Val Lougheed Northern Lights Canada Real Work * Real People * Real Results Diversified Rehabilitation Group Trauma, Rehabilitation and Recovery ~ Keep your Fork ~ 1-800-361-4642 * www.northernlightscanada.ca * [email protected]
Dec 18, 2014
Val LougheedNorthern Lights Canada
Real Work * Real People * Real Results
Diversified Rehabilitation Group
Trauma, Rehabilitation and Recovery
~ Keep your Fork ~
1-800-361-4642 * www.northernlightscanada.ca * [email protected]
“You don’t want your impairments to define you – you want them to inform you.”
(Hanita Dagan, personal communication, 2005)
www.slideshare.net/vlougheed
#NLCAN
www.northernlightscanada.ca/our-company/
our-president/be-still
Agenda
•Beginning …
•Middle …
•End …
Organizational Health and Wellness
1. What does it mean to recover?
2. What can I do to recover and return to a life that includes work?
3. What can we do to facilitate recovery and a return to work?
Rated PG-113
People Strongly Cautioned!
May contain bad language, brief nudity, sexual overtones, and drug usage.
Beginning
1978
VIDEO CLIP Val being
interviewed in Minden
Sept. 9, 2003 - morning
Sept. 9 – p.m.
Sept. 15 2003 – Jan. 19 2004
Journey Back to Life
February 2004 – Present
Starting Point
The
Re-organization
of Self
March 2004
“In the aftermath of traumatic life events … [the] sense of self has been shattered.”
(Herman, 1992, p. 61)
“An existential crisis …”
(Hanita Dagan, personal communication, 2005)
Sliding Down the Slope
Sliding Down the Slope
A Foothold
• Mild – moderate ABI
• Depressed (dysphoria)
• Working memory problems
• Hiding pain
1st Neuropsychological Assessment
June 2004 -- Results
ABI – Measuring Loss
Subjective Report – difficulty retrieving words and communicating ideas
Objective Report – above-average performance on neuropsychological measures
(Prigatano, 1999; p. 59)
Losing My Grip
My IWRPAugust 2004
Video of Borg
Rescued in the Valley of Despair
Head Injury ProgramOct. – Dec. 2004
GRTW – The Plan
Jan. 3 – Feb. 7, 2005
(5 weeks)
GRTW – The Reality
GRTW – The Reality
GRTW – The Reality
GRTW – The Reality
GRTW – The Reality
GRTW – The Reality
GRTW – The Reality
GRTW – The Reality
GRTW – The Reality
WSPE
Work-Site Performance Evaluation©
Sue….with the graph pic
Sliding Back Down Into The Abyss
• Non-compliance
• Malingering
• Trying too hard
• Not trying hard enough
2nd Neuropsychological Assessment
May 2005 -- Edmonton
Test Results• Mild to Moderate ABI
• Pain?
• Depression?
• Motivation?
• “a high flyer”
• “phobic avoidance”
• Future plans – “live off dividends” [from company]
Lesson
ASSUMPTIONS
REVEAL BIAS
• Mild – moderate ABI
• Good prognosis
• Post-Traumatic amnesia
• Pain?
• Depression?
• “Adjustment Disorder with Anxiety and Depressed Mood”
3rd Neuropsychological Assessment
August 2005 -- Calgary
Symptom Overlap
(co-morbidity)
(Michael Sullivan, Centre for Research on Pain and
Disability, McGill University, September, 2006)
Pain, Trauma, Depression, ABI
Oct. 3 – Dec. 11
Pain Research
1600’s – Rene Descartes (philosopher)
Pain Research
1950’s – Wilder Penfield (brain surgeon)
Pain Research
Patrick Wall (physiologist)Ronald Melzack (psychologist)
Pain – The Future
SCN9A(Globe and Mail, March 24, 2007)
Glia Cells(Scientific American, November, 2009)
Poppy Genes(U of Calgary -- Calgary Sun, March 15, 2010)
“In every encounter, basic trust is in question.” ( Herman, 1992, p. 92)
“Survivors feel unsafe in their bodies – and in any relationship with other people.” (Herman, 1992, p. 160)
Rehab & Recovery
DISSOCIA
TION
Trauma Research
VIDEO CLIPAdrenaline: Flight or Fight Response
Trauma Research
Fight
Freeze
“Survival Central”(Rothschild, 2000, p. 46)
•Amygdala - Implicit memory• storage of emotions and sensory
reactions (Rothschild, 2000, p. 20)
•Hippocampus – Explicit memory• creates memories of actual sequence
of events(Rothschild, 2000; p. 28)
Trauma ResearchLimbic System and Memory
Stress Hormones
•Amygdala - Implicit memory• storage of emotions and sensory
reactions (Rothschild, 2000, p. 20)
•Hippocampus – Explicit memory• creates memories of actual sequence
of events(Gunnar & Barr, 1998)
Trauma ResearchLimbic System Under Threat
TraumaPersonal Experience
• Dissociation & Cocoon = Safety
• System on High Alert Always = Survival
• World is black & white = Trust
Trust (Safety) = Love
No Trust (Life Threatening) = Hate
TraumaPersonal Experience
• Listen to me
• Understand me
• Respect me
• Are competent
I trust (love, feel safe with, will try hard for) people who:
“… depression [caused by trauma] is not the same as ordinary depression.”
( Herman, 1992, p. 118)
Depression
Candace Pert, 1997; pp. 171 -- 179
Psychoimmunoendocrine Network
Affects more than IQ ….
Touches core … of a person’s self-esteem
(Prigatano, 1999; p. 58)
ABI
Back to Wilder Penfield – 1950’s
ABI
Localizationist
VIDEO CLIP Story of Paul Bach-y-Rita’s dad
Paul Bach-y-rita Neuroplasticity Video Clip;
link to Neuroplasticity – YouTube; bren49764
00 – 2:20
Paul Bach-y-Rita – 1934 – 2006
Scientist and Rehab Doctor
Neuroplasticity - 1969
METHODS OF HELPING
“The words and attitudes of others … are potent. They help or hex healing and recovery.”
“ Expectations are powerful.”
(Bolen, 1996; p. 94)
Body-Mind Connection
SCARF MODEL (Rock, 2008)
•Hypothalamus
•Peptides
•Receptors
•Biochemical Events
Video clip Addicted to Love song
Quantum Connection The Living Matrix
(Braden, 2007; p. 45)
VIDEO CLIP Esther
SternbergDr. Esther Sternberg Demo
Reel – YouTube; 00 -- .36
Cortisol and Immune Cells
Sternberg, 2001; p. 112
“Loss of identity can evoke a personal crisis, creating a need for change.”
(Ornelas, in Smith & Johnson (Eds), 1997; p. 172)
The Re-Organization of Self
Identity Research
Scaling the Canyon
Sept., 2005
Waskesiu
Breast Cancer Reconstructive Surgery
March 2006
Convocation M.Ed. -- June 2006
Back in “a” SaddleSeptember 2007
• Officially change role/ title
• Re-organize NL
• Home Office
Diversified Rehabilitation Group
Resilience Ability to return to original form after
being bent (bounce back)
Thriving in constant change, ability to be:
• Flexible
• Creative
• Adaptable
• Learn from experiencehttp://www.resiliencycenter.com/articles/5levels.shtml
Diversified Rehabilitation Group
Rehabilitation (habiter – to live inside)
“Rehabilitation is the learning to live inside not only one’s body, however it is after an injury or illness, but inside one’s very being.”
(Kabat-Zinn, in Meili, 2003; p. 241)
Diversified Rehabilitation Group
RecoveryCuring Focus on the illness/
impairment [outside]
Healing Focus on the person [inside]
(Crombez, October; 2003)
Be Still
Organizational Health and Wellness
1. What does it mean to recover?
2. What can I do to recover and return to a life that includes work?
3. What can we do to facilitate recovery and a return to work?
Keep Your Fork
Northern Lights Canada is a person-centred organization committed to providing innovative, responsive links to real work.
We offer 4 major divisions of service: • Vocational Rehabilitation Services • Employment Services • Employer Services• Corporate Training
For more information, please contact us: 1-800-361-4642
www.northernlightscanada.ca
Voc Rehab Canada (VRCAN) is a national consortium of experienced regional vocational rehabilitation companies. VRCAN provides customers with single-point access to VR services anywhere they are needed in Canada, whether on an individual service or contract basis.
Member companies include:Argus Management Consultants,
Inc. Sandra Preeper & Associates
Advantage Rehabilitation Consultants Ltd.
Rehabilitation Alternatives Limited / Vocational Alternatives Software
OPTIMA Rehabilitation CVE Inc.
Northern Lights Canada Occupational Rehabilitation Group of Canada (ORGOC)
Western Rehabilitation Specialists Inc.
Diversified Rehabilitation Group
Genesis Rehabilitation Ltd. Rehabilitation FocusFor more information, please feel free to contact us at 1-800-361-
4642