Lakeview's Rehab at Home is a a group of licensed therapeutic home health agencies operating in New England since 2011, and now in Wisconsin, serving Green Lake, Portage, Marquette, Columbia, and Waushara counties. The Lakeview Wisconsin team specializes in nursing, physical and occupational therapy, respiratory therapy, behavioral therapeutic treatment, and home living assistance. Lakeview's WI team members, led by Dr. Mustansir Majeed, include 17 licensed practitioners dedicated to providing complete therapeutic interventions for medical, psychological and orthopedic needs for pediatric, adolescent, adult and geriatric patients. Lakeview's goal is to assist every person we serve in reaching their best functional capacity while providing exceptional care in their personal home environment.
Lakeview Rehab at Home in New Hampshire is soon expanding to Massachusetts and Maine. Under the Direction of Susan Bartlett, LCSW, CRC and Caroline Pierce, RN, Lakeview Rehab at Home in NH offers all home health nursing and therapy services, with specialties in rehabilitation and behavioral health. Additional related services include neuropsychological assessment and applied behavior analysis consulation, including comprehensive assessment and treatment services provided by experienced professional staff for individuals with stroke, brain injury, developmental disabilities, neurodegenerative conditions (MS, Huntington's Disease, etc.) and autism spectrum disorders. At Lakeview Rehab at Home, dedication to quality care is an ongoing standard, with active participation in Lakeview's Center of Excellence programs.

Lakeview's Chief Information officer, Russell Merka, will be joined by Janet Courtney as Vice-President of Information Technology, to enhance growth, development and IT project planning and implementation, as Lakeview launches an array of new products and services nationwide. Ms. Courtney is a management and information technology leader with over 20 years of health related experience, working across health plans, pharmacy platforms, regional healthcare systems and other settings. She has implemented innovative, practical and cost-effective solutions and worked through innumerable regulatory and accreditation processes. Ms. Courtney served as Sr. Project Manager Strategic Product Development for APS Healthcare, Inc.; Sr. Vice President for Intermed Solutions, Inc.; Manager of Information Systems for Helix (Medstar) Healthcare and in various other consulting capacities. She received her Bachelor of Science in Medical Technology from Loyola College of Maryland and is certified as a PMP Project Management Professional, ASCP Associate Member, CAP Inspector, certified in TQM, COI, and Facilitation, and as a Project Management Scrum Master as well as in ITIL V3 Foundations. Ms. Courtney will support Lakeview programs and services nationally and be based out of Lakeview Specialty Hospital and Rehab in Waterford, WI.

Lakeview's Chief Operating Officer, Dr. Tina Trudel delivered two addresses at this week's TBI Summit Conference in Beaver Creek, CO, hosted by Craig Hospital. Dr. Trudel's first presentation provided an overview of gender issues in brain injury rehabilitation, including a comprehensive review of the literature on women's recovery and the influences of economic, domestic violence, behavioral health, hormonal and other issues. She will be a co-presenter with other leaders in the field at a pre-conference workshop on women's issues during the International Brain Injury Association meeting in Edinburg, Scotland March 21-25, 2012. Dr. Trudel's second presentation reviewed her years of work with colleagues on aging with brain injury as Chair of the Brain Injury Long Term Issues Task Force of the American Congress of Rehabilitation Medicine. Additionally Dr. Trudel presented the findings from the systematic review of the current research literature on dementia after brain injury, which she initiated with colleagues as the Senior Scientist - Section Leader (Dementia-Aging) in 2008-2009 as part of the Moody Foundation Galveston Brain Injury Conference/Study Group. These presentations will be featured as part of Lakeview's 2012 Third Thursday at Three continuing education speaker series.

Lakeview is pleased to announce that Dianne Schwarz is now our Vice President of Operations for the Northeast Region. Ms. Schwarz served New York State as a consultant in all special population issues including clinical, fiscal and governmental matters on behalf of the Department of Health Commissioner and his staff for the past 19 years. In this role, Ms. Schwarz clinically and fiscally oversaw 7,000+ individuals with specialized care needs including traumatic brain injury, neurobehavioral/neuropsychiatric disorders, as well as infants and adults with ventilator care needs. She completed hundreds of onsite reviews of care and assessed the service delivery models in New York for gaps and needs. She facilitated the knowledge and understanding of national specialty programs to New York State executive staff in multiple state agencies including the Department of Health, The Office of Mental Health, and The Office of People with Developmental Disabilities and The Office of Medicaid Management. She identified unmet needs, and planned various systems approaches to meeting emergent needs for the citizens of New York State including drafting regulations, negotiating clinical program content and participating in openings of new programs and services. She was a partner with many agencies and state leaders. Among these partnerships was one with TBI & Home and Community Based waivers designing and implementing a pathway for over 2,000 individuals to return to New York State from out of state placements. She has served on several executive state committees including PASRR, a federal program from CMS to evaluate the appropriateness of individuals for nursing home placement, and has served as a member of the Board of Directors for ACBIS, a national brain injury certification agency.
Ms. Schwarz is currently an adjunct professor at Empire State College Distance Learning Program where she teaches international students in the Social Science Division. She is a magna cum laude graduate of Utica College of Syracuse University with a BS in Occupational Therapy and a graduate of The College of Saint Rose with a Master of Science in Education with specialization in Cognitive Disorders. She is internationally certified in Sensory Integration, The McCarron Dial Vocational Evaluation System and is a paralegal in New York State. Ms. Schwarz will be working from Lakeview's Effingham, NH campus and New York, both at Lakeview's Manhattan office and in the Albany region. She can be reached at: dschwarz@lakeviewsystem.com.

Congratulations to Rep. Gabrielle Giffords on her remarkable recovery through her first year of brain injury rehabilitation.  Her journey reflects personal determination and her strong support system, as well as the benefits of state of the art acute (hospital) and post-acute (community/home-based) brain injury rehabilitation.  Many Americans presently have no coverage for neurorehabilitation – acute or post-acute.  Should they experience a brain injury, they would not have access to the continuum of care that facilitated Rep. Giffords’ amazing progress.  Through the work of the Brain Injury Association of America, Congressional Brain Injury Task Force and others, brain injury rehabilitation coverage has been included in the language of the Affordable Care Act.  More information on this topic can be found at www.biausa.org.  Our best wishes to Rep. Giffords for her continued recovery! 

Sgt. First Class John M. Rivard, of the Maine Army National Guard Medical Command and Director of Residential Services for Lakeview NH, was awarded the Army Commendation Medal by Col. Kimberly Ballantyne.  Sgt. First Class Rivard was honored for his performance 2002-2011 while assigned as Medical Command Platoon Sergeant, recognized for his tirelessness in ensuring operational success for over 2,000 soldiers screened for combat deployments to Iraq and Afghanistan.  He was noted to improve processes based on recommendations and worked successfully with all military ranks and civilians.  We are proud to have Sgt. First Class Rivard as part of the Lakeview Family and NH Leadership Team, bringing the same standards and effort to ensure the quality of our treatment programs for youth, adults, civilians and service members with brain injury, neurobehavioral and rehabilitation needs.  Congratulations, John!

Lakeview’s Dr. Cindy Sorenson just returned from the North American Brain Injury Society’s ninth annual conference held in New Orleans, LA (www.nabis.org), a tremendous learning opportunity in a fantastic location.  She had the opportunity to present and discuss a research poster presentation submitted by a team of colleagues from Lakeview (Nicole JoAnne Wood, PsyD, James Cohn, MD & Cindy Sorenson, PsyD) entitled “Atypical Presentation of Catatonia in a 20 year-old Male with a Traumatic Brain Injury: A Case Study.”  The case reviewed involved a patient admitted to Lakeview this year from a large regional hospital who was noted to demonstrate a pattern of fluent language expression with only mild to moderate paraphasic errors, but almost no discernable capacity to comprehend speech or writing.   Because this presentation did not match any known neurological pattern of speech derailment, alternative explanations for his condition were pursued.  Although he did not display the more classic features of catatonia, such as immobility or mutism, he did show more minor manifestations and treatment with Lorazepam was initiated.  Within one hour of his first dose, he was for the first time since his TBI, able to reliably follow instructions, answer questions, and engage in a reciprocal social exchange, with additional gains demonstrated across the following several days.  This pattern of language impairment in catatonia has not been previously reported and it was the focused expertise of the treatment team at Lakeview that identified the proper diagnosis and treatment for this case with such an outstanding outcome.

On September 14-17, Lakeview intern, NicoleJoanne Wood, PsyD, presented her research poster on "Neuropsychological Sequellae in an Adolescent with Hypothalamic Glioma Resection, Panyhypopituitarism, and VP Shunt:  Implications for Treatment" at the North American Brain Injury Society Conference in New Orleans, LA (www.nabis.org).  The poster demonstrated the success of treatment plans rooted in neuropsychological assessment.  Treatment plans included memory cues, schedules, pre-teaching, staff psychoeducation, planned ignoring of behaviors to decrease, and safety considerations.  The patient showed a 97% decreased of self-injurious behavior and a 93% decrease in aggressive behavior.  Dr. Wood's research exemplifies Lakeview's state of the art treatment of individuals with complex clinical presentations. 
 

Lakeview NeuroCare at Lewistown is a therapeutic residentialprogram for adolescent males ages twelve through seventeen withchallenges related to autism, pervasive developmental disorder andother neurological conditions that impact behavioral functioning, selfcareskills, education, and communication. The program is situatedon a nine acre estate in a quiet neighborhood that offers easy accessto downtown Lewistown. Please be our guest for an open house at Lakeview NeuroCare atLewistown. 25 Woods Lane, Lewistown, PA 17044Tuesday, June 21, 20112:00pm to 6:00pm 4:00pm Presentation "Autism and Applied Behavioral Analysis"Michael Mozzoni, PhD, BCBA, CBISTReceive One (1) Certified Case Management or One (1) CertifiedRehabilitation Counselor Continuing Education Unit. RSVP to 800-473-4221, Admissions Department http://www.lakeviewsystem.com/docs/paopenhouse.pdf

Textbook of Traumatic Brain Injury, 2nd Edition

Edited by Jonathan M. Silver, M.D., Thomas W. McAllister, M.D., and Stuart C. Yudofsky, M.D.

The Textbook of Traumatic Brain Injury, published by the American Psychiatric Association Press, is considered one of the definitive texts in the field of TBI.  This recently released volume addresses the broad range of types and severity of injuries and treatments for the complex physical, cognitive and behavioral symptoms resulting from brain injury.  A research-based resource for the professional clinical reader, this text provides in-depth information for all those interested in state of the art knowledge for the brain injury field.  The book includes chapters on special populations including Traumatic Brain Injury in the Context of War, authored by Kimberly S. Meyer, MSN, CNRN, Brian Ivins, MPS, Selina Doncevic, RN, MSN, Henry Lew, MD, PhD, Tina Trudel, PhD and Michael S. Jaffee, MD.  Along with her work as the former Site Director (2005-2010) and present role as Research Coordinator of the Defense and Veterans Brain Injury Center Charlottesville Rehabilitation Programs, chapter co-author Dr. Trudel is the Chief Operating Officer for Lakeview, providing clinical leadership across hospital, residential, community and home based rehabilitation services.

Chapter contents include:

• Operational Definitions of TBI
• Epidemiology
• Mechanisms of Injury
• Settings of Care
• Screening
• TBI Management in the Military
• Return-to-Duty Criteria
• Rehabilitation and Community Reentry
• Future Directions and Clinical Research Opportunities
• Key Clinical Points
• Recommended Readings
• References