynne Williams, Lynne Williams Cognitive Rehab. Therapy, Central Point 541-655-5925 Counseling Heidi Dirkse-Graw, Dirkse Counceling & Consulting, Inc. Beaverton, OR 503-672-9858 Sharon Evers, Face in the Mirror Counseling, Art Therapy, Lake Oswego 503-201-0337 Donald W. Ford, MA, LMFT, LPC, Portland, 503-2972413 Joyce Kerley (503) 281-4682 Kate Robinson, MA, CRC, Portland,503-318-5878 Dentists Dr. Nicklis C. Simpson, Adult Dental Care LLC, Gleneden Beach Educators/Therapy Programs Diana Allen, Linn Benton Lincoln ESD, Albany Jon Pede, Hillsboro School District, Hillsboro, 503-844 -1500 Paul Cordo, PhD, Senior Researcher, OHSU, 503-223 -3442 Sandra Crews, Southern Oregon ESD, Medford, 541776-8555 Laurie Ehlhardt Powell, CBIRT, Eugene, 541-3460572 Penny Jordan, TBI Team Liaison, Portland, 503-2604958 page 3 Looking for an Expert? See our Professional Members here ± McKay Moore-Sohlberg, University of Oregon, Eugene 541-346-2586 Lisa Myers, Portland Community College Expert Testimony Janet Mott, PhD, CRC, CCM, CLCP, Life Care Planner, Loss of Earning Capacity Evaluator, 425778-3707 Financial Services Kayla Aalberg Eklund, Structured Settlement Broker, Oregon, 503-869-6518 Life Care Planners/Case Manager/Social Workers Gerry Aster, RN, MS, Nurse Case Manager, Vida, 541-896-3001 Priscilla Atkin, Providence Medford Medical Center, Medford, 541.732.5676 Rebecca Bellerive, Rebecca Bellerive, RN, Inc, Gig Harbor WA 253-649-0314 Wayne Eklund, Wayne Eklund RN CNLCP Salem 888-300-5206 Michele Lorenz, BSN, MPH, CCM, CHPN, CLCP, Lorenz & Associates, Medford, 541-538-9401 Vince Morrison, MSW, PC, Astoria, 503-3258438 Michelle Nielson, Medical Vocational Planning, LLC, West Linn, 503-650-9327 Simon B. Paquette, LICSW, LCSW, Vancouver WA 360 903-4385 Thomas Weiford, Weiford Case Management & Consultation, Voc Rehab Planning, Portland 503245-5494 Karen Yates, Yates Nursing Consulting, Wilsonville, 503-580-8422 Marydee Sklar, Executive Functioning Success, Portland, 503-473-7762 Medical Professionals Gerry Aster, RN, MS, South Pasadena CA, 541-8963001 Diana Barron, MD, Brownsville, (541) 451-6930 clinic Marie Ekkert, RN/CRRN, Legacy HealthCare, Portland, 503-413-7918 Marsha Johnson, AnD, Oregon Tinnitus & Hyperacusis Treatment Center, Portland 503-2341221 Kristin Lougee, CBIS, 503-860-8215-cell Carol Marusich, OD, Neuro-optometrist, Lifetime Eye Care, Eugene, 541-342-3100 † Kayle Sandberg-Lewis, LMT,MA, Neurofeedback, Portland, 503-234-2733 Dorothy Strasser, VA Medical Center, Rehab, Portland, 503-285-6356 Bruce Wojciechowski, OD, Clackamas, Neurooptometrist, Northwest EyeCare Professionals, 503 -657-0321 Physicians Sharon Anderson, MD, West Linn 503-650-1363 Bryan Andresen, Rehabilitation Medicine Associates of Eugene-Springfield, 541-683-4242 Diana Barron, MD. Barron-Giboney Family Medicine, Brownsville, OR (541) 451-6930 Jeffrey Brown, MD, Neurology, Portland 503-2820943 James Chesnutt, MD, OHSU, Portland 503-503-4944000 Maurice Collada, Jr, MD, PC, Neurosurgeon, Salem 503-581-5517 Danielle L. Erb, M.D., Brain Rehabilitation Medicine, LLC, Portland 503 296-0918 John French, MD, Salem Rehabilitation Associates, Legal Assistance/Advocacy/Non-Profit Salem 503-561-5976 ¥ Deborah Crawley, ED, Brain Injury Association of M. Sean Green, MD, Neurology, OHSU, (503) 652Washington, 253-238-6085 or 877-824-1766 2487 £ Disability Rights Oregon, Portland, 503-243-2081 Steve Janselewitz, MD, Pediatric Physiatrist, Pediatric Eastern Oregon Center for Independent Living Development & Rehabilitation-Emanuel Children’s (EOCIL), Ontario 1-866-248-8369; Pendleton 1Hospital, Portland Nurse: 503-413-4418 Dept:503877-771-1037; The Dalles 1-855-516-6273 413-4505 £ Independent Living Resources (ILR), Portland, Andrea Karl, MD, Director, Center for Polytrauma 503-232-7411 Care Unit, Portland, VA Hospital 1-800-949-1004 x £ Jackson County Mental Health, Heather 34029 Thompson, Medford, (541) 774-8209 Michael Koester, MD, Slocum Center, Eugene, 541£ ThinkFirst Oregon, (503) 494-7801 359-5936 ± Oregon Rehabilitation Medicine, P.C., Portland, 503 Legislators -230-2833 Vic Gilliam, Representative, 503-986-1418 Francisco Soldevilla, MD, Neurosurgeon, Northwest Neurosurgical Associates, Tualatin, 503-885-8845 Long Term TBI Rehab/Day Program’s/Support Gil Winkelman, ND, MS, Alternative Medicine, Programs Neurobiofeedback, Counseling, Portland, 503-501Carol Altman, Bridges to Independence Day 5001 Program, Portland/Hillsboro, 503-640-0818 Anat Baniel, Anat Baniel Method, CA 415-472-6622 Psychologists/ Neuropsychologists £ ElderHealth Northwest, Patti Dahlman, Seattle Tom Boyd, PhD, Sacred Heart Medical Center, WA 206-467-7033 Eugene 541-686-6355 Benjamin Luskin, Luskin Empowerment Mentoring, James E. Bryan, PhD, Portland 503.284.8558 Eugene, 541-999-1217 *Caleb Burns, Portland Psychology Clinic, Portland, 503-288-4558 Patricia S. Camplair, Ph. D., OHSU Dept of Neurology, Portland, 503-827-5135 Amee Gerrard-Morris, PhD, Pediatrics, Portland, 503-413-4506 Elaine Greif, PhD, Portland 503-260-7275 Jacek Haciak, PsyD, Oregon State Hospital, Salem, 503-945-2800 Nancy Holmes, PsyD, CBIS, Portland 503-235-2466 Terry Isaacson, PhD, Roseburg Counseling Services, Roseburg 541-957-1290 Sharon M Labs PhD, Portland 503-224-3393 Ruth Leibowitz, PhD, Salem Rehab, 503-814-1203 Michael Leland, Psy.D, CRC, Director, NW Occupational Medicine Center, Inc., Portland, 503-684-7246 Will Levin, PhD, Eugene, 541-302-1892 Susan Rosenzweig, PsyD, Center for Psychology & Health, 503-206-8337 Recreational/Social Activities Off the Couch Events, Shauna Perkins, ED, Portland 503-702-2394 Speech and Language Channa Beckman, Harbor Speech Pathology, WA 253-549-7780 John E. Holing, Glide 541-440-8688 ± Jan Johnson, Community Rehab Services of Oregon, Inc., Eugene, 541-342-1980 Sandra Knapp, SLP, David Douglas School District , Sandy 503-256-6500 Linda Lorig, Springfield, 541-726-5444 Anne Parrott, Legacy Emanuel Hospital Warren 503 -397-6431 State of Oregon Dave Cooley, Oregon Department of Veterans Affairs, Salem, 503-373-2000 Stephanie Parrish Taylor, State of Oregon, OVRS, Salem , (503) 945-6201 www.oregon.gov/DHS/vr Technology/Assistive Devices Performance Mobility, Portland, OR, 503-243-2940 Second Step, David Dubats, Eugene, 877-299STEP Video/Filming NuVideo Productions, LLC, specializing in “day of the life” films Bend, 541-312-8398 Veterans Support Mary Kelly, Transition Assistance Advisor/Idaho National Guard, 208-272-4408 Belle Landau, Returning Veterans Project, Portland, 503-933-4996 Vocational Rehabilitation/Rehabilitation/Workers Comp Arturo De La Cruz, OVRS, Beaverton, 503-2772500 † Marty Johnson, Community Rehab Services of Oregon, Inc., Eugene, 541-342-1980 ‡ Oregon Completive Employment Project, Salem 503-947-5469 www.win-oregon.com To become a supporting professional member of BIAOR see page 23 or contact BIAOR, [email protected]. page 4 Fall 2012 The Headliner Ben Luskin, Launch Employment Mentoring, Eugene, 541-999-1217 Bruce McLean, Vocational Resource Consultants, Ashland, 541-482-8888 † SAIF, Salem, 503-373-8000 Stephanie Parrish Taylor, State of Oregon, OVRS, Salem, (503) 9456201 www.oregon.gov/DHS/vr/ Kadie Wellington, OVRS, Salem, 503378-3607 Patrons/Professional Members Sharon Anderson, West Linn OR Carol Berger, Talent OR Laurie Burke, TN Bruce Buchanan Jeffrey & Andrea Collins, Colorado Springs, CO William Griffiths, West Linn Debby Hessick, Aloha Dan & Jan LaVoie Helen Mills, Milwaukie Senator Bill Morrisette, Springfield James & Janet Moore, Portland Craig Ness, Wasilla Alaska ± Bill Olson, Salem Meg Rawlings & Russ Rudometkin, Medford Charlene Sparlin, Roseburg Carol Christofero Snider, Lake Oswego ∆ Jane Stewart, JD, Eugene In Memory Sandra Johnson in memory of Christopher & Dana Reeve Tina Treasurer In Memory of Tom Treasurer Carol Sherbenou in Memory of David Sherbenou Names in bold are BIAOR Board members † Corporate Member ‡ Gold Member € Silver Member ± Bronze Member ¥ Sustaining Member £ Non-Profit ∆ Platinum To become a professional member see page 23 or go to the BIAOR website: www.biaoregon.org/ store.htm 2012-2013 BIAOR Members Anonymous Adams Hill & Hess Richard Adler Karen Alexander Marie & Wilma Alkire Carol Altman John Anderson Bryan Andreson Richard Arndt Francine Aron Betty & Howard Aster The Headliner Gaetana Avolio Jenny Ayers Bonnie Baker Elisabeth Baker Anat Baniel Richard Banton Tara Barnes-Brown Hazel Barnhart Diana Barron Linda Beasley Janis Beauchamp Rebecca Bellerive Henry J. Bennett John Bergeman Carol Berger Bill Gaylord, Linda Eyerman, Todd Bradley Dan and Janet Blair Nicole Bockelman Cindi Bondi Dave & Joyce BordersAccornero Tom Boyd James Bryan Bruce Buchanan Caleb Burns Brenda Cardin Elizabeth Carlson Shell Carnes Micki Carrier Thomas M. Cary Judie Champie Jim Chesnutt, MD Lauren & Ben Chilson Carol Christofero-Snider Jeri Cohen Maurice Collada Barbara Colleran Kevin Coluccio Ralph Conradt James Coon Cheryl Coon Joseph Cooper Paul Cordo Don Corson Laura Cox Deborah Crawley Kristin Custer Patti Dahlman Tom D'Amore Mary d'Autremont Lina Davis Arthuro De La Cruz Heidi Dirkse-Graw David Dubats Don Duilio Maria Emy Dulva R. Brendan Dummigan Roy Dwyer Wayne Eklund Tami & Criag Ellingson Danielle L. Erb, MD Joyce I. Erickson Sharon Evers Michael Flick Peggy Foraker Jennifer Frank Chris Frost Charley Gee Justin Goe Sean Green, MD Dan Gregory Elaine Greif Fe Gutierrez Deanna Gwin Rainer Haegebarth Cheryl Hall Karen Harris Jay Herzog Daniel Hill Werner Hinojosa Dennis Hogan John E. Holing Nancy Holmes Samuel Hornreich Joyce J. Huff Linda Huyler Ellie Isaacson Jackson County Mental Health Steven Janselewitz, MD Sharon Janzen Jan Johnson Terry Johnson Sandra Johnson Kampfe Management Services Geri Karow Lorna Lee Karwoski Karin Keita Mary Kelly Thomas Kelly, DC Patricia Kessler Sandra Knapp Jane Kucera Thompson Kevin Kuehn Sharon M Labs Corrie Lalangan Donald E. Lange Charlie Larson Dan & Jan LaVoie Lisa Lee Michael Leland Will Levin Muriel D. Lezak Linda Longstreet Michele Lorenz Kristin Lougee Heather Ludwig Mayo Marsh Carol Marusich Steve Mathers Sharon Maynard Dorothy McClelland Stewart McCollom, JR Katharine McDuffie Chuck McGilvray James Meade, Jr Jeff Merrick Helen Mills Jean Minsky Evelyn Moore Janice Moore McKay Moore-Sohlberg Robert Neuberger Cynthia Newton Fall 2012 Wendy Newton Laurie Nicholas Craig Allen Nichols Michele Nielsen Nancy Ocumpaugh Donna Olson Barbara Parmenter John Coletti & Jane Paulson Jon Pede Performance Mobility, Inc Shauna Perkins, ED Jenny Peters Robert Pfeiffer Lynn Pizzo Susan Powell Linda Powers Progressive Rehabilitation Associates Kathleen Pugerude Klara Pustkowski Amy Ream Ann Reed Belle Landau, ED Returning Veterans Project Julie Reynolds Ridgeview Assisted Living Kenneth Rislow Charles Robinowitz Barry Rollins, Learning Services Virginia Rondel Rowan Rosehart Keltz Susan Rosenzweig Gregg Rousseau Dave Rudd Beth Scarth Jim & Jackie & Steve Schwab Charlotte Shuck Joshua Shulman Nicklis C. Simpson Richard A. Sly J. Lawrence Smith Charlene Sparlin Anne Stacey Merri Steele Brian Stephens Alex Streeter Sue Subbot Patricia Suhr Teresa Swerdlick Stephaine Parrish Taylor, OVRS Bob Taylor Hank Therien Kayt Zundel ThinkFirst Oregon Ray Thomas Keith Tichenor John Uffelman Richard Vangelisti Edward Vorholt, Jr Garry Wall Dennis & Janet Wallace Richard Walsh Wally & Donna Walsh Kendra Ward Chris Ward Gloria & Ed Way Tom Weiford Warren John West Jack West Wendy Wharton Fern Wilgus Peter & Kathy Wilkie Vicki Williamson Addison Wilson Windsor Place Gil Winkelman Ralph Wiser III Dave & Ann Witkin Holly Wunsch Linda Ziebell Donald & Lynnette Zimmer Cathy Zosel-Offutt • Every 15 seconds someone sustains a TBI. • More than 1300 TBI’s occur every day in children aged 0-14 years • The cost of Traumatic Brain Injuries in the U.S. is over $48 Billion! page 5 The Lawyer’s Desk: A Look at TBI Legal Representation © By David Kracke, Attorney at Law Nichols & Associates, Portland, Oregon The law is expected to keep up with societal changes, and to do so lawyers use the many tools at their disposal. In the area of traumatic brain injury prevention and litigation the most effective tools are found within the medical/scientific community and the incredible advancements being made on a seemingly daily basis with regard to brain function after a traumatic event. Along with advancements in the treatment of brain injured individuals we are also blessed with advancements in the diagnosis of brain injuries. Approximately five years ago, I wrote in this column about advancements in magnetic resonance imaging (MRI) technology that allowed doctors to recognize damage to microscopic structures within the brain that helped identify specific injury to the patient’s brain. This technology identified objective evidence of brain trauma where before that damage had been hidden within the recesses of the injured person’s brain. The diagnosis of a TBI using “objective” evidence is important for a lawyer representing a TBI survivor as it weakens a defense against that TBI based on purely subjective symptoms which are often times challenged by an opposing attorney as lacking credibility or scientific basis sometimes with devastating effect to the injured person. Mild Traumatic Brain Injury”, the authors explain how the use of an MRS can identify organic changes in the patient’s brain after single or multiple mild traumatic brain injuries. The MRS identifies abnormal concentrations of certain brain metabolites within the injured person’s brain which provides objective evidence of a traumatic brain injury. Further, the study confirms the “multiple concussion effect” by recognizing a correlation between the number of TBIs and an increase in the duration of the symptomology identified through the use of the MRS. It is a brilliant example of how scientific discovery will advance the legal profession by proving, objectively, the existence of a TBI in an injured person. Such technological advancement has important ramifications within the arena of public policy as well. The Brain Injury Alliance of Oregon is a national leader in the implementation of public policy through educational and legislative efforts. As anyone who has attended our annual conference can attest, the emphasis on new medical advancements and the dissemination of information regarding those advancements has been a primary focus of the conference and has resulted in a sophistication among our members and supporters that has made possible the passage of laws that have had national A new article in the Journal of impact. Similarly, the content of this Neurotrauma explains the benefit of a newsletter has consistently focused on new TBI diagnostic tool called Magnetic medical advancements further educating Resonance Spectroscopy (MRS). In the our members as to the state of the art in article entitled “The Use of Magnetic TBI diagnosis and treatment. Resonance Spectroscopy in the Subacute Evaluation of Athletes For the lay public, what this type of Recovering from Single and Multiple HANDICAP VEHICLES AND MOBILITY EQUIPMENT IN CO , OR & WA Performance Mobility is committed to providing the highest quality wheelchair accessible transportation to enhance quality of life for individuals and families. You'll find an informational, no-pressure approach and mountains of experience to meet your transportation needs. 503-243-2940 www.performancemobility.com page 6 Fall 2012 advancement in technology and medical understanding really does is confirm what we already know to be true: A traumatic brain injury is real and not some figment of imagination. This understanding informs my practice as a TBI attorney and further provides incentive to move forward with educational efforts to take the mystery (and stigma) out of TBI symptoms. In doing so, we naturally want to implement laws and programs that protect our fellow citizens from the injuries that cause a TBI (as evidenced by Max’s Law) and hope that our drive and determination will result in new legislation and new educational opportunities that will serve our goal of advancing TBI awareness throughout our community. As we all know, none of these efforts occur in a vacuum. There are so many people who help affect these societal changes; from the TBI research scientists who recognize the benefit of the MRS technology, to the doctors who treat TBI patients, to the support groups that provide solace and direction, to the administrators who recognize trends within the TBI community, to our own Executive Director, Sherry Stock who tirelessly and selflessly educates and advocates for TBI survivors, and to those of us who see problems in the law and elsewhere and decide to make an effort to solve those problems. It is, and always has been, a group effort where the whole exceeds the sum of its parts. All we have to do is keep working, incrementally, toward the goal of reducing the incidents of TBI and effectively treating those survivors who know firsthand the devastating effects of a traumatic brain injury, because within our collaborative effort is found the kernel of hope that brain injuries can be prevented, and when they occur their negative effects will be minimized as much as possible. David Kracke is an attorney with the law firm of Nichols & Associates in Portland. Nichols & Associates has been representing brain injured individuals for over twenty two years. Mr. Kracke is available for consultation at (503) 224-3018. The Headliner Living with Brain Injury: Focusing on the Future Come join us for the 11th Annual Northwest Brain Injury Conference and the 30th Annual BIAOR Conference. The Pre-Conference will focus on the matter in which music, art and physical therapists take an individualized approach when working with clients who are living with a brain injury. The creative arts therapies can be used to improve associated symptoms through interactive art-making experiences designed and adapted to emphasize each client’s strengths. Sensory stimulation through the arts promotes increased attention, while the creation of a story or a song can be used to memorize and recall personal information. Neurologic Music Therapy techniques are utilized to promote rehabilitation of speech and motor abilities through active instrument play, singing and movement to music such as in the case of Congresswoman Giffords. Therapists will demonstrate and discuss how providing music, drama, martial arts and art therapy can in outcomes in group sessions throughout the day on Thursday and in break-outs Friday and Saturday. Discussion will explain how specific groups are facilitated for adults with Traumatic Brain Injuries addressing cognitive and communicative goals. Therapists and TBI adults with Aphasia will address how speech articulation, word retrieval, interpersonal communication and coping abilities improve through the group sessions. Therapists will take a collaborative approach and conduct sessions with speech therapists, occupational therapists and physical therapists in a co-treatment model. 2013 BIAOR Calendar of Events For updated information, please go to www.biaoregon.org Call the office with any questions or requests Nov Anat Baniel Method Workshop - Transforming the lives of Children and Adults with TBI through practical applications of Brain Plasticity Principles March 7 Pre-Conference Workshop Art & Music Rehabilitation After a Brain Injury March 8 BIAOR Conference Dinner, Music, Dancing and Wine Tasting Friday and Saturday will focus on the latest technology and treatment available for brain injury. We will take a thirty-year look back and see how far we have come—but still have a long way to go. We will look at the returning military and what advances are currently being utilized and what is on the horizon. It is fun to attend a conference because learning is fun, and that’s what happens when you attend a conference – you learn. The biggest benefit of attending a conference is connecting with kindred spirits, folks whose work you admire and which inspires you. Conferences have a way of renewing the passion that brings like-minded people together, and being part of collaboration is a privilege that you can truly value. Attending a conference provides an opportunity to learn from experts, share ideas with others, and identify new knowledge and techniques in your field. Given the knowledge explosion in the current information-rich era, attending this conference is a great way to keep abreast of emerging themes and technology and, perhaps most importantly, network. Register now. See page 8 for Conference Registration form. March 7-9 Annual Pacific Northwest Regional Conference 2013: Living with Brain Injury Focusing on the Future www.biaoregon.org/ annualconference.htm The Headliner Fall 2012 page 7 Registration Form 11th Annual Pacific Northwest Brain Injury Conference 2013 30th Annual BIAOR Conference Living with Brain Injury: Focusing on the Future Sheraton Portland Airport Hotel Register Now online at www.biaoregon.org (Note: A separate registration form is needed for each person attending. Please make extra copies of the form as needed for other attendees. Members of BIAWA, BIAOR, BIAID, VA and OVRS receive member rates) First Name Last Name Badge Name Affiliation/Company Address City State Phone Fax Email Please check all that apply: ____ Zip I am interested in volunteering at the conference. Please call me. ___ Call me about sponsorship/exhibitor opportunities. 7 hour Certified Brain Injury Specialist Training/Test for Certification—Thursday (No Refunds) Pre-Registration is required: Book, training & exam included-must register before 2/15 __ Pre-Conference Workshop-Music, Art, Cognitive & Physical Therapies—Thursday $600 $ Member Non-Member $100 $175 Amount $ Conference Registration Fees: Registration fees include: continental breakfast, lunch & conference related materials. Meals not guaranteed for on-site registrations. There are no refunds, but registration is transferable. Contact BIAOR, 800-544-5243 for more information or questions. The following fees are per person: ___ Professional (CEUs) 2 Day Friday & Saturday $350 $450 $ ___ Professional (CEUs)1 Day Only: $200 $300 $ ___ Saturday Survivor/Family (no CEUs) $100 $175 $ ___ Saturday Only 3/3 Courtesy (Brain Injury Survivors with limited means-limited number) $25 $35 $ Friday Saturday ___ Membership Professional $100 Family $50 Basic $35 Survivor $5 $ ___ Scholarship Contribution (donation to assist in covering the cost of survivors with limited funds) $ Reception & Dinner Wine Tasting 5 -6:30pm, Dinner begins at 6:45pm Separate Charge from Conference $ 75 $100 $ Credit Card Number _____-_____-______-_____ Exp Date ___/___ Sec code ____ Signature ____________________________________________ Pre-conference, Registration & Dinner Total $ ________ CC Address if different than above ____________________________________ (Please add totals from Registration Fee, Reception/Dinner and Scholarship Contribution for final total costs) Make Checks out to BIAOR—Mail to: BIAOR, PO Box 549, Molalla OR 97038 or fax: 503.961.8730 Phone: 800-544-5243 www.biaoregon.org/annualconference.htm [email protected] Hotel: Sheraton Portland Airport Hotel 8235 NE Airport Way, Portland, OR 97220 503.281.2500 Discount room rate Ask for BIAOR discount 503-281-2500 Rooms are limited CEUs: AFH, CRCC, CDMC, SW, OT, SLP, CLE. Please contact us if you would like one that is not listed Total CEU Hours 20.5 Registrations are transferrable but there are no refunds. page 8 Fall 2012 Agenda Thursday 8 am - 5 pm Pre-Conference Workshop Friday & Saturday 7 am - 8 am: Breakfast 8 am - Noon: Keynote and Break– Outs Noon - 1 pm: Lunch and Networking 1 pm - 5 pm: Keynote and Break-Outs * Friday and Saturday-Breakfast and Lunch provided ** Thursday—lunch and breaks provided The Headliner The Art of Slowing Down Fall Sudoku The object is to insert the numbers in the boxes to satisfy only one condition: each row, column and 3 x 3 box must contain the digits 1 through 9 exactly once. (Answer on page 11) by Wendi Herzog Yet another of the unexpected gifts of a TBI is the lesson of learning to slow down. Especially during the holiday season, as I watch those around me pack their schedules to overflowing levels and their tempers and frustrations follow in a cascading fashion, I am thankful I do not have to keep up the dizzying pace. As a person recovering from a TBI, I don't have the ability to push myself to accomplish all the "shoulds" that accompany Halloween thru New Year's Day. "Learn to pace yourself" was the annoying phrase my therapists and doctors kept throwing my way after the TBI diagnosis. I'd protest that there was no way I could (or would) slow down my type-A personality. Didn't they know the Martha Stewart inspectors would arrive at my house at any moment and that I strived to be the best at my career, marriage and friendships? And what about my intellectual and physical pursuits? My health care providers shook their heads and wrote out seemingly empty daily schedules for my new life. Factoring in naps and medical appointments, they carefully allocated energy levels to each of my daily tasks. I learned in this process that I have a limited supply of daily energy and need to assign a point system to each task I hope to attempt. Going to the grocery store ate up a good 60% of my energy points for the day early in my recovery, while sitting quietly in a low-light room would add a few points. A party could easily wipe out 90% of my energy and deplete me for the following day or two. Learning my point system and honoring what my brain could handle each day gave me the confidence to structure my day, pursue goals and balance my energy to accomplish tasks without a mental hangover. Today I take time to write out what I want to accomplish each week and decide what I reasonably can handle -- it is usually a fourth of the list. I do not make excuses when I need a nap or can't attend a social function. I simply decline. I don't strive to make my surroundings perfect, but instead functional. I set attainable holiday goals and factor in time for staring out the window at the holiday lights. I cancel events without guilt when I feel wiped out. And because I know stores can deflate my entire day, I shop online. And if a gift is late, so be it. In a nutshell, I have learned to keep my life and the holidays as simple as possible and hide from the chaos. Email Wendy with any questions to: [email protected] "I used to think that the brain was the most wonderful organ in my body. Then I realized who was telling me this." — Emo Phillips The Headliner Fall 2012 page 9 Headaches Are Common in Year Following Traumatic Brain Injury Especially Among Females and Highest in Adolescents and Girls Recurring headaches are common during the year following a traumatic brain injury (TBI), regardless of the severity of the TBI, and they tend to occur more often among females and those with a pre-TBI history of headache. More than half a million children in the U.S. sustain a traumatic brain injury (TBI) every year. Adults who suffer TBI often report headaches afterward, but little is known about how often children suffer headaches after similar injuries. In three recent studies, researchers analyzed the prevalence of headaches three and 12 months after mild, moderate or severe TBI in children ages 5 to 17, and discovered the risk of headache was higher in adolescents (ages 13 to 17) and in girls. More than 70% of patients who had suffered a TBI reported having headaches during the first year after their injury. This finding is a result of a multicenter study described by Jeanne Hoffman, PhD, Department of Rehabilitation Medicine, University of Washington, Seattle, and a group of colleagues from University of Washington, Craig Hospital (Denver, CO), Mayo Clinic (Rochester, MN), University of Alabama at Birmingham, University of Texas Southwestern Medical School (Dallas), Virginia Commonwealth University (Richmond), and Moss Rehab (Philadelphia, PA). The study results are reported in the article entitled, "Natural History of Headache Following Traumatic Brain Injury." Females and persons with a pre-injury history of headache were significantly more likely to report headache, but there was no statistical link between incidence of post-injury headache and the severity of the TBI. In another study, led by Heidi Blume, MD, MPH, from Seattle Children's Research Institute and principal investigator Fred Rivara, MD, MPH, of Harborview Injury Prevention and Research Center, University of Washington, and is published Dec. 5 in Pediatrics, indicates that headache can be a significant problem for some children (ages five to 12 years) after TBI. Three months after a mild TBI, 43 percent of children reported page 10 headaches, compared to 37 percent of children who had a moderate to severe TBI, and 26 percent of children in the control group (patients with arm fractures). The study authors conclude that the response to and recovery from TBI is different for children, adolescents and adults, and that males and females are likely to have different symptoms and recovery. The risk of headache was higher in adolescents and in girls, mirroring a pattern seen in other headache disorders such as migraine. Because of the high number of children suffering TBI every year, the study findings indicate many children and adolescents are suffering from TBIassociated headaches every year. "Little research has focused on chronic headache post-TBI in children," said Dr. Blume, who is also a University of Washington assistant professor of neurology. "Our findings indicate that many children and adolescents suffer from TBI-associated headaches yearly. In addition, the prevalence of headache following mild TBI appears to follow a pattern we see in primary headache disorders such as a migraine. With future research, we can begin to examine whether there are similarities in the cause of migraine and post-traumatic headache, and if migraine therapies will work for Fall 2012 post-traumatic headaches." Researchers were not able to detect significant differences in the percentage of children with headache after TBI one year after injury, compared to children with arm fractures. The study concluded that adolescents and girls appear to be at the highest risk for headache after mild TBI, and that the course of recovery from TBI is likely affected by age at injury, injury severity and gender. "What parents need to know is that some children with TBI may have headaches for several weeks or months after TBI, but that most recover with time," said Dr. Blume. "And significantly, girls and teenagers appear to be at particular risk for headaches after mild TBI. Parents should be aware of what to expect after mild TBI, which may come from a sportsrelated injury." If you suspect your child has had a concussion, see your medical care provider before allowing them to go back to vigorous physical activity or playing sports. Seek emergency care after a head injury if the child has repeated vomiting or severe new headache, is confused, off balance, or has new weakness, numbness or trouble speaking. (Headaches Continued on page 11) The Headliner Disability 24 to 36 Months after Pediatric Traumatic Brain Injury: A Cohort Study" To manage headaches in children and they follow up on a previous report that adolescents, Dr. Blume recommends found improvement in some areas of these SMART tips: functioning for up to 24 months. In this Sleep -- get regular and sufficient sleep expanded study, the authors showed no (Eight to nine hours/night) significant improvement in the children's Meals -- eat regular and healthy meals, ability to function, participate in including breakfast and drink plenty of activities, or in their quality of life fluids to stay well hydrated between 24 and 36 months post-injury, Activity -- get appropriate activity, rest and they suggest that a plateau is immediately after TBI, but if reached in the recovery. symptoms persist for several weeks your care provider may recommend "This important communication by supervised regular low impact Rivara and colleagues reinforces the exercise such as walking that does concept that pediatric traumatic brain not exacerbate symptoms injury is associated with significant Relaxation -- manage stress and find enduring morbidity, with recovery ways to relax plateauing over time," says John T. Trigger avoidance -- avoid things that Povlishock, PhD, Editor-in-Chief of make headaches worse (loud noise, Journal of Neurotrauma and Professor, bright lights, stress, skipping meals, VCU Neuroscience Center, Medical sleep deprivation) College of Virginia, Richmond. "This finding also reinforces emerging thought A third study found that a child who that pediatric traumatic brain injury must suffers a moderate or severe traumatic be viewed in another context, rather brain injury (TBI) may still have substantial functional disabilities and reduced quality of life 2 years after the injury. After those first 2 years, further improvement may be minimal. Better interventions are needed to prevent longlasting consequences of TBI in children. (Headaches Continued from page 10) than the current perception that the course of such injury parallels that found in the adult population." Reference: 1. Heidi K. Blume, Monica S. Vavilala, Kenneth M. Jaffe, Thomas D. Koepsell, Jin Wang, Nancy Temkin, Dennis Durbin, Andrea Dorsch, Frederick P. Rivara. Headache After Pediatric Traumatic Brain Injury: A Cohort Study. Pediatrics, 2011; DOI: 10.1542/peds.2011-1742 2. Jeanne M Hoffman, Sylvia Lucas, Sureyya Dikmen, Cynthia A Braden, Allen W. Brown, Robert Brunner, Ramon Diaz-Arrastia, William Walker, Thomas Watanabe, Kathleen R Bell. Natural History of Headache Following Traumatic Brain Injury. Journal of Neurotrauma, 2011; 110706101029009 DOI: 10.1089/neu.2011.1914 3. Frederick P. Rivara, Monica S. Vavilala, Dennis Durbin, Nancy Temkin, Jin Wang, Stephen S. O'Connor, Thomas D. Koepsell, Andrea Dorsch, Kenneth M. Jaffe. Persistence of Disability 24 to 36 Months after Pediatric Traumatic Brain Injury: A Cohort Study. Journal of Neurotrauma, 2012; : 120827090157008 DOI: 10.1089/ neu.2012.2434 Have you had an insurance claim for cognitive therapy denied? Frederick Rivara and colleagues from University of Washington, Seattle, and Mary Bridge Children's Hospital, Tacoma, WA, and Children's Hospital of Philadelphia and the University of Pennsylvania, Philadelphia, PA, describe the functional and quality of life outcomes of children who experienced a moderate or severe TBI when they were 0-17 years of age. In the article "Persistence of If so call: Julia Greenfield, JD Staff Attorney Disability Rights Oregon 620 SW Fifth Avenue, Suite 500, Portland, OR 97204 Phone: (503) 243-2081 Fax: (503) 243 1738 [email protected] The Bathtub Test Fall Sudoku (Answer from page 9) 4 6 9 7 5 5 9 1 7 6 8 2 7 5 3 1 4 1 6 2 7 2 7 3 4 2 8 1 5 8 9 8 3 6 4 3 2 9 8 7 6 5 3 4 2 9 9 2 8 The Headliner 6 3 6 During a visit to the mental asylum, I asked the director how do You determine whether or not a patient should be institutionalized. “Well,” said the director, “we fill up a bathtub, then we offer a teaspoon, a teacup and a bucket to the patient and ask him or her to empty the bathtub.” “Oh, I understand.” I said. “A normal person would use the bucket because it’s bigger than the spoon or the teacup. “No.” said the director, “A normal person would pull the plug. Do you want a bed near the window?” 4 Fall 2012 page 11 (From the Executive Director Continued from page 2) Member National Association of State Head Injury Administrators, Conference Committee SILC Congress, Region X representative, Chair, Program Committee Traumatic Brain Injury Research Programs State The Adult Safety and Protection Team, appointed by Erin Kelley-Siel, Director of Oregon DHS State Independent Living Council (SILC), Vice Chair Oregon Disabilities Commission, Chair Oregon State Rehabilitation Council, Executive Committee Oregon Health Authority Ombudsman Advisory Council, Member Oregon Supported Employment Center for Excellence (OSECE) Advisory Board Oregon Reintegration Team, Member Oregon TBI Advisory Council, Member support annual conferences. BIAOR has historically provided separate tracks related to many current issues. Because TBI/ PTSD was identified as the signature injury of the War on Terrorism, we began partnering with Oregon VA and the Fort Lewis TBI Unit, offering an OIF/OEF Track. The Native American culture has a higher rate of brain injury than any cultural group in the U.S. In 2004-05, we included a Native track. This group created the Native American Brain Injury Advisory Council, a national speaker's organization, to present at Native American gatherings nationwide. As the mother of a severely brain-injured child, I am very proud of what BIAOR has done for the brain injury community, the quality of services and our conferences and trainings. When my family was hit by a drunk driver, there was no one to help us. No place to turn for education and information. Brain injury lasts a lifetime, and both survivors and members of their families want to hear what is new or may help them. That is part of our job, and keeping survivors and family members informed is an important part of what BIAOR does. To further this goal, survivors and others with limited means are permitted to attend the conference as guests between 1 and 5 each day. Please join us in 2013. I wish you all the best and never stop searching for the magic bullet—I know I won’t. Please contact BIAOR if you have any questions or need assistance. We are here to help you. You are not alone. Sherry Stock Interstate Washington TBI Resource Coordination Services Idaho TBI Advisory Council, Member Legislative and /or Advocacy Activities Present written and/or oral testimony to legislative committees Attend local community events Meet with and discuss issues relating to individuals with cognitive disabilities with people such as members of the Governor's staff and individual legislators Meet with hundreds of private individuals and their families Interviewed by local, state and national media Provide updated information about current advocacy and policy related to brain injury at the state and national levels to the BIAOR Board, its committees and the public Educational Activities in which we participate include: Attend and present at state, national and international professional conferences; Meeting with and conducted trainings to Oregon legislative committees; Meeting with and providing information to Oregon’s Congressional Delegation, both instate and in Washington DC,; Meeting with and providing information to personnel in various state departments and agencies on issues related to people with cognitive disabilities; and conduct The BIAOR NW Regional Conference In 2003, the state conference was transformed into the Pacific Northwest Brain Injury Conference. BIAOR expanded its annual one-day conference to two days, and then to three days, and included the neighboring states of Washington, California, Nevada, Idaho and Alaska. This action was taken in response to declining resources and funding in those states to page 12 Fall 2012 The Headliner The Headliner Fall 2012 page 13 page 14 Fall 2012 The Headliner Life After Brain Injury The Eugene/Springfield area has no shortage of drive-through coffee shacks. They represent beacons of hope for any java junkie needing a fix on the go, and many of them also offer up a few select solid foods as well. Happy's Java in Springfield is no exception, but owner Derrick Pruitt is offering up a taste of something you don't see just anywhere in the Northwest. Importing some of the finest teas and coffee beans that Derrick roasts himself help him achieve a high quality product. While he does make a mean mocha, it was his authentic Southern Style selection that caught the attention of a local TV reporter who subsequently interviewed Derrick. Derrick began cooking with his father at a young age. It is those same recipes he picked up from his dad that he shares with anyone willing to stop by and order a bite. "He's the greatest chef I've ever known," • • • • says Derrick, referring to his father. Derrickis very serious about the food he serves up, and seeing the care, finesse, and not to mention work, he puts into it makes it obvious. It's a stark contrast to the name many people know him by, Mr. Happy. While Happy doesn't mess around when it comes to food, at the end of the day it's all about one thing, making people happy. Derrick’s journey to Happy’s Java has been challenging. Not long ago, he was the number one RV salesperson in the country. His life changed when a car ran into him in a parking lot and did not stop while he was riding his Segway. Hundreds of stiches and re-gaining consciousness from a coma later, Derrick entered Community Rehabilitation Services of Oregon in Eugene where Jan and Marty Johnson helped him find his way to life after brain injury. It was a lot of hard work and it did not happen overnight, but after intensive rehab, Marty working with the Eugene Vocational Rehabilitation office, helped Derrick find something he could do, could love, and could make a future doing: roasting coffee beans and selling them. He started at Saturday Markets and eventually opened his own award winning coffee shop that offers some of the best pulled pork outside of Alabama. Statistics 5.3 million people have a brain injury More than 72% of all brain injuries are from motor vehicle accidents or falls Males have over twice as many serious brain injuries most between the ages of 14-24 Brain injuries kill more Americans under the age of 34 than all other diseases combined Every Day: • 4700 people sustain a brain injury. • 38 will be in a permanent vegetative state "How is education supposed to make me feel smarter? Besides, every time I learn something new, it pushes some old stuff out of my brain. Remember when I took that home winemaking course, and I forgot how to drive?" Homer Simpson, The Simpsons The Headliner Fox Tower 805 SW Broadway, Suite 2540 Portland, OR 97205 503-277-1233 Fall 2012 866-843-3476 page 15 IMPACT OF ACQUIRED BRAIN INJURY A brain injury is potentially one of the most devastating disabilities due to its wide range of effects. It is little wonder that use of alcohol or other drugs can become a problem when one’s life has been altered so drastically. The number and severity of problems resulting from a brain injury will differ from person to person because each person’s brain injury varies in the extent and location of damage. The extent of these changes may only emerge with time. Cognitive Changes Cognition is the conscious process of the mind by which we are aware of thought and perception, including all aspects of perceiving, thinking and remembering. In general, cognition is knowledge — the way we perceive and learn about the world. Some of these cognitive problems may never occur, while others may emerge over time. They can be very frustrating as they affect our ability to learn new things, to work and to interact with others. Memory Problems A very common outcome, this results in problems with remembering people’s names, appointments, details read in a book or newspaper, passing on messages or phone calls, and learning new things. A typical problem is being able to remember things that happened before the accident, but difficulty remembering things from day to day. The most effective solution is usually compensatory strategies. Poor Concentration Another common issue, this can result in being easily distracted or it can result in being unable to stay on a task even without distractions. Hospital staff or family can often confuse this with poor memory. Fatigue When parts of the brain are injured the rest must work harder to compensate, and this results in becoming cognitively and emotionally exhausted very quickly. This can lead to people becoming irritable or frustrated if they do not carefully manage their limited energy levels. Depression Depression after a brain injury is common and usually emerges some time after the injury. Signs of depression include lack of motivation, loss of sexual drive, sleep disturbance and tearfulness. page 16 Lack of Initiative In spite of all good intentions, someone with a brain injury may sit around at home all day long and watch TV, as it becomes very difficult to know how to go about organizing tasks. It may just require prompting to have a shower and get dressed, or it may help to write out the steps involved in getting a task done. Lack of Self-Awareness This greatly hampers recovery. The person may be unable to see how their behavior or thinking has changed, or not understand its impact on others. It is therefore necessary to provide frequent, clear and simple explanations about why a problem is being treated or why the person is unable to do something. Poor Planning & Problem-Solving A brain injury can disrupt all aspects of assessing a problem and planning how to solve an issue. Complex tasks need to be broken down into a step-by-step sequence. Slowed Responses The person with a brain injury may be slow to answer questions, perform tasks, or respond in conversations. Allow more time to respond and to complete tasks, and ensure responses are fast enough for activities such as driving. Communication This includes the ability to start or take turns in conversation, interpret and respond to social cues, show interest in others, use humor appropriately, shift between topics of conversation and regulate the volume and tone of voice. These skills can be relearned to some extent when self-awareness is not a problem. Inflexibility After a brain injury, some people can’t always change their train of thought, so they may repeat themselves or have trouble seeing other people’s points of view. They may not cope very well with sudden changes in routine. Fall 2012 (Impact of ABI Continued on page 19) The Headliner Returning to Work Information for Employers Some employers have the misperception that people who have disabilities are expensive to accommodate. However, this is not necessarily true. Accommodations, or adapting the workplace, are typically low cost and easy to implement. Accommodations, such as a handrail or reducing background noise, allow a person with a brain injury to manage their work environment better. When considering accommodations for someone with a brain injury, it is important to remember that this process must be conducted on a case by case basis with input from the person. Brain injury may result in a combination of disabilities. One of the main hopes and expectations people have when leaving hospital is that they will return to the work or study they were involved in prior to the injury. However, it is very common for a person to feel that they are ready to return to their previous position well before everyone else thinks they are. The person’s unrealistic expectations are often due to poor self-awareness or denial. If a neuropsychological assessment took place during rehabilitation, this should provide some indications about the areas of difficulty that will need to be addressed in returning to work. The ability to hold a job is one of the most potent measures of community integration. The single most important factor in predicting return to work is active participation in rehabilitation and in the therapeutic community. The second best predictor is the injured person’s selfawareness. The ability to manage emotions is also a significant factor in employability. Potential barriers Some barriers in returning to work are: • An person’s desire to work being greater than their actual readiness • Accessing support e.g. being linked with the right employment The Headliner • • • • • • support agency Cognitive impairment A lack of opportunities for people to demonstrate what they are capable of Poor control over emotions Fatigue and other physical problems e.g. dizziness and headaches Experiencing a loss of self-confidence after unsuccessful attempts Loss of motivation. Support Employment support agencies and rehabilitation services often provide programs that may focus upon the person returning to their previous position. However, this is usually not possible straight away. The results of different assessments can gather information about the person’s strengths and deficits to provide guidelines regarding employment potential. Sometimes a meeting can be organized between the person who was injured, family members, the employer and rehabilitation professionals to discuss a gradual return to work plan. A work trial may be organized to assess how well the person can cope with the demands of different tasks. On-the-job training provides the opportunity for people to relearn previously acquired skills or learn new skills. The limitations resulting from each of these disabilities may need to be effectively accommodated. Examples A police officer, returning to work following surgery for a brain aneurysm, had partial paralysis to the left side and could no longer use both hands for word processing. Transferring to a vacant position that involved computer research accommodated him and he was provided a one handed keyboard. A therapist who had short-term memory deficits had difficulty writing case notes from counseling sessions. Accommodation suggestions included: allowing the therapist to tape record sessions and replay them before dictating notes, to schedule 15 minutes at the end of each session to write up hand written notes and to schedule fewer counseling sessions per day. A laborer working in a noisy factory had difficulty concentrating on job tasks. Accommodation suggestions included: erecting sound absorbing barriers around his work station, moving unnecessary equipment from the area to reduce traffic and allowing the employee to wear a headset or ear plugs. (Return to Work Continued on page 18) Fall 2012 page 17 (Return to Work Continued from page 17) Strategies for managing impairments Understanding the different forms of recovery and adjustment becomes particularly important when people return to work after their injury. It is often helpful to consider which area of impairment might benefit from which form of recovery and adjustment. Remediation This involves relearning skills with practice until a certain level has been achieved e.g. practicing typing speed. Substitution Substitution requires maximizing previous skills or learning a new skill to overcome a difficulty e.g. using selfinstruction to improve concentration skills. Accommodation This is when a person adjusts their goals and expectations to match their level of capability e.g. aiming for a position with less responsibility and a reduced work load. Assimilation Assimilation is modifying the environment and expectations of other people e.g. introducing specialized equipment, supportive work environments and educating employers and colleagues about the nature of support required. Some common recommendations for returning to work include having plenty of rest periods, a routine and structure to tasks, flexibility, reduced hours, supervision and support. Some individual characteristics that may influence level of achievement include self-awareness, motivation, determination and adaptability. Volunteer work People who are assessed as not being ready for work may wish to pursue volunteer work (e.g. at a charity organization) to improve their skills, awareness of personal capabilities and level of experience. However, employment may not be a realistic option for many people after acquired brain injury. Accepting this situation can be very distressing for people who have often spent most of their lives building a career. It is hoped that people can pursue other avenues for achievement, satisfaction and page 18 productive use of their leisure time. Managing fatigue Fatigue is a very common outcome after a brain injury, and it has a serious impact on someone’s ability to resume work, especially in jobs needing intense concentration or fast paced decision making. Often survivors can manage a workload if they can approach one task at a time, work in a quiet environment without distractions, and have a flexible schedule for rest breaks if needed. The problem, of course, is that many work environments won’t allow some, or possibly any, of these to happen. Two types of discrimination Discrimination can be defined as treating people less favorably than others because of some real or imagined characteristic. Direct discrimination is treating a person less favorably, because of his or her disability, than a person without that disability in the same or similar circumstances. Indirect discrimination occurs when a ‘condition’ prevents a person with a disability, or an associate of a person with a disability, from doing something due to physical barriers, policies, procedures, practices, selection or admission criteria, rules or requirements. modifications or adjustments to the workplace to meet the particular needs of the person with a disability. Exceptions are only made if this causes unreasonable disruption or creates a health or safety risk. Examples of reasonable accommodations include changes to work practices or job design, modifications to equipment or premises, and training or other assistance. Whenever it is necessary, possible and reasonable, employers should take into account a person’s disability and make appropriate accommodations to the work environment to accommodate people with a disability. The first step is to identify the essential functions of the job. Marginal or peripheral functions of the position are not included as the job can be modified or these tasks given to others. Prospective and current staff with disabilities in any type of employment can qualify for reasonable adjustment. An employer cannot discriminate against someone on the basis of disability. If a person is able to carry out the ‘essential activities’ of a job despite their disability, they must be given the same opportunity to do that job as everyone else has. Reasonable accommodations Employers need to make a reasonable accommodations to the needs of a person with a disability. This means the employer must examine the physical and organizational barriers which may prevent the employment, limit the performance or curtail the advancement of people with disability. Wherever it is possible, necessary and reasonable to do so, employers are required to make Fall 2012 1450 Standard Plaza 1100 SW Sixth Ave Portland, OR 97204 1-888-883-1576 www.tdinjurylaw.com Protecting the Rights of the Injured Personal Injury Practice Areas: Brain Injury Accidents Automobile Accidents Maritime Accidents Construction Accidents Trucking Accidents Medical Malpractice Wrongful Death Dangerous Premises Defective Products Bicycle Accidents Motorcycle Accidents Sexual Harassment/Abuse Aviation Accidents Legal Malpractice The Headliner (Impact of ABI Continued from page 16) Impulsivity A brain injury can affect the brain’s ability to stop and think first about certain actions or words spoken. This can lead to a wide range of behavioral problems, with relationship difficulties and inability to save money. Irritability A low tolerance for frustration is common, such as becoming agitated and walking out if kept waiting for an appointment. Socially Inappropriate Behavior Judging how to behave in social situations can be a minefield after a brain injury. Common problems are being too familiar with strangers, talking too loudly and making sexual advances. In more severe cases these behaviors may place the person at risk of becoming homeless or entering the prison system. Difficulties in seeing the world through other people’s eyes can lead to behavior that looks intentionally self-centered. Dependency One of the possible consequences of selfcenteredness is a tendency for some people with a brain injury to become very dependent on others. The person may not like being left alone, and constantly demand attention or affection. The Headliner Emotional Lability Just as some people with a brain injury have difficulty controlling their behavior, they may also have difficulty in controlling their emotions. They may cry too much or too often or laugh at inappropriate times. Alternatively they may suffer rapid mood changes, crying one minute and laughing the next. Physical Changes While these cognitive issues are life-changing problems alone, unfortunately a brain injury can lead to many physical changes as well. Loss of taste and smell occurs when a traumatic brain injury damages the olfactory nerve. This loss often leads to either lack of appetite, or obesity as the person compensates with very salty or fatty foods. Dizziness and balance issues can be caused by damage to the brain stem, blood pressure fluctuations from damage to areas controlling the heart and blood flow, or vertigo from damage to the inner ear. Epilepsy and seizures are chronic medical conditions produced by temporary changes in the electrical function of the brain. Medication will usually control these conditions well but some lives are devastated by frequent, uncontrollable seizures or associated disabilities. Fall 2012 Headaches arising from a brain injury can be caused by displacement of intracranial structures, inflammation, decreased blood flow, increased muscle tone, inflammation of the thin layers of tissue coating the brain and increased intracranial pressure. Visual problems include double vision, field cuts, sector losses, rapid eye movement and nearsightedness. Chronic pain can persist beyond the expected healing time and continue despite appropriate physical improvement in the affected area of the body. The pain can emerge as headaches, neck and shoulder pain, lower back pain and/or pain in other body areas if trauma caused the brain injury. Differing degrees of paralysis can affect all parts of the body depending on which part of the brain has been injured. Effects can include poor coordination, difficulty walking, visual difficulties or weakness on one side of the body. Hearing problems can occur for several reasons, both mechanical and neurologic, particularly when the inner ear and/or temporal lobes have been damaged. Common problems are hearing loss, vertigo, imbalance, a pressure sensation in the ear, and persistent sounds like buzzing, hissing or ringing. page 19 There is no evidence that the tongue is connected to the brain” - Frank Tyger At Windsor Place, we believe in promoting the self-confidence and self-reliance of all of our residents Sharon Slaughter Windsor Place, Inc. 3009 Windsor Ave. NE Salem Oregon 97301 www.windsorplacesalem.org Executive Director [email protected] Phone: 503-581-0393 Fax: 503-581-4320 page 20 Fall 2012 The Headliner Brain Surgery In Stone Brain Surgery has been around a long time. 12 000 years ago, people had holes cut in their skull’s in many different cultures. Even more surprisingly, they occasionally survived. In the 19th century, Fijians were using this surgical technique, trephination, to treat brain injuries. Trephination, or making a hole in the skull of a living person, seems to have been the first surgical practice. But why would people cut holes in the skull? There are many theories about the practice, which first appeared during the Neolithic period. It was most often performed on adult males although examples have been found in the skulls of children and women. One theory is that it might have been used for the exit or entrance of spirits believed to cause illness, or as a cure of convulsions, headaches, infections and fractures. It has also been suggested that the reason for trephination was the collection of skull discs, called rondelles, for charms or amulets. The practice continued in Ancient Egypt, where scrapings from the skull were used to make potions. Both Hippocrates and Galen wrote about trephining and the practice continued throughout the Middle Ages and into the Renaissance. These operations were often highly successful and many people must have survived the treatment, as is evidenced by skulls that show bone regrowth. When someone’s skull was cracked, trephination was used to reduce the pressure from brain swelling and reduce the risk of death and permanent brain injury. The most remarkable fact was that the Fijians achieved a 70% success rate while London surgeons at that time only had a 25% success rate! The Fijian’s trick was largely one of hygiene. They would wash their hands and the injury repeatedly in coconut milk which is If you look at the anatomy, the structure, the function, there's nothing in the universe that's more beautiful, that's more complex, than the human brain.— Keith Black (quoted in Discover magazine, April, 2004) ARE YOU A MEMBER? The Brain Injury Alliance of Oregon relies on your membership dues and donations to operate our special projects and to assist families and survivors. Many of you who receive this newsletter are not yet members of BIAOR. If you have not yet joined, we urge you to do so. It is important that people with brain injuries, their families and the professionals in the field all work together to develop and keep updated on appropriate services. Professionals: become a member of our Neuro-Resource Referral Service. Dues notices have been sent. Please remember that we cannot do this without your help. Your membership is vitally important when we are talking to our legislators. For further information, please call 1-800-544-5243 or email [email protected]. See page 23 to sign up. The Headliner Fall 2012 remarkably similar in chemistry to our body fluids (it has even been used for transfusions when blood products have run out in war zones!) Scalpel and tweezers were made of bamboo for cutting and removing bone and damaged brain tissue. After sewing up the wound, it would be checked a few days later for infection which would be cleaned out again with coconut milk. As you would have guessed, the main problem for the English surgeons was a lack of hygiene in badly overcrowded hospitals. Things have improved somewhat so thankfully there is no need to bring on the coconuts and bamboo today. Trephination is still used in medical practice today, although it is reserved for the relief of epidural and subdural hematomas. References: “Brain Surgery in the South Pacific”, Medical Observer, 17 March 1995, pp. 74-75.; R Porter, The Greatest Benefit to Mankind, London: HarperCollins, 1997 RALPH E. WISER Attorney Representing Brain Injured Individuals Auto and other accidents Wrongful Death Sexual Abuse Elder Abuse Insurance issues and disputes Disability: ERISA and Non-ERISA, SSD, PERS One Centerpointe Drive, Suite 570 Lake Oswego, Oregon 97035 Phone: (503) 620-5577 Fax: (503) 670-7683 Email: [email protected] FREE INITIAL CONSULTATION Free Parking/Convenient Location page 21 Oregon Centers for Independent Living Contact List CIL ABILITREE Director: Glenn Van Cise EOCIL (Eastern Oregon Center for Independent Living) Director: Kirt Toombs LOCATION 20436 Clay Pigeon Court Bend, OR 97702 1-541-388-8103 322 SW 3rd Suite 6 Pendleton, OR 97801 (541) 276-1037 1-877-711-1037 (Toll Free) 400 E Scenic Dr., Ste 2349 The Dalles, OR 97058 541-370-2810 1-855-516-6273 1021 SW 5th Avenue Ontario, OR 97914 (541) 889-3119 or 1-866248-8369 COUNTIES SERVED Crook, Deschutes, Jefferson Gilliam,, Morrow, Umatilla, Union, Wheeler Columbia , Hood River, Sherman, Wasco Baker, Grant, Harney, Malheur , Wallowa HASL (Independent Abilities Center) Director: Randy Samuelson 305 NE "E" St. Grants Pass, OR 97526 (541) 479-4275 Josephine, Jackson, Curry, Coos , Douglas LILA (Lane Independent Living Alliance) Director: Sheila Thomas 99 West 10th Ave#117 Eugene, OR 97401 (541) 607-7020 Lane, Marion, Polk, Yamhill, Linn, Benton, Lincoln ILR (Independent Living Resources) Director: Barry Fox-Quamme SPOKES UNLIMITED Director: Christina Fritschi 1839 NE Couch Street Portland, OR 97232 (503) 232-7411 Clackamas, Multnomah, Washington 1006 Main Street Klamath Falls, OR 97601 (541) 883-7547 Klamath, Lake UVDN (Umpqua Valley disAbilities Network) Director: David Fricke 736 SE Jackson Street, Roseburg, OR 97470 (541672-6336 (voice) Douglas The Brain Injury Alliance of Oregon can deliver a range of trainings for your organization. These include: • CBIS Training (Certified Brain Injury Specialist) • TBI & PTSD in the Returning Military • Vocational Rehabilitation-working with clients • Methamphetamine and Brain Injury • ADA Awareness—Cross Disability Training including cognitive interactive simulation • Judicial and Police: Working with People with Brain Injury • Traumatic Brain Injury: A Guide for Educators • Native People and Brain Injury • Brain Injury 101 • Anger Management and TBI • Aging and TBI • How Brain Injury Affects Families • Brain Injury for Medical and Legal Professionals-What you need to know Caregiver Training Domestic Violence and TBI Dealing with Behavioral Issues Returning to Work After Brain Injury And more! • • • • For more information contact Sherry Stock, Executive Director, Brain Injury Alliance of Oregon at [email protected] 800-544-5243 page 22 Fall 2012 The Headliner Understanding Mild Traumatic Brain Injury (MTBI): An Insightful Guide to Symptoms, Treatment and Redefining Recovery Understanding Mild Traumatic Brain Injury (MTBI): An Insightful Guide to Symptoms, Treatment and Redefining Recovery Edited by Mary Ann Keatley, PhD and Laura L. Whittemore $16.00 The Essential Brain injury Guide The Essential Brain Injury Guide provides a wealth of vital information about brain injury, its treatment and rehabilitation. Written and edited by leading brain injury experts in non-medical language, it’s easy to understand. This thorough guide to brain injury covers topics including: Understanding the Brain and Brain Injury; Brain Injury Rehabilitation; Health, Medications and Medical Management; Treatment of Functional Impacts of Brain Injury; Children and Adolescents; Legal and Ethical Issues; and MORE! Used as the primary brain injury reference by thousands of professionals and para-professionals providing direct services to persons with brain injury over the past 15 years. $60.00 Recovering from Mild Traumatic Brain Injury A handbook of hope for military and their families. Edited by Mary Ann Keatley, PhD and Laura L. Whittemore This clear and concise handbook speaks to our Wounded Warriors and their families and helps them navigate through the unknown territory of this often misunderstood and unidentified injury. It provides an insightful guide to understanding the symptoms, treatment options and redefines "Recovery" as their new assignment. Most importantly, the intention of the authors is to inspire hope that they will get better, they will learn to compensate and discover their own resiliency and resourcefulness. $18.00 Ketchup on the Baseboard Ketchup on the Baseboard tells the personal story of the authors' family’s journey after her son, Tim, sustained a brain injury. Chronicling his progress over more than 20 years, she describes the many stages of his recovery along with the complex emotions and changing dynamics of her family and their expectations. More than a personal story, the book contains a collection of articles written by Carolyn Rocchio as a national columnist for newsletters and journals on brain injury. $20 A Change of Mind A Change of Mind by Janelle Breese Biagioni is a very personal view of marriage and parenting by a wife with two young children as she was thrust into the complex and confusing world of brain injury. Gerry Breese, a husband, father and constable in the Royal Canadian Mounted Police was injured in a motorcycle crash while on duty. Janelle traces the roller coaster of emotions, during her husband’s hospital stay and return home. She takes you into their home as they struggle to rebuild their relationship and life at home. $20 Fighting for David Leone Nunley was told by doctors that her son David was in a "persistent coma and vegetative state"--the same diagnosis faced by Terri Schiavo's family. Fighting for David is the story how Leone fought for David's life after a terrible motorcycle crash. This story shows how David overcame many of his disabilities with the help of his family. $15 The Caregiver's Tale: The True Story Of A Woman, Her Husband Who Fell Off The Roof, And Traumatic Brain Injury From the Spousal Caregiver's, Marie Therese Gass, point of view, this is the story of the first seven years after severe Traumatic Brain Injury, as well as essays concerning the problems of fixing things, or at least letting life operate more smoothly. Humor and pathos, love and frustration, rages and not knowing what to do--all these make up a complete story of Traumatic Brain Injury. $15 The Headliner Brain Injury Alliance of Oregon New Member Renewing Member Name: ___________________________________________ Street Address: _____________________________________ City/State/Zip: ______________________________________ Phone: ___________________________________________ Email: _____________________________________________ Type of Membership Survivor Courtesy $ 5 (Donations from those able to do so are appreciated) Basic $35 Family $50 Students $25 Non Profit $75 Professional $100 Sustaining $200 Corporation $300 Lifetime $5000 Sponsorship Bronze $300 Silver $500 Gold $1,000 Platinum $2,000 Additional Donation/Memorial: $________________ In memory of: ______________________________________ (Please print name) Member is: Individual with brain injury Family Member Other:_________ Professional. Field: _______________________________ Book Purchase ($2 per book for mailing): The Caregiver’s Tale $15 Change of Mind $20 Fighting for David $15 Ketchup on the Baseboard $20 The Essential Brain Injury Guide $60 Recovering from MTBI $18 Understanding MTBI $16 Type of Payment Check payable to BIAOR for $ ________________________ Charge my VISA/MC/Discover Card $ __________________ Card number: _________ __________ _________ __________ Expiration date: _____________ Security Code from back _________ Print Name on Card: __________________________________ Signature Approval: __________________________________ Date: ______________________________________________ Please mail to: BIAOR PO Box 549 Molalla, OR 97038 800-544-5243 Fax: 503– 961-8730 www.biaoregon.org • [email protected] 501 (c)(3) Tax Exempt Fed. ID 93-0900797 Fall 2012 page 23 Resources For Parents, Students, Educators and Professionals Returning Veterans Project “Brain Injury Partners: Navigating the School System,” an interactive, multi- Providing Information & Referrals to individuals with brain injury, their caregivers, and loved ones through the Resource Line. In-Person Resource Management is also available in a service area that provides coverage where more than 90% of TBI Incidence occurs (including counties in Southwest Washington. Returning Veterans Project is a nonprofit organization comprised of politically unaffiliated and independent health care practitioners who offer free counseling and other health services to veterans of past and current Iraq and Afghanistan campaigns and their families. Our volunteers The Oregon TBI Team include mental health professionals, acupuncturists and other allied health care providers. We believe it is our collective responsibility to offer education, support, and healing for the short and long-term The Oregon TBI Team is a multidisciplinary group repercussions of military combat on veterans and their families. For more information contact: Belle of educators and school professionals trained in Bennett Landau, Executive Director, 503-933-4996 www.returningveterans.org email: pediatric brain injury. The Team provides in-service [email protected] training to support schools, educators and families of students (ages 0-21) with TBI. For evidence Center for Polytrauma Care-Oregon VA based information and resources for supporting Providing rehabilitation and care coordination for combat-injured OIF/OEF veterans and active duty students with TBI, visit: www.tbied.org service members. For more information about Oregon’s TBI Contact: Ellen Kessi, LCSW , Polytrauma Case Manager [email protected] 1-800-949-1004 www.cbirt.org/oregon-tbi-team/ x 34029 or 503-220-8262 x 34029 Melissa Nowatske 541-346-0597 [email protected] or [email protected] media intervention, is now available on-line free of charge. The easy-to-use website is designed to give parents of school-aged children with a brain injury the skills they need to become successful advocates. http://free.braininjurypartners.com/. Washington TBI Resource Center For more information or assistance call: 1-877-824-1766 9 am –5 pm www.BrainInjuryWA.org Vancouver: Carla-Jo Whitson, MSW CBIS 360-699-4928 [email protected] Parent Training and Information Legal Help A statewide parent training and information center serving parents of children with disabilities. 503-581 Disability Rights Oregon (DRO) promotes Opportunity, Access and Choice for individuals with -8156 or 888-505-2673 [email protected] disabilities. Assisting people with legal representation, advice and information designed to help solve www.orpti.org problems directly related to their disabilities. All services are confidential and free of charge. (503) 243 -2081 http://www.disabilityrightsoregon.org/ LEARNet Provides educators and families with invaluable information designed to improve the educational outcomes for students with brain injury. www.projectlearnet.org/index.html FREE Brain Games to Sharpen Your Memory and Mind www.realage.com/HealthyYOUCenter/Games/ intro.aspx?gamenum=82 http://brainist.com/ Home-Based Cognitive Stimulation Program http://main.uab.edu/tbi/show.asp? durki=49377&site=2988&return=9505 Sam's Brainy Adventure http://faculty.washington.edu/chudler/flash/ comic.html Neurobic Exercise www.neurobics.com/exercise.html Brain Training Games from the Brain Center of America www.braincenteramerica.com/exercises_am.php page 24 Legal Aid Services of Oregon serves people with low-income and seniors. If you qualify for food stamps you may qualify for services. Areas covered are: consumer, education, family law, farmworkers, government benefits, housing, individual rights, Native American issues, protection from abuse, seniors, and tax issues for individuals. Multnomah County 1-888-610-8764 www.lawhelp.org Lewis & Clark Legal Clinic is a civil practice clinic for the Northwestern School of Law of Lewis & Clark College. Representing low-income individuals experiencing a cariety of civil and administrate problems. 503-768-6500 Oregon Law Center Legal provides free legal services to low income individuals, living in Oregon, who have a civil legal case and need legal help. Assistance is not for criminal matter or traffic tickets. http://oregonlawhelp.org Oregon State Bar Lawyer Referral Services refers to a lawyer who may be able to assist. 503-6843763 or 800-452-7636 The Oregon State Bar Military Assistance Panel program is designed to address legal concerns of Oregon service members and their families immediately before, after, and during deployment. The panel provides opportunities for Oregon attorneys to receive specialized training and offer pro bono services to service members deployed overseas. 800-452-8260 St. Andrews Legal Clinic is a community non-profit that provides legal services to low income families by providing legal advocacy for issues of adoption, child custody and support, protections orders, guardianship, parenting time, and spousal support. 503-557-9800 Fall 2012 The Headliner Affordable Naturopathic Clinic in Southeast An affordable, natural medicine clinic is held the second Saturday of each month. Dr. Cristina Cooke, a naturopathic physician, will offer a sliding-scale. The clinic is located at: Naturopaths see people with a range of health concerns including allergies, diabetes, fatigue, high blood-pressure, and issues from past physical or emotional injuries. For more information of to make an appointment, please call: Dr. Cooke, 503-984-5652 The Southeast Community Church of the Nazarene 5535 SE Rhone, Portland. Home-Based Cognitive Stimulation Program http://main.uab.edu/tbi/show.asp? durki=49377 The UAB Home Stimulation Program is a free program that provides activities to use with individuals following their brain injury. challenging. You can select activities you feel might be appropriate and increase the level of difficulty. PDF file with program lessons. Financial Assistance Tammy Greenspan Head Injury Collection A terrific collection of books specific to brain injury. You can borrow these books through the interlibrary loan system. A reference librarian experienced in brain injury literature can help you find the book to meet your needs. 516-249-9090 Long Term Care—Melissa Taber, Long Term Care TBI Coordinator, DHS, State of Oregon 503-947-5169 The Low-Income Home Energy Assistance Program (LIHEAP) is a federally-funded program that helps lowincome households pay their home heating and cooling bills. It operates in every state and the District of Columbia, as well as on most tribal reservations and U.S. territories. The LIHEAP Clearinghouse is an information resource for state, tribal and local LIHEAP providers, and others interested in low-income energy issues. This site is a supplement to the LIHEAP-related information the LIHEAP Clearinghouse currently provides through its phone line 1800-453-5511 www.ohcs.oregon.gov/OHCS/ SOS_Low_Income_Energy_Assistance_Oregon.shtml Food, Cash, Housing Help from Oregon Department of Human Services 503-945-5600 http://www.oregon.gov/DHS/assistance/index.shtml Housing Various rental housing assistance programs for low income households are administered by local community action agencies, known as CAAs. Subsized housing, such as Section 8 rental housing, is applied for through local housing authorities. 503-986-2000 http://oregon.gov/ OHCS/CSS_Low_Income_Rental_Housing_ Assistance_Programs.shtml Oregon Food Pantries http://www.foodpantries.org/st/ oregon Central City Concern, Portland 503 294-1681 Central City Concern meets its mission through innovative outcome based strategies which support personal and community transformation providing: • Direct access to housing which supports lifestyle change. • Integrated healthcare services that are highly effective in engaging people who are often alienated from mainstream systems. • The development of peer relationships that nurture and support personal transformation and recovery. • Attainment of income through employment or accessing benefits. The Headliner Need Help with Health Care? Oregon Health Connect: 855-999-3210 Oregonhealthconnect.org Information about health care programs for people who need help. Project Access Now 503-413-5746 Projectaccessnnow.org Connects low-income, uninsured people to care donated by providers in the metro area. Health Advocacy Solutions - 888-755-5215 Hasolutions.org Researches treatment options, charity care and billing issues for a fee. Coalition of Community Health Clinics 503-546-4991 Coalitionclinics.org Connects low-income patients with donated free pharmaceuticals. Oregon Prescription Drug Program 800-913-4146 Oregon.gov/OHA/pharmacy/OPDP/Pages/index.aspx Helps the uninsured and underinsured obtain drug discounts. Central City Concern, Old Town Clinic Portland 503 294-1681 Integrated healthcare services on a sliding scale. Valuable Websites www.BrainLine.org: a national multimedia project offering information and resources about preventing, treating, and living with TBI; includes a series of webcasts, an electronic newsletter, and an extensive outreach campaign in partnership with national organizations concerned about traumatic brain injury. www.iCaduceus.com: The Clinician's Alternative, web-based alternative medical resource. www.oregon.gov/odva: Oregon Department of Veterans Affairs http://fort-oregon.org/: information for current and former service members www.idahotbi.org/: Idaho Traumatic Brain Injury Virtual Program Center-The program includes a telehealth component that trains providers on TBI issues through videoconferencing and an online virtual program center. www.headinjury.com/ - information for brain injury survivors and family members http://activecoach.orcasinc.com Free concussion training for coaches ACTive: Athletic Concussion Training™ using Interactive Video Education www.braininjuryhelp.org Peer mentoring help for the TBI survivor in the Portland Metro/ Southern Washington area. 503-224-9069 www.phpnw.org If you, or someone you know needs help-contact: People Helping People Sharon Bareis 503-875-6918 www.oregonpva.org - If you are a disabled veteran who needs help, peer mentors and resources are available http://oregonmilitarysupportnetwork.org - resource for current and former members of the uniformed military of the United States of America and their families. http://apps.usa.gov/national-resource-directory/National Resource Directory The National Resource Directory is a mobile optimized website that connects wounded warriors, service members, veterans, and their families with support. It provides access to services and resources at the national, state and local levels to support recovery, rehabilitation and community reintegration. (mobile website) http://apps.usa.gov/ptsd-coach/PTSD Coach is for veterans and military service members who have, or may have, post-traumatic stress disorder (PTSD). It provides information about PTSD and care, a self-assessment for PTSD, opportunities to find support, and tools–from relaxation skills and positive self-talk to anger management and other common self-help strategies–to help manage the stresses of daily life with PTSD. (iPhone) Fall 2012 page 25 Oregon Brain Injury Support Groups Astoria Astoria Support Group 3rd Tuesday 6-7:30 Pacific NW Occupational Therapy Clinic 1396 Duane St. Astoria OR 97103 Kendra Ward 1-888-503-7760 Bend CENTRAL OREGON SUPPORT GROUP 2nd Saturday 10:30am to 12:00 noon St. Charles Medical Center 2500 NE Neff Rd, Bend 97701 Rehab Conference Room, Lower Level Joyce & Dave Accornero, 541 382 9451 [email protected] Ablitree Thursday Support Group Every Thursday 10:30 am-12pm Fox Hollow Assisted Living Center 2599 NE Studio Rd, Bend OR 97701 Rich Zebrowski 541-388-8103 x 203 [email protected] Corvallis STROKE & BRAIN INJURY SUPPORT GROUP 1st Tuesday 1:30 to 3:00 pm Church of the Good Samaritan Lng 333 NW 35th Street, Corvallis, OR 97330 Call for Specifics: Shawn Johnson, CCC-SLP 541-768-5157 [email protected] Hillsboro Westside SUPPORT GROUP 3rd Monday 7-8 pm For brain injury survivors, their families, caregivers and professionals Tuality Community Hospital 335 South East 8th Street, Hillsboro, OR 97123 Carol Altman, (503)640-0818 Klamath Falls SPOKES UNLIMITED BRAIN INJURY SUPPORT GROUP 2nd Tuesday 1:00pm to 2:30pm 1006 Main Street, Klamath Falls, OR 97601 Dawn Lytle 541-883-7547 [email protected] SPOKES UNLIMITED BRAIN INJURY RECREATION 4th Tuesday Contact Dawn Lytle for additional information: 541-883-7547 [email protected] Lebanon BRAIN INJURY SUPPORT GROUP OF LEBANON 1st Thursday 6:30 pm Lebanon Community Hospital, Conf Rm #6 525 North Santiam Hwy, Lebanon, OR 97355 Lisa Stoffey 541-752-0816 [email protected] Coos Bay (2) Traumatic Brain Injury (TBI) Support Group 2nd Saturday August 9th 3:00pm – 5:00pm Kaffe 101, 171 South Broadway Coos Bay, OR 97420 [email protected] Medford Southern Oregon Brainstormers Support & Social Club 1st Tuesday 3:30 pm to 5:30 pm 751 Spring St., Medford, Or 97501 Lorita Cushman @ 541-621-9974 [email protected] Growing Through It- Healing Art Workshop Wednesdays, 9-10:30am The Nancy Devereux Center 1200 Newmark Avenue, Coos Bay, Oregon Bittin Duggan, B.F.A., M.A., 541-217-4095 [email protected] Molalla BRAIN INJURY SUPPORT GROUP OF MOLALLA 5:30 pm—7:00, Every Monday Support group and Hydro-exercise - Molalla Pool Sherry Stock [email protected] 503-740-3155 Must Be Pre-Registered Eugene (3) Head Bangers 3rd Tuesday, Feb., Apr., June, July, Aug., Oct. Nov. 6:30 pm - 8:30 pm Potluck Social Monte Loma Mobile Home Rec Center 2150 Laura St;, Springfield, OR 97477 Susie Chavez, (541) 342-1980 [email protected] Newport BRAIN INJURY SUPPORT GROUP OF NEWPORT 2nd Saturday 2-4 pm 4909 S Coast Hwy Ste 340, South Beach, OR 97366 (541) 867-4335 or [email protected] www.progressive-options.org Community Rehabilitation Services of Oregon 3rd Tuesday, Jan., Mar., May, Sept. and Nov. 7:00 pm - 8:30 pm Support Group St. Thomas Episcopal Church 1465 Coburg Rd.; Eugene, OR 97401 Jan Johnson, (541) 342-1980 [email protected] BIG (BRAIN INJURY GROUP) Tuesdays 11:00am-1pm Hilyard Community Center 2580 Hilyard Avenue, Eugene, OR. 97401 Curtis Brown, (541) 998-3951 [email protected] page 26 Oregon City 3rd Friday 1-3 pm (on hiatus) Clackamas Community College Sonja Bolon, MA 503-816-1053 [email protected] Portland (14) BRAINSTORMERS I 2nd Saturday 10:00 - 11:30am Women survivor's self-help group Wilcox Building Conference Room A 2211 NW Marshall St., Portland 97210 Next to Good Samaritan Hospital Jane Starbird, Ph.D., (503) 493-1221 [email protected] Fall 2012 BIRC Alumni Support Group On hiatus until further notice BRAINSTORMERS Il 3rd Saturday 10:00am-12:00noon Survivor self-help group Emanuel Hospital, M.O.B.-West 2801 N Gantenbein, Portland, 97227 Steve Wright [email protected] 503-816-2510 BIRRDsong Support Group 1st Saturday, 9:30-11 am Peer Support Group for Survivors & Family Wistar-Morris Room 2211 NW Marshall St., Portland 97210 Next to Good Samaritan Hospital [email protected] CROSSROADS (Brain Injury Discussion Group) 2nd and 4th Friday, 1-3 pm Independent Living Resources 1839 NE Couch St, Portland, OR 97232 Sarah Gerth, 503-232-7411 [email protected] Must Be Pre-Registered FAMILY SUPPORT GROUP 3rd Saturday 1:00 pm-2:00 pm Self-help and support group Currently combined with PARENTS OF CHILDREN WITH BRAIN INJURY Emanuel Hospital, Rm 1035 2801 N Gantenbein, Portland, 97227 Joyce Kerley (503) 320-6092 [email protected] FARADAY CLUB Must be pre-registered 1st Saturday 1:00-2:30pm Peer self-help group for professionals with BI Emanuel Hospital, Rm. 1035 2801 N Gantenbein, Portland, 97227 Arvid Lonseth, (503) 680-2251 (pager) [email protected] HELP (Help Each Other Live Positively) 4th Saturday - 1:00-3:00 pm TBI Survivor self-help group (Odd months) TBI Family & Spouse (Even Months) Cognitive Enhancement Center 604 SE Water Ave Portland 97214 Brad Loftis, (503) 760-0425 [email protected] Please contact at least two days in advance PARENTS OF CHILDREN WITH BRAIN INJURY 3rd Saturday 12:30 - 2:30 pm self-help support group. 12:30-1 pm Currently combined with THRIVE SUPPORT GROUP for Pizza then joins FAMILY SUPPORT GROUP Emanuel Hospital, Rm 1035 2801 N Gantenbein, Portland, 97227 Joyce Kerley (503) 281-4682 [email protected] The Headliner Brain Injury Support Groups provide face-to-face interaction among people whose lives have been affected by brain injury, including Peer Support and Peer Mentoring. Positive Brain Injury Support Group For career persons with brain injury Every other Monday 4:30- 6 pm 4511 SE 39th Ave., Portland, 97202 Call: Nancy Holmes, PsyD, (503) 235-2466 MUST BE PRE-REGISTERED Positive Family Support Group For families, friends, and caregivers of Brain Injury Survivors $20, scholarships available 2nd and 4th Monday's 4:30- 6:00pm Starting Jan. 14th 2013 4511 SE Cesar Chavez Blvd., Portland, OR 97202 Nancy Holmes, PsyD (503) 235-2466 SALEM STROKE SURVIVORS & CAREGIVERS SUPPORT GROUP 2nd Friday 1 pm –3pm Salem Rehabilitation Center 2561 Center Street, Salem OR 97301 Scott Werdebaugh 503-838-6868 Ruby McEliroy 503-390-3372 IDAHO & WASHINGTON TBI SUPPORT GROUPS Quad Cities TBI Support Group Second Saturday of each month, 9 a.m. Tri State Memorial Hosp. 1221 Highland Ave, Clarkston, WA Deby Smith (509-758-9661; [email protected]) Spokane County BI Support Group 4th Wednesday of each month 6:30 p.m.-8:30 p.m. 12004 E. Main, Spokane Valley WA Craig Sicilia (509-218-7982; [email protected]) Toby Brown (509-868-5388) Spokane County Disability/BI Advocacy Group 511 N. Argonne, Spokane WA Craig Sicilia (509-218-7982; [email protected]) VANCOUVER, WA Stevens County TBI Support Group 1st Tuesday of each Month 6-8 pm Mount Carmel Hospital, 982 E. Columbia, Colville, WA Craig Sicilia 509-218-7982; [email protected] Danny Holmes (509-680-4634) TBI Support Group 2nd and 4th Thursday 2pm to 3pm Legacy Salmon Creek Hospital, 2211 NE 139th Street conference room B 3rd floor Vancouver WA 98686 Carla-Jo Whitson, MSW, CBIS [email protected] 360-991-4928 Moses Lake TBI Support Group 2nd Wednesday of each month, 7 p.m. Samaritan Hospital 801 E. Wheeler Rd # 404, Moses Lake, WA Jenny McCarthy (509-766-1907) STARS/Treasure Valley BI Support Group 4th Thursday of each month 7-9 pm Idaho Elks Rehab Hosp, Sawtooth Room (4th Floor), Boise ID Kathy Smith (208-367-8962; [email protected]) Greg Meyer (208-489-4963; [email protected]) TBI Caregivers Support Group 4th Thursday 7-8:30 pm 8818 NE Everett St, Portland 97220 Karin Keita 503-208-1787 [email protected] MUST BE PRE-REGISTERED Pullman TBI Support Group 3rd Tuesday of each month, 7-9p.m. Pullman Regional Hospital, 835 SE Bishop Blvd, Conf Rm B Pullman, WA Alice Brown (509-338-4507) Southeastern Idaho TBI support group 2nd Wednesday of each month 12:30 p.m. LIFE, Inc., 640 Pershing Ste. A, Pocatello, ID Tracy Martin (208-232-2747) Clay Pierce (208-904-1208 or 208-417-0287; [email protected]) TBI SOCIAL CLUB Location varies, call for times & locations Meets twice a month - days and times vary call for information Michael Flick, 503-775-1718 Pullman BI/Disability Advocacy Group 2nd Thursday of each month, 6:30-8:00p.m. Gladish Cultural Center, 115 NW State St., #213 Donna Lowry (509-725-8123) Twin Falls TBI Support Group 3rd Tuesday of each month 6:30-8 p.m. St. Lukes’ Idaho Elks Rehab Hosp, Twin Falls, ID Keran Juker ([email protected]; 208-737-2126) Greater Persons Toastmasters Club (for People with Brain Injury) On Hiatus until further notice Caleb Burns, (503) 913-4517 SPOKANE, WA Spokane TBI Survivor Support Group 2nd Wednesday of each month 7 p.m. St. Luke's Rehab Institute, 711 S. Cowley, #LL1, Spokane, WA Craig Sicilia (509-218-7982; [email protected]) Michelle White (509-534-9380; [email protected]) Valerie Wooten (360-387-6428) *Northern Idaho TBI Support Group *For Veterans 3rd Sat. of each month 1-3 pm Kootenai Med. Center, 2003 Lincoln Way Rm KMC 3 Coeur d’Alene, ID Sherry Hendrickson (208-666-3903, [email protected]) Craig Sicilia (509-218-7982; [email protected]) Ron Grigsby (208-659-5459) THRIVE SUPPORT GROUP 3rd Saturday 12:30 - 2:30 pm Brain Injury Survivor support group Ages 15-25 Emanuel Hospital, MOB West Medical Office building West Directly across from parking lot 2 501 N Graham, Portland, 97227 Kate Robinson, 503-318-5878 [email protected] MUST BE PRE-REGISTERED Roseburg UMPQUA VALLEY DISABILITIES NETWORK 2nd Monday 12 noon - 1:15pm 736 SE Jackson St, Roseburg, OR 97470 (541) 672-6336 [email protected] Salem (3) SALEM BRAIN INJURY SUPPORT GROUP 4th Thursday 4pm-6pm Salem Rehabilitation Center, Conf Rm 2 A/B 2561 Center Street, Salem OR 97301 Megan Snider (503) 561-1974 [email protected] SALEM COFFEE & CONVERSATION Fridays 11-12:30 pm Ike Box Café 299 Cottage St, Salem OR 97301 The Headliner Spokane Family & Care Giver BI Support Group 4th Wednesday of each month, 6 p.m. St. Luke's Rehab Institute, 711 S. Cowley, #LL1, Spokane, WA Melissa Gray ([email protected]) Craig Sicilia (509-218-7982; [email protected]) Michelle White (509-534-9380; [email protected]) *TBI Self-Development Workshop “reaching my own greatness” *For Veterans 2nd & 4th Tues. 11 am- 1 pm Spokane Downtown Library 900 W. Main Ave., Spokane, WA Craig Sicilia (509-218-7982; [email protected]) Fall 2012 “Any man who reads too much and uses his own brain too little falls into lazy habits of thinking” – Albert Einstein page 27 NON-PROFIT ORG U. S. Postage PAID PORTLAND, OR PERMIT NO. 3142 The Brain Injury Alliance of Oregon Formally the Brain Injury Association of Oregon PO Box 549 Molalla OR 97038 David Dubats | CEO Second Step, Inc. | "Helping People Walk Again" P.O. Box 42121 | Eugene OR 97404 [email protected] | secondstepinc.com Toll Free: 877.299.STEP | Direct: 541.337.5790 | [email protected] 503-224-5077 fax: 503-299-6178 Vehicle Donations How To Contact Us Brain Injury Alliance of Oregon (BIAOR) PO Box 549 Molalla, OR 97038 Toll free: (800) 544-5243 Email: [email protected] Website: www.biaoregon.org Fax: 503-961-8730 BIAOR Open [email protected] BIAOR Advocacy Network [email protected] Through a partnership with VDAC (Vehicle Donations to Any Charity), The Brain Injury Alliance of Oregon, BIAOR, is now a part of a vehicle donation system. BIAOR can accept vehicles from anywhere in the country. VDAC will handle the towing, issue a charitable receipt to you, auction the vehicle, handle the transfer of title, etc. Donations can be accepted online, or call 1-866-3321778. The online web site is http://www.v-dac.com/org/? id=930900797 This newsletter was sponsored in part by cbirt.org. page 28 Thank you to all our contributors and advertisers. Fall 2012 The Headliner
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