Special Thanks to our Conference Sponsors:

Thomson, Rogers Gluckstein & Associates

Acquired Brain Injury Outreach Network McLeish Orlando LLP Alert Best Nursing & Home Care Power Occupational Services Inc.

Power Occupational Services Inc.

Charles H. Tator Paul Rosen

CM, MD PhD,

FRCSC, Professor of

Neurosurgery,

University of Toronto

and Toronto Western

Hospital

Introducing our Keynote Speakers

BRAIN INJURY ASSOCIATION OF NIAGARA

And FRIENDS HELPING FRIENDS

Thomson Rogers Gluckstein & Associates LLP

Acquired Brain Injury Outreach Network Inc. Alert/Best Nursing & Home Care

Daniel & Partners LLP Graves Richard Harris LLP

Power Occupational Therapy Services Inc. McLeish Orlando LLP

The Business Link Health Wellness & Safety Magazine

Paralympic Games,

Gold Medalist, 2006

Torino, Italy;

Sledge hockey goal-

tender for Team Canada

Americana Conference Resort and Spa 8444 Lundy’s Lane, Niagara Falls, ON

Presents our 14th Biennial Conference

Thursday, October 18, 2012

Special Thanks to our Sponsors:

Making the Invisible

. . . More Visible

WELCOME AND INTRODUCTION Program at a Glance Host

Brain Injury Association and Friends Helping Friends wel-come you to our 14th Biennial Conference —“Making the In-visible . . . More Visible.”

Our Target Audience

This conference will be of special interest to Professionals working in the field of ABI rehabilitation, Physiotherapists, Occupational Therapists, Speech and Language Pathologists, Psychologists, Case Managers, Insurance and Legal Repre-sentatives, Survivors, Families and/or Caregivers, parents of school-aged children, Teachers, Coaches and/or Athletes.

Our Conference Program

Includes both plenary and workshop sessions, featuring a variety of dynamic speakers who will discuss topics relating to recognition, prevention, and management of sports-related concussions, as well as encompassing the broader topic of mTBI (MVA, falls, assaults), along with legal presentations and case studies on mTBI and catastrophic assessment.

Continuing Education Credits

Delegates are encouraged to review self-assessment guide-lines issued by their professional college/association for con-tinuing education credits, or contact their professional college or association for further info.

Keynote Presenter– Paul Rosen

“To Make Your Dreams come True, First you

have to Open your Eyes”

Paul Rosen will share his personal story regarding the psy-chological and emotional toll of the cumulative effects of the multiple concussions, and the significance of possible long-term consequences from these concussions. He will also share his insights with respect to the impact of the ongoing epidemic of head injuries in sports, and the resistance and/or stigma by professional hockey players when it comes to self-disclosure when a concussion occurs.

Keynote Presenter—Charles H. Tator,

CM, MD, PhD, FRCSC

Dr. Tator has been Head of Neurosurgery at Sunnybrook Hos-pital, the Toronto Western Hospital, and the University Health Network. In 1992 he founded ThinkFirst, Canada; currently, he is a Senior Scientist in the Toronto Western Research Institute and Professor of Neurosurgery at the University of Toronto.

Dr. Tator will present, “Concussions in Sports and Recrea-tion: Recognition, Management and Prevention.” We are slowly realizing the significant impact of concussions in sports and recreation. The incidence and long-term effects are much greater than previously appreciated. This lecture will stress the importance of reliable recognition, expert man-agement and the dedicated teamwork required for prevention. The concussion spectrum of conditions will be described ranging from acute concussion to repetitive concussions with the development of chronic traumatic encephalopathy.

Conference Schedule—Thursday, October l8, 2012

Americana Conference Resort & Spa

Grande Ballroom North

7:00-8:15 Registration & Continental Breakfast

Hosted by Gluckstein & Associates LLP

8:25-8:45 Welcome & Opening Remarks

8:45-9:30 Keynote Presentations

“To make your Dreams come True, first you have to Open your Eyes” by Paul Rosen, Paralympic Gold Medalist

Sponsored by Thomson, Rogers

9:35-10:35 “The Concussion Spectrum from Acute to Brain Degeneration” by Charles H. Tator, CM, MD, PhD, FRCSC

10:35-10:50 Refreshment Break

View Exhibits and Networking

10:50-11:35 Concurrent Sessions—A

11:40-12:25 Concurrent Sessions—B

12:25-1:45 Buffet Luncheon-Grande Ballroom South—Hosted by Thomson Rogers

1:45-2:45 Concurrent Sessions—C

2:45-3:00 Refreshment Break View Exhibits and Networking

3:00-4:00 Concurrent Sessions—D

4:00-5:00 Concurrent Sessions—E

5:00-5:15 Closing Remarks, Evaluations & Draws We gratefully acknowledge the generous support from:

Platinum Sponsor Gold Sponsor

Bronze Sponsors

CONCURRENT PRESENTATIONS

A1. Brain Function after Mild Traumatic Brain Injury: Insights from

Event-related Potentials and Functional Magnetic Resonance Imaging—Alain

Ptito, PhD, Director, Department of Psychology, McGill University Health Centre,

Professor, Neurology/Neurosurgery, McGill University Neuropsychologist, Mont-

real Neurological Institute. The goals of the talk will be to present the clinical pic-

ture of concussion and mild head injury in motor vehicle victims with an emphasis

on sports. Functional magnetic resonance imaging and event-related potentials

data obtained from athletes with persistent post-concussive symptoms, particularly

depression will be described. Serial functional neuroimaging studies suggestive of

recovery will also be introduced. Data obtained with children aged 10-17 will also

be discussed and compared to those of adults.

A2. Current Perspectives on the Assessment and Clinical Management

of Sport-related Mild Traumatic Brain Injury—Paul Comper, PhD, CPsych,

Toronto Rehabilitation Institute-University Health Network. Sport-related mild trau-

matic brain injury (also referred to as concussion) is a serious public health con-

cern that affects thousands of recreational and competitive athletes in many

sports, across all the levels of play, every year in Canada. Along with consider-

able media and public attention focused on the issue, concussion research has

increased exponentially over the past decade, with the result that there is currently

a much better understanding with respect to the identification and clinical manage-

ment of athletes with sport-related mTBI. Broad-based public and sport-specific

education efforts have also helped to bring awareness to the issue of concussion.

This presentation will give an overview of current best practices in the assessment

and management of athletes with sport-related concussion, from sideline assess-

ment to rehabilitation, with particular emphasis on the utility and limitations of

baseline neurocognitive testing as part of the concussion management protocol.

Issues such as delayed recovery, psychological and emotional consequences of

concussion, returning to play (or returning to learn) vs. retirement will also be ad-

dressed. The presentation will draw from current and evolving research specific

to amateur, elite and professional athletes. The University of Toronto concussion

assessment and management model, developed and implemented in 2000, will

also be discussed.

B1. Clinical Guidelines for the Care of Mild Traumatic Brain Injury and

Persistent Symptoms—Shawn Marshall, MD MSc FRCPC. The Ontario Neuro-

trauma Foundation (ONF) initiated this project with the overall objective to create a

set of guidelines that can be used by healthcare professionals to implement evi-

dence-based, best practice care of individuals who incur a mild traumatic brain

injury (mTBI) and experience persistent symptoms. Persistent symptoms are not

an uncommon complication of TBI; 10 to 15% of individuals who incur mTBI will

continue to experience significant symptoms beyond the normal recovery period of

three months which can include posttraumatic headache, sleep disturbance, disor-

ders of balance, cognitive impairments, fatigue, and mood or affective disorders.

With the high incidence of mTBI this potentially translates to a significant number

of individuals who may experience associated disability. The present guidelines

are appropriate for use with adults (>18 years) who have experienced mTBI and

will contribute to management of patients with persisting symptoms following mild

TBI.

B2. Return to Learn—Experiences with Concussion Manage-

ment at St. Michael’s College School —Barbara Csenge, Director of

Learning Enrichment, St. Michael’s College School. Return to Learn

was designed to manage a step- wise recovery for students with con-

cussion in terms of the academic classroom. Return to Play protocols

have been in place for some time but a strategy to support and educate

school teams about the cognitive and academic challenges had been

less clearly and consistently defined. Return to Learn promotes early

education, medical diagnosis and graduated return to cognitive stimula-

tion.

B3. Translating Research into Policy: Towards a Comprehen-

sive Strategy to Address Concussion in Canada— Sandhya and

Swapna Mylabathula, Hon. BSc. This private Member’s Bill proposal

outlines and details three essential components that make several rec-

ommendations: A National Concussion awareness Week; a National

Strategy to Address Concussion in Canada focusing on awareness,

prevention, diagnosis, management, and a government-initiated board;

as well as a Centre for Excellence in Concussion Research. Overall,

the ultimate goal for this Private Member’s Bill proposal is to improve

prevention, awareness, management, and diagnosis for a broad range

of target populations, including sport and occupational, as well as adult

and paediatric populations, in order to help all Canadians who suffer

from concussions, their families and caregivers.

C1. Making the Invisible Catastrophic Brain Injury a Visible

Catastrophic Designation—David R. Payne and David A. Tenszen,

LLPs, Thomson Rogers. David R. Tenszen and David A. Payne are

both senior partners at the law firm of Thomson Rogers. Thomson

Rogers has been specializing in catastrophic personal injury law for 75

years. The “two Davids” are experienced trial lawyers who have spent

their entire careers advocating on behalf of brain injury survivors and

their families. This presentation will educate participants on how to

ensure every possible impairment is properly assessed and pursued to

obtain a catastrophic designation. In a world where an insurer’s medical

assessors have calculated a 1% whole Person Impairment, only to have

an Arbitrator rule a 74% Whole Person Impairment, this knowledge is

key. All relevant authorities will be reviewed in order to educate the

participants on what questions to ask to be able to understand what has

to be done to maximize a successful determination of catastrophic des-

ignation. The special legal considerations for assessments that apply to

a paediatric catastrophic determination will also be discussed. In addi-

tion, on April 16, 2012 the Provincial Legislature created a Select Stand-

ing Committee to study and report on the current definition of catastro-

phic impairment. The recommendations of this committee and any

statutory amendments to the definition of catastrophic impairment will

also be discussed.

Session A

Session B

Session B cont’d.

Session C

CONCURRENT PRESENTATIONS Session D cont’d.

5432 Any Street West Townsville, State 54321 425.555.0132 ph 425.555.0133 fax www.adatum.com.

simplifying IT

C2. Seven Habits of Highly Effective Families: Strategies for Navi-

gating the Journey after ABI (Part I)—Caron Gan, RN, MScN, AAMFT Ap-

proved Supervisor, Registered Marriage and Family Therapist, Family Support

Service, Brain Injury Rehabilitation Team, Holland Bloorview Kids Rehab Hos-

pital. The family is usually the primary support for individuals after mild trau-

matic brain injury (mTBI). Families play a pivotal role in that injured individual’s

recovery but they typically navigate the complex world of brain injury without a

roadmap on how best to cope. Family members often report role changes,

role strain, symptoms of distress, and burden related to the demands of care-

giving. This presentation will highlight the major adjustments facing spouses,

parents, siblings, children, and families after mTBI. Tips and strategies for

coping and living with a family member with complicated mTBI will be shared.

The presentation will conclude with a synopsis of the seven habits of highly

effective families and ways of rebuilding a “new normal” after mTBI.

C3. Educating Ourselves: Exploring the Potential of Brain Injury

Prevention and Intervention—Catherine Fife, President, Ontario Public

School Boards’ Association. Major insights are emerging daily in the field of

acquired brain injuries but the body of knowledge still remains limited. It is,

therefore, critical for School Boards to rely on outside experts for guidance and

to update their “return to learn”, “return to play”, and “brain injury identification”

protocols regularly. Through Ophea, School Boards are working with medical

specialists to identify ways to access students for possible brain injuries and

find ways to reduce their occurrence. Learn about the new legislative respon-

sibilities for school boards, what successful practices are being implemented

by boards and how boards are playing a more proactive and positive role when

dealing with acquired brain injuries.

D1. The Journey to Living Well with a Mild Traumatic Brain Injury—

Sherrie Bieman-Copland PhD, CPsych with Kate Hill, Survivor. “This is fun,

I’ve never been hit by a car before!” Though Kate doesn’t remember, these

were the first words that she spoke after being struck by a car as a pedestrian.

Little did she know, the “fun” would last for the next 6 years as she was deter-

mined to complete her university degree. Her broken leg healed quickly, but

the underestimated mild traumatic brain injury proved to be a formidable oppo-

nent. The anosognosia didn't help. She couldn’t connect that going back to

school was not a good idea when she couldn’t read for more than 15 minutes

without throwing up. Sometimes determination, when living with a mild trau-

matic brain injury, can be one’s enemy. One year, two failed courses, and a

mental breakdown later, Kate met Dr. Sherrie Bieman-Copland. The collabo-

rative therapeutic alliance that emerged from this introduction helped Kate

understand, manage, and make peace with the formidable opponent. This

collaborative presentation tells the story of Kate’s journey with Dr. Bieman-

Copland to living well with her mild traumatic brain injury and the lessons both

learned along the way.

D2. My Claimant has a Brain Injury and is Returning to School: Do I

need a Speech-Language Pathologist or a Tutor?—Annmarie O’Leary,

MHSC, SLP-Reg. CASLPO, Lear Communication. Research indicates that 80-

100% of individuals with brain injury will have some form of communication

disorder. Speech-language pathologists have a unique knowledge base of

how cognition interacts with speech and language and this knowledge is

crucial in helping these individuals successfully reconnect with their worlds.

This seminar will review the spheres of communication (understanding,

speaking, reading, writing) and how each may be affected by brain injury.

The overlap of cognition and language skills to create effective (or impaired)

communication will be discussed in addition to how SLPs can assess and

treat the interaction. When returning to school after brain injury, effective

communication skills are critical to success. Language is the medium of

instruction—we have to be able to listen and comprehend in class; to read

and comprehend from books; to write answers and essays and to speak to

answer questions and do presentations. Participants will learn about the

complementary roles of an academic tutor and a SLP and how the com-

bined skill sets allow students to work to their best potential. Real-life clini-

cal examples will be provided.

D3. Seven Habits of Highly Effective Families (Part II Cont’d.)

E1. OVERCOMING ADVERSITY—The obstacles of our past can

become the gateways that lead to new beginnings—Charles Gluck-

stein,LLP and Dianne Henderson, RN, BPsych, MEd, Medical Consultant,

Gluckstein & Associates LLP. The specialist nature of working with survi-

vors and the way in which lawyers play a part in the process of helping to

rebuild lives of those who have sustained brain injuries is often best illus-

trated through the case studies of those we have helped. We will share

some amazing stories of families who have turned misfortune into opportu-

nity.

E2. Sleep and Wake Disturbance after mTBI—Catherine Wiseman-

Hakes, PhD candidate, Reg. CASLPO. This workshop will introduce the

subtle and not so subtle changes to sleep and wakefulness in both the

acute and chronic stages of mTBI. An overview of sleep and its role in re-

covery and day-time function will provide a background for understanding

the impact of these disturbances, and how sleep architecture and waking

eeg can potentially be used as objective biomarkers of injury and recovery.

Finally, suggestions and strategies for management will be discussed.

Upon completion of the workshop, participants should have an understand-

ing of the role of sleep in recovery and day-time function, be better

equipped to identify the types of sleep and wake disturbance seen after

brain injury, and be introduced to current pharmacologic and non-

pharmacologic management options.

E3. Nutrition and Brain Injury—How we Think, Feel and Behave

can be Reflected by What we Eat—Kylie James, BSc, OT, RNCP. We

are what we eat is truer than you think. The food we ingest gets broken

down by our digestive system and our body in turn absorbs and uses it to

help repair and maintain the various functions of the body and the brain.

Following a brain injury various hormonal and physiological changes take

place and a survivor has to deal with multifaceted problems such as medi-

cations, pain, digestive disruptions, stress, orthopedic injuries, fatigue, and

cognitive difficulties. Learning and implementing basic nutritional principles

can help survivors and their families optimize brain function and can reduce

brain injury related symptoms.

Session D

Session E

Delegate Registration Form (Please Print)

Name:__________________________________________________ Position_______________________________

Organization___________________________________________________________________________________

Address_________________________________________ City_____________________________________

Postal Code______________________________________ Email_____________________________________

Bus. Phone_______________________________________ Bus. Fax___________________________________

Home Phone______________________________________ Conference Attendance Certificate required __Yes No__

Concurrent Sessions (Check your choice for each session)

Session A1_____ A2_____

Session B1_____ B2_____ B3_____

Session C1_____ C2_____ C3_____

Session D1_____ D2_____ D3_____

Session E1_____ E2_____ E3_____

Deadlines (check your registration options)

□ Early registration for professionals $200

(includes teachers, coaches, school board trustees)

*Postmarked by Sept.18, 2012

□ Late registration for professionals $275

□ Parents (with children/adolescents in $100

elementary/secondary school system)

□ Family members and/or caregivers (ABI) $100

□ Survivors (ABI) $ 75

Your registration fee must accompany this form or the

registration will NOT be processed.

BIAN reserves the right to restrict participation, and/or the right to adjust the program or cancel this conference due to insufficient regis-tration or circumstances beyond our control.

Register early! Space is limited!

Please mail your registration form along with your cheque, pay-

able to Brain Injury Association of Niagara, to our Post Office

Box mailing address:

Brain Injury Association of Niagara

P. O. Box 20019, Thorold, ON L2V 5B3

Delegates with special needs: For your convenience a limited number of handicap parking spaces have been reserved in the South parking lot. Please access the conference facility via the South entrance.

Cancellation Policy: Refund of registration fees will be made less a $50 administration fee, with written notice postmarked by October 3, 2012. No refunds issued after this date, although delegate substitu-tion is acceptable. No registrations will be accepted on the day of the conference.

For More Information Contact: Pat Dracup, Program Director

BRAIN INJURY ASSOCIATION OF NIAGARA

Phone: 905 984-5058 Fax: 905 984-5354

Email: pat@bianiagara.org www.bianiagara.org

Exhibit Space: Exhibitor spaces are available to agen-

cies who wish to share information about their services,

programs and/or products at the conference. Exhibitor fee

includes 8 ft. cloth covered table, one chair and one non-

transferable exhibitor registration. Register early.

Space is limited. Additional participants pay the individ-

ual professional rate.

Please check all that apply:

Exhibitor registration– display area and

non-transferable registration $550

Electrical outlet needed ___Yes ___No

Additional cost of $20 to exhibitors for electrical outlet;

Please supply your own extension cord.

Exhibit set up/tear down time:

6:30-7:00 am - October l8, 2012. Tear down at 5:30 pm.

To reserve exhibit space please complete and return no

later than September 30, 2012 along with your cheque

payable to Brain Injury Association of Niagara.

***please note our new postal mailing address.

Registration Forms

Additional registration forms can be downloaded from

BIANs website at:

www.bianiagara.org

Accommodation: Americana Conference Resort

and Spa, 8444 Lundy’s Lane, Niagara Falls, ON

For reservations call 905-356-8444 or 1-800-263-3508

Ask for block booking under Brain Injury Association of Niagara. Standard Room rate $79 plus taxes, based on sin-gle or double occupancy (does not include Water Park).

Directions from Toronto, Ontario

Take QEW Niagara to the Lundy’s Lane/Dorchester Rd. exit. (Exit 30B)

Keep right off Exit 30B and follow to Montrose Rd.

Turn left onto Montrose Rd and follow to Lundy’s Lane

Turn right onto Lundy’s Lane and follow to the

Americana which is located on the left-hand side just

past Kalar Rd.