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Brain Injury Association of America<br />

<strong>Winter</strong> <strong>2012</strong><br />

Volume 6, Issue 1<br />

anyTIME<br />

anywhere<br />

©<br />

Brain Injuries Do Not Discriminate<br />

Sponsored by:<br />

Traumatic Brain Injury<br />

Litigation Group<br />

of the American<br />

Association of Justice


<strong>THE</strong> <strong>Challenge</strong>!<br />

<strong>Winter</strong> <strong>2012</strong><br />

<strong>THE</strong> <strong>Challenge</strong>! is published by the<br />

Brain Injury Association of America.<br />

We welcome manuscripts on issues<br />

that are important to the brain<br />

injury community. Please send<br />

submissions in a standard<br />

Microsoft Word ® document to<br />

publications@biausa.org.<br />

For more information regarding<br />

advertising in <strong>THE</strong> <strong>Challenge</strong>!,<br />

please visit the sponsorship and<br />

advertising page at www.biausa.org.<br />

Association Staff & Volunteers:<br />

Marianna Abashian<br />

Greg Ayotte<br />

Amy C. Colberg<br />

Susan H. Connors<br />

Alexandra deGraffenreid<br />

Robert Demichelis<br />

Jessica Kerney<br />

Laurie J. Kusek<br />

Mary S. Reitter<br />

Postmaster:<br />

Periodicals postage is paid at<br />

Vienna, VA 22181<br />

Send address changes to:<br />

<strong>THE</strong> <strong>Challenge</strong>!<br />

1608 Spring Hill Rd., Suite 110<br />

Vienna, VA 22182<br />

Copyright <strong>2012</strong> BIAA<br />

All rights reserved<br />

No part of this publication may<br />

be reproduced in whole or in part<br />

without written permission from the<br />

Brain Injury Association of America.<br />

Email requests to<br />

publications@biausa.org.<br />

Contents<br />

3 | March is Brain Injury<br />

Awareness month<br />

7 |<br />

TBI ACT Reauthorization<br />

9 | Rep. Bill Pascrell, Jr.<br />

A Champion for Brain Injury<br />

13 | Resources: How to be<br />

an Effective Advocate<br />

15 | Honor Roll of Donors<br />

17 | State Affiliate News and<br />

2011 Leadership Conference<br />

21 | Advocacy Update<br />

23 | News & Notes<br />

25 | One Advocate’s Story<br />

28 | Chartered State Affiliates<br />

29 | BIAA Webinars<br />

29 | Advertiser Index<br />

Publication designed by<br />

Eye to Eye Design Studio LLC<br />

Email: eyetoeyedesignstudio@gmail.com<br />

1<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong>


From my desk<br />

March is Brain<br />

Injury Awareness<br />

Month, giving<br />

individuals with brain<br />

injuries, their families and<br />

advocates the ideal platform<br />

for raising the public’s<br />

consciousness about brain<br />

injury related issues. Let’s<br />

take advantage of this time<br />

during a crucial election<br />

year to make some noise!<br />

March is the perfect time to bring national attention to our<br />

cause by speaking out, speaking up and showing everyone<br />

that brain injuries can and do happen anytime, anywhere and<br />

to anyone. Brain injuries do not discriminate; check out the<br />

article on page 3 about our campaign this year and how you<br />

can help spread the word.<br />

We do have the power to make a difference, improve a life<br />

and change the way our society views people with brain<br />

injuries. Although your advocacy and the activities of<br />

organizations like the Brain Injury Association of America<br />

and our affiliates have led to many positive changes over the<br />

years, there are still instances in which people with brain<br />

injuries and their families are not receiving the support and<br />

services they need to fully function as valued members of<br />

their communities or to achieve their fullest potential. Please<br />

read the article on page 7 about the TBI Act Reauthorization,<br />

why it is important, and what you can do to help ensure its<br />

passage.<br />

One of the greatest champions we have on Capitol Hill<br />

is Rep. Bill Pascrell, Jr. (D-NJ). Rep. Pascrell co-founded<br />

the Congressional Brain Injury Task Force in 2001, and<br />

continues to be an advocate for brain injury issues. Rep.<br />

Pascrell and his colleagues on the Task Force, along with<br />

BIAA, will host Brain Injury Awareness Day on Capitol<br />

Hill in Washington, D.C., on Wednesday, March 21, <strong>2012</strong>.<br />

President’s Message<br />

If you read <strong>THE</strong> <strong>Challenge</strong>!, we know you care. Here<br />

are some things you can do to educate and motivate your<br />

colleagues, friends and neighbors, elected representatives,<br />

and even a stranger, about Brain Injury Awareness Month<br />

and our movement.<br />

• Connect with your local affiliate of BIAA to find out if they<br />

have any Brain Injury Awareness Month events in which<br />

you can participate. You can find your state affiliate’s<br />

contact information by visiting www.biausa.org and click<br />

on “Find BIA in your State” at the top of the page.<br />

• Tell your story. If you have a blog or are active on social<br />

media, announce Brain Injury Awareness month to your<br />

followers and friends during March and tell them why you<br />

advocate for people with brain injuries.<br />

• Visit BIAA’s blog, Facebook page or Twitter profile<br />

and tell us why Brain Injury Awareness Month matters.<br />

You can find our blog and links to all of our social media<br />

channels on our home page at www.biausa.org. We’ll<br />

be posting more about Brain Injury Awareness Month<br />

throughout March.<br />

• Write a letter to the editor of your local newspaper telling<br />

them that it is Brain Injury Awareness Month and ask for<br />

their help in raising the public’s awareness of brain injury.<br />

Mention that millions of Americans and their families live<br />

with brain injuries (many in your own community), share<br />

your own story or urge people to find out more about BIAA<br />

and the work we do. Our website is a valuable resource<br />

for information about diagnoses, treatment, public policy<br />

and programs vital to people with brain injuries and their<br />

families.<br />

A huge thank you to the organizations and the individuals<br />

who help support the Brain Injury Association of America<br />

and Brain Injury Awareness Month. We couldn’t do it<br />

without your help.<br />

Susan H. Connors, President/CEO<br />

Brain Injury Association of America<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong><br />

2


<strong>THE</strong> <strong>Challenge</strong>!<br />

march is brain injury<br />

awareness month<br />

What are<br />

going to<br />

do to spread the word?<br />

By Laurie J. Kusek, Director of Communications, Brain Injury Association of America<br />

March is Brain Injury Awareness Month. The month-long celebration honors the millions of people with brain injury who are living<br />

with the successes and challenges that each day brings. The Brain Injury Association of America (BIAA) is excited to unveil a new,<br />

multi-year campaign that everyone can embrace:<br />

As <strong>THE</strong> <strong>Challenge</strong>! readers know, brain injury does not discriminate. Young or old, black or<br />

white, male or female, Muslim or Jewish – we’re all susceptible. Anyone who has ever been<br />

touched by brain injury can be an advocate.<br />

What does it mean to be an advocate?<br />

According to the dictionary, it is a person who speaks or writes in support or defense of a person or a cause.<br />

We asked our nearly 400 Subject Matter Experts what it means to them to be an advocate and how to spread the word about brain<br />

injury and here is what they had to say:<br />

3<br />

Talk about it. Do not hide. You’ll<br />

find that when it’s public, people<br />

come out of the woodwork and<br />

share how brain injury has<br />

touched them. Address disability<br />

inequality issues. By fighting<br />

for disability rights, you raise<br />

awareness, which is critical.<br />

Laurie Rippon<br />

(NY, NY)<br />

Simply bring up these three<br />

letters: TBI, and ask whomever<br />

you are with what it means.<br />

Go from there.<br />

Patti Foster<br />

(Jacksonville, Texas)<br />

Above all, speak from<br />

your own experience. Share who<br />

you are, what your relationship is to brain injury,<br />

and what it means to you. Keep coming back to the theme:<br />

Brain Injury can happen<br />

anyTIME, anywhere, ANYONE<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong><br />

Always be ready with some<br />

talking points regarding brain<br />

injury and what it means to the<br />

public. Folks won’t really get how<br />

big this issue is until they see<br />

how it applies to them. Have an<br />

“elevator speech,” be ready to tell<br />

your story in a brief manner.<br />

Darcy Keith<br />

(Fishers, Ind.)


Brain Injury<br />

Awareness Month<br />

BIAA has developed materials that you can use to support the<br />

new theme. We have made available new graphics, a one-page<br />

flyer/poster, a fact sheet, and a guide with suggestions on how<br />

you can promote brain injury awareness. All these materials are<br />

available to download from BIAA’s website: www.biausa.org/<br />

brain-injury-awareness-month.htm.<br />

You may be wondering what you can do.<br />

Here are some ideas to get you started:<br />

• Reach out to your state affiliate of the Brain Injury<br />

Association of America to see how you can join in and help.<br />

You can find your state affiliate here: www.biausa.org/stateaffiliates.htm.<br />

• Volunteer at your local hospital and/or rehabilitation facility<br />

to work with individuals and families who are dealing with<br />

brain injury. Share your story, your strength and your hope.<br />

• Contact reporters and media outlets (broadcast, print, Internet)<br />

to let them know March is Brain Injury Awareness Month.<br />

Offer them story ideas. Use the statistics that follow to<br />

provide a national perspective, but have a few bullet points<br />

about your own connection to brain injury and tell them why<br />

it matters to you.<br />

• Write to producers of local public affairs television and radio<br />

programs. Tell them you’d like to see and hear a program<br />

dedicated to brain injury.<br />

• Contact civic clubs such as Lions, Kiwanis, Civitan, Rotary<br />

International, Jaycees, or Junior League and offer to be a<br />

speaker for their March meetings. Self-advocates are some of<br />

the most effective communicators of BIAA’s mission and are<br />

sure to inspire their members.<br />

• Submit an opinion editorial column or letter to the editor<br />

explaining Brain Injury Awareness Month and invite the<br />

community to learn more about BIAA.<br />

• Post on your Facebook and Twitter pages giving your<br />

friends suggestions for what they can do to raise<br />

awareness. Consider hosting a daily or weekly<br />

guest blog.<br />

• Contact your local Business Roundtable, Chamber<br />

of Commerce or Board of Trade. Explain that<br />

March is Brain Injury Awareness Month,<br />

which may provide the perfect impetus<br />

for businesses to learn more about the<br />

opportunities to hire individuals with<br />

brain injury.<br />

• Sign up for BIAA’s Policy Corner<br />

and take action when prompted.<br />

(www.grasshopr.com/)<br />

• Videotape yourself telling your<br />

story and post it on YouTube.<br />

Our Subject Matter Experts shared some of the creative things<br />

they are doing, including:<br />

Nicole Wight of Jackson, NJ, puts a neon green streak in her<br />

hair during the month of March and whenever someone asks her<br />

about it, she “explodes” with information about brain injury.<br />

Wendy Hall of Thunderbolt, Ga, educates family and friends by<br />

telling them she has a brain injury and explains how it affects<br />

her, even though “you can’t tell it just by looking at me.” Wendy<br />

belongs to a support group and is training to be a peer visitor at<br />

hospitals for those with brain injuries.<br />

Janet Comer of Bethesda, Md., says to “Bring your experience<br />

and your knowledge wherever you go: work, church,<br />

community events, school, and social events. Talk about current<br />

brain injury issues in the news (such as Gabby Giffords) as they<br />

relate to your experience.”<br />

Tom Tatlock of Appleton, Wisc., is organizing a month-long<br />

display at his local library. He is also distributing brain injury<br />

awareness posters to the major medical facilities in his area and<br />

in his local schools. He has submitted information about brain<br />

injury to local hospitals, schools and businesses for them to use<br />

in their company newsletters. Tom is very active on LinkedIn,<br />

facilitating lots of idea sharing about how to raise awareness<br />

about brain injury.<br />

Vickie Rankin of Stuarts Draft, Va., does her best to keep up<br />

with the Facebook pages of BIAA, the CDC and Wounded<br />

Warrior Project so she can repost information on her own<br />

Facebook page.<br />

So, WHAT should you say?<br />

BIAA has provided basic statistics and talking points<br />

that we can all use to ensure a consistent message when<br />

speaking about brain injuries.<br />

Incidence of brain injury<br />

• 1.7 million people sustain a traumatic brain<br />

injury (TBI) each year. According to the<br />

Centers for Disease Control and Injury<br />

Prevention, the leading causes of TBI are:<br />

• Falls (35.2%)<br />

• Motor vehicle-traffic crashes (17.3%)<br />

• Struck by/against events (16.5%)<br />

• Assaults (10%)<br />

• Brain injury can result in a range of<br />

outcomes (according to the Centers for<br />

Disease Control and Prevention) each year:<br />

• 52,000 die<br />

• 275,000 are hospitalized<br />

• 1,365,000 are treated and released<br />

from an emergency department<br />

(Continued on pg. 11)<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong><br />

4


<strong>THE</strong> <strong>Challenge</strong>!<br />

Advertisment<br />

5<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong>


Advertisment<br />

(Continued on pg. 7)<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong> 6


<strong>THE</strong> <strong>Challenge</strong>!<br />

TBI Act Reauthorization is Critical<br />

for the Brain Injury Community<br />

By Susan Vaughn, SL Vaughn & Assoc., and BIAA State Policy Consultant<br />

Pledge your Support to<br />

The Traumatic Brain Injury Act (TBI Act) is the only federal law that specifically addresses<br />

the needs of the growing population of people with traumatic brain injuries. This year, the<br />

Brain Injury Association of America and other TBI stakeholders, including the National<br />

Association of State Head Injury Administrators and the National Disability Rights Network,<br />

are advocating for legislators to reauthorize the law.<br />

Why the TBI Act Matters<br />

The TBI Act authorizes the Centers for Disease Control and<br />

Prevention (CDC) to conduct public awareness and education<br />

programs. It also authorizes the Health Resources and Services<br />

Administration (HRSA) to make grants to state government<br />

agencies to improve care systems and community-based<br />

supports for individuals with brain injury and their families.<br />

HRSA is also authorized to provide grants to protection and<br />

advocacy (P&A) organizations to assist individuals with TBI.<br />

The Brain Injury Association of America advocated for federal<br />

legislation in the early 1990s to develop service delivery<br />

systems to meet the array of needs of individuals of all ages<br />

with TBI and their families. Congress passed the Traumatic<br />

Brain Injury Act of 1996 (P.L. 104-166), which was amended<br />

in 2000 and reauthorized in 2008.<br />

Prior to the passage of this law, there were no national incidence<br />

or prevalence data to describe the brain injury population,<br />

and there was no federal assistance to help states develop<br />

and expand rehabilitation and community support services<br />

to address the unique needs of individuals with TBI. As the<br />

result of the 1996 law, funding was appropriated to the CDC to<br />

support surveillance efforts that now provide national statistics<br />

on TBI that are used to support public education and advocacy<br />

for better services and supports.<br />

Funding was also appropriated to HRSA for state grants to<br />

develop infrastructure to support service delivery and to expand<br />

services in those states that already had infrastructure in place.<br />

To receive grant funding, states are required to have an advisory<br />

board, a state plan based on an assessment of needs and<br />

resources, and a designated state lead agency for TBI programs.<br />

In carrying out grant activities, the state must match $1 for<br />

every $2 received from the federal government.<br />

The TBI amendments to the Children’s Health Act of 2000 (P.L.<br />

106-310) expanded CDC studies to include mild TBI and the<br />

incidence of TBI in institutional settings. The amendments also<br />

added appropriation authority for HRSA grants to expand state<br />

P&A organizations to advocate on behalf of people with TBI.<br />

All P&As receive funding.<br />

The TBI Act Reauthorization of 2008 (P.L. 111-36) required<br />

CDC and National Institutes of Health in consultation with the<br />

7<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong>


TBI Act<br />

Department of Defense and the Department of Veterans Affairs<br />

to submit a report to Congress on methods for including the<br />

incidence and prevalence of TBI in the military and veterans’<br />

populations who return to civilian life.<br />

Since 1997, 48 states, two territories and the District of<br />

Columbia have received time-limited, project-oriented grants to<br />

address underserved or unserved populations such as veterans<br />

and returning service members, individuals with severe behavior<br />

problems, and children and youth. BIAA and other stakeholders<br />

are working with bill sponsors to reauthorize and enhance the<br />

programs.<br />

The TBI Model Systems of Care at the National Institute on<br />

Disability and Rehabilitation Research (NIDRR) in the U.S.<br />

Department of Education are a vital national network of TBI<br />

research and expertise. The Model Systems are not included<br />

in the TBI Act because the law only authorizes work for<br />

agencies in the U.S. Department of Health and Human Services.<br />

Nevertheless, the Model Systems are the only source of nonproprietary<br />

longitudinal data on TBI experiences, which is a<br />

source of evidence-based medicine. Therefore BIAA and other<br />

TBI stakeholder organizations advocate for increased funding<br />

for both the TBI Act and the TBI Model Systems each year.<br />

Watch for BIAA communications and supporting materials to<br />

assist with this endeavor and be prepared to take action.<br />

Andi, who sustained a severe TBI at the age of 3<br />

½ years as the result of a car crash, was rushed for<br />

treatment at the local Children’s Hospital, where she<br />

also received rehabilitation services. At the same<br />

time, she was referred to the Alabama Children’s<br />

Rehabilitation Service, which had developed a<br />

pre-discharge model to link families to a TBI care<br />

coordinator before leaving the hospital. As the<br />

result of the HRSA Federal TBI State Grant, the<br />

state had established a system of early referral,<br />

care coordination and other clinical, medical, and<br />

evaluation services for children and youth with TBI<br />

from birth to age of 21. Referred to as PASSAGES,<br />

this program provided Andi’s family with support<br />

services including assessment for specialized<br />

equipment, loaner equipment, linkages to other<br />

families and parent education, referrals to local<br />

resources and assistance with educational planning.<br />

These services have been provided in the home,<br />

school and local community in order to provide the<br />

necessary supports for Andi to continue to grow and<br />

live as independently as possible.<br />

(Continued on pg. 27)<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong> 8


<strong>THE</strong> <strong>Challenge</strong>!<br />

Rep. Bill Pascrell, Jr.<br />

A Champion for Brain Injury<br />

By Susan H. Connors, President/CEO, Brain Injury Association of America<br />

Rep. Bill Pascrell, Jr., was elected to Congress to represent New Jersey’s 8th Congressional<br />

District in 1996, and is now serving his eighth term. During his service to the state of<br />

New Jersey and our nation, Rep. Pascrell has become a leading champion in Congress<br />

for individuals who have sustained brain injuries and their families.<br />

Rep. Pascrell first learned<br />

about brain injury from<br />

New Jersey resident Dennis<br />

Benigno, whose son Dennis<br />

John had survived a horrific<br />

car crash in 1984. Like many<br />

survivors and caregivers,<br />

Benigno was searching<br />

for a cure for brain injury.<br />

The Benigno family’s story<br />

touched Rep. Pascrell deeply.<br />

Rep. Pascrell co-founded the<br />

Congressional Brain Injury<br />

Task Force in 2001 with<br />

Rep. James C. Greenwood<br />

(R-PA), a physician, to<br />

further education and awareness of brain injury (incidence,<br />

prevalence, prevention, and treatment) and support funding for<br />

basic and applied research and development of a cure. When<br />

Mr. Greenwood left Congress in 2005, Rep. Todd R. Platts (R-<br />

PA) assumed the role of Task Force co-chair. In the ten years<br />

since its inception, the Task Force has grown to more than 100<br />

Members of Congress.<br />

Rep. Bill Pascrell (L) and Dr. Brent Masel at the Access to Care press<br />

conference on Capitol Hill on April 7, 2011.<br />

Under Rep. Pascrell’s direction, the Task Force has promoted<br />

expansion of research and services within the Departments of<br />

Defense, Health and Human Services, and Veterans Affairs. The<br />

Task Force provided guidance to federal agencies on policies<br />

and proposed rulemakings related to brain injury. For more than<br />

a decade, the Task Force has hosted the annual Congressional<br />

Brain Injury Awareness Day on Capitol Hill (next taking place<br />

March 21, <strong>2012</strong>).<br />

As co-chair of the Task Force, Rep. Pascrell has been a stalwart<br />

advocate for brain injury issues. In 2003, he, Rep. Edward<br />

Markey (D-MA), and 12 other Members of Congress persuaded<br />

the National Institutes of Health, National Center for Medical<br />

Rehabilitation and Research to investigate the dangers of<br />

amusement park rides.<br />

In 2008, Rep. Pascrell<br />

introduced the Concussion<br />

Treatment and Care Tools<br />

(ConTACT) Act (H.R.<br />

1347) following the tragic<br />

death of Montclair High<br />

School football player Ryne<br />

Dougherty. The bill provides<br />

for national protocols to be<br />

established for managing<br />

sports-related concussions for<br />

student athletes from the 5th<br />

grade to the 12th grade. The<br />

legislation passed the U.S.<br />

House of Representatives in<br />

September 2010. In response<br />

to Mr. Pascrell’s request to Health and Human Services<br />

Secretary Kathleen Sebelius, the Centers for Disease Control<br />

and Prevention (CDC) announced in February 2011 the creation<br />

of a panel to create guidelines to protect student-athletes from<br />

sports related traumatic brain injuries.<br />

Continuing the fight to reduce the incidence of concussion in<br />

young athletes, Rep. Pascrell introduced the Children’s Sports<br />

Athletic Equipment Act in March of last year. This bill helps<br />

ensure that new and reconditioned football helmets for younger<br />

athletes meet higher safety standards to address concussion.<br />

This bill gives the industry time to make improvements to the<br />

standard. Should the industry not comply or improve standards<br />

within nine months of enactment, the Consumer Product Safety<br />

Commission (CPSC) will work to issue mandatory safety rules<br />

for football helmets addressing concussion risk.<br />

In 2011, Rep. Pascrell joined BIAA and the staff from Rep.<br />

Gabrielle Giffords’ office at a news conference on Capitol Hill<br />

urging HHS Secretary Sebelius to write the regulations under<br />

the Patient Protection and Affordable Care Act that would<br />

ensure individuals with brain injury receive the scope, intensity<br />

and duration of rehabilitation needed after sustaining a brain<br />

9<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong>


Bill Pascrell, Jr.<br />

injury. Throughout the years, Rep. Pascrell has served as the<br />

Congressional expert on brain injury, responding to numerous<br />

requests from the media for interviews and delivering remarks<br />

at brain injury events across the nation.<br />

In 2004, BIAA presented Rep. Pascrell with a Special<br />

Recognition Award for his leadership in the field. Since then,<br />

many other brain injury advocacy organizations have followed<br />

suit. Once again, BIAA salutes Bill Pascrell for his tireless<br />

advocacy in Congress on behalf of individuals with brain injury<br />

and their families and looks forward to continued collaboration.<br />

"We have come a long way in raising public awareness of<br />

traumatic brain injury, and helping people who sustain TBI and<br />

their families. Our successes are the results of a dedicated team<br />

effort and the Brain Injury Association of America is a critical<br />

part of our team," said Pascrell. “There is so much more work to<br />

be done to help the 1.7 million people who sustain a traumatic<br />

brain injury every year. They are soldiers in the battlefield,<br />

young athletes who compete in our communities, and loved<br />

ones who become injured often through no fault of their own.<br />

I look forward to continuing our work to help millions of<br />

Americans who have sustained TBI lead the most fulfilling<br />

lives possible.”<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong> 10


<strong>THE</strong> <strong>Challenge</strong>!<br />

Brain Injury Awareness Month<br />

(Continued from pg. 4)<br />

• According to the Centers for Disease Control and Prevention,<br />

among children ages 0 to 14 years, TBI results in an estimated<br />

• 2,685 deaths<br />

• 37,000 hospitalizations<br />

• 435,000 emergency department visits<br />

• The number of people with TBI who are not<br />

seen in an emergency department or who<br />

receive no care is unknown.<br />

• TBI is a contributing factor to a third (30.5%)<br />

of all injury-related deaths in the United States.<br />

Following are some overarching messages that can be woven<br />

into your own narrative to illustrate the impact of brain injuries<br />

in our community.<br />

• Just as no two people are exactly alike, no two brain injuries<br />

are exactly alike.<br />

• An injury that happens in an instant can bring a lifetime of<br />

physical, cognitive and behavior challenges and early, equal<br />

and adequate access to care will greatly increase overall<br />

quality of life.<br />

• Brain injury is not an event or an outcome. It is the start of<br />

a misdiagnosed, misunderstood, under-funded neurological<br />

join us<br />

in raising<br />

awareness<br />

of brain<br />

injury<br />

disease. Individuals who sustain brain injuries must have timely<br />

access to expert trauma care, specialized rehabilitation, lifelong<br />

disease management and individualized services and supports<br />

in order to live healthy, independent and satisfying lives.<br />

• The Brain Injury Association of America<br />

(BIAA) is the voice of brain injury. BIAA is<br />

dedicated to increasing access to quality health<br />

care and raising awareness and understanding<br />

of brain injury through advocacy, education<br />

and research.<br />

Please go to BIAA’s website (www.biausa.org/<br />

brain-injury-awareness-month.htm) to download<br />

the Brain Injury Awareness Month materials and<br />

Promotion Guide. Some of the things you will<br />

find in the Promotion Guide include:<br />

• Sample press release<br />

• Sample letter to the editor<br />

• Sample blog post<br />

• Sample Facebook and Twitter posts<br />

• Sample proclamations and resolutions<br />

Join us in raising awareness of brain injury, which can happen<br />

anytime, anywhere and to anyone. Volunteer. Donate. Speak out.<br />

Visit www.biausa.org to learn what else you can do to help the<br />

Brain Injury Association of America continue to speak out about<br />

the impact of brain injury.<br />

11<br />

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<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong> 12


<strong>THE</strong> <strong>Challenge</strong>!<br />

resources<br />

How to be an<br />

Effective Advocate<br />

By Gregory Ayotte, Director of Consumer Services, Brain Injury Association of America<br />

There are several ways to get involved and to stay informed about<br />

events and issues important to the brain injury community. Here<br />

are some suggested things you can do. It is not an exhaustive list<br />

by any means, but is meant as a starting point.<br />

Sign up for Policy Corner, our advocacy e-newsletter that<br />

is distributed every Friday when Congress is in session. BIAA<br />

uses an online networking platform called Grasshop to send<br />

out Policy Corner and special action alerts that keep advocates<br />

informed about brain injury legislation. Go to:<br />

www.grasshop.com/ShowGroups.aspx<br />

“BIAA Grassroots” should be at the top of the page. Click on<br />

the “Join Now” button. Fill in the required fields, and you will<br />

be part of the BIAA Grassroots movement! Letting<br />

legislators know about the impact and importance of legislation<br />

is crucial to maintaining and increasing funding and services.<br />

Make sure your voice is heard.<br />

While many issues are important at the national level, there<br />

are also many issues of importance at the local level. Often<br />

federal funding is funneled to the states with flexibility in how<br />

that money is spent. Advocacy efforts at the state level can<br />

affect how federal money is spent. Connect with your local Brain<br />

Injury Association office and find out about the local issues. You<br />

can find the contact information for your state office at:<br />

www.biausa.org/state-affiliates.htm<br />

To see information about upcoming Brain Injury Association of<br />

America events go to:<br />

www.biausa.org/biaa-events.htm<br />

To see information about other brain injury events go to:<br />

www.biausa.org/search-events.htm<br />

Membership – If you are a member of the Brain Injury<br />

Association in your state, you automatically join the Brain<br />

Injury Association of America and receive four free issues<br />

of <strong>THE</strong> <strong>Challenge</strong>! each year. If there is no Brain Injury<br />

Association office in your state, you can donate to the Brain<br />

Injury Association of America and get on our mailing list. Any<br />

donation of $25 or more will get you on the mailing list to<br />

recieve one year of <strong>THE</strong> <strong>Challenge</strong>!<br />

Donate to the Brain Injury Association – Go to our online<br />

donations page:<br />

www.biausa.org/donate-support.htm<br />

You can donate online or mail a<br />

check to the Brain Injury Association<br />

of America. If you are not able to donate, you can<br />

still view issues of <strong>THE</strong> <strong>Challenge</strong>! on our website:<br />

www.biausa.org/brain-injury-publications.htm<br />

Donate to the Brain Injury Association in your state. Your local<br />

Brain Injury Association office works hard to improve services<br />

in your state. Supporting their mission can help<br />

improve services for people with brain injury in your state.<br />

You can find the contact information for your state office at:<br />

www.biausa.org/state-affiliates.htm<br />

When you contact the Brain Injury Association in your state, ask<br />

about volunteer opportunities. There are many volunteer<br />

opportunities from small to large. Every bit of effort helps.<br />

Share your story with others. The Brain Injury Association<br />

of America posts personal stories online. We have a Personal<br />

Stories page on our website:<br />

www.biausa.org/_blog/Personal_Stories/post/<br />

Welcome_to_the_Personal_Stories_page/<br />

Read the Welcome Message to learn how to share your story. If<br />

you can’t quite figure out how to tell your story, be sure to click<br />

open the guide provided in the welcome message. Individuals<br />

with brain injury wrote the guide to help you help others.<br />

You can also offer to share your expertise! Become a<br />

BIAA Subject Matter Expert by filling out the survey online at:<br />

www.surveymonkey.com/s/biaaexperts<br />

While there is no guarantee about getting a chance to speak to<br />

the media, you cannot be heard at all if you don’t sign up!<br />

Social Media – Follow us on Facebook and Twitter. You<br />

need to first sign up so you have an account. On Facebook, go<br />

to the Brain Injury Association of America group page and click<br />

the “join” button:<br />

www.facebook.com/groups/45445586176/<br />

On Twitter, follow BIAA at:<br />

biaamerica<br />

13<br />

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<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong> 14


<strong>THE</strong> <strong>Challenge</strong>!<br />

Honorariums<br />

Speaker honorarium from<br />

Maine Medical Center<br />

Mr. Steven Benvenisti<br />

Speaker honorarium from<br />

Mary Free Bed Rehabilitation<br />

Mr. Steven Benvenisti<br />

Speaker honorarium from Oklahoma<br />

Speech, Language, and Hearing Association<br />

Dr. Mark Ashley<br />

HONORS<br />

In honor of Laurie Backes<br />

Ms. Holly Sefton<br />

In honor of Greg Bornhoft and<br />

Heidi Graham’s marriage<br />

Mr. Rudolph N. Garcia<br />

In honor of Susan H. Connors<br />

Ms. Carol P. Bray<br />

In honor of Paul Elias Crincoli<br />

Ms. Eugenia V. Crincoli<br />

In honor Sean Crouse’s brother<br />

Mr. Joseph Minard<br />

In honor of Elizabeth Curtiss<br />

Mr. and Mrs. Augustus Curtiss<br />

In honor of Stacey Gold<br />

Mr. and Mrs. Frank and Loretta Gold<br />

In honor of Grandma<br />

Mr. Sean Smiley<br />

In honor of Roger Gust<br />

Ms. Brenda Gust<br />

In honor of Katie Henneman<br />

Mr. and Mrs. Michael and Kimberly Curtin<br />

In honor of Kent and Kay Hines<br />

Mr. Thomas Riedel<br />

In honor of Kevin Hodgkinson<br />

Ms. June Hodgkinson<br />

In honor of Candace Hoffman Kopsak<br />

Mr. Robert Kopsak<br />

In honor of Jeff<br />

Mr. Gordon Shukwit<br />

In honor of Alice Battle Jones<br />

Ms. Heather Kinder<br />

In honor of Jordan Klein<br />

Mr. Benjamin Klein<br />

In honor of Olivia Lang<br />

Ms. Olivia Lang<br />

In honor of Daniel Lang-Gunn<br />

Mr. and Mrs. Tom and Janine Giles<br />

October 1, 2011 – December 31, 2011<br />

honor roll of donors<br />

In honor of Amy Marks’ participation<br />

in the HV Sports Sprint Triathlon<br />

Anonymous Donor<br />

Ms. Liz Chidakel<br />

In honor of Scott McFadden<br />

Mr. and Mrs. Richard and Nancy McFadden<br />

In honor of Tim and Christina Merry<br />

Mr. Eli Lifland<br />

In honor of Keith Mitchell<br />

Ms. Beverly Mitchell<br />

In honor of Dr. Gregory O'Shanick<br />

Ms. Ann Schiebelhut<br />

In honor of Julie Prom<br />

Ms. Emilie Crown<br />

In honor of Beryle Rich<br />

Mr. and Mrs. Lawrence and Suzanne Sharken<br />

In honor of Michelle Roth<br />

Ms. Eileen Flink<br />

In honor of Barbara Schelhorn<br />

Ms. Jennifer Quigley<br />

In honor of Bill Schrack, Jr.<br />

Mr. William Schrack<br />

In honor of Andrea J. Schroeder<br />

Ms. Melanie D. Schroeder<br />

In honor of Jim Snyder<br />

Ms. Elizabeth Alexander<br />

In honor of Steve Suchy<br />

Mr. and Mrs. Robert and Mary Suchy<br />

In honor of Steven Unger<br />

Mr. and Mrs. Ken and Susan Unger<br />

In honor of Brandon White<br />

Ms. Brenda White<br />

MEMORIES<br />

In memory of Aunts Elva and Edna<br />

Ms. Diana L. Gustavson<br />

In memory of Butch Alterman<br />

Ms. Maureen M. Alterman<br />

In memory of Karen Amon<br />

Mr. Paul M. Schultz<br />

In memory of Alfred Arroyo<br />

Ms. Judy Arroyo<br />

Mr. and Mrs. Julius and Naomi Merrifield<br />

In memory of John Atterberry<br />

Mr. Neil Lebowitz<br />

In memory of Steven E. Brown<br />

Mr. and Mrs. Web and Frances Brown<br />

In memory of Daniel Calise<br />

The Christiansen Family<br />

In memory of Edward Joseph Carpenter<br />

Ms. Heather Bourgette<br />

In memory of Lynn A. Chiaverotti<br />

Mr. John S. Mc Clenahan<br />

Virginia T. Dashiell Foundation<br />

In memory of Kevin Scott Dalrymple<br />

Kevin Scott Dalrymple Foundation<br />

In memory of<br />

Mary Ann M. Duschen-Waldbillig<br />

The Glascock Family<br />

In memory of Dawn Evans<br />

Ms. Scarlet H. Riley<br />

In memory of Dr. Irving Feigenbaum<br />

Ms. Shirley Feigenbaum<br />

In memory of Jared H. Feigenbaum<br />

Mr. and Mrs. Robert A. and<br />

Roberta S. Feigenbaum<br />

Ms. Shirley Feigenbaum<br />

In memory of Alvin Ferleger<br />

The Zides Family<br />

In memory of Kade R. Flynn<br />

Ms. Laraine E. Flynn<br />

In memory of Jane Gaiso<br />

Ms. Maria L. Gaiso<br />

In memory of Robert and Marty Goldstien<br />

Mr. and Mrs. Scott and Shari Goldstien<br />

In memory of Jared Lee Graber<br />

Mr. John Fuji<br />

Mr. Craig Hisaka<br />

Mr. Terrence Van Oss<br />

Ms. Denise Wheeler<br />

In memory of Mary Ann Great<br />

Mr. Ronald J. Great<br />

In memory of<br />

Nancy Virginia Hedger Schiefelbein<br />

Ms. Lori Thimsen<br />

In memory of Brian James Hom<br />

Ms. Karen Bolte<br />

Limo Alimi Foundation<br />

In memory of Joseph John Jaworski, III<br />

Ms. Teresa Peterson<br />

Mr. and Mrs. Kenneth and Susan Stranc<br />

In memory of Joseph E. Kolaga<br />

Kolaga Family Charitable Trust<br />

In memory of John Lowell Landis<br />

Mr. and Mrs. Jack and Susan Lane<br />

Mr. Robert F. Milligan<br />

Mr. and Mrs. Jay and Dale Ransom<br />

In memory of Virginia Lazzeri<br />

Mr. Alex Turchette<br />

In memory of Sally Leibovitz<br />

Ms. Debra Leibovitz<br />

15<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong>


In memory of J.P. Liggett<br />

Mr. and Mrs. Joe and Joanne Long<br />

In memory of Timothy W. Mikullitz<br />

Mrs. Cheryl Mikullitz<br />

Mr. David Mikullitz<br />

In memory of Reed Newton<br />

Ms. Karen Clark<br />

In memory of Harold O’Leary<br />

Mr. Danielle Whalen Memorial Foundation<br />

In memory of Pietro Polizzi<br />

Mr. Michael Conigliaro<br />

In memory of Reverend<br />

Frederick F. Powers, Jr.<br />

Mrs. Joan Powers<br />

In memory of Marty Prince<br />

Mr. Richard Prince<br />

In memory of Karen A. Reitter<br />

Ms. Mary Reitter<br />

In memory of Tashari Rochester<br />

Ms. Karen Rochester<br />

In memory of Evan Andrew Schager<br />

Ms. Anne L. Schager<br />

In memory of Esther Schotell<br />

732nd Railway Operating Battalion<br />

In memory of Dr. David Strauss<br />

Ms. Joanne F. Finegan<br />

In memory of Margaret Nygren Taylor<br />

Mr. Robert Taylor<br />

In memory of Virginia Austin Trage<br />

Mr. Andrew S. Austin<br />

In memory of Steve and Mary Ungvarsky<br />

Ms. Mary P. Ungvarsky<br />

In memory of Herman Thomas Young<br />

Ms. Kim Robinson<br />

TRIBUTES<br />

In tribute of Brain Injury<br />

Awareness Month <strong>2012</strong><br />

Brain Injury Association of MI<br />

In tribute to Bryan Todd Dalrymple<br />

Kevin Scott Dalrymple Foundation<br />

In tribute to Craig Foley<br />

Ms. Beth Doiron<br />

In tribute to Seldon Fritchner<br />

Mr. John R. Stafford<br />

In tribute to Jennifer K. Stafford<br />

Mr. John R. Stafford<br />

GENERAL DONATIONS<br />

Anonymous Donor<br />

Mrs. Elizabeth Ackerson<br />

Ms. Crystal Arquette<br />

Mr. and Mrs. Alan and Diane Begle<br />

Ms. Erica Bender<br />

Ms. Megan Bishop<br />

Mr. Randy Blausey<br />

Mr. and Mrs. Robert and Kathleen Brezovec<br />

CARF<br />

Mr. Arthur A. Carter Jr.<br />

Mr. Mario Castiglia<br />

Ms. Phyllis Cherebin<br />

Ms. Amy R. Chester<br />

Children's Hospital of Philadelphia Trauma<br />

Program<br />

Ms. Elaine Chimenti<br />

Ms. Sally Collins<br />

Ms. Carole B. Conger<br />

Mr. Manuel Couto<br />

Ms. Sandra Gaines Cranshaw<br />

Craig Hospital<br />

Mr. and Mrs. John and Alice Davies<br />

Mr. Richard A. Deichmann<br />

Ms. Susanne Dougherty<br />

Mr. and Mrs. Dan and Judy Durfee<br />

Ms. Deborah Einhorn<br />

Mr. and Mrs. Joe and Mary Conover Faltesek<br />

Mr. Roy A. Ferguson<br />

Ms. Jessica L. Frye<br />

Mr. Rolf B. Gainer<br />

Ms. Laura Goldberg<br />

Ms. Amy Gonzalez<br />

Mr. Geo Gosling<br />

Ms. Barbara Guidos<br />

Mr. James C. Hall<br />

Mr. Kent Hamilton<br />

Mr. Ken Handwerger<br />

Ms. Barbara Hasley<br />

Ms. Elvira Heinrich<br />

Mr. Sheldon L. Herring<br />

Mr. and Mrs. Peggy Hetrick<br />

and Stephen Shephard<br />

Mr. and Mrs. David G. and Carol A. Hevey<br />

Mr. and Mrs. John E. Holing<br />

Ms. Margaret Hutchings<br />

Mr. Steven Israel<br />

J. W. Mitchell Company, LLC<br />

Dr. Douglas I. Katz and Ms. Kim S. Storey<br />

Ms. Sharon Keith<br />

Ms. Maryellen T. Klang<br />

Mr. Steven Klein<br />

Ms. Rosalie Kleinberg<br />

Ms. Virginia M. Lazzara<br />

Honor Roll of Donors<br />

Mr. William J. Leonard<br />

Ms. Abby Levenson<br />

Mr. Elliot Lubar<br />

Ms. Beth MacAleer<br />

Ms. Lila A. Mann<br />

Ms. Heather McGrath<br />

Mr. William G. Meier<br />

Mr. Carlos A. Moreno<br />

Ms. Linda D. Morgan<br />

Mr. Gene Moyer<br />

Ms. Alma Ocampo<br />

Mr. and Mrs. Robert and Martha Page<br />

Mr. Fredric W. Parsons<br />

Ms. Georgia Pearson<br />

Ms. Debbie Petrone<br />

Mr. Richard Proft<br />

Mr. and Mrs. M. Jean and Walter Reeves<br />

Ms. Terri Reynolds<br />

Mr. Jack Richert<br />

Mr. Joseph C. Richert<br />

Mr. and Mrs. George and Elizabeth Ripsom<br />

Mr. and Mrs. Inez and Marvin Rossiter<br />

Ms. Judith M. Schwartz<br />

Mr. Darryl Sim<br />

Sleepy Chicken Inc.<br />

Ms. Deborah Snyder<br />

Ms. Alicia Stone<br />

Ms. Ruth S. Sugerman<br />

Ms. Sandra S. Sussman<br />

Mr. Chad Taylor<br />

Mr. Robert Taylor<br />

Mr. and Mrs. Ken and Susan Unger<br />

United Way California Capital Region<br />

United Way of Greater Mercer County<br />

United Way of the National Capital Area<br />

Valero Wilmington<br />

Dr. Hendrika Vande Kemp<br />

Ms. Clarice Vasicek<br />

Mr. and Mrs. Joshua and Annette Verona<br />

Mr. Roger A. Waha<br />

Ms. Joretta A. Watts<br />

Dr. John Whyte<br />

Ms. Beverly Wilcox<br />

Ms. Barbara <strong>Winter</strong>s<br />

Mr. and Mrs. Gary and Kay Woods<br />

Mr. and Mrs. Lee and Patricia Worthen<br />

Ms. Amanda E. Young<br />

thank you!<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong> 16


<strong>THE</strong> <strong>Challenge</strong>!<br />

State<br />

Affiliate<br />

News<br />

Georgia<br />

The Brain Injury Association of<br />

Georgia welcomes new board<br />

member, Kristen Beightol. Kristen<br />

has spent her career as an attorney<br />

representing catastrophically<br />

injured individuals across the<br />

United States, many of whom have<br />

suffered brain injuries. Throughout<br />

her legal career, Kristen has<br />

seen individuals with brain injury struggle to find community<br />

resources. She hopes that by serving on this board she can help<br />

to inform Georgians about brain injuries. Kristen hopes to help<br />

connect individuals with brain injury to available resources<br />

as well as promote the creation of additional resources. BIAG<br />

is also pleased to announce a new peer visitor program called<br />

“Brain Injury Peer Visitor Insource Program” (PVIP). A<br />

conversation with a trained peer visitor volunteer sometimes<br />

can be the most impactful activity that a brain injury survivor<br />

or their loved ones may receive while at the hospital. A licensed<br />

clinical social worker (LCSW) will coordinate the program’s<br />

initial training services. The hospital will manage the PVIP<br />

in-house after the initial training and receive ongoing support<br />

when needed. BIA-GA’s goal is to provide a helping hand by<br />

promoting the recovery process and providing the hospital<br />

volunteer or staff with the skills and tools needed to deliver<br />

the proper level of help, hope, support and communication to<br />

individuals who sustain brain injuries and their families.<br />

Hawaii<br />

The Brain Injury Association of Hawaii is proud to present<br />

BRAIN CONNECT, the premier Brain Injury Conference in<br />

Hawaii. The conference will be held March 8-9, <strong>2012</strong>, at the Ala<br />

Moana Hotel in Honolulu. Please contact Mary Wilson for more<br />

information: biahi@hawaiiantel.net.<br />

Kansas<br />

The Brain Injury Association of Kansas and Greater Kansas<br />

City is pleased to continue our tradition of offering an annual<br />

comprehensive conference for professionals working with<br />

Massachusetts<br />

17<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong>


State Affiliate News<br />

series for survivors, families and professionals and CEUs are<br />

offered to professionals. Workshops are held once a month<br />

and at BIA-MA’s Annual Conference, which will be Thursday,<br />

March 29.<br />

Montana<br />

The Brain Injury Association of Montana recognizes Anita<br />

Roessmann, Brenda Toner and Mark Sanders, who have<br />

each participated for six years as a member of the BIAMT<br />

board of directors! Our association and state benefited<br />

from their participation, knowledge and dedication to brain<br />

injury awareness in Montana. Thank you! The Brain Injury<br />

Association of Montana is planning its 25th Anniversary<br />

Celebration. Several events and activities are in the works for<br />

August <strong>2012</strong>, including a professional conference for service<br />

providers in the fields of adult and pediatric brain injury and<br />

the annual conference for survivors and family members. The<br />

BIAMT is currently accepting presentation proposals. Please<br />

contact Kristen at 406-541-6442 or info@biamt.org for more<br />

information. The BIA-MT launched Cranestorm – Wishes<br />

in Flight at our October 2011 conference. We look forward<br />

to providing a visual experience at our next conference that<br />

demonstrates the number of Montanans living with brain injury.<br />

For information on how you or your agency can participate<br />

in this amazing project please visit www.biamt.org or contact<br />

Kristen at 406-541-6442 or 1-800-241-6442 (Montana only).<br />

New Hampshire<br />

The Brain Injury Association of New Hampshire held its<br />

Annual Walk by the Sea walkathon fundraiser Sunday, October<br />

2, 2011. This was BIANH’s 25th anniversary of holding the<br />

Walk! Despite a blustery, rainy day, the participation was just as<br />

enthusiastic as in years past. There were 45 teams participating,<br />

as well as a number of individual supporters and the event<br />

raised more than $43,000! Michael Painter, the Walk’s founder,<br />

was recognized and presented with a 25th anniversary engraved<br />

cup. BIANH will be co-hosting the Service Credit Union<br />

Boston-Portsmouth Air Show with the Boy Scouts of America<br />

– Daniel Webster Council, Saturday, June 30 to Sunday, July 1,<br />

<strong>2012</strong>, with special guests the U.S. Navy’s Blue Angels. At the<br />

recent ICAS Conference in Las Vegas, Nev., the U.S. Army’s<br />

Golden Knights awarded the Service Credit Union Boston-<br />

Portsmouth Air Show (August 2011) as “Best Air Show of the<br />

Year.” BIANH continues to take the lead on concussion and<br />

youth sports in NH. We founded and coordinate the NH State<br />

Advisory Council on Sport-Related Concussion. Currently,<br />

the Council has 10 high school pilot sites participating in a<br />

comprehensive concussion treatment and prevention initiative.<br />

We are one of the few states–maybe the only state–that has<br />

developed a statewide consensus statement on the “best<br />

practice” in management of concussion in youth sports.<br />

(Continued on pg. 19)<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong> 18


<strong>THE</strong> <strong>Challenge</strong>!<br />

State Affiliate News (Continued from pg. 18)<br />

New York State<br />

The new year is off to an exciting start. In January, BIANYS<br />

offered it inaugural webinar, “Meeting the Needs of Student<br />

Veterans.” “Webinar Wednesdays” will feature a monthly<br />

webinar on the last Wednesday of each month. Check our<br />

website, www.bianys.org for the schedule and to register.<br />

These webinars are offered at no cost. Our annual “Connecting<br />

Our Lives” project for <strong>2012</strong> is a brain injury quilt. All of our<br />

support groups and chapters, as well as members, brain injury<br />

programs and others in the community are invited to participate<br />

in this project by making a quilt square. The quilts will be<br />

displayed in communities around the state in March, at our<br />

annual conference in June, and the Journey of Hope Gala in<br />

October. This follows our successful origami project from last<br />

year. Expanding out LEARNet resource, BIANYS is working<br />

with the government of Jamaica to develop a number of packets<br />

and resource materials addressing challenges faced by students<br />

returning to school after brain injury. We continue to offer our<br />

Understanding Life with Brain Injury training throughout the<br />

state, along with a number of regional programs. The brain<br />

injury stories blog is a new project of BIANYS as an extension<br />

of the BIANYS online support group and the deep desire of its<br />

members to share their stories and experiences. Paula Schmidt<br />

is the FACTS (Family Advocacy, Counseling, and Training<br />

Services Program) coordinator who provides oversight for the<br />

blog. The link is www.braininjurystories.org. Check it out! In<br />

addition, we are coming up with creative ideas to celebrate our<br />

30th Anniversary.<br />

South Carolina<br />

<strong>2012</strong> is shaping up to be a busy and productive year for<br />

the Brain Injury Association of South Carolina. We kick<br />

off <strong>2012</strong> with the Shuck-A-Rama Oyster Roast in January<br />

in Mt. Pleasant, S.C. This is our first fundraising event for<br />

the Lowcountry. It is through the generous support and<br />

participation of board members, committee members, staff,<br />

donors and sponsors that we are now able to provide events in<br />

three major locations in our state: the Midlands, the Upstate<br />

and the Lowcountry. Our hope is to be able to implement even<br />

more events throughout our state to raise awareness for brain<br />

injury. We are excited to announce the SC Developmental<br />

Disabilities Council has awarded us grant funding for a second<br />

year for our Head’s Up! SC project. Head’s Up! SC focuses on<br />

concussion identification and management. During the second<br />

year of the project, we will provide the fundamental tools and<br />

education to help properly identify and treat concussions to all<br />

SC middle school athletic professionals. Another grant that we<br />

have been very privileged to receive is from the Department<br />

of Disabilities and Special Needs. ThinkFirst is a grant-funded<br />

project that focuses on injury prevention in SC youth and teens.<br />

The curriculum encourages youth to make good choices in<br />

order to avoid traumatic injuries. Discussion about consequences<br />

of drinking while driving, texting while driving, not wearing<br />

helmets and more are included. Through our grant, we are<br />

able to continue providing training for new chapters across our<br />

state so that they can amplify our voice for prevention. Another<br />

strong component of the BIASC is our brain injury support<br />

group network across our state. To provide further education and<br />

training for our support group leaders, we will conduct a support<br />

group leader workshop in February <strong>2012</strong>. We are very thankful<br />

for the dedication of these individuals and would like to have the<br />

opportunity to thank them for their continued participation and<br />

support.<br />

Washington<br />

On October 15, 2011, the Brain Injury Association of<br />

Washington (BIAWA) hosted our 5th Annual B.I.G Event<br />

(Brain Injury Gala) at the Grand Hyatt, Seattle. More than<br />

400 people joined together to help raise awareness about brain<br />

injury, increase funds to support those throughout Washington<br />

whose lives are affected by brain injury and find inspiration in<br />

the words of our Honorary Chair Ginny Ruffner. Through the<br />

generous support of our attendees and sponsors, we raised more<br />

than $320,000.The B.I.G Event brings together community<br />

members from all walks of life including neurosurgeons,<br />

physiatrists, personal injury attorneys and social workers as<br />

well as a number of caregivers and individuals with brain injury<br />

who are able to attend as our guests through our “Survivor<br />

Scholarship.” The B.I.G Event is a crucial component of our<br />

continued mission to increase public awareness, support and<br />

hope for those affected by brain injury through education,<br />

assistance and advocacy, and the funds raised help support our<br />

expansion of services throughout Washington State. We are<br />

excited to announce the <strong>2012</strong> B.I.G Event will be held at the<br />

Seattle Sheraton October 27, <strong>2012</strong>.<br />

From Left: Deborah Crawley, Ann Wyman, Richard Adler, Ginny Ruffner, and<br />

Virginia Wyman Katie Tyree, photo courtesy of Team Photogenic<br />

19<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong>


State Affiliate News<br />

The Brain Injury Association of America proudly recognized six chartered state<br />

affiliates and two state leaders amid ovations and cheers from their peers during the<br />

16th Annual State Affiliate Leadership Conference<br />

in December 2011.<br />

Ginny Lazzara, chairperson of the board of directors of the<br />

Brain Injury Association of Illinois received the award for chief<br />

volunteer officer. Ms. Lazzara sets a model for board member<br />

involvement in association<br />

activities at both the state and<br />

national level. Her work ethic,<br />

expertise and positive outlook<br />

ensure the BIA of Illinois<br />

is able to serve individuals<br />

impacted by brain injury.<br />

Ginny Lazzara with BIAA Board<br />

Chairman Greg O’Shanick<br />

Anne McDonnell, executive director of the Brain Injury<br />

Association of Virginia received the award for chief staff<br />

professional. Ms. McDonnell was nominated by members<br />

of her staff and governing<br />

board for her extraordinary<br />

accomplishments in programs<br />

and services, advocacy and<br />

organizational management and<br />

her unwavering passion and<br />

dedication to serving person<br />

with brain injury.<br />

Susan Connors and Anne McDonnell,<br />

executive director of BIA of Virginia<br />

The Brain Injury Association of Delaware received an award for<br />

its bi-yearly newsletter, which is compiled by BIAD volunteer<br />

Tracey Landmann, who displays a strong, positive, creative<br />

attitude despite the challenges that result from sustaining a<br />

brain injury.<br />

The Brain Injury<br />

Association of Illinois<br />

was recognized for<br />

its military outreach<br />

program, which<br />

included producing<br />

the film series Journey<br />

Forward to explain<br />

brain injury and PTSD<br />

and provide newcomers<br />

with strategies to address<br />

changes in family roles.<br />

The film is available in<br />

DVD from BIA-IL and<br />

can be viewed on YouTube.<br />

Susan Connors, BIA of Illinois<br />

Executive Director Philicia Deckard<br />

and Board Chairperson Ginny Lazzara<br />

The Brain Injury Association of Massachusetts was honored<br />

for its multi-faceted campaign on the landmark settlement of<br />

Hutchison v. Patrick,<br />

a lawsuit that forced<br />

the Commonwealth<br />

to remove individuals<br />

with brain injury from<br />

inappropriate nursing<br />

home placements. The<br />

campaign included<br />

the development of a<br />

website, use of social<br />

media, front-page<br />

newspaper stories, press<br />

releases, quarterly newsletter articles and a video documentary<br />

demonstrating the freedom, independence and better life<br />

available because of the suit. The video can be viewed from<br />

BIA-MA’s website at www.biama.org.<br />

Sandra Topalian and Marilyn Spivack of<br />

Massachusetts with Susan Connors<br />

The Brain Injury Association of Missouri received an award for<br />

strategic management of very limited resources. BIA-MO staff<br />

and volunteers modeled their<br />

new website based on BIA of<br />

America’s design and content,<br />

which allowed BIA-MO to<br />

meet or exceed nationwide<br />

branding requirements at a<br />

substantially reduced cost.<br />

Maureen Cunningham, BIA-MO<br />

Executive Director and Susan Connors<br />

The Brain Injury Association of New York State earned an<br />

Award of Excellence for its new DVD, Keep Moving Forward,<br />

a 25-minute film that highlights the stories of three families with<br />

children who have<br />

sustained traumatic<br />

brain injuries. BIA<br />

of NYS shared its<br />

DVD with educators,<br />

service providers,<br />

healthcare staff and<br />

the general public.<br />

It has become an<br />

important component<br />

in community<br />

outreach activities.<br />

BIA of NYS Board President Marie Cavello and<br />

Executive Director Judith Avner with Susan Connors<br />

(Continued on pg. 28)<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong><br />

20


<strong>THE</strong> <strong>Challenge</strong>!<br />

advocacy<br />

UPDATE<br />

By Amy C. Colberg, MA, Director of Government Affairs, Brain Injury Association of America<br />

As the second session of the 112th<br />

Congress begins, BIAA is poised to<br />

take on both the opportunities and<br />

difficulties this session presents. Many<br />

policymakers are focused on this year’s<br />

presidential and congressional elections,<br />

in which republicans will try to regain<br />

the White House while democrats try to<br />

regain the House of Representatives and<br />

both political parties vie for the Senate.<br />

Amid the politicking, BIAA will continue to<br />

advocate with the support of the Congressional<br />

Brain Injury Task Force, a bipartisan caucus of<br />

more than 130 members of Congress, led by<br />

Rep. Bill Pascrell, Jr., (D-NJ) and Rep. Todd<br />

Russell Platts (R-PA). Our goals this year are<br />

to sustain and bolster brain injury programs,<br />

increase access to care and preserve vital brain<br />

injury research. As in 2011, appropriations<br />

increases in <strong>2012</strong> are unlikely, but there are<br />

still many opportunities to advance our cause.<br />

This year, BIAA will continue to collaborate<br />

with the Health Resources and Services<br />

Administration, the National Institute on<br />

Disability and Rehabilitation Research, the<br />

Centers for Disease Control and Prevention,<br />

the National Institutes of Health, and the Food<br />

and Drug Administration (a new partnership<br />

that was developed in 2011). BIAA will also<br />

continue to monitor and comment on the<br />

Department of Defense and the Department<br />

of Veterans Affairs’ research and treatment<br />

for active duty military, their dependents and<br />

veterans.<br />

Brain Injury<br />

Awareness Day <strong>2012</strong><br />

Brain Injury Awareness Day on Capitol Hill<br />

will be held Wednesday, March 21, <strong>2012</strong>.<br />

Starting at 10 a.m., the annual brain injury fair<br />

will take place in the Rayburn House Office<br />

Building Foyer and will feature exhibitors<br />

from throughout the country. At 1:00 p.m.,<br />

please join us for a briefing addressing brain<br />

injury through the life span. If you plan to<br />

Our goals<br />

this year<br />

are to sustain<br />

and bolster<br />

brain injury<br />

programs,<br />

increase<br />

access to<br />

care and<br />

preserve<br />

vital brain<br />

injury<br />

research.<br />

attend in person, please remember to visit<br />

your representative and senators’ offices to<br />

speak with them about the importance of<br />

access to brain injury treatment. Advocacy<br />

talking points for your use and materials to<br />

distribute to legislators will be available for<br />

pick-up at BIAA’s exhibit at the fair. If<br />

you cannot attend in person, please call<br />

your representative and senators to make<br />

them aware of the fair and invite them<br />

to attend the briefing. Check BIAA’s<br />

website at www.biausa.org for information and<br />

instructions.<br />

BIAA is committed to helping the<br />

Congressional Brain Injury Task Force plan a<br />

successful event. BIAA wants policymakers<br />

to understand that a brain injury can happen<br />

anywhere, at anytime to anyone. Your<br />

participation in Awareness Day on Capitol<br />

Hill is vital to increasing understanding of<br />

the injury and bringing about public policy<br />

change.<br />

TBI Act Reauthorization<br />

BIAA and other stakeholders continue to<br />

work with the Health Resources and Services<br />

Administration (HRSA) on reauthorization of<br />

the TBI Act and to develop an inclusive and<br />

transparent process for establishing a longrange<br />

plan for the Federal TBI Program.<br />

On January 6, <strong>2012</strong>, BIAA and the<br />

National Association of State Head Injury<br />

Administrators (NASHIA) met with the office<br />

of Rep. Bill Pascrell, Jr., to discuss plans<br />

for TBI Act reauthorization. Congressional<br />

staff was pleased with the progress made on<br />

HRSA’s long-range plan for the Federal TBI<br />

Program and was receptive to ideas such as<br />

a formula funding model for the state grant<br />

program as well as authorizing direct services<br />

as part of the program. BIAA and other<br />

stakeholder organizations also met with staff<br />

from Sens. Tom Harkin and Orin Hatch to<br />

secure support for TBI Act reauthorization in<br />

the Senate.<br />

21<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong>


Advocacy Update<br />

BIAA believes the development of a long-range plan will<br />

elevate the status of the program, lead to greater efficiency<br />

and efficacy in systems coordination and ultimately increase<br />

availability of services for people with brain injury. The<br />

coordination of HRSA and TBI stakeholders will also show<br />

Congress the dedication that the community has to this program<br />

and will ideally stimulate increased funding in years to come.<br />

Appropriations Update<br />

On December 17, 2011, the Senate passed the Conference<br />

Report on H.R. 2055, Consolidated Appropriations Act of <strong>2012</strong>.<br />

The day before, the House passed the Conference Report on the<br />

consolidated Appropriations Act of Fiscal Year <strong>2012</strong> (House<br />

Report 112-331). The legislation includes the Fiscal Year <strong>2012</strong><br />

Labor, Health, and Human Services, Education, and Related<br />

Agencies Appropriations bill.<br />

On September 21, 2011, the Senate Appropriations Committee<br />

considered an FY12 Labor, Health and Human Services,<br />

Education and Related Agencies (Labor/HHS) bill, which<br />

contained TBI Act funding. In the past year, more than 50<br />

programs have been cut from the Labor/HHS budget. However,<br />

largely through BIAA and NASHIA’s advocacy, TBI Act<br />

funding has been sustained thus far.<br />

Health Care Reform Update<br />

On December 16, 2011, the Department of Health and Human<br />

Services (HHS) released a critical bulletin outlining the<br />

agency’s proposed strategy for regulating the essential health<br />

benefits (EHB) package – the minimum floor of benefits<br />

individual and small group plans will be required to cover in<br />

2014 and beyond. Most surprisingly, the agency did not release<br />

at this time a proposed regulation further defining the ten<br />

categories of listed benefits in the Affordable Care Act. Rather,<br />

HHS proposes to give each state considerable flexibility to<br />

define a “benchmark” plan, similar to the process used by states<br />

in implementing the Children’s Health Insurance<br />

Program (CHIP).<br />

There are positives and negatives with this approach, but either<br />

way, the final decision has not been made. BIAA is submitting<br />

comments to HHS on the bulletin. There remain many<br />

opportunities to continue to influence the process moving forward<br />

so that the reforms will benefit individuals with brain injury.<br />

The Agency for Healthcare Research and Quality's (AHRQ)<br />

Effective Health Care Program has released a report<br />

“Comparative Effectiveness of Postacute Rehabilitation for<br />

Moderate to Severe Traumatic Brain Injury.” The public may<br />

comment on the report by going to the website http://www.<br />

effectivehealthcare.ahrq.gov/index.cfm/research-available-forcomment/.<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong> 22


<strong>THE</strong> <strong>Challenge</strong>!<br />

NEWS & NOTES<br />

Authors Needed for The Essential<br />

Brain Injury Guide<br />

The Brain Injury Association of America and the Academy of<br />

Certified Brain Injury Specialists announce the development<br />

of The Essential Brain Injury Guide, 5th edition. The new<br />

publication will reflect current research and best practices in<br />

brain injury treatment and rehabilitation. Qualified authors<br />

are invited to complete the form located at www.biausa.org/<br />

LiteratureRetrieve.aspx?ID=98751 to review anticipated topics<br />

and to indicate an interest in participating; further information<br />

will be requested as potential contributors are identified.<br />

Sign up for a Free Subscription<br />

to Neurology Now<br />

Neurology Now, the American Academy of Neurology’s<br />

(AAN) patient-education magazine, covers a wide range of<br />

neurologic disorders—including traumatic brain injury—in<br />

a variety of formats: news, personal features, resources,<br />

and more. As a service to the<br />

community, AAN makes the<br />

publication free to patients, their<br />

families and caregivers. Visit www.<br />

neurologynow.com to receive your<br />

free subscription.<br />

If you subscribe to the magazine by<br />

March 15, you will receive the April/<br />

May issue featuring an interview<br />

with astronaut Rich Clifford, winner<br />

of the AAN’s “Public Leadership<br />

in Neurology Award” for <strong>2012</strong>. In<br />

addition, for the first time, Neurology<br />

Now will be available for the iPad.<br />

Call for Proposals for<br />

Medical Rehabilitation<br />

Education Conference<br />

The Education Committee of the<br />

American Medical Rehabilitation Providers Association is<br />

planning the 10th Annual Medical Rehabilitation Education<br />

Conference, which will be held Oct. 15-17, <strong>2012</strong>, at the Loews<br />

Coronado Bay Resort in San Diego, Calif., with a focus on<br />

“Rehabilitation and Reform: Succeeding in a Changing Health<br />

Care Environment.” The call for presentations is open until<br />

April 15, <strong>2012</strong>. They are seeking presentations that will not<br />

only cover the rules, regulations and their impact, but the<br />

strategies and tools needed to enable inpatient rehabilitation<br />

March is<br />

Brain Injury<br />

Awareness Month<br />

anyTIME,<br />

anywhere,<br />

ANYONE<br />

Brain Injuries do<br />

not discriminate<br />

providers to succeed in this new environment. Go here for more<br />

information: www.firmems.com/ or www.amrpa.org/.<br />

T2 Launches Online Community for<br />

Military Mental Health Professionals<br />

National Center for Telehealth and Technology (T2) invites<br />

military mental health professionals to join “Psychological<br />

Health Providers for the Military Community,” a new group<br />

the center manages on LinkedIn. This initiative creates<br />

additional opportunities for providers to share information<br />

and best practices for treating psychological health or traumatic<br />

brain injury.<br />

“Our vision for this group is to offer an engaging environment<br />

where mental health providers can share knowledge, exchange<br />

ideas and collaborate to help provide the highest level of support<br />

and care for service members, veterans and military families,”<br />

said Dr. Greg Gahm, executive director of T2.<br />

If you have questions about this<br />

new professional group, or would<br />

like more information, you can<br />

contact T2 via email at AskUs@<br />

T2Health.org. Please note that<br />

participation in the group requires<br />

that you have a LinkedIn account.<br />

International Day<br />

of Persons with<br />

Disabilities Celebrated<br />

on Dec. 3<br />

Dec. 3, 2011 was celebrated as<br />

the 19th Annual International<br />

Day of Persons with Disabilities,<br />

highlighting efforts to improve<br />

the conditions of persons with<br />

disabilities. Across the globe, 15<br />

percent of the world’s population<br />

is living with a disability and<br />

about a quarter of the global population has a family member<br />

with, or works with, someone with a disability. Kathleen<br />

Sebelius, secretary of the Department of Health and Human<br />

Services, made the following statement:<br />

When the Americans with Disabilities Act was passed in 1990,<br />

America became the first country in the world to declare<br />

equality for citizens with disabilities. President Obama has<br />

continued our country’s leadership in improving the lives<br />

23<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong>


News & Notes<br />

of people with disabilities. The Obama administration has<br />

joined in signing the Convention on the Rights of Persons with<br />

Disabilities, promoting equality while seeking to ensure that<br />

persons with disabilities enjoy the same rights and opportunities<br />

as all people.<br />

Under President Obama the employment, retention and<br />

advancement of persons with disabilities within the federal<br />

workforce has been a priority of the U.S. Department of Health<br />

and Human Services. Thanks to President Obama’s Executive<br />

Order 13548 and HHS’ Disability Hiring Initiative, announced<br />

in December 2009, I’m pleased to announce that for the first<br />

time in a number of years, we can report that over 1 percent of<br />

the permanent HHS workforce is comprised of employees with<br />

significant disabilities.<br />

At the same time, due to passage of the Affordable Care Act,<br />

there are many new protections for those with disabilities and<br />

those within the disability community. Job-based and new<br />

individual plans are no longer allowed to deny or exclude<br />

coverage to any child under age 19 based on a pre-existing<br />

condition, which includes living with a disability. Starting<br />

in 2014, these same plans won’t be able to exclude adults<br />

from coverage or charge a higher premium for a pre-existing<br />

condition including a disability. Furthermore, insurance<br />

companies can no longer take away coverage when a person<br />

gets sick due to a mistake on their coverage application.<br />

While we are pleased to announce HHS’ progress including<br />

more people with disabilities in our workforce as well as<br />

additional health insurance protections for persons with<br />

disabilities due to the Affordable Care Act, we know we have a<br />

lot more work to do. We will continue to work with the disability<br />

community and commit to efforts that enhance the lives of<br />

persons with disabilities.<br />

On Dec. 2, 2011, The White House issued a Proclamation in<br />

support of the International Day of Persons with Disabilities,<br />

saying: “We recommit to ensuring people living with disabilities<br />

enjoy full equality and unhindered participation in all facets<br />

of our national life. We recognize the myriad contributions<br />

that persons with disabilities make at home and abroad, and<br />

we remember that disability rights are universal rights to be<br />

recognized and promoted around the world.”<br />

In recognition of the United Nations International Day of<br />

Persons with Disabilities and Human Rights Day, Special<br />

adviser for International Disability Rights Judy Heumann<br />

hosted a screening and panel discussion of “Lives Worth<br />

Living,” a historical documentary about the disability rights<br />

movement. For more information on the film, please visit:<br />

www.pbs.org/independentlens/lives-worth-living/.<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong> 24


<strong>THE</strong> <strong>Challenge</strong>!<br />

NO MORE<br />

AT OUR PICNIC!<br />

One Advocate’s<br />

Story<br />

By Carol P. Bray<br />

Just as he did every Monday for 40 years, my husband was<br />

preparing to go to work. He was a vice president in the<br />

commercial lending division of a local bank. However,<br />

on Monday, Nov. 2, 2009, he had such terrible back pain that he<br />

had to be taken to the hospital, by ambulance, because he could<br />

not walk. This is a day that would change my husband’s life<br />

forever. He would be admitted to the hospital and he would not<br />

return home until 7 ½ months later.<br />

Following admission, he had surgery for an epidural spinal<br />

abscess and, as a result, suffered an anoxic brain injury. His<br />

health began to deteriorate to the point that, in his third of six<br />

weeks in this hospital, he was moved to the Intensive Care Unit<br />

where he was placed on a ventilator, and had multiple tubes<br />

attached to him. He was semi-comatose most of the time. He<br />

nearly died on several occasions. When the doctors were unable<br />

to determine why he was not responding to treatment, I moved<br />

him to Johns Hopkins Hospital, Baltimore, Maryland. Initially,<br />

I had worried about my husband’s survival, and, at one point<br />

was even planning his funeral in my mind. When it appeared<br />

he would live, other equally difficult questions arose. Would he<br />

awaken, and, if he did, who would he be? Would he be himself<br />

again? Was I looking at a lifetime as caregiver? Could he come<br />

home to live, or would he be confined to a nursing facility?<br />

I found that I had to be involved in my husband’s care, at all<br />

times, questioning and giving my opinions to the doctors and<br />

staff. I knew my husband better than anyone and it became<br />

my responsibility to advocate for his care by sharing all of the<br />

information I had about his condition and requesting (sometimes<br />

demanding) the staff share all of theirs. To make this possible,<br />

the first order of business was to get a Medical Power of<br />

Attorney. Because of my husband’s incapacitation, I also got<br />

General Power of Attorney. Without those two legal documents,<br />

I was powerless to make the medical and financial decisions on<br />

his behalf that I felt were necessary. This is so necessary if you<br />

are to be in control of the situation. My husband had handled<br />

our financial business; however, he always kept me apprised of<br />

our accounts and bills. Additionally, both our daughter and son<br />

were in the banking business, and were of great assistance to<br />

me. It was important to find individuals whom I trusted to assist<br />

with situations that might arise.<br />

At Johns Hopkins, he was re-evaluated and doctors found the<br />

surgeon had not removed the entire abscess, which is why his<br />

condition had not improved. Additional surgery was too risky;<br />

however, they were able to find an antibiotic that seemed to<br />

attack the infection and, after seven weeks, he was stabilized<br />

and ready to move to a sub-acute hospital to begin speech,<br />

physical and occupational therapy. I worked with the hospital<br />

social worker to find a suitable sub-acute facility, however,<br />

she wanted me to consider a nursing home and I was adamant<br />

that I wanted him in a sub-acute rehabilitation facility. I ended<br />

up having to do a lot of the research myself. I finally located a<br />

rehabilitation hospital that would take my husband. It was also<br />

in Baltimore.<br />

The 80-mile per-day round trips to Baltimore, over the seven<br />

weeks my husband was in Johns Hopkins, and the four weeks<br />

he was in the rehabilitation hospital, became too much for me.<br />

I also determined the program at the rehabilitation hospital was<br />

unacceptable (very little therapy), so I moved him to a nursing<br />

home close to where we lived. I knew this was not the optimal<br />

placement, and one I had initially refused to consider, even<br />

though the facility had the therapies he needed.<br />

In April 2010, 23 weeks after his initial admission, to include<br />

six weeks in the nursing home, and with the assistance of<br />

his speech therapist at the nursing home, he was finally<br />

accepted into Adventist Rehabilitation Hospital, Rockville,<br />

Maryland. This acute care hospital provided excellent care<br />

and rehabilitation, and gradually he improved. As I did at the<br />

previous hospitals, I requested at least biweekly team meetings<br />

to discuss my husband’s condition. It was not until he was in<br />

Adventist Rehabilitation Hospital that he was able to participate<br />

in these meetings with us. The meetings were important because<br />

they gave me an opportunity to see how the staff worked<br />

together for my husband’s treatment, to ask questions and<br />

have them discussed by all, in my/his presence, and see if the<br />

recommendations were carried out, as planned.<br />

25<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong>


Ants at our Picnic<br />

Navigating with my husband through the hospital systems was<br />

an emotional rollercoaster. Family and friends provided me<br />

tremendous support during this time. The most important thing<br />

I found helpful was to tell them what I needed rather than<br />

having them guess what I needed. It saved a lot of time and<br />

frustration. I realized that in order for me to take appropriate<br />

care of my husband, I had to take care of myself. This meant<br />

getting enough rest; trying to get out for dinner on occasion;<br />

eating properly; and having people sit with my husband at the<br />

hospital so that I could shop or sleep. Much of his time in the<br />

hospital, he did not recognize people (including our children<br />

and me), so when he had visitors, they were really there for us.<br />

As difficult as his condition was for me, our children were even<br />

more concerned for his future. I felt guilty leaving him, at times,<br />

but found it was a healthy thing for me to do to keep my sanity.<br />

It was fortunate that I had been a social worker before<br />

retirement. Additionally, I was also a Certified Brain Injury<br />

Specialist who had been a volunteer and worked for the Brain<br />

Injury Association of America. Most individuals become<br />

involved with this cause after a friend or relative has suffered<br />

a brain injury. I was involved prior to my husband’s brain<br />

injury, which was extremely helpful in dealing with doctors<br />

and staff. I knew the ramifications of brain injury and how<br />

uncertain outcomes can be. I knew that his successes would be<br />

measured in marathons, not sprints. I also knew that every brain<br />

injury is different, so treatment is different, as well. I contacted<br />

friends and colleagues with whom I had worked while at the<br />

Brain Injury Association of America, to ask questions and get<br />

suggestions.<br />

Patience had never been one of my strong suits; however,<br />

I found that waiting was all I could do for over a year. During<br />

that time, I was involved in every decision and activity<br />

involving my husband and his treatment. At least, that way,<br />

I felt I was doing something constructive. I kept a list of his<br />

accomplishments so that I could tell him what they were, if<br />

that time ever came. It was a time to familiarize myself with<br />

additional information about brain injury. Keeping my mind<br />

busy was important. Since there was no manual to assist in this<br />

journey, I had to make it up along the way, drawing on my own<br />

knowledge and the knowledge of others I trusted.<br />

As difficult as overseeing his medical treatment was, working<br />

with the insurance companies was almost as challenging. It<br />

required many hours, and a strong determination to resolve all<br />

issues. Bills had to be checked and re-checked. Follow-up calls<br />

had to be made regarding billing issues. I do not know how<br />

people find the time if they are employed, have families or have<br />

other pressing demands to meet. It was time-sensitive and time<br />

consuming. Dealing with my husband’s medical bills continues<br />

even today.<br />

(Continued on pg. 27)<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong> 26


<strong>THE</strong> <strong>Challenge</strong>!<br />

Ants at our picnic<br />

(Continued from pg. 26)<br />

The hardest part of my husband’s convalescence was his first<br />

year at home. And, it was my most difficult time, as well.<br />

Following his final hospital discharge, my husband needed total<br />

care. I hired home health aides to assist me at home. Having<br />

strangers in our home 24/7 was like “having ants at a picnic.”<br />

I hated this intrusion! They were in our space and totally<br />

disruptive to our normal way of life. We had 12 different aides.<br />

I dismissed six of them for a variety of reasons. I had made a<br />

list of rules and regulations, along with a list of medications and<br />

necessary phone numbers in case of emergencies. I reviewed<br />

the rules with staff, and posted them. Yet, the rules were mostly<br />

ignored by the six aides I terminated. Having rules for people in<br />

your home is a must. If they do not follow them… fire them.<br />

My husband’s recovery was long, but successful. In fact, the<br />

family and many doctors believe that his remarkable recovery<br />

was a miracle. Following his discharge from the rehabilitation<br />

hospital, in June 2010, he continued outpatient therapies (OT,<br />

PT & speech) at the rehab hospital, three times a week. After six<br />

months, he had completed OT and Speech. Today, two years and<br />

two months into his recovery, he continues to go for physical<br />

therapy twice weekly for walking, which continues to be an<br />

issue. He can use a walker and is learning to use canes. Balance<br />

is the culprit. His cognition is no longer a problem. That deficit<br />

worried me most of all. He is hoping to drive again and to return<br />

to work, if possible. He had to retire from his job during his<br />

time in the hospital, something he regrets.<br />

There were many difficult things that happened over the last<br />

several years. It amazed us when it was the little things that<br />

made us feel better, such as removing the boards and ramp from<br />

our front porch when my husband was finally able to negotiate<br />

the steps with his walker; getting rid of the porta-potty, bed<br />

pans, hoyer lift, and hospital bed; his being able to get to the<br />

car so that I could drive him to therapy instead of having to<br />

use a transport vehicle… the little things… but most of all, not<br />

needing home health aides and getting our privacy back. No<br />

more “ants at our picnic!”<br />

As a matter of note, my husband and I did speak with lawyers<br />

from two different law firms about the possibility of filing<br />

a lawsuit against the surgeon and the first hospital for my<br />

husband’s poor medical care. We were told that so many things<br />

had gone wrong that it would be difficult to blame any one<br />

person. They did concur the surgeon was primarily at fault but<br />

said it would be difficult to find another surgeon or surgeons<br />

who would say that what he had done was deliberate. I would<br />

suggest, however, that if found in a situation similar to ours,<br />

you at least contact a lawyer to review your case.<br />

TBI Act<br />

Call to Action!<br />

Your help is critical to successful reauthorization of the TBI Act.<br />

Grassroots advocacy is the most effective method for getting<br />

your message heard and legislation passed. Here is what you<br />

can do:<br />

• Sign up to receive BIAA Action Alerts and take action when<br />

prompted. Go here to sign up: www.grasshop.com, click<br />

“Groups” and type in BIAA.<br />

• Plan to attend the March 21, <strong>2012</strong>, Congressional Brain<br />

Injury Task Force Awareness Day in Washington, D.C., and<br />

meet with your federal lawmakers to advocate on behalf of<br />

individuals with TBI and their families. If you cannot attend<br />

the March 21 Awareness Day event, call or email your support<br />

that day. For more information, go to: www.biausa.org/biaaadvocacy.htm.<br />

• Mobilize your network, other disability, injury prevention and<br />

health care organizations, providers – even your friends and<br />

family! There is strength in numbers!<br />

Tips for contacting your Representative or Senator:<br />

1. Identify yourself as a constituent. Explain that you are calling<br />

in support of the TBI Act Reauthorization, and let them know<br />

how brain injury affects you. If you have examples of how the<br />

funding has impacted activities and services in your state, be<br />

sure to tell them. If your state does not have a grant, tell them<br />

your state needs the assistance, and why.<br />

2. Ask the staff member if his/her boss will support your request.<br />

If they do not commit, please ask them to get back to you.<br />

3. Say thank you.<br />

(Continued from pg. 8)<br />

4. Follow-up with Amy Colberg, BIAA director of Government<br />

Affairs to let her know if your Representative or Senator will<br />

support the bill or has any questions. Amy can be reached at:<br />

acolberg@biausa.org or 703-761-0750.<br />

Contact your<br />

Representative<br />

and Senators<br />

If you don’t know who your Representative and Senators are,<br />

visit www.congress.org and enter your ZIP code or call the<br />

Capitol Switchboard at 202-224-3121 and ask to be connected.<br />

When connected, ask to speak to the person who works on<br />

health or disability issues.<br />

For further information go to the Advocacy & Government<br />

Affairs section of the BIAA website to policy materials:<br />

www.biausa.org.<br />

27<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong>


State Affiliate News<br />

You’ll Find it in<br />

the Bookstore<br />

Gabby, A Story of<br />

Courage and Hope<br />

Mark Kelly and Jeffrey Zaslow<br />

A Three Dog Life<br />

Abigail Thomas<br />

TBI: Shaken But<br />

Not Stirred<br />

Joyce Little Fahl<br />

Brain injury Rewiring<br />

for Survivors<br />

Carolyn E. Dolan<br />

(Continued from pg. 20)<br />

The Brain Injury Association of Virginia was recognized for<br />

the significant inroads it made in establishing collaborative<br />

relationships with key stakeholders in its state through support<br />

group leader training, concussion clinics and the creation of<br />

a brain injury workgroup to address the educational needs of<br />

children with brain injury.<br />

The Brain Injury Association of America congratulates the<br />

chartered state affiliates for their outstanding achievement and<br />

Ms. Lazzara and Ms. McDonnell for their leadership.<br />

Brain Injury Rewiring<br />

for Loved Ones<br />

Carolyn E. Dolan<br />

Visit our online bookstore for the best<br />

sellers in brain injury at www.biausa.org<br />

Chartered State<br />

Affiliates<br />

Brain Injury Association of Arizona 602-323-9165 ~ 888-500-9165<br />

Brain Injury Association of Arkansas 501-374-3585 ~ 800-444-6443<br />

Brain Injury Association of California 661-872-4903 ~ 800-444-6443<br />

Brain Injury Association of Connecticut 860-219-0291 ~ 800-278-8242<br />

Brain Injury Association of Delaware 302-346-2083 ~ 800-411-0505<br />

Brain Injury Association of Florida 850-410-0103 ~ 800-992-3442<br />

Brain Injury Association of Georgia 404-712-5504 ~800-444-6443<br />

Brain Injury Association of Hawaii 808-791-6942<br />

Brain Injury Association of Illinois 312-726-5699 ~ 800-444-6443<br />

Brain Injury Association of Indiana 317-356-7722<br />

Brain Injury Association of Iowa 515-274-9757 ~ 800-444-6443<br />

Brain Injury Association of Kansas<br />

and Greater Kansas City 913-754-8883 ~ 800-444-6443<br />

Brain Injury Association of Louisiana 985-892-9900 ~ 800-500-2026<br />

Brain Injury Association of Maryland 410-448-2924 ~ 800-221-6443<br />

Brain Injury Association of Massachusetts 508-475-0032 ~ 800-242-0030<br />

Brain Injury Association of Michigan 810-229-5880 ~ 800-444-6443<br />

Brain Injury Association of Minnesota 612-378-2742 ~ 800-669-6442<br />

Brain Injury Association of Mississippi 601-981-1021 ~ 800-444-6443<br />

Brain Injury Association of Missouri 314-426-4024 ~ 800-444-6443<br />

Brain Injury Association of Montana 406-541-6442 ~ 800-241-6442<br />

Brain Injury Association of Nebraska 402-423-2463 ~ 800-444-6443<br />

Brain Injury Association of Nevada 702-259-1903<br />

Brain Injury Association of New Hampshire 603-225-8400 ~ 800-773-8400<br />

Brain Injury Association of New York State 518-459-7911 ~ 800-228-8201<br />

Brain Injury Association of North Carolina 919-833-9634 ~ 800-377-1464<br />

Brain Injury Association of Ohio 614-481-7100 ~ 800-444-6443<br />

Brain Injury Association of Oklahoma 800-444-6443<br />

Brain Injury Association of Pennsylvania 866-635-7097 ~ 800-444-6443<br />

Brain Injury Association of Rhode Island 401-461-6599 ~ 888-824-8911<br />

Brain Injury Association of South Carolina 803-731-9823 ~ 877-824-3228<br />

Brain Injury Association of Tennessee 615-248-2541 ~ 877-757-2428<br />

Brain Injury Association of Texas 512-326-1212 ~ 800-444-6443<br />

Brain Injury Association of Utah 801-716-4993 ~ 800-281-8442<br />

Brain Injury Association of Vermont 802-244-6850 ~ 877-856-1772<br />

Brain Injury Association of Virginia 804-355-5748 ~ 800-444-6443<br />

Brain Injury Association of Washington 206-897-5755 ~ 877-982-4292<br />

Brain Injury Association of Washington, DC 202-659-0122 ~ 800-444-6443<br />

Brain Injury Association of West Virginia 304-400-4506<br />

Brain Injury Association of Wisconsin 262-790-9660 ~ 800-882-9282<br />

For any state not listed here, call BIAA<br />

National Information Center at 800-444-6443<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong> 28


<strong>THE</strong> <strong>Challenge</strong>!<br />

Brain Injury Association of America<br />

INFORMATION<br />

Upcoming BIAA Webinars<br />

March 7, <strong>2012</strong>, 3 p.m. ET<br />

Epidemiology of Brain Injury<br />

David Strauss Memorial Clinical Lecture<br />

Mark Faul Ph.D., M.A., Senior Health Scientist, CDC<br />

March 22, <strong>2012</strong>, 3 p.m. ET<br />

The Unique <strong>Challenge</strong>s of Mild Head Injury<br />

Caregivers’ Education Seminar<br />

Matthew Dodson, OTD, OTR/L, President of<br />

Braintrust Performance Services, LLC<br />

May 10, <strong>2012</strong>, 3 p.m. ET<br />

Resource Facilitation<br />

Business of Brain Injury Webinar<br />

Lance Trexler, Ph.D., Director of Rehabilitation<br />

Neuropsychology, Rehabilitation Hospital of Indiana<br />

Registration for upcoming webinars, as they become available, can be filled out online in<br />

the Marketplace of the Brain Injury Association of America’s website at: www.biausa.org.<br />

Recordings of most webinars are available for purchase in the Marketplace as well.<br />

advertiser index<br />

page advertiser website<br />

July 19, <strong>2012</strong>, 3 p.m. ET<br />

Getting Things Done and Having Some<br />

Fun with Smart Devices<br />

Caregiver Education Webinar<br />

Michelle Ranae Wild, M.A., Author<br />

<strong>2012</strong> Webinars<br />

More to come in <strong>2012</strong>!<br />

Topics in the planning stage include:<br />

• Breakthroughs with Stem Cells<br />

• TBI in Prisoners<br />

• High Level Cognitive Rehabilitation<br />

• Technology and Cognitive Issues<br />

• Health Care Reform Annual Report<br />

• Substance Misuse<br />

• Community Resources<br />

Visit www.biausa.org<br />

for more information<br />

5-6 | Avanir www.pbainfo.org<br />

10 | Beechwood Rehabilitation Services www.beechwoodrehab.org<br />

24 | CORE Health Care www.corehealth.com<br />

11 | Doehrmann & Chamberlain www.tortslaw.com<br />

12 | Florida Institute of Neurologic Rehabilitation, Inc. www.finr.net<br />

30 | Lakeview Neurorehabilitation Centers www.lakeviewsystem.com<br />

26 | Montero Law Center www.lexcenter.com<br />

8 | NeuroRestorative www.neurorestorative.com<br />

14 | Rainbow Rehabilitation Centers www.rainbowrehab.com<br />

22 | ResCare Premier www.rescarepremier.com<br />

10 | Special Tree www.specialtree.com<br />

22 | Stark & Stark www.stark-stark.com<br />

24 | Success Rehabilitation, Inc. www.successrehab.com<br />

18 | The Lighthouse Neurological Rehabilitation Center www.lighthouserehab.com<br />

If you or a loved<br />

one has had a brain<br />

injury, call the<br />

National Brain Injury<br />

Information Center<br />

toll–free for<br />

information at:<br />

1-800-444-6443<br />

Call for information about:<br />

• Local treatment and<br />

rehabilitation options<br />

• Living with brain injury<br />

• Funding for services<br />

• Legal issues<br />

• Veterans information<br />

• Returning to school<br />

and work<br />

• Coping with changes<br />

29<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong>


<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong> 30


Non-Profit Org.<br />

US Postage<br />

PAID<br />

Richmond, VA<br />

Permit No. 320<br />

1608 Spring Hill Rd., Suite 110<br />

Vienna, VA 22182<br />

The Corporate Sponsors Program gives rehabilitation<br />

providers, long-term care facilities, attorneys and other<br />

leaders in the field as many as 15 ways to support<br />

the Brain Injury Association of America’s advocacy,<br />

awareness, information and education programs. BIAA<br />

is grateful to the Corporate Sponsors for their financial<br />

contribution and the many volunteer hours their companies<br />

devote to spreading help, hope and healing nationwide.<br />

For more information on how to become part of Brain Injury<br />

Association of America Corporate Sponsors Program, please visit the<br />

sponsorship and advertising page at www.biausa.org or contact<br />

Susan H. Connors at 703-761-0750 or shconnors@biausa.org.<br />

<strong>THE</strong> <strong>Challenge</strong>! | <strong>Winter</strong> <strong>2012</strong>

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