Lakeview Blog

Lakeview to Open Neurobehavioral and Community Integrated Rehabilitation Site in New Jersey

Lakeview Chairman Tony Merka is pleased to announce that Lakeview Care Partners will be opening 16 new beds for neurobehavioral treatment and community integrated rehabilitation in Holland, NJ.  Less than 90 minutes from New York City and Philadelphia, the program site is situated on a 20 acre estate near the Pennsylvania border.  “We are pleased that we will be able to serve residents from NJ, PA and the NYC metro region much closer to their families and home communities, and look forward to becoming involved in the regional systems of care,” notes CEO Chris Slover.  With development under the direction of Dr. Tina Trudel and David Holland, MS, the Lakeview program is anticipated to open by January, 2013, with 16 beds comprised of two units for specific clinical cohorts of individuals in need of neurobehavioral treatment, brain injury rehabilitation, community integrated therapy and residential support. 

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Dr. Michael Mozzoni Featured at Maine Brain Injury Conference

Dr. Michael Mozzoni, Lakeview’s Director of Behavioral Services and Training will be a featured presenter at the Maine Brain Injury Conference on 10/23/12 at the Abromson Center of the University of Southern Maine.  Dr. Mozzoni will be speaking on, ’Training Methods in Brain Injury Rehabilitation: Fluency & Discounting .’  This program is designed to identify behavior management training methods and tactics for skill acquisition for use in the neurorehabilitation setting.  The scope of the problem in terms of frequency, funding and long term considerations necessitates that therapists function as efficiently and effectively as possible. While evidence based practices aide in identifying treatment methods, decisions made by using single subject designs help the practitioner determine if the person is making timely progress. Given the decreasing length of stays in rehabilitation we must use the most effective training and measurement methods available. It is our hope that this program will provide practitioners with useful information.

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Lakeview’s Dr. Tina Trudel to Keynote at Maine Brain Injury Conference

Lakeview’s President/Chief Operating Officer, Dr. Tina Trudel, will be providing a keynote address at the  Maine Brain Injury Conference, ‘Defining Moments in Brain Injury’ on Tuesday, October 23, 2012 at the Abromson Center of the University of Southern Maine.  This presentation will address Dr. Trudel’s continued work examining sexuality after brain injury.   Participant will learn the neurological elements of sexual behavior and potential complications from brain injury and pharmacology.  The history of sexual oppression among various disability groups, particularly persons with cognitive impairment will be discussed, with particular focus on the different experiences, expectation and challenges regarding sexuality for men and women with TBI across the lifespan and their implications for intervention and outcome.  Participants will learn about therapeutic interventions to facilitate satisfying intimacy and sexual experiences.

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Lakeview’s Dr. Michael Mozzoni Presenting on Evidence-Based Practice at ACRM in Vancouver

Lakeview’s Dr. Michael Mozzoni will be presenting with James F . Malec, PhD, Jacob Kean, PhD; Joseph T. Giacino, PhD and Bonnie Schaude, MA, at the American Congress of rehabilitation Medicine’s annual conference 10/10-10/13/2012 in Vancouver, Canada.  This presentation, ‘Behavioral Measuring and Monitoring to Improve Patient Outcomes: An Evidence-Based Meta-Practice’,  address the importance of basing clinical practice on established scientific findings.  In this era of evidence-based practice (EBP), numerous studies with a variety of patient populations have confirmed the benefits of objective monitoring/self-monitoring (MSM) of patient status using reliable and valid measurement methods.  MSM is an intervention that improves patient status both directly through timely and strategic changes in the treatment plan and indirectly through supporting nonspecific factors, such as, therapeutic alliance.  Potentially applied across a variety of patient populations and problems, MSM constitutes an EBP meta-practice.  The beneficial applications of specific methods for MSM will be described, discussed and illustrated through case examples across the continuum of care and recovery after brain injury.  Dr. Giacino will describe cognitive and behavioral assessment methods to monitor recovery of consciousness and appropriately adjust treatment for patients with prolonged disorders of consciousness after brain injury.  Dr. Mozzoni will detail applied behavior analysis of the stimulus-response-consequence sequences for reducing severe behavior disturbance following brain injury.  Ms. Schaude and Dr. Malec will describe the use of Goal Attainment Scaling to assist patients in post-hospital rehabilitation programs to improve their capacity to set realistic goals for community re-integration and make progress towards these goals. Dr. Kean will present methods and technologies to assist individuals in monitoring and managing persistent symptoms, problems, and risk factors in the long term after brain injury.  Workshop participants will learn specific methods described as well as underlying principles that may be applied to a variety of patient populations and problems.   For more information please visit www.acrm.org.

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Dr. Angela Sanders, Clinical Director of Behavioral Health Services, Lakeview - WI

Dr. Angela Sanders, a licensed Psychologist in Wisconsin, now serves as the Clinical Director of Behavioral Health Services at Lakeview, WI.  She oversees behavioral health services in the youth and adult residential programs, the outpatient behavioral health clinic, as well as the hospital at Lakeview Specialty Hospital & Rehab.  Dr. Sanders received her doctoral and master's degrees in clinical psychology from the Wisconsin School of Professional Psychology and her bachelor's degree in psychology from Marquette University.   Dr. Sanders has worked in leadership capacities overseeing behavioral health and case management services across a variety of settings, including residential, educational and outpatient programs, for the past 20 years.  Within her various leadership roles, Dr. Sanders has specialized in program development initiatives.  In addition, Dr. Sanders continues to provide individual, group and family therapies, as well as psychological testing for children, adolescents, and adults with diverse needs.

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Litigating the Brain Injury Case: Attorney, Neuropsychologist and Life Care Planner Perspectives

You are Invited… Thursday, September 27, 2012 - Free Full Day Seminar with 3 CEU’s - 3 SpeakersPresented By: Lakeview Specialty Hospital & Rehab, Waterford, WI

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Dr. Tina Trudel Addressing Foundations of Neuropsychology at NABIS Clinical and Legal Conferences in Miami

Neuropsychological evaluation is a core component of assessing the impact on behavior, cognition and function, of brain injuries of all types.  The principles of neuropsychological evaluation are based on assumptions of standardization, reliability, validity and comparisons with normative data.  This pair of NABIS presentations, by Lakeview’s Dr. Tina Trudel, will address these complex issues, with examples from actual clinical cases - some of which were subjects of litigation.  Recommendations for how to convey neuropsychological findings to laypersons and the benefit of reporting in percentiles will be reviewed. 

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Dr. Michael Mozzoni Presenting on Behavioral Methods in Brain Injury Rehabilitation

Please join Lakeview at the North American Brain Injury Society’s (NABIS) Annual Conference in Miami, FL  9/11-9/15/2012 where Lakeview’s Director of Behavioral Services and Training, Dr. Michael Mozzoni, will be presenting on ‘Training Methods in Brain Injury Rehabilitation: Limbic Activation, Fluency and Discounting’.  People with Acquired Brain Injuries (ABI) often present with problems in the areas of: impulsivity, attention, memory, awareness and disinhibition. They may have difficulty learning/re-learning skills and information, which can slow progress and compromise treatment success. These deficits, in many cases, result in acquired learning disabilities.  Training methods developed in special education for persons with learning disabilities appear to be appropriate and effective for persons with ABI.  Funding pressures have dramatically decreased the time allowed for treatment, requiring therapists to use more efficient training methods. This presentation will demonstrate training methods found in the behavioral literature and effectively applied to persons with ABI. Evidence in the behavioral literature concerning methods of fluency, discounting and trial presentation will be presented with several case examples.  In addition, some original research will be presented concerning mild limbic system activation to retrain autobiographical memory. Issues of motivation, alignment of expectations and success in therapy sessions will be reviewed in relation to behavior management and skill acquisition.   For more information, please visit www.nabis.org.

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Chronic Traumatic Encephalopathy - Risk to Athletes and Veterans Post-Concussion

In 2009, Ann C. McKee, MD, Robert C. Cantu, MD, Christopher J. Nowinski, AB, E. Tessa Hedley-Whyte, MD, Brandon E. Gavett, PhD, Andrew E. Budson, MD, Veronica E. Santini, MD, Hyo-Soon Lee, MD, Caroline A. Kubilus, and Robert A. Stern, PhD, published a landmark article on Chronic Traumatic Encephalopathy (CTE) in the Journal of Neuropathology and Experimental Neurology [J Neuropathol Exp Neurol. 2009 July; 68(7): 709-735]. While 'Dementia Pugilistica' or the repeated brain trauma caused by boxing had been well established, this article raised attention to highlight other repeat concussion sports such as football. The researchers further identified and defined CTE, as a syndrome with specific pathology and symptoms. The symptoms of CTE reported include memory disturbances, behavioral and personality changes, Parkinsonism, speech and gait abnormalities and is now noted to include impulsive behavior, mood instability, increased suicide risk and eventual dementia in some instances.

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Lakeview NH Program Approved by New York State Department of Education

Lakeview New Hampshire’s Special Education School and Residential Treatment Program have been approved by New York State effective 07/-1/2012, as a school-aged, center-based, 12 month residential program for youth from New York, ages 6-21, including occupational, physical and speech-language therapies.  The program is approved to serve youth within the primary educational disability categories of Autism, Emotionally Disturbed, Intellectually Disabled, Multiple Disabilities, Orthopedic Impaired, Other Health Impaired, Learning Disabled, Traumatic Brain Injury and Visually Impaired.  With guidance from Lakeview’s Chief Operating Officer, Dr. Tina Trudel, Lakeview NH’s Executive Director, Dr. Tom Horan, oversees programs and services, with Director of Education Corinne Rocco, MEd, CAGS, Youth Director Dr. Amanda Goza, Board Certified Child Psychiatrist Dr. Kim Whitesell, School Psychologist Dr. Cathy Bergeron, and a full team of teachers, behavior analysts, neuropsychologists, counselors, case managers, recreation therapists, nurses, physicians and allied health professionals.