SECTION 1: Components of the Optimal TBI Rehabilitation …

1 September 2017. Tools and resources The following are suggestions of tools and resources that can be used to support the implementation of the recommendations in this SECTION . Healthcare professionals must respect the legal and normative regulations of the regulatory bodies, in particular with regards to scopes of practice and restricted/protected activities, as these may differ provincially. SECTION 1: Components of the Optimal TBI Rehabilitation System A. Key Components of TBI Rehabilitation Clinical Tools: Glasgow Coma Scale (GCS). mayo - portland adaptability inventory 4 (MPAI-4). Functional Independence Measure (FIM) and Functional Assessment Measure (FAM).

2 Disability Rating Scale JFK Coma Recovery Scale Revised (CRS-R). Modified Ashworth Scale Quality of Life after Brain injury (QOLIBRI). Rancho Levels of Cognitive Functioning Scale Crisis Prevention Institute (CPI) materials Comportements perturbateurs en r adaptation Trousse d'intervention (Disruptive behaviour in Rehabilitation . Intervention Kit) IRDPQ, CIUSSS CN (in French only). Plan d'intervention individualis (PII) Guide d' laboration et de r vision (Example of an Interdisciplinary intervention plans User guide) CRDP InterVal, CIUSSS MCQ (in French only). Plan d'intervention individualis (Example of an Interdisciplinary intervention plan) CRDP InterVal, CIUSSS MCQ (in French only).

3 Length of Stay (LOS) Reference table Patient and Family Resources: Rancho Los Amigos Level of Cognitive Functioning Scale: A Guide for Family and Friends Other Resources: Liste des installations offrant des services de r adaptation pour la client le adulte ayant subi un TCC mod r ou s v re province de Qu bec (List of facilities offering Rehabilitation services for adult with moderate or severe TBI . Province of Quebec) (in French only). Exemple d'un protocole d'entente (Standing agreement / transfer / collaboration protocols between acute and Rehabilitation facilities) (in French only). Rehabilitation Measures Database The Center for Outcome Measurement in Brain Injury (COMBI).

4 TBI Model Systems National Data and Statistical Center Access Data and Reports from the Canadian Institute for Health Information (CIHI). National Rehabilitation Reporting System Metadata For substance abuse see SECTION S. Substance Use Disorders for tools and resources For Neurobehaviour and Mental Health see SECTION R. Neurobehaviour and Mental Health for tools and Resources To be Developed Locally: Clearly defined admission criteria including clear definition of what is a medically stable and rehab ready condition. 1. SECTION 1: Components of the Optimal TBI Rehabilitation System B. Management of Disorders of Consciousness Clinical Tools: The Spaulding Disorders Of Consciousness Comprehensive Evidence-Based Assessment Battery (DOC COMPASS).

5 Glasgow Coma Scale (GCS). Wessex Head Injury Matrix (WHIM). Sensory Modality Assessment and Rehabilitation Technique (SMART). JFK Coma Recovery Scale Revised (CRS-R). Royal College of Physicians guidelines Patient and Family Resource: Vegetative and Minimally Conscious States after Severe Brain injury TBI Model Systems Knowledge Translation Center Other Resource: ACRM Disorders of Consciousness Task Force ACRM. C. Subacute Rehabilitation Clinical Tools: Plan d'intervention individualis (PII) Guide d' laboration et de r vision (Interdisciplinary intervention plans User guide) CRDP InterVal, CIUSSS MCQ (in French only).

6 Plan d'intervention individualis (Interdisciplinary intervention plan) CRDP InterVal, CIUSSS MCQ (in French only). Definition of advanced cognitive functions: Appendix 1: SLP Prob Math Money Memory col-Long Definition p. S327 in Traumatic Brain Injury Patient, Injury, Therapy, and Ancillary Treatments Associated With Outcomes at Discharge and 9 Months Postdischarge. Horn, S. D., Corrigan, J. D., Beaulieu, C. L., Bogner, J., Barrett, R. S., Giuffrida, C. G& al. (2015). Arch Phys Med Rehabil, 96(8 Suppl), S304-329. Engagement Rating Scale: Appendix 1 p. 883 in The Hopkins Rehabilitation Engagement Rating Scale: Development and Psychometric Properties.

7 Kortte KB, Falk LD, Castillo RC, Johnson-Greene D, Wegener ST. Arch Phys Med Rehabil 2007; 88:877-84. Rehabilitation Intensity of Therapy Scale: Appendix 1 in Patient Effort in Traumatic Brain Injury Inpatient Rehabilitation : Course and Associations With Age, Brain Injury Severity, and Time Post injury. Seel, Ronald T. et al. Archives of Physical Medicine and Rehabilitation , Volume 96, Issue 8, S235 S244. Pittsburgh Rehabilitation Participation Scale Discharge Planning Guidelines Length of Stay (LOS) Reference table Other Resource: Elements of the RCA capacity-planning tool D. Promoting Reintegration and Participation Clinical tools: mayo - portland adaptability inventory 4 (MPAI-4).

8 LIFE-H (RIPPH). Work-Ability Support Scale Work Role Functioning Questionnaire (in French only). How to Conduct a Post-discharge Follow-up Phone Call Toolkit Agency for Healthcare Research and Quality (AHRQ). Goal Attainment Scaling Activity Card Sort Activity Measure for Post Acute Care 2. SECTION 1: Components of the Optimal TBI Rehabilitation System Components of the Vocational Evaluation following mTBI (Appendix ) from the ONF Adult mTBI guidelines Return to Work Considerations (adapted from Stergiou-Kita 2012). Identification des meilleures pratiques de rem diation des fonctions cognitives reli es la conduite automobile chez les personnes ayant subi un traumatisme cranioc r bral mod r ou grave (Identification of Best Practices for Remediation of Cognitive Functions Related to Driving for People with Moderate to Severe Traumatic Brain Injury).

9 IRDPQ, CIUSSS CN (in French only). L' valuation des capacit s reli es au travail pour une client le pr sentant une d ficience physique Guide de pratique l'intention des ergoth rapeutes (Assessment of work-related abilities for people with physical disabilities Practice Guide for Occupational Therapists) IRSST (in French only). Patient and Family Resources: Guide en soutien la famille (Guide to Family Support For The Parents of a Child or an Adult with a disability) . OPHQ (in French only). Factsheet for Driving After Traumatic Brain Injury TBI Model Systems KT Center Survivor Life Skills Tool Kit: Workbooks help survivors rebuild their lives after brain injury Bell KR, Fraser RT.

10 , Johnson KL, Leonhardt D., Stahura B., Webster B. 2011. Medical Review SECTION Ontario Ministry of Transportation Fact Fatigue au volant Guide de gestion de la fatigue (Fatigue while driving) SAAQ (in French only). For Ontario: Ontario Brain Injury Association (OBIA) Directory of Services Peer Support Programs offered through local brain injury associations For Quebec: Regroupement des associations de personnes traumatis es cranioc r brales du Qu bec (RAPTCCQ). Office des personnes handicap es Gouvernement du Qu bec K roul Tourisme et culture pour les personnes capacit physique restreinte Other Resource: Canadian council of Motor transport Administrators: CCMTA Medical Standards 2009.