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PABI Plan - The Sarah Jane Brain Project

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<strong>The</strong> Honorable Kathleen Sebelius<br />

Secretary of Health and Human Services<br />

Hubert Humphrey Building<br />

200 Independence Avenue, SW, Room 120F<br />

Washington, DC 20201<br />

<strong>The</strong> Honorable Arne Duncan<br />

Secretary of Education<br />

400 Maryland Avenue, SW, Room 7W301<br />

Washington, DC 20202-1510<br />

<strong>The</strong> Honorable Eric Ken Shinseki<br />

Secretary of Veterans Affairs<br />

810 Vermont Avenue, NW, Room 1000,<br />

Washington, DC 20420<br />

<strong>The</strong> Honorable Robert Gates<br />

Secretary of Defense<br />

1000 Defense Pentagon, Room 3E880<br />

Washington, DC 20301-1000<br />

<strong>The</strong> <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Foundation<br />

181 Broadway – Suite 300<br />

New York, NY 10007<br />

(212) 201-0599<br />

www.<strong>The</strong><strong>Brain</strong><strong>Project</strong>.org<br />

<strong>The</strong> Honorable Shaun L.S. Donovan<br />

Secretary of Housing and Urban Development<br />

Robert C. Weaver Federal Building<br />

451 Seventh Street, SW, Room 10000<br />

Washington, DC 20410<br />

<strong>The</strong> Honorable Raymond LaHood<br />

Secretary of Transportation<br />

1200 New Jersey Avenue, SE<br />

Washington, DC 20590<br />

<strong>The</strong> Honorable Eric Holder<br />

Attorney General of <strong>The</strong> United States<br />

950 Pennsylvania Avenue, NW<br />

Washington, DC 20530<br />

Re: Attached National Pediatric Acquired <strong>Brain</strong> Injury <strong>Plan</strong> (<strong>PABI</strong> <strong>Plan</strong>) Grant Proposal<br />

August 18, 2009 (original)/September 16, 2009 (revised)<br />

Dear Secretaries Duncan, Sebelius, LaHood, Donovan, Gates and Generals Shinseki and Holder;<br />

As I stated in the first letter sent to President Barack Obama on his Inauguration Day, we are committed<br />

to reforming the system of care for millions of our most vulnerable and innocent Americans – those<br />

suffering from a Pediatric Acquired <strong>Brain</strong> Injury (<strong>PABI</strong>).<br />

As you may know, <strong>PABI</strong> is the NUMBER ONE cause of death and disability for children and young<br />

adults in the United States; yet despite that fact, very few average Americans recognize <strong>PABI</strong> as a<br />

significant problem, which only serves to exacerbate the problem within the medical and educational<br />

communities. To compare numbers with a commonly recognized condition (autism), the CDC currently<br />

estimates there are over 1.4 million NEW brain injuries that occur EVERY year, but there have been only<br />

560,000 TOTAL number of children up to age 21 who have been diagnosed as being on the autism<br />

disorder spectrum. <strong>PABI</strong> is an under-recognized, under-funded, misunderstood national health epidemic!<br />

<strong>PABI</strong> includes traumatic causes such as falls, motor vehicle accidents, sports concussions, blast injuries<br />

from war, assaults/child abuse or being struck by an object as well as non-traumatic causes such as brain<br />

tumors, strokes, meningitis, insufficient oxygen, poisoning, epilepsy and pediatric AIDS. Since the<br />

developing brain doesn’t completely mature until about 25 years of age, more than half of the young<br />

veterans returning from Iraq and Afghanistan with traumatic brain injuries fall into the <strong>PABI</strong> category and<br />

will be covered by the <strong>PABI</strong> <strong>Plan</strong>. It is not only the signature wound of these conflicts but it is the single<br />

most devastating condition facing our nation!


Since that historic day on January 20th, we have finalized the first-ever National Pediatric Acquired <strong>Brain</strong><br />

Injury <strong>Plan</strong> (<strong>PABI</strong> <strong>Plan</strong>) which outlines the development of a seamless, standardized, evidence-based<br />

system of care, universally accessible for all children and young adults suffering from <strong>PABI</strong> regardless of<br />

where they live in our nation. We began implementing the <strong>PABI</strong> <strong>Plan</strong> on June 5th (<strong>Sarah</strong> <strong>Jane</strong>’s birthday)<br />

by announcing the largest healthcare collaboration in U.S. history dealing with pediatric brain injury - 52<br />

<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Centers of Excellence were chosen (one in every state plus D.C. and<br />

Puerto Rico) after an intensive application process. We have also been briefing every Member of<br />

Congress and their staff about the <strong>PABI</strong> <strong>Plan</strong>, as well as every federal agency dealing with pediatric brain<br />

injury, including a recent briefing at <strong>The</strong> White House. <strong>The</strong> list of State Lead Centers include many of<br />

the leading medical institutions (such as Mayo Clinic, Mount Sinai, Children’s Hospital Boston/Harvard<br />

Medical School, Kennedy Krieger/Johns Hopkins) and Research Universities (such as UCLA, U of<br />

Virginia, U of Kansas, U of Illinois at Chicago) in the country as well as several state <strong>Brain</strong> Injury<br />

Associations.<br />

<strong>The</strong> next step in implementing the <strong>PABI</strong> <strong>Plan</strong> is funding this national collaboration. Upon reviewing the<br />

American Recovery and Reinvestment Act of 2009 (ARRA) passed this year by Congress, it was pretty<br />

clear many of the goals outlined in the ARRA would be addressed and accomplished by fully<br />

implementing the <strong>PABI</strong> <strong>Plan</strong>. Since the <strong>PABI</strong> <strong>Plan</strong> covers the entire continuum of care for these millions<br />

of children and young adults, there is no single federal Agency or single federal Department that has<br />

complete jurisdiction. <strong>The</strong>refore, we are submitting the enclosed grant proposal to all seven federal<br />

Departments that have the greatest intersection of responsibilities: Department of Education, Department<br />

of Health and Human Services, Department of Transportation, Department of Housing and Urban<br />

Development, the Veterans Administration, the Department of Defense and the Department of Justice.<br />

Since there are also no guidelines for multi-Department unsolicited grant proposals we have put together<br />

this proposal based off of the <strong>PABI</strong> <strong>Plan</strong> and based upon the recommendations of our 52 State Lead<br />

Centers.<br />

<strong>The</strong> implementation of the <strong>PABI</strong> plan would accomplish the following ARRA goals:<br />

• Creating over 6,000 jobs across every state and territory<br />

• Converting a large group of Americans with numerous and complex medical conditions into an<br />

electronic health record system, which will reduce medical errors, save billions in health care<br />

costs, and allow millions of families to learn from each other’s experiences<br />

• Provide relief and support to millions of families who are managing their child’s health and<br />

education needs through a very byzantine system, many of these families are in low-income and<br />

vulnerable households<br />

• Using comparative effectiveness research, we will improve the health of these millions of<br />

children and young adults, improve the health of communities and the performance of the health<br />

system by conducting, supporting and synthesizing research that compares the clinical outcomes,<br />

effectiveness and appropriateness of items, services and procedures that are used to prevent,<br />

diagnose, and treat the leading cause of death and disability in children and young adults in the<br />

nation – brain injuries<br />

• Develop the largest clinical and self-reporting registry and the largest “open-source” database in<br />

the world of medical and education records to advance the field of pediatric neurology and other<br />

related areas<br />

• Develop and expand prevention efforts<br />

• Developing and implementing a nationwide, comprehensive, coordinated, multidisciplinary,<br />

interagency system to provide early intervention services and to improve outcomes, train,<br />

educate, and support families and professionals during this crucial time period<br />

• Develop and implement effective adult transition programs to support individuals with significant<br />

disabilities by maximizing their leadership empowerment, independence and productivity and to


promote the integration and full inclusion of these individuals into the mainstream of American<br />

society<br />

• Improve information technology systems to deliver benefits and services to our younger Veteran<br />

population who sustained a brain injury due to a blast during war before they turned 25 years of<br />

age (while their brain is still in the developmental stage) while at the same time create additional<br />

support systems for the families of these young, wounded warriors<br />

• Whether it is through prevention of abusive head trauma/child abuse or helping to identify the<br />

young adults currently in our juvenile delinquency system with an undiagnosed and untreated<br />

brain injury, there is considerable correlation with the Department of Justice goals<br />

At first, the only goal of ARRA we couldn’t state we would accomplish was building more roads and<br />

bridges. However, upon further contemplation, it became clear there are many young construction<br />

workers in America who sustain a brain injury and they are not able to go back to work. By<br />

implementing the <strong>PABI</strong> <strong>Plan</strong> we will be able to get many of these folks back to work! <strong>The</strong>refore, we<br />

propose this grant will help build roads and bridges too.<br />

<strong>The</strong> <strong>PABI</strong> <strong>Plan</strong> will also fulfill the priorities of the comparative effectiveness research and investments as<br />

listed below:<br />

• Potential impact: based on prevalence of condition, burden of disease, variability in outcomes,<br />

costs<br />

• Potential for increased patient benefits or decreased harm<br />

• Potential to evaluate comparative effectiveness in diverse populations and patient sub-groups and<br />

engage communities in research<br />

• Addresses need or gap unlikely to be addressed through other organizations<br />

• Potential for multiplicative effect (e.g., lays foundation for future CER such as data infrastructure<br />

and methods development and training and generating additional investment outside government)<br />

In order to begin fully implementing the <strong>PABI</strong> <strong>Plan</strong>, the funding of the enclosed grant proposal would be<br />

a two-year commitment of $930 million distributed directly to the 52 State Lead Centers. Since no single<br />

Department has complete jurisdiction over the scope of this proposal, we do not expect the funds to come<br />

from any single Department but from a consortium of these Departments plus the Federal Coordinating<br />

Council for Comparative Effectiveness Research.<br />

Upon reviewing the enclosed grant proposal, I am confident you will have the same level of excitement at<br />

the unique opportunity we have today to address this current health crisis facing our nation called<br />

Pediatric Acquired <strong>Brain</strong> Injury. We look forward to working with you and your representatives to<br />

implement the <strong>PABI</strong> <strong>Plan</strong> and fundamentally change the lives of millions of fellow Americans.<br />

On behalf of our National Advisory Board and the millions of <strong>PABI</strong> families across our country, we<br />

greatly appreciate your consideration and thank you in advance for funding this critical initiative.<br />

All the best,<br />

Patrick B. Donohue, Esq.<br />

Founder, <strong>The</strong> <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Foundation<br />

Father, <strong>Sarah</strong> <strong>Jane</strong> Donohue


P.S. Every 21 seconds a child/young adult acquires a brain injury in this country. Since you began<br />

reading this letter, over 20 children and young adults in America now have a brain injury and over 20<br />

families are forever changed. Time is of the essence to implement the <strong>PABI</strong> <strong>Plan</strong>!


<strong>The</strong> National Pediatric Acquired <strong>Brain</strong> Injury <strong>Plan</strong> Grant Proposal<br />

Developed by the National Advisory Board of<br />

<strong>The</strong> <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Foundation<br />

TABLE OF CONTENTS<br />

Foreword by <strong>Sarah</strong> <strong>Jane</strong> Donohue…….………………………………………………. 2<br />

Executive Summary ……………………………………………….………………… 5<br />

Two-year Milestones………………………………………………………………….. 10<br />

Chapter 1: Analysis of Pediatric Acquired <strong>Brain</strong> Injury Today………………………. 11<br />

Chapter 2: <strong>The</strong> TBI Model System and the PA/TBI Model System………………….. 18<br />

Chapter 3: Category of Care – Prevention ………………………...…………………. 21<br />

Chapter 4: Category of Care – Acute Period of Care ……………...……...…...……… 23<br />

Chapter 5: Category of Care – Mild TBI Identification, Assessment and Treatment….. 31<br />

Chapter 6: Categories of Care – Reintegration/Long-Term Care……………………..… 37<br />

Chapter 7: Categories of Care –Adult Transition……………………………………...… 50<br />

Chapter 8: Category of Care – Rural/Tele-Health ……………………………………. 58<br />

Chapter 9: Category of Care – <strong>The</strong> Virtual SJBF Center (registry and database) …… 68<br />

Chapter 10: Organizational Structure……………………………………………. …… 74<br />

Chapter 11: Financing the <strong>PABI</strong> <strong>Plan</strong>……………………………………………..…… 82<br />

Chapter 12: Assumptions and Overall Budget……….……………………………..…… 85<br />

Chapter 13: State Lead Center Profiles and Individual Budgets.…………………..…… 88<br />

References ……………………………………………………………………………… 571


FOREWORD<br />

by <strong>Sarah</strong> <strong>Jane</strong> Donohue<br />

When I was only five days old, the baby nurse my parents hired to help them in my first two<br />

months of life shook me so hard, she broke four ribs, both collarbones and caused a severe brain<br />

injury. While I lay helpless for over a week, the monster told no one. I was unable to cry,<br />

became very lethargic and was finally brought back to the hospital where I was born healthy just<br />

two weeks earlier. <strong>The</strong> monster quickly confessed to her crime and my family was left dealing<br />

with the fact that I would never be the same child again.<br />

While being discharged from the hospital several weeks later, the pediatric neurologist told my<br />

parents the injury was an eight on a scale of one to 10. When they asked, he said I would never<br />

be a normal child and I would probably never walk or talk. <strong>The</strong> correct answer by this doctor<br />

should have been, “I don’t know.” Fortunately for me, my Daddy doesn’t listen to bad doctors!<br />

I was immediately enrolled in Early Intervention and began a rigorous therapy regimen that built<br />

up to physical, occupational, vision, feeding/speech therapies and special instruction - up to three<br />

hours of each therapy per week! When I was one year old my Daddy created a special crawler<br />

which allowed me to move independently. <strong>The</strong>n, for Christmas that year, he built me my very<br />

own walker and he even adapted it so I could walk on the treadmill!<br />

My Daddy read as many books about neuroplasticity and neurology as he could handle (although<br />

I think some of the books he just skimmed because they were very complex). <strong>The</strong> more he read,<br />

the more he realized how little was known about the brain at all, let alone an infant’s brain. He<br />

also realized there was no single repository of information about neurological breakthroughs or<br />

discoveries – it is an extremely fractured field. It reminded him of the computer science industry<br />

in the 1950s and 1960s, where brilliant people were working all over the world in the same areas,<br />

but no one knew specifically what anyone else was doing.<br />

He took that idea and then asked himself, “Where are all the breakthroughs occurring today?”<br />

<strong>The</strong> answer was in Open Source Principles, which is basically the concept of shared knowledge.<br />

Since no one was using those principles in the field of neuroscience, Daddy decided to do it<br />

himself. He launched <strong>The</strong> <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> <strong>Project</strong> in October 2007, and Phase One entailed<br />

putting all of my medical records and videos of my therapy sessions online in an Open Source<br />

format – the first time in medical history this had ever been done for anyone.<br />

Phase Two of the <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> <strong>Project</strong> involved recruiting other families of children like me<br />

who have brain injuries to participate, since the more of us who gather together, the stronger we<br />

are. During this phase, he also began to recruit the best in the field of pediatric acquired brain<br />

injury to help him develop the first-ever National Pediatric Acquired <strong>Brain</strong> Injury <strong>Plan</strong> (<strong>PABI</strong><br />

<strong>Plan</strong>). Every family affected by brain injury my Daddy has ever connected with talked about<br />

having to reinvent the wheel in learning how to perform basic care and receive basic services for<br />

their child instead of being able to focus on the uniqueness of their child’s specific issues.<br />

2


Phase Three consisted of having the Working Group of the National Advisory Board of the<br />

<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Foundation develop the first draft of the National <strong>PABI</strong> <strong>Plan</strong>. This document is<br />

designed to outline a comprehensive continuum of care, from prevention of pediatric brain<br />

injuries to acute medical care to reintegration and rehabilitation in the community and transition<br />

into adult systems.<br />

Phase Four involves fully funding and implementing the National <strong>PABI</strong> <strong>Plan</strong> across the country.<br />

My Daddy promised to begin Phase Four before my fourth birthday on June 5, 2009, and he did.<br />

As my birthday present, he announced the largest healthcare collaboration in U.S. history dealing<br />

with pediatric brain injury: 52 State Lead Centers, one leading institution or organization from<br />

every state plus the District of Columbia and Puerto Rico.<br />

With today’s announcement of the largest grant proposal in U.S. history dealing with pediatric<br />

brain injury to begin funding this historic nationwide initiative, it is very appropriate this<br />

announcement is made on Marilyn Spivack’s birthday (my daddy gives great birthday presents).<br />

Marilyn founded <strong>The</strong> <strong>Brain</strong> Injury Association of America more than 30 years ago after her<br />

daughter suffered a brain injury due to a motor vehicle accident. She has been a pioneer in<br />

advocating for awareness, prevention and treatment of children and young adults with brain<br />

injury. My daddy believes I wouldn’t be alive today if not for Marilyn’s advocacy and tireless<br />

efforts over many decades (now you know why I like Marilyn so much). Happy Birthday<br />

Marilyn and thank you!<br />

My daddy tells me the money for the initial two years of implementing the <strong>PABI</strong> <strong>Plan</strong> are going<br />

to come from “<strong>The</strong> Stimulus Funds” which he said were appropriated to create jobs, improve the<br />

lives of as many Americans as they can and fundamentally impact the delivery and service of<br />

health care using new technologies. It sounds like a perfect match to me!<br />

While I still cannot talk or walk on my own yet, my Daddy has taught me his philosophy in life,<br />

“Things work out best for those who make the best out of the way things work out!” I cannot<br />

begin to thank the National Advisory Board enough for being my voice and the voice of the<br />

millions of children and young adults around the country who suffer from pediatric acquired<br />

brain injury. Someday I will thank each and every one of you myself with my own voice! Until<br />

then, please keep talking for me.<br />

August 18, 2009<br />

3


<strong>The</strong> Executive Summary<br />

As the #1 leading cause of death and disability in the United States for children, adolescents and<br />

young adults, Pediatric Acquired/Traumatic <strong>Brain</strong> Injury (PA/TBI) is a national disaster.<br />

Because a brain injury is typically “invisible,” it remains unrecognized or under-recognized,<br />

thereby markedly increasing the burden of care in all aspects of society. For the purposes of this<br />

grant proposal and overall initiative, it is recognized that Traumatic <strong>Brain</strong> Injury (TBI) is a<br />

subset of Acquired <strong>Brain</strong> Injury (ABI). As such, to ensure that there is no gap in the discussion,<br />

issues, and services between these areas of Pediatric Acquired <strong>Brain</strong> Injury (<strong>PABI</strong>), the terms are<br />

being combined and will be herewith referred to as Pediatric Acquired/Traumatic <strong>Brain</strong> Injury<br />

(PA/TBI).<br />

Particularly because their brains are still developing, it can result in wide-spread impairments<br />

and dysfunction not only in cognition and motor function but also in behavior and social<br />

function. <strong>The</strong> injury can also affect the developmental trajectory which in itself can increase<br />

dysfunction or exacerbate impairment. A developing child/young adult’s recovery, rehabilitation<br />

and habilitation from a brain injury is a complex process influenced by premorbid child and<br />

social environmental characteristics, acute monitoring and treatment, and the responses of<br />

family, school, and community during this process. Since the effects of a PA/TBI are so<br />

complex, it requires the integration of medical, educational, judicial and social service systems.<br />

As such, this coordinated interdisciplinary response is necessary to facilitate any long-term<br />

rehabilitation.<br />

<strong>The</strong> <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> <strong>Project</strong> (SJBP) recognizes many of the practices described in this grant<br />

proposal are currently being implemented. It is the purpose of this document to build on the<br />

many individualized practices that exist. However, the consistent availability, coordination and<br />

integration of the numerous well-established interventions, programs, and supports do not exist<br />

at the present time on a national level. <strong>The</strong> mission of the <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> <strong>Project</strong> is to<br />

develop a seamless, standardized, evidence-based system of care universally accessible for<br />

all children/young adults and their families dealing with PA/TBI regardless of where they<br />

live in the nation. This PA/TBI Model System of care is called the National Pediatric Acquired<br />

<strong>Brain</strong> Injury <strong>Plan</strong> (<strong>PABI</strong> <strong>Plan</strong>). <strong>The</strong> National Advisory Board of <strong>The</strong> <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> <strong>Project</strong><br />

developed the <strong>PABI</strong> <strong>Plan</strong> and this grant proposal is taken directly from the <strong>PABI</strong> <strong>Plan</strong>. (To read<br />

the entire <strong>PABI</strong> <strong>Plan</strong>, please visit www.<strong>The</strong><strong>Brain</strong><strong>Project</strong>.org). SJBP will facilitate this<br />

integration along with ongoing development of effective interventions and supports, and their<br />

validation through research guided by theory, existing data across disability populations, and<br />

participant needs.<br />

<strong>The</strong>re are many definitions of pediatric acquired brain injury (<strong>PABI</strong>) and pediatric traumatic<br />

brain injury (PTBI). For the purpose of this document, the term PA/TBI will be used. This<br />

includes traumatic causes such as those sustained as a result of motor vehicle accidents, sportsrelated<br />

injuries, blast injuries from war, assaults/child abuse, gun shot wounds and falls along<br />

with non-traumatic causes including but not limited to anoxia, infection, brain tumor, stroke,<br />

seizure, inflammation, toxins, meningitis, substance abuse and metabolic disorders. <strong>The</strong> focus of<br />

the SJBP is on children, adolescents and young adults, ranging in age from birth to 25 who have<br />

sustained a traumatic or non-traumatic acquired brain injury. Young adults are included due to<br />

5


the fact that their brains are still developing, as indicated by biological measures (brain<br />

metabolism, myelination), neurocognitive measures (executive functions, inhibitions) and social<br />

measures (beginnings of independence, transition to adult privileges and responsibilities).<br />

<strong>The</strong> first step in implementing the <strong>PABI</strong> <strong>Plan</strong> to fulfill this mission was to create a national<br />

structure providing complete national coverage and the ability to standardize the system of care<br />

while still providing the flexibility for each state to have its own pathway to universal<br />

accessibility. In order to ascertain and carry out this integrated seamless system of care , a<br />

network of 52 <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family (SJBF) State Lead Centers of Excellence (State Lead<br />

Centers) have been created (one in every state plus the District of Columbia and Puerto Rico).<br />

Each State Lead center will have three main responsibilities: 1) developing and implementing a<br />

Statewide Master <strong>Plan</strong> creating a seamless, standardized, evidence-based system of care,<br />

universally accessible for all <strong>PABI</strong> families within their state; 2) providing a specialized case<br />

management system for these <strong>PABI</strong> families within their state; and 3) providing a Regional<br />

leadership role around one of the seven Categories of Care within the <strong>PABI</strong> <strong>Plan</strong>.<br />

<strong>The</strong> country was divided into seven regions of seven or eight states/territories in each region<br />

(Northeast, Mid-Atlantic, Southeast, Mid-Central, South-Central, Rocky Mountain and Pacific<br />

Regions). <strong>The</strong> seven Categories of Care within the <strong>PABI</strong> <strong>Plan</strong> are 1) Prevention, 2) Acute, 3)<br />

Mild TBI, 4) Reintegration/long-term care, 5) Adult Transition, 6) Rural/Tele-medicine, 7) <strong>The</strong><br />

Virtual SJBF Center.<br />

<strong>The</strong> average two-year grant for each State Lead Center is approximately $18 million, with some<br />

State Lead Centers requiring more based upon larger populations, National responsibilities, etc…<br />

<strong>The</strong> overall budget for the first two years of implementing the <strong>PABI</strong> <strong>Plan</strong> in all 52 states and<br />

territories is approximately $930 million. This will create over 6,000 jobs in every state and<br />

territory.<br />

With advances in technology, neuroinformatics and assessment including functional brain<br />

imaging and genomics, the establishment and funding of a SJBF Center of Excellence in every<br />

state will dramatically improve the lives of children and young adults by increasing our<br />

understanding of the determinants of rehabilitation from PA/TBI and to inform the development<br />

of innovative, empirically-based interventions. Such a system will offer significant cost<br />

efficiencies, funding efficiencies and independent revenue models.<br />

<strong>The</strong> terms recovery, rehabilitation, and habilitation are used throughout this document and<br />

represent overlapping processes. Definitions of these terms are needed, as well as clarification of<br />

how they relate to intervention and key reintegration periods (transition from hospital to<br />

rehabilitation, reintegration from hospital to home, reintegration into the school system, and<br />

transitions into each stage of life).<br />

Recovery is defined here as an ongoing process that begins as soon as the patient is medically<br />

stable and continues until the patient no longer shows improvement in any impaired functions.<br />

<strong>The</strong> process continues across acute, sub-acute, and chronic phases. In the acute phase, recovery<br />

represents stabilization of neurologic, metabolic, and/or medical status, usually through<br />

interventions targeted to brain and body health (i.e., stabilization of intracranial pressure,<br />

6


inflammation, etc.). <strong>The</strong> use of the term recovery in the sub-acute and chronic phases is used to<br />

reflect continuing biological changes in brain function and plasticity. <strong>The</strong>se almost certainly<br />

interact with processes of normal brain development.<br />

Neuroimaging research in humans suggests these recovery processes may continue for years<br />

after injury. <strong>The</strong> end of the acute recovery process is determined when the effects of injury on<br />

cognition, mood, and behavior can begin to be most accurately assessed. However, recovery<br />

may not occur spontaneously and should be actively promoted through rehabilitation and<br />

habilitation.<br />

Rehabilitation in this document is intended to represent periods of active intervention that might<br />

include but are not limited to: pharmacological, physical, occupational, vision, speech-language,<br />

psychological, behavioral, and/or educational therapies. Rehabilitation should continue as long<br />

as it results in improvements in function. When interventions no longer yield improvements in<br />

function, the child transitions into a period of habilitation.<br />

We must acknowledge these periods are not clearly definable stages nor do they necessarily<br />

occur along a continuum. <strong>The</strong> entire process of recovery from injury will include multiple<br />

periods of active rehabilitation interspersed with periods of habilitation as new concerns are<br />

identified such as when children transition from one stage of life to another. <strong>The</strong> key is initial<br />

identification of brain injury, control of the cascade of injury processes during the acute phase,<br />

and active surveillance to identify any developmental stalls or new concerns.<br />

In addition, while a TBI may be classified medically as “mild,” the term can be misleading since<br />

there is nothing “mild” about any brain injury, thus the reason for quotation marks around the<br />

word throughout the document.<br />

Principles for SJBF Centers of Excellence<br />

Once the SJBF Centers are in operation, they will be guided by four over-arching goals:<br />

1) To prevent PA/TBI through changes in social practices and policy.<br />

2) To facilitate the provision of care and services to maximize the child/young adult’s<br />

recovery and development after PA/TBI and to support the family though all stages of<br />

recovery.<br />

3) To improve the capacity of schools and community agencies to deliver rehabilitative<br />

and educational services and support to the child/young adult and family.<br />

4) To use research to better understand the effects of neurological insults on the<br />

developing brain, to research the individual, medical and social environmental<br />

determinants of recovery and function, as well as the most effective interventions for<br />

improving child/young adult and family outcomes.<br />

<strong>The</strong>se centers will serve not only as primary, secondary and tertiary care facilities but also as<br />

resources for individual physicians, caregivers, families and other hospitals (see Figure 1). Data<br />

will be incorporated into a centralized SJB Family Registry (see Chapter 9), allowing for the<br />

efficient evaluation of best practices. Findings from research will be disseminated using<br />

7


methods developed by the SJBP to share knowledge gained with the entire brain injury<br />

community. <strong>The</strong> specific principles underlying these goals are outlined below.<br />

Principle 1: Prevention is the best possible treatment for any brain injury and includes<br />

preventing the initial insult as well as preventing secondary medical, social, and<br />

behavioral consequences, including preventing a second injury.<br />

Principle 2: <strong>The</strong> developmental stage of the child/young adult at the time of injury and<br />

recovery across the lifespan must always be considered, and all treatments and<br />

interventions should be implemented by individuals with pediatric training and special<br />

expertise in PA/TBI.<br />

Principle 3: Providers and all professionals should adhere to the principles of family-<br />

and person-centered care, engaging the family and child/young adult themselves in a<br />

collaborative process for setting and achieving treatment goals.<br />

Principle 4: Early identification of PA/TBI is critical to improving long-term outcomes.<br />

Principle 5: Best clinical practices need to be determined based upon evidence from<br />

research and then standardized to be effective and efficient.<br />

Principle 6: Children’s recoveries are strongly influenced by their environmental<br />

contexts (home, school, community). Beyond early hospitalization, interventions to<br />

improve outcomes for children and young adults with PA/TBI must occur in the settings<br />

in which children and young adults with PA/TBI live and function (school, home, and<br />

community), and must involve the “everyday people” in these settings such as<br />

parents/caregivers, teachers, and peers.<br />

Principle 7: Interventions for children and young adults with PA/TBI must acknowledge<br />

the overlap among different disability populations in terms of treatment needs and useful<br />

interventions.<br />

Principle 8: Research should use a variety of methodologies to examine hypotheses<br />

regarding recovery and intervention (prospective, naturalistic follow-up studies,<br />

randomized controlled trials, single subject experiments, qualitative studies, and animal<br />

models).<br />

Principle 9: Interventions for children with PA/TBI occur at multiple levels (e.g.,<br />

physical, medical, psychological, family, school, community) and across a continuum of<br />

care (e.g., acute care, rehabilitation, re-entry, and ongoing educational, social, and<br />

vocational life). Research on the effectiveness and efficacy of intervention should link<br />

both vertically (i.e., across levels) and horizontally (i.e., across the continuum of care),<br />

must follow children and families long-term, recognize that needs are likely to change<br />

over time, use functional outcome measures, and measure generalization to a variety of<br />

functional contexts of application.<br />

8


Principle 10: Interventions for children with PA/TBI occur across a developmental<br />

spectrum that varies according to age at injury, time since injury, and age at intervention.<br />

<strong>The</strong> effectiveness and efficacy of any intervention may vary as a function of these<br />

developmental parameters because of critical variations both in neural developmental and<br />

environmental contexts.<br />

Principle 11: Proper PA/TBI training and education for future medical and educational<br />

professionals should be integrated into current graduate and medical school programs in<br />

order to ensure continuity of care is taught to those just entering the medical or<br />

educational profession.<br />

Figure 1: <strong>The</strong> Circle of Care Model<br />

9


Two-Year Milestones<br />

Quarter 1:<br />

• <strong>The</strong> 7 National Lead Centers will begin staffing, training and operating their State Lead<br />

Center and Category of Care Management responsibilities (over the course of Q1 and<br />

Q2)<br />

• <strong>The</strong> National Lead Center for the Virtual Center Category of Care will begin developing<br />

the SJB Family Health, Education and Social Registry<br />

• All 52 State Lead Centers will begin any IRB requirements<br />

Quarter 2:<br />

• <strong>The</strong> remaining 45 State Lead Centers will begin staffing, training and operating their<br />

State Lead Center and Category of Care Management responsibilities (over the course of<br />

Q2 and Q3)<br />

• <strong>The</strong> National Lead Center for the Virtual Center Category of Care will launch the SJB<br />

Family Health, Education and Social Registry<br />

Quarter 3:<br />

• <strong>The</strong> 7 National Lead Centers will begin staffing, training and operating their Level 1<br />

Case Management Centers (over the course of Q3, Q4, Q5 and Q6)<br />

Quarter 4:<br />

• <strong>The</strong> remaining 45 State Lead Centers will begin staffing, training and operating their<br />

Level 1 Case Management Centers (over the course of Q4, Q5, Q6 and Q7)<br />

• <strong>The</strong> 7 National Lead Centers will begin staffing, training and operating their Level 2<br />

Case Management Centers (over the course of Q4, Q5, and Q7)<br />

Quarter 5:<br />

• <strong>The</strong> remaining 45 State Lead Centers will begin staffing, training and operating their<br />

Level 2 Case Management Centers (over the course of Q5, Q6, and Q7)<br />

• <strong>The</strong> 7 National Lead Centers will begin staffing, training and operating their Level 3<br />

Case Management Centers (over the course of Q5 and Q6)<br />

Quarter 6:<br />

• <strong>The</strong> remaining 45 State Lead Centers will begin staffing, training and operating their<br />

Level 3 Case Management Centers (over the course of Q6 and Q7)<br />

10


CHAPTER 1: Analysis of Pediatric Acquired <strong>Brain</strong> Injury Care Today<br />

Pediatric Acquired/Traumatic <strong>Brain</strong> Injury (PA/TBI) is a national disaster. Because a brain<br />

injury is typically “invisible,” it remains unrecognized or under-recognized, thereby markedly<br />

increasing the burden of care in all aspects of society. <strong>The</strong> effects of a PA/TBI are complex and<br />

require the integration of medical, educational, judicial and social service systems. For the<br />

purposes of this grant proposal and overall initiative, it is recognized that Traumatic <strong>Brain</strong> Injury<br />

(TBI) is a subset of Acquired <strong>Brain</strong> Injury (ABI). As such, to ensure that there is no gap in the<br />

discussion, issues, and services between these areas of Pediatric Acquired <strong>Brain</strong> Injury (<strong>PABI</strong>),<br />

the terms are being combined and will be herewith referred to as Pediatric Acquired/Traumatic<br />

<strong>Brain</strong> Injury (PA/TBI).<br />

PA/TBIs are truly an epidemic. <strong>The</strong> Centers for Disease Control and Prevention (CDC) reports<br />

that for children aged 14 and under there are 2,685 deaths, 37,000 hospitalizations, and 435,000<br />

emergency room visits attributable to TBI annually (see Figure 2). As the incidence of PA/TBI<br />

is at its maximum for those aged 16 to 24 years, and due to the fact that not all individuals with<br />

TBI present to an acute care hospital, these staggering numbers can only be underestimates of the<br />

true rates of PA/TBI.<br />

11


Figure 2: CDC figures for death and disability due to PTBI annually<br />

Figure 3: CDC figures for TBI prevalence by age<br />

<strong>The</strong> World Health Organization (WHO) has noted that PTBI is the NUMBER ONE cause of<br />

morbidity and mortality for children and young adults. Children are 20 times more likely to die<br />

from PTBI than from asthma and 38 times more likely to die than from cystic fibrosis.<br />

Additionally, the WHO reported in 2008 that there were twice as many children who suffered a<br />

brain injury than those who received stitches.<br />

<strong>The</strong> financial burden of PTBI is estimated to cost well over $12 billion a year (2000 CDC data).<br />

This figure does not include the significant financial impact of those children and young adults,<br />

who because of their PTBI will never be able to contribute financially or otherwise to society as<br />

adults, nor does it include lost productivity of the child/young adult’s parents and family. <strong>The</strong>se<br />

numbers also do not include those children who acquire their injuries from non-traumatic causes<br />

such as stroke, brain tumors, infections of the brain and anoxic/hypoxic injuries.<br />

While the economic cost of PA/TBI is clearly underestimated and growing every year, the<br />

positive impact of enacting the National <strong>PABI</strong> <strong>Plan</strong> is clear. Since there is a huge decrease in<br />

lifetime earnings and other outcomes such as educational achievement of children/young adults<br />

with PA/TBI, any positive improvement in functioning and contributions to society has an<br />

enormous compounding impact. In addition, since the SJBF Centers are focused on supporting<br />

families as well as the child/young adults, the exponential increase in productivity of the<br />

parents/caregivers over time as a result of that support is staggering. Since most parents become<br />

12


the primary caregivers/case coordinators for their children, this becomes another distinguishing<br />

difference between the adult ABI and PA/TBI population.<br />

Since these SJBF Centers will be gathering considerable quality information through a specially<br />

designed registry, it will be possible to examine the economic benefit from a particular treatment<br />

or care management plan, whereby changes in said earnings could be measured compared to<br />

their counterparts that do not receive such treatment. It will be possible to combine the estimates<br />

of the change in the cost of care based on such treatment. Some potential outcomes to consider<br />

include the additional savings per life saved, the additional savings per life year gained, the<br />

additional net economic savings per life year gained, the additional savings per quality adjusted<br />

life year (QALY), the additional net economic benefit per QALY gained and the net economic<br />

benefit of any particular intervention. <strong>The</strong>se types of economic analyses are currently unrealistic<br />

because of the dearth and quality of data.<br />

For the families who have experienced a child/young adult with a PA/TBI, it is a terrifying and<br />

challenging experience. <strong>The</strong>ir children are often not diagnosed and many are misdiagnosed.<br />

Access to comprehensive and integrative care is extremely rare. Most troubling, ongoing and<br />

coordinated support for the lifetime needs of someone with a PA/TBI is virtually nonexistent.<br />

Families have to be constantly searching and reinventing services because there is no<br />

coordinated, seamless circle of care for those with PA/TBI or their families.<br />

Historically, PA/TBI has been studied and addressed primarily as a medical issue. Program<br />

development has taken place largely at the level of medical rehabilitative treatment. Most of the<br />

research has focused on this level of treatment as well as on children’s outcome from the<br />

perspective of their neurological impairments. However, a number of important considerations<br />

mandate a sharpened focus on long-term issues from psycho-social, educational and<br />

environmental perspectives, as well as increased support for ongoing rehabilitative, educational,<br />

and support services provided by the school systems and other community providers.<br />

<strong>The</strong> school systems are now acknowledged to be the major provider of rehabilitative as well as<br />

educational services for children and adolescents with PA/TBI. Following a severe brain injury<br />

at age 10, for example, a child/young adult may receive services for three months in acute and<br />

rehabilitative medical care, followed by eight years of services in the school system, a ratio of<br />

1:32. Investigators agree that rehabilitative needs evolve and often grow in number and intensity<br />

over the years after PA/TBI, resulting in seriously compromised adult outcomes.<br />

Furthermore, because school professionals have less training than medical and rehabilitation<br />

professionals in understanding and managing PA/TBI-related issues, their need for training and<br />

support is greater than that of medical and rehabilitation professionals. Fortunately, the few<br />

studies that exist suggest that well-conceived interventions and supports delivered after discharge<br />

from medical rehabilitation can be effective, significantly benefitting the child/young adult,<br />

family members and education staff.<br />

For all of these reasons, the SJBF Centers of Excellence will provide leadership in designing,<br />

studying, and disseminating long-term interventions and supports for children/young adults with<br />

13


PA/TBI and their families, delivered by effectively trained and supported community<br />

professionals.<br />

<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> <strong>Project</strong> (SJBP):<br />

In an effort to address this major gap in care, the SJBP organized and consulted with the<br />

Working Group of its National Advisory Board. <strong>The</strong>se experts in the field of PA/TBI have over<br />

1,000 years of collective experience and their task was to analyze the continuum of care for<br />

PA/TBI, identify the problems along this continuum and then propose solutions. As a result of<br />

this effort, the National <strong>PABI</strong> <strong>Plan</strong> was drafted and made public along with the first letter sent to<br />

President Barack Obama on January 20, 2009, at 12:01 p.m. (a copy is available on the website<br />

www.<strong>The</strong><strong>Brain</strong><strong>Project</strong>.org). This grant proposal has been developed from the final version of<br />

this comprehensive, integrative, accessible, culturally sensitive, long-term and child/family<br />

centered circle of care for PA/TBI. <strong>The</strong>se experts included families and family advocacy<br />

organizations, physicians, allied health care professionals, educators and researchers.<br />

Wherever possible, recommendations are based on evidence derived from "good" science.<br />

However, there is little research being done in the broad field of PA/TBI in comparison to the<br />

magnitude of the problem. We have identified key research questions that will be addressed<br />

immediately to improve the management and long-term treatment of PA/TBI. <strong>The</strong>re were two<br />

key research components examined by the Working Group along the continuum: 1) translational<br />

research – “What are the questions needed to be asked and what data needs to be gathered to<br />

ensure the <strong>PABI</strong> <strong>Plan</strong> is tested, evidence-based, and replicable?” and 2) scientific investigative<br />

research – “What are the questions needed to be asked and answered to advance the field of<br />

PA/TBI?”<br />

<strong>The</strong> long-term research agenda of the SJBF Centers will be formed by emerging clinical and<br />

research evidence and reflect an interdisciplinary integration of research questions and<br />

methodology. It should be noted this research agenda is by no means complete, but does<br />

represent the areas of research that can provide the maximum help in the management of PA/TBI<br />

as quickly as possible with future research needs to be delineated over time. Indeed, the entire<br />

circle of care will need to be modified as more evidence of best treatments is documented.<br />

This group of experts was divided and asked to address (1) prevention, (2) acute care needs, (3)<br />

transition to the community and ongoing rehabilitation, (4) long-term needs, (5) research which<br />

will span all phases and (6) child/young adults, parents/caregivers, siblings and other family<br />

considerations at each stage. Where necessary, the severity and cause of the PA/TBI was also<br />

addressed.<br />

In addition, the definition of PA/TBI takes into consideration and includes the age range from<br />

birth to age 25 years because of the recognized physiological developmental changes that the<br />

brain is still undergoing in the third decade of life. As such, it encompasses the care of over 73.3<br />

million children and young adults within the United States of America based on the 2000 census.<br />

<strong>The</strong> <strong>PABI</strong> <strong>Plan</strong> has been developed into seven “Categories of Care” for treating brain injuries in<br />

children and young adults: 1) Prevention, 2) Acute Phase, 3) Mild TBI Assessment / Treatment,<br />

4) Reintegration / Long-term care, 5) Adult Transition Phase, 6) Rural / Telehealth and 7) <strong>The</strong><br />

14


Virtual Center. For each Category of Care, it will be important to establish a nationwide<br />

standard for collecting translational data, a standard set of training, education and dissemination<br />

of information, and the ability to monitor and develop scientific investigative research.<br />

<strong>The</strong> entire program is based on the following premise: the most important way to treat PA/TBI is<br />

to prevent it in the first place. Prevention has been conceptualized broadly to include programs<br />

that are available to prevent PA/TBI caused by everything from motor vehicle collisions to<br />

programs addressing other forms of acquired brain insult such as those to encourage sound<br />

immunization regimens and improved nutrition.<br />

Prevention occurs at a number of different levels including primary prevention which entails<br />

forestalling PA/TBI in the first place, secondary prevention which involves limiting the impact<br />

of PA/TBI, and tertiary prevention, or preventing repeat brain injury. Prevention programs must<br />

be evaluated to prove they make a difference and actually decrease the incidence of PA/TBI.<br />

Existing programs that have been or are being shown to be effective should be expanded and<br />

instituted nationwide, when replicable. New programs should be developed, based on evidence,<br />

to increase the dissemination of prevention information and this information should be widely<br />

distributed.<br />

Education is also a key part of the circle of care. Education should address important aspects of<br />

PA/TBI, including: definition, prevention, diagnosis and treatment, facilitation of recovery,<br />

provision of needed assistance in schools and participation in the community. Education must<br />

target children and young adults, parents and extended family, educators, health care providers<br />

across the continuum, and mental health specialists to optimize appropriate identification and<br />

treatment over time. Those providing direct services to children/young adults with PA/TBI and<br />

their families must be well informed. Although there are many with expertise throughout the<br />

nation, the current accessibility to these experts and their overall numbers are insufficient to<br />

address the full scope of the problem.<br />

Mild TBI is the largest sub-group with estimates of 1-3 million new children/young adults<br />

annually suffering from this largely undiagnosed and untreated condition. In addition to the<br />

problem of under-identification, few specialty outpatient clinics exist for active treatment and<br />

management. Contributing to this problem, few trained pediatric clinical specialists are available<br />

with a focus on “mild” TBI. Hampering service, evidence-based models of pediatric “mild” TBI<br />

care are not articulated and therefore, clinicians do not have clear guidance regarding the<br />

development of these clinical care systems within the continuum. With a shortage of specialized<br />

clinics to treat “mild” TBI and the requisite professional expertise, a variety of problems are<br />

evident. Most importantly, without a specialty system in place, the clinical problems that<br />

children and families face post-injury are at increased risk for worse outcomes including reinjury,<br />

prolonged recovery, and possible catastrophic outcomes.<br />

<strong>The</strong> SJBF Centers will seek to standardize acute care for PA/TBI during field-side assessment,<br />

Emergency Department triage and stabilization, critical and acute care management in hospital<br />

and rehabilitation based on state-of-the-art evidence. This standardized approach must<br />

encapsulate all areas of healthcare delivery and healthcare personnel education/training. In<br />

addition, the Centers will emphasize the importance of timing rehabilitative interventions<br />

15


appropriately in the care of the child/young adult with a brain injury. Ongoing research is<br />

essential and will be conducted in the best way to care for children with PA/TBI, and as new<br />

information emerges it will be disseminated to other sites as rapidly as possible. Each Center<br />

will have exceptionally-trained <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family (SJBF) Specialists who will operate as<br />

“super-caseworkers” for each family.<br />

Rehabilitation begins during the acute recovery phase and can continue throughout the child or<br />

young adult’s life. <strong>The</strong> SJBF Centers will seek to expand our understanding of how much, what<br />

kind and when rehabilitation is necessary for various kinds of PA/TBI. Communication with the<br />

family and the initiation of the transition the family will undergo is imperative. Initiating<br />

rehabilitation programs early is paramount, but so is the recognition that the rehabilitative<br />

process continues in the child/young adult’s community and this rehabilitation needs to be<br />

ongoing as the child/young adult develops and grows and the brain undergoes the physiologic<br />

preplanned growth and refinement necessary for brain maturation. Indeed, one of the reasons<br />

why PA/TBI is so different from adult A/TBI, is the fact the brain is maturing and new skills are<br />

emerging. Infants, children and young adults often manifest their PA/TBI when they fail to meet<br />

expected developmental milestones at the appropriate times.<br />

It is equally important to recognize that transitioning from the pediatric system into the adult<br />

system of care is one of the most difficult and challenging phases. <strong>The</strong>re is a need to coordinate<br />

the transition for individuals, caregivers, educators and the community since the adult system of<br />

care is more directed towards independent living and vocational training without the structured<br />

support system of the ideal pediatric system. <strong>The</strong>re is very little research done within the Adult<br />

Transition Category of Care.<br />

In order to develop a system of care that is universally accessible for all children/young adults<br />

and their families no matter where they live in the nation, it is imperative we have an emphasis<br />

on the families living in rural America, which encompasses over 75% of the landmass in our<br />

country and almost 25% of our population. In order to accomplish this mission, telehealth and<br />

telerehabilitation programs must be developed, tested and implemented throughout the country.<br />

In order to standardize the system of care, evidence and data will be collected, analyzed and<br />

stored through <strong>The</strong> Virtual SJBF Center. In addition to serving as a data collection pool, the<br />

Virtual Center will be an online resource for individuals, families, professionals and the general<br />

public for all stages of the continuum of care and an opportunity to use advancements in<br />

healthcare I.T. to improve the system of care.<br />

Long-term revenue models:<br />

An additional component of the National <strong>PABI</strong> <strong>Plan</strong> is the <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Legal (SJBL)<br />

Center. <strong>The</strong> purpose of the SJBL Center is to provide children and adolescents with the best<br />

means of accessing the supports and services necessary for individuals with PA/TBI. <strong>The</strong> legal<br />

center will incorporate education about and the most effective means for obtaining these services<br />

from the medical, educational and social services communities or organizations, as well as other<br />

legal entities, in the most efficient manner. Always taking into consideration the needs of the<br />

child/young adult and family, the legal center will ensure a continuum of service delivery into,<br />

through and beyond the legal age for those services. <strong>The</strong> legal center will serve as a legal hub<br />

16


for any legal issues the child/young adult and family needs and also facilitate appropriate<br />

transition and access of services into the adult world and support continuity of those services.<br />

<strong>The</strong> National Advisory Board has also begun looking at long-term revenue models so the system<br />

of care is not solely reliant upon public financing. <strong>The</strong> <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Legal Center will serve<br />

as one source of non-public funding. In addition, <strong>The</strong> <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> <strong>Project</strong> will develop its<br />

own contract research organization (CRO) focused around pediatric acquired brain injuries<br />

which should be able to generate significant funding for the system of care over time as well and<br />

generate additional research projects. <strong>The</strong>re are numerous other revenue and fund-raising plans<br />

which are in the process of being developed. We expect these non-public revenue to eventually<br />

generate hundreds of millions of dollars annually and become the largest component of our<br />

budget.<br />

17


CHAPTER 2: <strong>The</strong> TBI Model System and the PA/TBI Model System<br />

<strong>The</strong> Current Status of <strong>The</strong> TBI Model System<br />

<strong>The</strong> TBI Model Systems came into existence in 1984 when the National Institute of Disability<br />

and Rehabilitation Research (NIDRR), United States Department of Education funded four<br />

centers as five-year grants. <strong>The</strong> four centers were located at Medical College of Virginia, Mount<br />

Sinai Medical Center, Rehabilitation Institute of Michigan and Santa Clara Valley Medical<br />

Center. A data center at SUNY Buffalo was funded as well.<br />

<strong>The</strong> initial funding for the centers was about $250,000 per year (direct and indirect costs). Every<br />

five years the Model Systems are re-competed and some centers are re-funded, some centers are<br />

de-funded and new centers are funded. <strong>The</strong>refore, the “cadre” of TBI Model Systems has not<br />

been stable over the 25 years of the program. <strong>The</strong> current cohort of the TBI Model Systems was<br />

funded in October 2007, and consists of 16 centers, a data center that is located at Craig Hospital<br />

in Denver, Colorado and a Knowledge Translation Center that is located at the University of<br />

Washington. Current funding is about $420-450,000 per year (direct and indirect costs).<br />

<strong>The</strong>se 16 programs are located at: Baylor College of Medicine, Craig Hospital, Dallas<br />

Rehabilitation Center, JFK-Johnson Rehabilitation Institute, Kessler Institute for Rehabilitation,<br />

Medical College of Virginia, Mass Rehabilitation Hospital, the Mayo Clinic, Mount Sinai<br />

Medical Center, Ohio State University, Rehabilitation Institute of Chicago, Rehabilitation<br />

Institute of Michigan, Santa Clara Valley Medical Center, Shepherd Center, University of<br />

Alabama, and University of Washington.<br />

Although there is no standardization of the rehabilitation programs provided by the TBI Model<br />

Systems, the programs are CARF and JCAHO accredited. Each program is supported for its<br />

“local” research as well as its contribution to multi-site knowledge development projects and<br />

clinical trials. Currently, there are more than 50 research projects ongoing within the TBI Model<br />

Systems. Thus, the TBI Model Systems are research centers.<br />

In addition, each center contributes between 35-40 new cases each year of individuals with<br />

moderate-severe TBI who receive their acute care and rehabilitation within the model system.<br />

<strong>The</strong>se individuals are followed at intervals of 1, 2, 5, 10, 15 and 20 years post-injury. Currently,<br />

there are about 8,000 individuals with TBI included in the TBI Model System database that are<br />

being followed. Thus the TBI Model System represents the only longitudinal database on the<br />

long-term outcome and challenges of individuals with TBI.<br />

<strong>The</strong> TBI Model System includes only those individuals who are older than 16 years of age. <strong>The</strong><br />

age was originally set based on the JCAHO parameters and not based on any specific<br />

neurological evidence. Most of the TBI research over the years has been targeted towards the<br />

adult TBI population. It is worth noting children are not “little adults.”<br />

Challenges for Developing a PA/TBI Model System<br />

<strong>The</strong>re are several challenges that are barriers to developing and implementing a PA/TBI Model<br />

System. <strong>The</strong>y include the following:<br />

18


1. <strong>The</strong>re is little if any basic laboratory research on the acute stage of PA/TBI regarding<br />

pharmacological or surgical treatment, nor are there any studies on interim or longterm<br />

neurological outcomes resulting from early stage interventions.<br />

2. <strong>The</strong> epidemiology of pediatric moderate-severe TBI is not well studied, therefore the<br />

number and characteristics of children who would meet the inclusion criteria in a<br />

national database (however defined) is not known.<br />

2. <strong>The</strong> pediatric “model system” has not been defined because the pathways of care are<br />

not well defined. In other words, what percentage of those with moderate-severe<br />

PA/TBI receive inpatient rehabilitation as opposed to being discharged to their homes<br />

directly from acute care? Once home they receive community-based or home-based<br />

services. Appropriate models of care or transition remain ill-defined. Standardized<br />

methods for identification, service delivery, and tracking children with “mild” TBI<br />

are lacking. <strong>The</strong> nature of the problem remains ill-defined: is a model system for<br />

those with moderate and severe injuries or for those with mild injuries as well?<br />

3. <strong>The</strong> model of care for children and adults is very different. More specifically for<br />

adults there are diverse programs of post-acute inpatient and outpatient services<br />

available. <strong>The</strong>re is no such care network available for children. Indeed the panoply<br />

of outpatient programs available to adults is replaced by “educational” systems that<br />

are not prepared to provide adequate services to children with PA/TBI. <strong>The</strong>re are few<br />

“model” programs of either outpatient or school-based programs of care that could be<br />

used as models for system development.<br />

4. School systems are ill-equipped to deal with children with PA/TBI and are more<br />

comfortable classifying them with disabilities that are more consistent with ongoing<br />

service delivery schemes.<br />

5. <strong>The</strong>re is no standardized method for identifying children with PA/TBI when they<br />

enter school or in the years that follow. Thus, the true number with children with<br />

PA/TBI is not known and is a deduction; therefore, the extent of the problem remains<br />

unknown.<br />

6. While there is some longitudinal data on “recovery” from moderate-severe PA/TBI,<br />

follow-up periods are limited and the long-term follow-up data on those with all<br />

ranges of PA/TBI severity remains unknown. Thus, we do not know the social<br />

consequences of PA/TBI in terms of unemployment, substance abuse, psychiatric<br />

disability, delinquency, violence, etc.<br />

7. <strong>The</strong>re are few Departments of Rehabilitation Medicine currently admitting a<br />

sufficient number of children with PA/TBI so they are unable to create specialized<br />

PA/TBI rehabilitation programs.<br />

Solutions For Developing A PA/TBI Model System<br />

1. Epidemiological studies need to be funded examining the epidemiology and<br />

longitudinal course of PA/TBI. Better information is needed in terms of the number<br />

of children with “mild,” moderate, and severe injuries who are injured each year,<br />

what services they receive and what happens to them over time.<br />

2. Data from epidemiological studies need to be applied to the development of an<br />

interdisciplinary basic research program to develop early-stage interventional<br />

treatments using PA/TBI laboratory models.<br />

19


2. States need to “buy” into identification of PA/TBI. Children must be identified when<br />

they enter school and each subsequent year thereafter. An integrated system of<br />

services is necessary to address the unique needs of children with PA/TBI and their<br />

families along the full continuum from “mild” to severe injuries and disabilities.<br />

3. Best practices need to be established for statewide programs of identification, teacher<br />

training and classroom interventions.<br />

4. Evidence-based practices for classroom intervention need to be established<br />

5. Evidence-based programs of cognitive rehabilitation for children with PA/TBI need<br />

to be developed consistent with the child’s development age.<br />

6. Evidence practices for family-based intervention need to be established.<br />

7. Models of care need to be developed consistent with the child’s cognitive, behavioral,<br />

physical, sensory and emotional challenges.<br />

8. Model programs for points 2-7 need to be identified and replicated.<br />

20


CHAPTER 3: Category of Care: Prevention<br />

THE BEST POSSIBLE TREATMENT FOR ANY BRAIN INJURY IS PREVENTION<br />

Current Status & Problems:<br />

<strong>Brain</strong> injuries can be prevented and controlled. Various prevention models have been proposed,<br />

but for the purpose of this grant proposal the classic model will be used. Primary prevention<br />

entails preventing new injuries, secondary prevention involves reducing the severity of injuries<br />

and tertiary prevention is decreasing the frequency and severity of disability after an injury.<br />

(WHO)<br />

Prevention needs to include all aspects of PA/TBI including but not limited to: prevention of<br />

meningitis/encephalitis, near-drownings, strokes, playground safety, gun safety, trauma,<br />

recreational safety, automobile and bicycle safety, prevention of domestic violence and child<br />

abuse, fall prevention and sports/concussion prevention.<br />

<strong>The</strong>re are a variety of primary prevention programs currently in existence. Many have not been<br />

evaluated as to their usefulness and often overlap in their activities. Examples of some effective<br />

primary prevention programs for preventing injury include: Think First, SafeKids, ImPACT,<br />

Period of PURPLE Crying, WalkSafe, etc.<br />

Primary prevention programs should be based on the WHO Model, whereby multiple agencies<br />

partner together to implement a five-“E” program: Education, Engineering, Enforcement,<br />

Evaluation, and Encouragement. This 5-E model developed by WalkSafe in 2003, which has<br />

been adopted by the National Safe Routes To School Program (SRTS) is an example of a<br />

primary prevention program. <strong>The</strong> purpose of Safe Routes to School is to enable and encourage<br />

more children to safely walk and bicycle to school whereby multiple agencies partnered together<br />

to implement the 5-“E” program.<br />

A public health perspective also allows for an integrative approach to address childhood injury.<br />

Such an approach brings together as partners national and local agencies and organizations<br />

involved in injury prevention. <strong>The</strong> Public Health Model paradigm includes: surveillance of a<br />

problem (what is the problem), identifying risk factors (what are the causes), implementation of a<br />

program (how is it done) and then development and evaluation of the interventions (what works).<br />

<strong>The</strong>re are few nationally-implemented primary prevention programs. <strong>The</strong>re are even fewer<br />

secondary and tertiary prevention programs. <strong>The</strong> need to prevent a second brain injury following<br />

an initial insult cannot be overemphasized. <strong>The</strong>re is a serious need to reduce the morbidity of<br />

PA/TBI by preventing/limiting/minimizing subsequent developmental stall and identify and<br />

assess chronic behavioral and psychiatric issues associated with it.<br />

Family Perspective:<br />

<strong>The</strong> importance of preventing a brain injury is not well-appreciated by families and their<br />

communities until an injury actually occurs. Many simple but effective preventive measures<br />

(helmets, seat belts, car seats) are still underutilized or improperly utilized. Particular issues<br />

include the impact of a concussion on cognitive, psychosocial and emotional competencies; the<br />

21


implications of shaking a baby; and the impact any PA/TBI has, not only on the child/young<br />

adult, but on the family and community long-term. Continued reflection and consideration is<br />

needed based upon all families’ experiences for the development of the types of prevention and<br />

communication strategies effective in preventing PA/TBI. Furthermore, there are many<br />

successful prevention advocacy organizations needing additional funding and support to expand<br />

upon their successes.<br />

Solutions:<br />

1. Application of WHO methods for primary and secondary prevention and employing<br />

educational initiatives for injury prevention.<br />

2. Collection of targeted injury data for identifying priority issues and high risk parameters,<br />

using a standardized dictionary of terms for uniformity across all stakeholders in A/TBI.<br />

3. Refinement, development and testing of evidence-based prevention programs which are<br />

sustainable and able to be generalized for any given community.<br />

4. Increased availability of prevention education/re-education programs with active<br />

research.<br />

5. Utilization of a “train the trainer” model of education and support.<br />

Secondary/ tertiary prevention:<br />

1. Advocacy training of families.<br />

2. Training of medical personnel, community, school, sports/recreational agencies regarding<br />

risks of re-injury and/or current injury exacerbation.<br />

3. Risk reduction for homelessness, addictions, abuse and psychiatric sequelae.<br />

4. Target education and screening within the correctional/prison system and special<br />

programs within schools, as well as direct education of pediatric and adolescent<br />

psychiatrists and psychologists to better identify children with a history of trauma.<br />

Research Priorities (not in particular order):<br />

1. Identification of risk factors for various types of injuries (e.g. MVA/falls/sports/child<br />

abuse/military).<br />

2. Investigation of the effective prevention strategies for each main mechanism, type and<br />

severity of injury.<br />

3. Improved identification of secondary injuries by means of biomarkers.<br />

4. Establishment of effective measures for the prevention of repeated injuries.<br />

5. Recognition of risk factors for psychiatric co-morbidities.<br />

22


CHAPTER 4: Category of Care: Acute Care (moderate to severe PA/TBI)<br />

Current Status:<br />

Acute care includes the management of the child/young adult from the scene of the injury<br />

(EMS), through Trauma Resuscitation Units or Emergency Departments to an Intensive Care<br />

Unit, through inpatient rehabilitation. In addition, for non-TBI cases it begins at the diagnosis of<br />

the brain injury. Early recognition of neurologic deterioration for all types of PA/TBI is a<br />

significant problem and if not recognized, the patient’s condition will likely worsen and increase<br />

the burden of the injury. This is particularly important for the problem of inflicted TBI (abusive<br />

head trauma). In these cases, the presenting symptoms may be non-specific and the infant may<br />

arrive at a medical facility without a complete history of the injury. It is known that many cases<br />

of mortality and morbidity due to inflicted TBI occur after an initial presentation where the<br />

diagnosis of TBI was not recognized. This highlights the importance of the Golden Hour of<br />

Trauma Care and the importance of EARLY identification and assessment which leads to the<br />

best possible outcomes and quality of life.<br />

Severe PA/TBI acute clinical management guidelines exist (2003, with update in progress) but<br />

the evidence base remains sparse. <strong>The</strong>re remains a lack of precision and frequent delay of<br />

appropriate therapy for pediatric victims of traumatic brain injury. <strong>The</strong>se unnecessary delays in<br />

care represent missed therapeutic opportunity and undermine quality and extent of recovery.<br />

<strong>The</strong>re is a need for improved infant/young child injury scales.<br />

A new approach to classification of injury based upon underlying pathophysiology and<br />

neurobiological mechanism is needed to allow appropriate categorization and target treatment.<br />

Age-specific pediatric physiological variables, in combination with genetic markers and<br />

anatomical and metabolic imaging, may serve as a means to achieve this goal.<br />

Most neurocritical monitoring is not routinely performed in pediatric ICUs, and when it is, use is<br />

generally simply extrapolated from the adult experience rather than driven by specific pediatric<br />

clinical evidence. It is increasingly becoming clear that many medications routinely used in<br />

infants and young children may have strikingly different efficacy and side effects from their use<br />

in adults. Outcomes are currently measured as survival or short term global outcomes that fail to<br />

fully describe the level of developmental recovery across developmental domains and over time.<br />

<strong>The</strong> definition of intermediate care varies widely across institutions, but for the purposes of this<br />

grant proposal it is defined as when the child/young adult no longer requires monitoring in an<br />

intensive care setting but still requires hospitalization. Children may also enter this phase of<br />

hospital care for observation following their PA/TBI who do not need ICU-level care, but still<br />

require acute medical management. <strong>The</strong> important decision at this level is whether the<br />

child/young adult will require inpatient rehabilitation, or long-term care or can they be<br />

discharged into the community and receive rehabilitation within the community. While in this<br />

phase of hospital care it is clear that all should continue receiving early rehabilitation services<br />

using a multi or interdisciplinary model.<br />

This intermediate period was developed in 1992 at the University of Miami/Jackson Memorial<br />

Medical Center as the Intermediate Head Injury Service (IHI) for adults. In 2001, a similar


service was developed for children and adolescents (Hotz & Kuluz, 2005). This program was<br />

found to:<br />

• decrease the child/young adult’s length of stay in the PICU, thereby decreasing costs,<br />

• improve and centralize specialized neurological management for these children to one<br />

unit on an acute care floor,<br />

• begin appropriate early rehabilitation,<br />

• begin discharge planning with case management support, and<br />

• begin education for child and family about brain injury in the acute phase of recovery<br />

<strong>The</strong> purpose of an IHI is to provide an acute multidisciplinary team approach for establishing a<br />

comprehensive early medical/rehab intervention and identification system for the assessment and<br />

treatment of children recovering from brain injury. <strong>The</strong>re are very few centers that manage<br />

children with brain injury in an intermediate care unit specializing in neurological management<br />

and early therapy. This specialized unit may prove to be beneficial to optimize recovery and<br />

functional outcomes.<br />

Inpatient rehabilitation refers to inpatient services for the individual with PA/TBI provided by<br />

collaborative treatment teams addressing the individual medical, physical, psychological and<br />

social needs of patients. <strong>The</strong> goal is to maximize independent function and educate families<br />

regarding home care in a fashion that facilitates ongoing clinical improvement and follow-up<br />

after discharge.<br />

Multiple program types of inpatient rehabilitation meeting various criteria:<br />

1. <strong>The</strong>re are currently only 7 pediatric inpatient rehabilitation programs which have CARF<br />

(Commission on Accreditation of Rehabilitation Facilities) accreditation with<br />

specialization in Pediatric <strong>Brain</strong> Injury. <strong>The</strong>re are other programs in the country with<br />

qualified medical, therapeutic, psychological, and family services which also provide a<br />

high quality of care for this population.<br />

2. <strong>The</strong>re are 28 CARF accredited Pediatric Family Centered/Pediatric Specialty programs<br />

within Children’s Hospitals as of 2008.<br />

3. According to UDSMR (Uniform Data Systems for Medical Rehabilitation), 24 Pediatric<br />

Inpatient Rehabilitation Programs within Children’s Hospitals use WeeFIM as a standard<br />

outcome measure. Many facilities use other standardized outcome measures (PEDI, etc.).<br />

4. <strong>The</strong>re are few centers providing a comprehensive approach to PA/TBI treatment<br />

throughout the continuum of care, including services in the acute, intermediate, acute<br />

rehabilitation, and long term post-discharge stages including transitioning into adulthood.<br />

5. <strong>The</strong>re is variation regarding timing of initiation of inpatient rehabilitation and criteria to<br />

qualify (frequently dictated by insurance coverage, local system structures).<br />

Problems:<br />

With poor identification and no active management, there is an increased risk of delayed<br />

recovery, re-injury, and catastrophic outcome.<br />

Although there have been advanced care courses developed by national organizations, and while<br />

there are evidence-based guidelines for the acute care management of infants, children and<br />

adolescents, the process of resuscitation and initial evaluation is still variable among centers and<br />

24


even providers and the impact of these guidelines on care processes and outcomes is not known.<br />

As a result, the process and effect of resuscitation remains poorly defined and unnecessarily<br />

imprecise. This lack of precision and timely initiation of appropriate therapy causes avoidable<br />

delays in care which results in poor outcome. Improper fluid volume or content, or inadequate<br />

blood pressure resuscitation may add to neuronal injury and result in missed therapeutic<br />

opportunities.<br />

<strong>The</strong> process of acute care and resuscitation is intended to optimize recovery from injury and<br />

minimize injury related damage. Current critical care processes are not yet sophisticated enough<br />

to link cell signaling or organ system cross talk to specific clinical problems related to multiple<br />

organ dysfunctions.<br />

<strong>The</strong> main problems with advancing acute PA/TBI clinical care are:<br />

1. <strong>The</strong>re is substantial variability in injury type, severity and developmental stage not<br />

addressed by current grading scales.<br />

2. <strong>The</strong>re is substantial variability in processes and procedures for initial assessment and<br />

physiological stabilization of children with severe poly system trauma with and without<br />

TBI.<br />

3. Management of PA/TBI is extrapolated from adult A/TBI protocols, many of which are<br />

inappropriate for children or do not consider the special developmental concerns of<br />

children.<br />

4. <strong>The</strong>re is inadequate linkage of multimodal acute physiological variables (vitals,<br />

intracranial pressures, EEG, neurologic exams, neuroimaging) with long-term<br />

developmental and functional outcomes and rehabilitation interventions (developmental<br />

assessments, neuropsychological testing, and developmental/behavioral diagnoses).<br />

5. <strong>The</strong>re is a lack of good age-specific animal models for preclinical testing of hypotheses<br />

and interventions in the acute care/ICU setting. Secondary problems are identifying<br />

appropriate ages between humans and different animal species, inconsistent<br />

implementation of current pediatric A/TBI protocols, understanding age-specific<br />

toxicities/side effects of medications and monitoring effects of environmental stimulation<br />

during the acute phase.<br />

6. Administration of PA/TBI care is variable across practitioners, institutions and<br />

geographic regions making it difficult to draw meaningful conclusions from existing data.<br />

7. Accurate and relevant premorbid and early post-morbid data are rarely available.<br />

8. Obtaining informed consent for interventional and translational studies.<br />

9. Non-medical factors influence the delivery of appropriate medical care.<br />

10. Little data is available on efficacy of, and guidelines for use of, treatments such as<br />

hypothermia, craniotomy, and others in the PA/TBI population.<br />

Problems in inpatient rehabilitation:<br />

1. Barriers to seamless transition from acute care to rehabilitation persist.<br />

a. Lack of funding frequently eliminates or delays critically needed acute rehabilitation<br />

b. Parental confusion often results in loss of eligibility for certain government sponsored<br />

programs<br />

2. Minimal evidence exists for the mode of delivery and types of medical rehabilitation:<br />

25


a. <strong>The</strong>re is a lack of evidence for rehabilitation therapies, that is, lack of research and/or<br />

evidence-based practice regarding admission criteria, pharmacologic management,<br />

therapy type, timing, length or intensity of therapy.<br />

b. <strong>The</strong>re has been little progress in this area since the 1999 Agency for Health Care<br />

Policy and Research report Rehabilitation for Traumatic <strong>Brain</strong> Injury in Children and<br />

Youth<br />

3. Minimal evidence exists for system issues:<br />

a. Lack of common data collection in uniform fashion<br />

b. Lack of awareness/education among healthcare practitioners and administrators<br />

c. Lack of qualified personnel<br />

d. Lack of financial support<br />

e. Lack of minimum requirements to provide service (i.e. pediatric specialty), especially<br />

regarding third party payers in-network providers<br />

f. Lack of ability to extend treatment plan to local community<br />

g. Limited ability to serve individuals who are slow to recover or who are considered to<br />

have plateaued.<br />

4. <strong>The</strong>re exists a significant and deleterious discontinuity of care and knowledge about<br />

PA/TBI between the inpatient hospital setting and personnel and normal everyday<br />

community-based school, medical, and therapeutic personnel.<br />

Solutions:<br />

1. Develop and maintain a multicenter network of collaborating centers in order to generate<br />

meaningful data and conclusions.<br />

2. Identify natural age ranges and then develop a normative database of physiological<br />

parameters for children.<br />

3. Implement a data management system that provides long-term surveillance and includes<br />

standardized elements that can be extrapolated to analyze effects of variability in care on<br />

outcome.<br />

4. Develop pathophysiology-based injury scales to properly categorize patients and direct<br />

treatment. PA/TBI should not be viewed as a single disease entity but a constellation of<br />

multiple distinct but overlapping diagnoses.<br />

5. Delineate the utility and circumstances for advanced neuromonitoring in pediatric ICUs<br />

and examine the role these tools play in hemodynamic management.<br />

6. Standardize acute trauma/critical care based on clinical pathways, uniform clinical<br />

reporting mechanisms and informatics designed to enhance clinical decision support.<br />

7. Facilitate development of more sophisticated PA/TBI models, with particular focus on<br />

proper age-range translation between animal and humans and on modeling common<br />

secondary injuries seen in pediatrics.<br />

8. Design translational studies to incorporate both acute physiological measurements and<br />

long-term outcomes in the same individuals (for both animal studies and prospective<br />

human observational studies).<br />

9. Increase awareness and integrate knowledge about age-specific complications of drug<br />

treatments into translational pediatric studies.<br />

10. Monitor for effects of environmental stimulation (both intentional and incidental) during<br />

the acute injury phase after PA/TBI.<br />

26


11. Acquire data to determine the effects of non-medical factors on delivery of appropriate<br />

PA/TBI care such as socio-cultural, family, pre-injury factors.<br />

12. Increased utilization of technology to facilitate monitoring, data review, team<br />

communication and access to specialists.<br />

13. Improve communication among ICU physicians, consulting physicians, other care<br />

providers and family members in addition to initiating contact with a SJB Family<br />

Specialist.<br />

14. Develop joint education programs for health care providers to promote interdisciplinary<br />

approaches and communication.<br />

15. Monitor efficacy and potential side effects of therapies in children.<br />

16. Develop strategies to study the effects of smooth transition out of the ICU and initiation<br />

of early rehabilitative interventions for all levels of PA/TBI severity (“mild” to severe).<br />

17. Review and augment current neuroimaging paradigms using evidence-based studies and<br />

foster the development of new neuroimaging research related to the PA/TBI patient at all<br />

levels of their injury from immediate/acute management to long-term care and<br />

rehabilitation.<br />

18. Identification of biomarkers reflecting cellular changes and deployment of an integrated<br />

informatics system enabling the clinician to recognize them will support development of<br />

preemptive approaches to critical care management. Moreover, these biomarkers will<br />

enable objective assessment of therapeutic efficacy and define immediate results of<br />

intervention.<br />

19. Carry out controlled multivariate studies of the efficacy of specific therapeutic<br />

interventions (medications, hypothermia surgery) on short-term and long-term outcomes<br />

across the phases of care, rehabilitation and reintegration.<br />

20. Standardize process of acute critical care based on clinical pathways, uniform clinical<br />

reporting mechanisms and informatics designed to enhance clinical decision support.<br />

Specific components of management can be reviewed at https://www.I‐trauma.com/ITwiki<br />

21. Standardize care paradigms across units that care for children with PA/TBI (ED, OR,<br />

ICU, etc).<br />

22. Create value streams for best practice (quality improvement loops).<br />

Solutions for intermediate care:<br />

1. Using evidence-based research, standardize the definition and the process of transition<br />

from ICU to rehabilitative care in an appropriate timeframe.<br />

2. Improve availability through increased access to inpatient and community-based<br />

rehabilitation that is child/young adult and family-centered and evidence-based as much<br />

as possible.<br />

3. Provide continuity of care in terms of providers when available (i.e., same inpatient and<br />

outpatient providers).<br />

4. Long term care facilities need to be aware of the need for slower paced rehabilitation<br />

including the medical and therapeutic services.<br />

5. Improve understanding of patterns of recovery and pathophysiology.<br />

6. Develop treatment specific to these patients.<br />

7. Baseline and continuous assessment to measure treatment effectiveness and monitor<br />

recovery that is pediatric specific and that can lead to standardization of care.<br />

27


8. In addition, ongoing education and training are needed to continuously upgrade<br />

therapeutics and skills based on new research, evidence and technology.<br />

9. Improve communication among physicians, other care providers and family members in<br />

addition to maintaining continuing contact with a SJB Family Specialist.<br />

Solutions for inpatient rehabilitation:<br />

1. Establish a Model PA/TBI Network to include inpatient rehabilitation to form a base for<br />

patient care, research, education, and development of evidence-based practice for specific<br />

pharmacologic agents, stem cell trials, nutrition, occupational, vision, physical, speech,<br />

and behavioral therapies, and/or combinations thereof. Specifically, current experimental<br />

models should be translated into clinical trials. Information regarding optimal timing,<br />

intensity, and length of inpatient rehabilitation must be elucidated.<br />

2. Establish a protocol for discharge including a case manager who works with the<br />

rehabilitation team to assist patients/families in navigating networks of care, identifying<br />

local resources, reintegrating into community/school, etc. Specifically regarding school<br />

there should be an identified individual to facilitate re-entry.<br />

3. Establish within each model group a process for advocating, educating, and<br />

implementing PA/TBI recommendations for governmental agencies, third party payers,<br />

health care systems, and communities.<br />

Ensure practices (assessment, intervention, service delivery) are sensitive to developmental,<br />

socio-cultural, and linguistic factors that consider the post-discharge needs and realities of the<br />

child/young adult and family.<br />

Research Priorities (not in particular order):<br />

1. Timing, volume, type, and technique of fluid resuscitation of the child with polytrauma<br />

and TBI have not been evidence-based or directly linked with long-term neurocognitive<br />

performance.<br />

2. Timing, type and techniques of systemic and neuromonitoring, and hemodynamic goals<br />

has not been adequately investigated or linked to long term outcomes<br />

3. Effect of systemic therapy on cerebral physiology and long term outcomes.<br />

4. Timing and type of secondary insults on secondary TBI are not well defined and linked to<br />

long term outcome.<br />

5. <strong>The</strong> effect of delay throughout, especially when the continuum of care involves interfacility<br />

transfer has not been accurately described nor linked to long-term outcome.<br />

6. Identify candidate biomarkers (inflammatory, physiologic, etc) and translate these from<br />

animal models, and validate in humans.<br />

7. Develop and test safe and effective early-stage neuroprotective interventions that can be<br />

tested in subsequent clinical trials specifically designed for a pediatric population.<br />

8. Age and development related effects of various biomarker functions must be determined<br />

and applied to critical care of infants and children.<br />

9. Informatics systems that link laboratory data, imaging, and bedside biometric monitoring<br />

must be evaluated and integrated with artificial intelligence systems to facilitate clinical<br />

management, provide timely identification of organ system dysfunction, and provide<br />

objective evidence of response to therapeutic intervention.<br />

10. Examine barriers to adoption of interventions and implementation of evidence based<br />

guidelines.<br />

28


11. Delineate the timeline and therapeutic window of treatment/interventions<br />

12. Examine combination therapies/interventions to improve outcomes<br />

13. Assess interventions including specific pharmacologic agents, stem cell trials, nutrition,<br />

occupational, vision, physical, speech, and behavioral therapies, and/or combinations<br />

thereof with experimental study designs.<br />

14. Translate current experimental models into clinical trials.<br />

15. Elucidate information regarding optimal timing, intensity, and length of inpatient<br />

rehabilitation. This will be informed to some extent by further research into the natural<br />

history of acquired brain injury.<br />

16. Evaluate transition and follow-up programs that have been shown effective in adult TBI<br />

Model Systems research programs (e.g., University of Seattle Medical Center) for utility<br />

in the PA/TBI system.<br />

<strong>The</strong> use of the intermediate level of care is variable with some patients going straight from<br />

intensive care to inpatient rehabilitation (as in <strong>The</strong> Children’s Hospital, Denver model) and<br />

others staying in the intermediate care ward for further medical stabilization before either<br />

discharge home and community rehabilitation or into an inpatient rehabilitation program or a<br />

long term care facility for a minimally conscious level or seemingly minimally conscious level<br />

child/young adult. <strong>The</strong>re is a lack of consensus in all areas of medical and allied health care<br />

based literature upon the insufficient understanding and research of the various rehabilitation<br />

models and protocols. For example, questions regarding the rehabilitation potential of coma and<br />

the minimally conscious patient are even less well understood.<br />

Family Perspective:<br />

This is a critical point in time along the continuum of care when parents and family members of<br />

children with severe injuries are traumatized themselves, and they must slowly acknowledge the<br />

child/young adult has been seriously injured and may no longer be the same child as before.<br />

Careful, sensitive, and comprehensive family education about the injury and its effects on the<br />

child/young adult and the family as a whole is crucial at this stage. In addition, support for the<br />

family is needed to deal with the impact of the injury by starting a transitional process that is<br />

sensitive to the family’s emotional state at that time and helping them to adapt to live with the<br />

effect(s) of the PA/TBI.<br />

Families need to participate in the plan of care for their children/young adults both in the short<br />

term and long term. Families require either initiation or ongoing support in the transitioning<br />

process of having a child/young adult with PA/TBI. It is important that the family’s concerns be<br />

heard and addressed, as their home-based actualities of having a child/young adult with PA/TBI<br />

might not match the understanding of the medical/educational/psychological communities.<br />

<strong>The</strong> initiation of inpatient rehabilitation services, when and where available, often offers for<br />

families the first chance to begin to appreciate and understand the multitude of challenges related<br />

to habilitation from brain injury. Families frequently arrive with minimal understanding of the<br />

severity and long-term nature of the many challenges faced by survivors and families dealing<br />

with acquired brain injuries.<br />

29


While there are often significant improvements in mobility and self-care during this time, the<br />

cognitive, behavioral, emotional, and learning challenges often persist and worsen, and can<br />

become lifelong struggles. Families need to receive a great deal of information and training<br />

during this time, but they are in various stages of grieving and acceptance and so require<br />

persistent education regarding the ongoing needs of the patient after discharge. Supportive<br />

services for families are essential during this time for coping with the alteration in the family unit<br />

and are critical to begin to link families to the resources available in their local community.<br />

Additionally, during an inpatient rehabilitation admission, families are trying to balance<br />

maintaining employment, caring for other siblings, and maintaining marriages and relationships.<br />

Often the stressors brought on by the profound shift in family dynamic that occurs after acquired<br />

brain injury results in divorce, depression, and substance abuse, among others, further disrupting<br />

family units.<br />

As well, children/young adults who have been discharged home and are later able to participate<br />

in more aggressive rehabilitation would often benefit from an inpatient rehabilitation admission<br />

for further treatment, but access to these services is almost always severely restricted or denied.<br />

Currently, once a child/young adult is discharged from inpatient rehabilitation, families often<br />

have difficulty obtaining appropriate outpatient therapy or school-based services in their local<br />

communities due to the limited number of pediatric-trained specialists and lack of funding. <strong>The</strong><br />

physical needs and therapies of a child/young adult in the first six months after discharge are<br />

often met, but the psychosocial, emotional, educational, and behavioral needs start to become<br />

apparent at about six to nine months after the injury, at a time when parents and teachers think<br />

the child/young adult is recovered, because s/he looks fine physically.<br />

Thus, the immense attention to education of the family and intensity of therapy services received<br />

by the patient immediately after the brain injury during inpatient rehabilitation is met with a<br />

resounding lack of education and resources in the local community after discharge, resulting in<br />

significant and ongoing frustration for patients and families, and significant worsening of the<br />

child/young adult’s functional status.<br />

30


CHAPTER 5: “Mild” TBI Identification, Assessment and Treatment<br />

Traumatic <strong>Brain</strong> Injury (TBI) is a significant public health concern, and “mild” TBI is the most<br />

common presentation. This injury, however, often goes unrecognized and therefore poorly<br />

treated. <strong>The</strong> current challenges and opportunities for improvement in the management of mild<br />

TBI are discussed in this chapter. It furthermore should be noted that while a TBI may be<br />

classified medically as “mild,” the term can be misleading since there is nothing mild about any<br />

brain injury, thus the reason for quotation marks around the word throughout the grant proposal.<br />

Definition and Epidemiology of “mild” TBI<br />

Trauma to the head and neck is a significant cause of morbidity in the general population,<br />

accounting for over 5.5 million emergency department (ED) visits per year in the United States.<br />

“Mild” TBI, or concussion (terms that are used somewhat interchangeably in this chapter),<br />

represents the predominant form of acquired brain injury (75-90%). We use the definition of<br />

“mild” TBI from the recent Centers for Disease Control and Prevention (CDC) Physician’s mild<br />

TBI Toolkit [10], which borrows from the Vienna and Prague meetings of the International<br />

Concussion in Sports Group Consensus meetings. <strong>The</strong> definition is as follows: mild TBI or<br />

concussion is defined as a “complex pathophysiologic process affecting the brain, induced by<br />

traumatic biomechanical forces secondary to direct or indirect forces to the head. Mild TBI is<br />

caused by a blow or jolt to the head that disrupts the function of the brain. This disturbance of<br />

brain function is typically associated with normal structural neuroimaging findings (i.e., CT scan,<br />

MRI). Mild TBI results in a constellation of physical, cognitive, emotional and/or sleep-related<br />

symptoms and may or may not involve a loss of consciousness (LOC). Duration of symptoms is<br />

highly variable and may last from several minutes to days, weeks, months, or even longer in<br />

some cases (p.2).”<br />

Several estimates are frequently used to define the scope of TBI (e.g., 1.4 million TBIs per year<br />

presenting to the medical system). Recent incidence figures by Langlois et al. (2004) of the CDC<br />

report 564,000 average annual visits to U.S. Emergency Departments for TBI in children 0-19<br />

years of age. A 1995-1997 study of annual visits to pediatric offices for TBI reported 125,000<br />

annual visits for children in the 0-14 age range. It is clear, though, that these figures are most<br />

likely underestimates, as proper ascertainment of mild TBI remains difficult. <strong>The</strong> figure of<br />

300,000 TBIs frequently quoted as being associated with sports and recreation-related activities<br />

has been revised upward significantly in the past year to 1.6-3.8 million. While the need for more<br />

exact epidemiological estimates of this injury is clear, mild TBI is a significant public health<br />

problem.<br />

Presentation of “mild” TBI to the Medical System<br />

Patients with “mild” TBI, when identified, most often present to the ED or primary care office,<br />

neither of which specialize in diagnosis and treatment of “mild” TBI. Of the patients with “mild”<br />

TBI who seek immediate care in the ED, the majority are reassured and discharged to their<br />

home. Thus, in this setting, the accurate assessment of the injury scope and severity of the injury<br />

and consequent outpatient guidance and management are critical for ensuring safe recovery from<br />

injury. Appropriate diagnosis, patient education and outpatient management may decrease<br />

recovery time, reduce risk of secondary complications and improve outcomes. Historically,<br />

however, the evaluation and management of concussion have been inconsistent, and outcomes<br />

31


are largely unknown. In particular, clinical grading systems are not validated and have not<br />

allowed for clinicians, patients or families to recognize the spectrum of post-concussive<br />

symptoms. Further, the ED setting is unique in its focus on immediate care needs and its<br />

inherent limitations with continuity of care.<br />

<strong>The</strong> unacceptable reality is that many children with suspected “mild” TBI do not present to the<br />

Emergency Department or even a pediatrician’s office. Injuries occurring in the home, on the<br />

sports and recreation fields, in the schools, or on the roads may escape appropriate diagnostic<br />

attention. This situation is due, in part, to the “invisible” nature of a “mild” TBI (i.e., lack of<br />

visible broken bone or bruise) but is also due to a lack of appropriate knowledge of the injury<br />

and its signs and symptoms. Improving the knowledge and skill regarding “mild” TBI of “first<br />

responders” such as emergency medical technicians, school nurses, athletic trainers, child care<br />

workers, and parents can serve to improve early identification and subsequent diagnosis of an<br />

injured child or adolescent.<br />

Limitations to the accurate diagnosis, assessment and treatment of concussion, coupled with the<br />

morbidity of repeat concussions, leave patients at increased risk for poor outcomes. Early<br />

identification and diagnosis is the key issue to promoting recovery. <strong>The</strong> greatest challenge to the<br />

medical practitioner is appropriate and timely recognition, assessment and diagnosis. Without<br />

state-of-the-art knowledge and clinical tools, “mild” TBI may go undiagnosed and untreated,<br />

leaving individuals who have sustained a “mild” TBI at an even more increased risk for<br />

functional problems.<br />

Unique Challenges in “mild” TBI service delivery<br />

Unique problems exist for providing care to children with “mild” traumatic brain injury (“mild”<br />

TBI) and their families. In addition to the problem of under-identification, few specialty<br />

outpatient clinics exist for active treatment and management. Contributing to this problem, few<br />

trained pediatric clinical specialists are available with a focus on “mild” TBI. Hampering<br />

service, evidence-based models of pediatric “mild” TBI care are not articulated and therefore,<br />

clinicians do not have clear guidance regarding the development of these clinical care systems<br />

within the continuum. With a shortage of specialized clinics to treat “mild” TBI and the<br />

requisite professional expertise, a variety of problems are evident. Most importantly, without a<br />

specialty system in place, the clinical problems that children and families face post-injury are at<br />

increased risk for worse outcomes including re-injury, prolonged recovery, and possible<br />

catastrophic outcomes.<br />

In developing a nationwide “mild” TBI care system to manage this prevalent problem, the<br />

following problems exist and require active solutions:<br />

1. Resource problem: Not enough “mild” TBI-specific clinicians do exist in this field.<br />

This includes “primary care” specialists as well as specific referral sources<br />

knowledgeable about “mild” TBI (headache management, sleep intervention,<br />

mood/anxiety treatment, gradual return to sports protocol, etc.).<br />

2. Training problem: Training programs in medicine, neuropsychology, and<br />

rehabilitation specialties are not preparing people for the unique services required for<br />

“mild” TBI, i.e. rapid, focused and repeated assessment, active community<br />

consultation, and individualized interventions.<br />

32


3. Professional practice problem: Outpatient TBI clinical practices are not necessarily<br />

organized to serve this unique population (e.g., schedule within a few days of injury,<br />

multiple visits, and active treatment consultation with community settings). <strong>The</strong><br />

“mild” TBI service delivery model is different from the service model for moderate<br />

and severe TBI.<br />

4. Public health problem: Need for greater knowledge dissemination within the medical,<br />

sports and school communities about the nature of the injury, its risks, and its<br />

treatments.<br />

5. Problem with reintegration following “mild” TBI: Hospital staff may perceive the<br />

child/young adult as doing well, and thus not foresee a need for community<br />

involvement/ support after discharge, especially following “mild” injuries.<br />

6. <strong>The</strong> nature of the clinical condition of “mild” TBI is unique and can be challenging in<br />

the following ways:<br />

• Subtlety of sequelae and changing nature of injury and recovery<br />

• Sequelae are largely in the domain of the clinician that understands cognitive,<br />

behavioral/ emotional, somatic symptoms, as well as who are trained to work with<br />

families, schools, and sports/ recreation systems.<br />

• Sequelae are typically not of the same nature and severity as the severe TBI, with<br />

little primary motor and language/ communication deficits.<br />

• <strong>The</strong>re is likely morbidity associated with no service, inappropriate expectations<br />

regarding the injury and its consequences/ recovery, or over-incorporation of<br />

other problems not associated with the “mild” TBI.<br />

• Expectation of full recovery with proper treatment is appropriate. Most children<br />

will recover fully within a relatively short time frame (i.e., within three months),<br />

though some will exhibit longer-term effects. All must have the expectation of a<br />

positive recovery and control over the recovery process.<br />

7. <strong>The</strong> timing of service delivery must be “Early and Often”<br />

• Benefits of early assessment & treatment<br />

• Serial monitoring & treatment<br />

• Immediate, focused, rapid assessment<br />

• Serial monitoring & treatment<br />

8. <strong>The</strong> “mild” TBI/ Concussion clinician often plays multiple roles<br />

• Clinician: evaluation, treatment<br />

• Consultant to organizations: programmatic, clinical<br />

• Public health educator<br />

9. Challenges in operating “mild” TBI /Concussion Clinic<br />

• Fast pace of scheduling, payment arrangements<br />

• Number of clinical personnel required to run a clinic<br />

• Multiple clinic days per week<br />

• Turnaround time of findings/ reports<br />

• Multiple systems with interest in findings (e.g., medical, school, athletic, family)<br />

33


Family Perspective:<br />

Without early identification of “mild” TBI and proper treatment, the family bears the sustained<br />

burden from the injury, including financial, social, familial, psychological, and educational.<br />

Severe TBI will most likely present with obvious signs and symptoms; “mild” TBI often does<br />

not. Identification and assessment of “mild” TBI therefore requires collaboration with medical,<br />

psychological, educational, familial and social communities. Parents/ caregivers need to alert<br />

medical professionals when they notice unexplained changes in their child/young adult, even if<br />

they are not aware of a possible cause. <strong>The</strong>y may then still be dismissed by the health care or<br />

educational professional as being “overprotective,” their parenting skills might be questioned or<br />

the changes in the child/young adult might be misattributed to a psychiatric or related<br />

misdiagnosis. When this occurs, parents/caregivers must learn to continue advocacy efforts for<br />

their child. Parents need to understand that the psychological, emotional, behavioral and<br />

cognitive challenges can persist long after the injury has occurred, and that there can be a period<br />

of latency before symptoms reappear. This will be another role for the SJBF Centers to assist<br />

parents who suspect their child suffers from “mild” TBI but cannot get an adequate diagnosis.<br />

Furthermore, the development of clinical care systems that evaluate and treat the particular needs<br />

of children with “mild” TBI and their families must be a focus.<br />

Solutions<br />

A Nationwide Master <strong>Plan</strong> for “mild” TBI care must be developed to ensure equal access and<br />

treatment of this injury. <strong>Plan</strong>s will be developed to accomplish the following:<br />

1. Best Practice Standards: Development of a “best practices” national system of pediatric<br />

“mild” TBI care across the continuum from time/site of injury (acute) to recovery (post-acute or<br />

long-term). No current “standards” exist for the systematic assessment and follow-up of “mild”<br />

TBI, resulting in substantial variability in practice. Depending on the setting, its goals and<br />

resources as well as the tools and clinical flow pathways will differ, and so must be better<br />

defined and standardized for efficient and effective care. <strong>The</strong> Nationwide Master <strong>Plan</strong> will help<br />

to define standards of effective evidence-based practice. A survey of available model systems<br />

will be conducted to develop a best practice model. <strong>The</strong> Nationwide Master <strong>Plan</strong> will further:<br />

a. Define a plan for the development of “mild” TBI outpatient clinics.<br />

b. Articulate appropriate linkages between the acute care Emergency Dept./ Primary Care<br />

Physicians with the “mild” TBI outpatient clinics.<br />

c. Develop key criteria/ indications for referral to the outpatient “mild” TBI clinic for specialty<br />

services among medical, school, sports/recreation systems.<br />

d. Survey the available training programs with a focus on “mild” TBI service delivery,<br />

establishing a “mild” TBI-specific curriculum to incorporate the best practices clinical<br />

model.<br />

e. Identify key school personnel to oversee/ direct and assist return-to-school programming.<br />

f. Develop a nationwide systematic plan to implement International Concussion in Sport Group<br />

recommendations for sport-related “mild” TBI.<br />

g. Facilitation of more effective individualized treatment, thereby improving recovery and<br />

reducing adverse outcomes.<br />

h. Improved communication among health care professionals, school personnel, coaches and<br />

parents and family is crucial to improve understanding and identification of actual/potential<br />

problems.<br />

34


2. Early Identification: Proper early assessment, diagnosis and management of “mild” TBI<br />

provides for more appropriate guidance of recovery and reduction of morbidity (primary or<br />

secondary). <strong>The</strong> Nationwide Master <strong>Plan</strong> will emphasize proper diagnosis at the earliest point of<br />

identification.<br />

3. Education & Training: “Mild” TBI is an injury to the brain that can present in variable ways,<br />

and can manifest largely with functional impairment (somatic, cognitive, and emotional) for<br />

varying periods of time (hours, days, weeks, months). Signs and symptoms can overlap with<br />

other medical conditions, contributing in part to its lack of recognition, and/or full management.<br />

Thus, early identification and diagnosis can be complex and clinicians must be prepared/ trained<br />

for this diagnostic complexity. A survey of training programs with a focus on “mild” TBI service<br />

delivery will be conducted to establish a “mild” TBI-specific curriculum. <strong>The</strong> Nationwide<br />

Master <strong>Plan</strong> will develop plans to educate and train clinicians in the diagnosis and treatment of<br />

“mild” TBI.<br />

a. Improved training of acute medical staff for anticipating and intervening in physiological<br />

deterioration.<br />

b. In the setting of polytrauma, whereby there are significant orthopedic or internal organ<br />

injuries, “mild” TBI is often overlooked. Standardized screening for “mild” TBI should<br />

be mandatory for all ED visits by children with orthopedic trauma.<br />

c. Clinical pathways for discharge instruction and anticipatory guidance with direct referral<br />

to follow-up care systems for “mild” TBI must be established. As the diagnosis of “mild”<br />

TBI may be delayed in event of polytrauma, hospital and medical personnel follow-up is<br />

imperative.<br />

d. Education for everyone involved in the care of a child/young adult is needed to improve<br />

recognition and management of the immediate and long-term manifestations of “mild”<br />

TBI. Many health and educational professionals are undereducated about the delayed<br />

sequelae of remote “mild” TBI and their manifestations and as such under-identify these<br />

children. Employ existing “mild” TBI toolkits such as the CDC Physician’s and Coach’s<br />

Toolkit for “mild” TBI.<br />

4. Equal Entry: Patients with known or suspected “mild” TBI initially present at different places<br />

and points in time within the medical system, such as the Emergency Department, primary care<br />

physician, the school, or the sports/recreation system. <strong>The</strong> Nationwide Master <strong>Plan</strong> will work<br />

with the various points of entry to prepare each for proper identification/ diagnosis.<br />

Research Priorities<br />

Given the current state of knowledge and practice in the diagnosis and treatment of “mild” TBI,<br />

there is a significant need for research evidence to support a national system of “mild” TBI care.<br />

<strong>The</strong> following research priorities have been identified by the <strong>PABI</strong> Research Committee (not in<br />

any particular order of priority):<br />

1. Validate a better clinical system for classification of all types of TBI, based on underlying<br />

pathophysiology, including the varying types of “mild” injuries.<br />

2. Improve the identification and classification of “mild” TBI, including validation of existing<br />

clinical diagnostic scales across the age range and across injury mechanisms.<br />

3. Develop a national centralized, universal epidemiologic database of “mild” TBI.<br />

35


4. Improve the specific identification of “mild” TBI in the very young child (e.g., panel of<br />

clinical biomarkers, utility of baseline cognitive testing/ symptom assessment, etc.)<br />

5. Develop an effective professional training/ educational program for<br />

identification/classification of children with “mild” TBI.<br />

6. Investigate underlying neuropathophysiologic indicators for “mild” TBI, including definition<br />

of genetic risk factors, use of neuroimaging, and specifying other physiologic biomarkers for<br />

outcomes from pediatric “mild” TBI.<br />

7. Develop age-specific neuroprotective strategies for children after “mild” TBI.<br />

8. Develop age-appropriate experimental laboratory models relevant to children after “mild”<br />

TBI.<br />

9. Investigate effective referral mechanisms across the full continuum of care and services.<br />

10. Develop effective educational program within the schools for the proper identification,<br />

classification, and treatment of children with “mild” TBI with a focus on the management of<br />

cognitive exertion during recovery.<br />

11. Develop prospective longitudinal controlled psychiatric studies of children with “mild” TBI.<br />

12. Implement data-guided psychiatric surveillance and management of children with “mild”<br />

TBI.<br />

36


CHAPTER 6: Categories of Care: Reintegration/Long-term Care<br />

Problems:<br />

<strong>The</strong> availability and provision of transitional services following pediatric A/TBI varies<br />

tremendously, depending on the nature and severity of the injury (e.g., concussion versus brain<br />

tumor) and the resources available.<br />

However in general, when a child/young adult is ready to be discharged from the ED or hospital<br />

following PA/TBI, or is identified in the community as having a PA/TBI, there is no systematic<br />

plan for connecting children and families with the necessary services within the school and<br />

community.<br />

Several factors likely account for the failure to link children and families to community services:<br />

1. Hospital staff may perceive the child/young adult as doing well, and thus not foresee a<br />

need for community involvement/support after discharge, especially following<br />

“mild”/moderate injuries.<br />

2. Parents may fail to recognize the possibility of life-altering challenges for their<br />

child/young adult, or they may feel stigmatized by the label of brain injury, and as a<br />

consequence do not want community agencies notified.<br />

3. <strong>The</strong> standardized assessments commonly used in hospitals and rehabilitation facilities are<br />

of questionable validity in predicting the child/young adult’s needs in returning to school<br />

and home.<br />

4. <strong>The</strong> schools and other community agencies themselves, when notified, may be poorly<br />

educated regarding the effects of PA/TBI and not recognize the need to advocate for and<br />

work with the child/young adult who has an PA/TBI, especially if the injury/insult is less<br />

severe and resulting challenges are not obvious.<br />

Because early predictors of long-term outcome are poorly understood and available services are<br />

limited, children who are at risk for long-term functional deficits may fall through the cracks.<br />

Furthermore, some difficulties such as academic, vocational or social challenges, may not<br />

become apparent until later developing skills fail to emerge. When such developmental stall<br />

occurs, it may not be attributed to the original insult and thus misdiagnosed.<br />

Additionally, transitions from hospital to school, school to school, and school to community and<br />

adult systems tend to be fragmented and uncoordinated with little communication among<br />

families and hospital, school, and agency personnel. Thus, access to services is inconsistent<br />

across our country and many parents try to navigate our many agency systems without guidance.<br />

In addition, there is a paucity of research on interventions to assist with reintegration of children<br />

and young adults with PA/TBI from hospital into home, school, and community life or from<br />

school into adult life. Likewise, few measures that have been developed to examine outcomes of<br />

these important transitions.<br />

<strong>The</strong> current approach to service delivery (inadequate services and supports in school, home and<br />

community) results in poor long-term youth outcomes that are costly to society (e.g.,<br />

37


unemployment, public-assisted housing, and incarceration). Figures 3 & 4 depict the current and<br />

proposed approach to intervention supports and concomitant costs of each.<br />

Figure 3. Effects on child/youth functioning and related costs of inadequate treatment<br />

supports.<br />

Figure 4. Effects on child/youth functioning and related costs associated with intervention<br />

and supports.<br />

38


Family Perspective:<br />

Once the child/young adult returns home, families must come to terms with the changes in their<br />

child’s functioning and, very likely, the need to provide increased levels of care due to physical<br />

and cognitive disabilities. <strong>The</strong> stress on parents created by caring for the injured child/young<br />

adult often leads to increased marital conflicts and high levels of psychological symptoms and<br />

distress in family members. <strong>The</strong> picture for families usually does not improve with time;<br />

familial distress is both progressive and enduring. Further, across society, the number of family<br />

members available to help with caregiving has decreased, placing more demands on the primary<br />

caregiver. As the social network of the person with PA/TBI shrinks, family members must<br />

assume a greater support role and therefore may become somewhat socially isolated.<br />

Educator Perspective:<br />

Although PA/TBI is a high-incidence medical event and tens of thousands of children sustain<br />

long-term disabilities resulting from PA/TBI every year, from the point of view of the United<br />

States Department of Education and most State Departments of Education, PA/TBI is a lowincidence<br />

disability. Many children with PA/TBI are not identified and served appropriately in<br />

schools because of the perceived low incidence as well as a number of other factors (e.g. lack of<br />

awareness of educators, poor communication about PA/TBI between medical and educational<br />

systems, emergence of learning and behavior problems misattributed to other disabilities).<br />

Service Provider Perspective:<br />

Personnel from agencies that serve children and young adults with disabilities are, like educators,<br />

unfamiliar with the needs of children and young adults with PA/TBI and their families and so are<br />

ill-prepared to meet those needs. Although PA/TBI is considered a developmental disability<br />

(DD) when it occurs before age 18 (in most states), providers of DD services see few clients with<br />

PA/TBI. Families are often unaware that they are eligible for such services. Thus, service<br />

providers experience lack of training and experience specific to PA/TBI similar to that of<br />

educators.<br />

Solutions:<br />

<strong>The</strong> solution to this complex problem requires a comprehensive and coordinated system of<br />

identification and service provision, involving child/family services, policy development and<br />

education for hospital personnel, “standard of care” programs that explicitly link hospital experts<br />

with community-based school and medical personnel before the child/young adult is discharged<br />

from the hospital, capacity building for schools and other community agencies, and an<br />

integration of research and practice. This system is reflected in the <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Foundation<br />

Model for integration of research, services and supports for children with PA/TBI and their<br />

families. <strong>The</strong> four components of the model, depicted in Figure 5, are outlined below.<br />

39


REFERRAL FROM<br />

ACUTE CARE,<br />

REHABILITATION,<br />

OR COMMUNITY<br />

AGENCY<br />

COMPONENT I.<br />

Services for Children &<br />

Youth<br />

� Identification and<br />

assessment<br />

� Ongoing tracking<br />

� Advocacy for services<br />

� Case management<br />

Figure 5. <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Foundation Model for integration of research, services and<br />

supports for children with PA/TBI and their families<br />

40<br />

COMPONENT II.<br />

Services for Families<br />

� Training in effective care<br />

coordination/advocacy<br />

� Training in strategies to<br />

promote family<br />

adaptation and positive<br />

child development<br />

� Linkages to resources and<br />

services<br />

COMPONENT III.<br />

Services for Educators and other Service<br />

Providers<br />

� Capacity building with local schools to meet<br />

educational and transition needs of students with<br />

ABI<br />

� Training in effective practices for educators and<br />

other professionals<br />

� Dissemination of evidence‐based strategies to<br />

educators and service providers<br />

� Cross‐agency collaboration with agencies for<br />

children and young adults with special needs<br />

COMPONENT IV.<br />

Research Goals<br />

� To better understand causes, predictors, and outcomes of ABI<br />

� To better understand predictors of family adaptation over the course of<br />

recovery and its relationship to child recovery<br />

� To translate basic and clinical knowledge into effective interventions and<br />

supports<br />

� To document effectiveness of and improve interventions, training, and<br />

services<br />

TRANSITION<br />

TO<br />

ADULTHOOD


Components I and II. Services for Children and Families<br />

Identification:<br />

<strong>The</strong> SJBF Centers will identify children/young adults with PA/TBI and maintain a national<br />

Registry as described in Chapter 7. Identification of children with PA/TBI is critical to<br />

understanding long-term outcomes and to effectively providing services. <strong>The</strong>re are a number of<br />

existing models that may be appropriate for the design of this database.<br />

Assessment:<br />

<strong>The</strong> SJBF Centers will have a critical role in assessment. <strong>The</strong> assessment serves four central<br />

functions:<br />

1) To identify the need for services and therapies in a variety of domains;<br />

2) To evaluate the efficacy of treatment practices and interventions; and<br />

3) To understand the long-term functional outcomes of PA/TBI (such as reintegration<br />

into home, school and community life, and participation in meaningful activities,<br />

optimum physical, cognitive, behavioral, social and family functioning) and the<br />

medical, biological, and social-environmental factors that influence outcomes;<br />

4) To guide schools in the implementation of effective assessment for planning<br />

educational interventions and supports.<br />

<strong>The</strong> SJBF Centers will facilitate appropriate assessment of children/young adults and their<br />

families. Limited data regarding child, parent, and family functioning will be collected on all<br />

children with PA/TBI as part of the National Registry and Database.<br />

However, more detailed assessments will also be administered to guide the provision of clinical<br />

care and better characterize outcomes in specific domains. Part of the mission of the SJBF<br />

Centers will be to identify the best standardized and functional assessment processes and<br />

procedures to assess the child/young adult, family, school and social environment (assessing<br />

development over time) and to ensure that these assessment procedures are used appropriately.<br />

Because child/young adult functioning following PA/TBI varies considerably based on the<br />

context, measurement approaches will emphasize functioning in everyday contexts such as<br />

school and community, and the child, parents, and teachers will participate in ongoing<br />

developmentally appropriate assessment of real-world functioning. For educational purposes,<br />

the school conducts assessment.<br />

<strong>The</strong> SJBF Centers will collaborate with schools (through training, consultation, and<br />

dissemination activities) to ensure schools use evidence-based assessment approaches. <strong>The</strong><br />

Centers will also work with teachers to facilitate effective use of diagnostic teaching and<br />

experimental/dynamic assessment in the classroom.<br />

TRACKING:<br />

<strong>The</strong> SJBF Centers will track children and family from the point of entry into the continuum, and<br />

continue to follow them over time with particular emphasis on following up at key<br />

developmental transitions (e.g., school entry, school transitions). Given the importance of<br />

41


understanding determinants of long-term functioning and of identifying later emerging problems,<br />

it is essential the Centers track children over the course of development into adulthood.<br />

Initially, children and families will be followed up with at short intervals to track acute recovery,<br />

and then over longer time periods throughout the continuum into adulthood. <strong>The</strong> Centers will<br />

also track the services received by the child/young adult and family over time. Data on school<br />

systems and integrated services will be collected to address the following questions:<br />

• Do the Centers’ interventions and training make a difference?<br />

• Do the child/young adult get different services based on that intervention and<br />

training?<br />

• What services made a difference?<br />

Provide Advocacy & Support<br />

<strong>The</strong> Centers’ roles in the domains of advocacy and support services to individuals with PA/TBI<br />

and their families will be a key component of the mission of the Centers. <strong>The</strong> vision is to<br />

provide and evaluate a broad range of support and advocacy services including:<br />

1. Advocating for services for the child/young adult and family,<br />

2. Providing training in self-advocacy and self-determination to the children/young adults,<br />

3. Providing training in effective care coordination and advocacy to family members or<br />

other caregivers (e.g., family mentors),<br />

4. Providing training in strategies to promote family adaptation and positive child<br />

development to parents/guardians and families.<br />

<strong>The</strong> initial approach for delivering these services will be based upon the current empirical<br />

evidence base and best practices. However, the intent would be to conduct ongoing formative<br />

and summative evaluations of these services as part of the Centers’ mission, including input from<br />

consumers/constituents (parents, children, and community agencies) to further refine and inform<br />

best practices.<br />

Programs developed by Glang and colleagues provide an evidence-based approach for training<br />

families in effective advocacy and communication skills for interfacing with schools.<br />

Researchers in special education transition have identified evidence-based practices that are<br />

effective in teaching students with disabilities the skills needed for self-determination and selfadvocacy.<br />

Currently, however, students with PA/TBI lack access to instruction in these skills, since<br />

students with PA/TBI are under-identified in terms of eligibility for transition services, and<br />

educators and transition specialists are not skilled in working with these students when they are<br />

referred. Wade and colleagues’ family problem-solving model may provide an empiricallysupported<br />

approach for providing support and skills training to families. <strong>The</strong> SJBF Centers will<br />

inform existing community agencies so they recognize and qualify this population for their<br />

services. Toward this end, Glang and colleagues have developed and are currently testing a<br />

model for increasing identification and appropriate treatment of PA/TBI in the school system.<br />

42


When students are properly identified for special education and transition services, linkages to<br />

community agencies will also be addressed through the students’ transition plans. Finally, the<br />

SJBF Centers interface with the <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Legal Center to address legal issues. An<br />

important element of the support and advocacy mission of the SJBF Centers will be to<br />

disseminate best practices across the country and to provide technical assistance and training to<br />

ensure that best practices can be appropriately implemented across the country. Related research<br />

questions are outlined below.<br />

Component III. Interface with Service Systems<br />

<strong>The</strong> primary provider of services for children and most young adults is the educational system.<br />

Schools and community agencies are often poorly equipped to address the needs of children with<br />

PA/TBI. <strong>The</strong> SJBF Centers’ role is thus to support and build the capacity of this system to meet<br />

students’ needs and to facilitate cross-agency collaboration between the educational system and<br />

other agencies in an effort to bridge gaps and ensure that all children receive quality long-term<br />

supports as needed. Another crucial aspect of the SJBF Centers’ mission is to increase the<br />

dissemination of evidence-based strategies to community agencies and local schools to meet the<br />

cognitive, physical, mental health, social/emotional, participation, educational and vocational<br />

needs of children with PA/TBI.<br />

Increase capacity of local schools to meet educational and transitional needs of students<br />

with PA/TBI<br />

<strong>The</strong> SJBF Centers’ role in improving the capacity of schools includes:<br />

1. conducting systematic research on school- and community-based interventions for<br />

improving student outcomes, and<br />

2. providing training and technical assistance in evidence-based practices for educators,<br />

including evidence derived from hypothesis-driven educational experiments with<br />

individual students.<br />

Dissemination of evidence-based strategies to educators, clinicians and other service<br />

providers<br />

<strong>The</strong> SJBF Centers will provide dissemination to local agencies and service systems, and will<br />

interface with dissemination efforts of national and state TBI clearinghouses and lending<br />

libraries (e.g., National Association of State Head Injury Administrators, <strong>Brain</strong> Injury<br />

Association Resource Center; Technical Assistance Center of the TBI <strong>Project</strong> at the Health<br />

Resources and Services Administration, US Department of Health and Human Services, U.S.<br />

Education Department – National Center for Dissemination of Disability Research). Research in<br />

this domain will include a range of studies focusing on child and family outcome; findings from<br />

this research will be disseminated through the Center’s and other dissemination channels.<br />

Cross-Agency Collaboration<br />

<strong>The</strong> Centers work with school districts and related community agencies to develop collaborative<br />

interactions and smooth transitions that support the family and child/young adult to create<br />

seamless networking. <strong>The</strong> STEP Program, <strong>The</strong> Summit County Accessing Services for<br />

Individuals (Ohio), and the TBI Collaborative Model are examples of existing programs that are<br />

used at the initiation of SJBF Center services.<br />

43


Research - Increase capacity of local schools to meet educational needs of students with<br />

PA/TBI<br />

1. Research on school-based interventions:<br />

a. Determine the impact of the range of school-services on child/young adult outcomes<br />

b. Evaluate the efficacy of different hospital-school transition plans<br />

c. Conduct studies to evaluate the impact on student performance of instructional and<br />

behavioral support strategies that have been validated with other disability groups<br />

d. Validate which assessment tools and processes guide effective educational<br />

programming and effective transitioning<br />

e. Evaluate the economic impact on the reintegration of students<br />

f. Carry out an epidemiological study of service delivery<br />

g. Determine an effective educational program for hospitals, schools, and coaches, for<br />

proper and immediate identification/classification of children with “mild” TBI<br />

h. Evaluate the efficacy of interventions that involve agencies, colleges/universities,<br />

employers and other community members in transition planning and activities to<br />

promote success of young adults with PA/TBI in higher education, employment, and<br />

independent living<br />

i. Promote self-management strategies throughout childhood and adolescence in order<br />

to reduce long-term disability risk factors<br />

j. Investigate educational techniques and methods to promote ongoing recovery and<br />

development<br />

k. Evaluate how cognitive and behavior strategies work for children of different ages<br />

l. Determine the most effective procedures for preventing secondary behavioral and<br />

emotional problems<br />

m. Determine the most effective procedures for treating secondary behavioral and<br />

emotional problems<br />

2. Training and technical assistance for educators:<br />

a. Use technology including distance learning and web sites to improve capacity<br />

building and training<br />

b. Determine the costs/benefits of providing consultation and support to teachers<br />

c. Determine relative effectiveness of consultation and ongoing support for educators<br />

using trained peer consultants versus full-time A/TBI consultants<br />

d. from either within or outside the school system), with attention to the impact on<br />

students, families, and educators<br />

e. Determine relative effectiveness of the range of training approaches (pre-service, inservice)<br />

and training delivery mechanisms (internet-delivered, traditional classroom)<br />

Research - Dissemination of evidence-based strategies to educators, clinicians and other<br />

service providers<br />

1. Evaluate the efficacy of maintenance therapy<br />

2. Design and evaluate an IRODP (individualized recovery and ongoing development plan)<br />

3. Determine what technology best promotes the child/young adult and family function<br />

4. Evaluate risk factors for psychiatric co-morbidities<br />

5. Determine the timing, intensity, venue for, and type of effective rehab interventions<br />

44


6. Develop a strategy for chronically injured patient to re-enter therapies and/or training<br />

protocols<br />

7. Determine biomarkers (imaging, laboratory studies, functional assessment) of<br />

physiological recovery/neuroplasticity at each stage of development<br />

8. Determine the optimal times/modalities for intervention in a range of domains (social,<br />

educational, emotional)<br />

9. Evaluate what interventions promote social capital (work, social relationships, etc.)<br />

10. Identify predictors of good long-term outcome after PA/TBI<br />

11. Determine how to decrease the risk for psychiatric problems, substance abuse,<br />

delinquency<br />

12. Develop substance abuse programs that take into account special populations<br />

13. Determine the best designs and delivery features of effective dissemination activities<br />

Research - Cross-agency Collaboration<br />

1. Determine optimal communication strategies among different agencies and care<br />

providers<br />

2. Determine best methods to best build community collaborations to move the child/young<br />

adult into adult functioning<br />

COMPONENT IV. POST-ACUTE MEDICAL CONSIDERATIONS<br />

One example of post-acute medical considerations is the largely unknown impact a PA/TBI has<br />

on endocrine functions. In survivors of TBI, significant transient or permanent endocrine<br />

deficiencies may present acutely or slowly evolve over subsequent months or years. <strong>The</strong>re have<br />

been a number of publications about endocrine function after TBI in adults, leading to increasing<br />

awareness since the year 2000 that hypothalamic pituitary dysfunction is common after TBI.<br />

Endocrinopathy after head injury has been reported in approximately 400 cases in the literature.<br />

In addition, case reports have documented that occasional children develop endocrine<br />

abnormalities after head injury. Abnormalities in pituitary function after TBI (adults) occur in a<br />

23% to 69% incidence, up to 12 months after TBI. Alterations include growth hormone<br />

deficiency, central hypothyroidism, adrenocorticotropin deficiency, diabetes insipidus, prolactin<br />

elevation, and hypogonadism. <strong>The</strong>se deficiencies are identified acutely after injury or develop<br />

slowly over time; they can be transient (and improve with time) or permanent. It is conceivable<br />

that the young brain/hypothalamus of a child is either more susceptible or less sensitive to<br />

endocrine injury than that of adults. To date, it has not been possible to identify at-risk children<br />

prospectively so that treatment can be initiated before impairment of growth and development.<br />

Although two prospective studies of sequellae of head injury in children were published in 2000,<br />

neither evaluated endocrine status of the patients. Two studies have been published about the<br />

development of endocrine abnormalities in children after head injury, and our prospective study<br />

manuscript is in preparation. <strong>The</strong> mechanisms by which traumatic brain injury may influence<br />

hormone function are several. <strong>The</strong> head injury may directly involve damage to pituitary stalk<br />

anatomy affecting neurological connections that control vasopressin release from the posterior<br />

pituitary gland, or disrupting vascular connections that convey releasing hormones from the<br />

hypothalamus to the anterior pituitary gland.<br />

45


Alternatively, indirect effects on hypothalamic-pituitary function may result from hypotension or<br />

shock, CNS hemorrhage, or brain edema. Significant injury to the hypothalamic–pituitary axis<br />

during head injury may complicate medical management in the period immediately after injury,<br />

including cortisol deficiency and diabetes insipidus (DI). <strong>The</strong> presence of DI complicates fluid<br />

management in a comatose patient. Thyroid axis injury may still be quite difficult to identify in<br />

the newly injured patient because of the prolonged half–life of thyroxine (7 days). In the longer<br />

course following head injury, issues of GH, thyroid, cortisol, and gonadotropin secretion<br />

gradually become important.<br />

In the months and years after head injury, some children show poor growth, explicit GH<br />

deficiency, precocious puberty, or failure to enter or progress through puberty. Likewise, some<br />

adults experience loss of libido or amenorrhea, overt gonadotropin deficiency. Onset of these<br />

symptoms may be insidious and confused with the post-concussive syndrome; years may pass<br />

before a correct diagnosis is made and treatment started. Without a high index of suspicion,<br />

some patients may never have their endocrine deficiencies identified.<br />

Attention to diagnosis and therapy of endocrine abnormalities early after TBI may improve<br />

quality of life and speed of recovery from past trauma sequellae. Since hormone deficiencies<br />

may be transient, hormone secretion should be re-evaluated at certain intervals after injury. A<br />

consensus conference about endocrinopathies after traumatic brain injury recommended that all<br />

patients who have experienced TBI should be screened for their endocrine function by one year<br />

after TBI. “Recommendations: Systematic screening of pituitary function is recommended for<br />

all patients with moderate-to-severe TBI at risk of developing pituitary deficits. Patients with<br />

hypopituitarism benefit from appropriate hormonal replacement and prospects for rehabilitation<br />

of patients with TBI-induced hypopituitarism may be enhanced by appropriate HRT.<br />

Further exploration of this possibility requires:<br />

1) Active collaboration between divisions of endocrinology and rehabilitation at the local level to<br />

perform a screening of pituitary function in patients after TBI,<br />

2) Creation of a consultancy service by endocrine societies for use by rehabilitation centers,<br />

3) Development of continuing medical education (CME) programs that can be offered as<br />

crossover training to the physicians who manage the care of patients with TBIs,<br />

4) Targeting of patient organizations with educational information for dissemination to patients<br />

and their families,<br />

5) Continued efforts to more clearly define the population at greatest risk of TBI-induced<br />

hypopituitarism and<br />

6) Monitor results of efficacy studies as they become available to evaluate whether and how<br />

much replacement therapy can improve the symptoms of individuals with TBI-induced<br />

hypopituitarism”.<br />

COMPONENT V. RESEARCH<br />

A primary component of the SJBF Centers will be to conduct research:<br />

1. To better understand the causes, predictors, and outcomes of PA/TBI;<br />

2. To better understand predictors of family adaptation and the relationship between family<br />

adaptation and child/young adult functioning over time;<br />

46


3. To translate basic and clinical knowledge into effective interventions;<br />

4. To document the efficacy and improve interventions, training, and service.<br />

5. To document the relationship of interventions on patient outcomes.<br />

Research will be used to inform all aspects of the SJBF Centers’ services for children, families,<br />

and community agencies. Consumers (children with PA/TBI, families, educators, and service<br />

providers) will be actively involved in guiding the research agenda and determining the research<br />

questions.<br />

Broad-based, interdisciplinary research agendas that cut across basic and applied domains will be<br />

used to develop a more integrated understanding of the role of age at injury, genetic, acute<br />

injury, intrapersonal, social environmental, and treatment characteristics in influencing both<br />

short and long-term outcomes as well as intervention efficacy.<br />

Innovative treatment studies, building upon existing best practices and emerging research<br />

findings, will be implemented to inform our understanding of the optimal timing, intensity, and<br />

modalities of treatments across the care spectrum. Research will also be used to inform best<br />

practices for capacity building in schools and community agencies as well as approaches for<br />

training educators in effective approaches in the classroom. Specific research questions, grouped<br />

by domain, are listed below.<br />

Research – Assessment<br />

Reliable and valid assessment procedures will be critical to addressing virtually all of the<br />

research questions of the Center. However, as outlined below, there are a number of specific<br />

questions regarding the optimal assessment practices for specific functional domains across<br />

development. <strong>The</strong>se practices must be sensitive to developmental, socio-cultural and linguistic<br />

factors.<br />

1. What are effective assessment procedures and processes (standardized and functional)<br />

validated on A/TBI populations for specific functional domains (cognitive, behavioral,<br />

social, academic, motor, speech) and child/young adult’s participation in home, school<br />

and community life?<br />

2. What are effective assessment tools to measure family stress, adaptation, and coping<br />

across systems of care and services over time?<br />

3. What are effective assessment procedures for evaluating classroom-based instructional<br />

and management procedures and community-based programs, particularly as these relate<br />

to transition to adulthood, independent living, and vocational/higher education?<br />

4. What is the optimal timing of assessments across development following ABI?<br />

• Validation of assessment batteries to guide effective transition<br />

Research - Tracking<br />

As with assessment, tracking children over time and at key developmental transitions will be<br />

essential for informing our understanding of predictors of long-term outcomes and functioning.<br />

Tracking will also be used to examine the relationship of provision of different types of services<br />

to short and long-term outcomes in various domains. However, it is anticipated the SJBF<br />

Centers will also conduct research studies to investigate the effectiveness of new and promising<br />

treatments in addition to examining current treatments via consistent follow-up and tracking.<br />

47


Specific questions regarding tracking are outlined below as well as research questions that can be<br />

answered through the SJBF Registry.<br />

1. Determine the optimum follow-up time<br />

2. Determine important components that need follow-up<br />

3. Determine what measures (child/young adult, family, service utilization, etc.) are most<br />

relevant<br />

4. Evaluate the efficacy of different comprehensive transition plans<br />

5. Evaluate the economic impact on the child/young adult’s reintegration into home, school<br />

and community life.<br />

6. Carry out an epidemiological study of service delivery<br />

7. Evaluate the effectiveness of maintenance therapy<br />

8. Design and evaluate an IRODP (individualized recovery and ongoing development plan)<br />

9. Determine risk factors for psychiatric co-morbidities<br />

10. Determine the timing, intensity, venue for, and type of effective rehab interventions<br />

11. Determine the role of the family in facilitating the outcomes of rehabilitation, school, and<br />

transition to adulthood.<br />

12. Determine how to individualize rehabilitation treatment strategies<br />

13. Investigate the use of combination therapies<br />

14. Determine most effective ways of evaluating treatment outcomes<br />

15. Develop a strategy for chronically injured patient child/young adult to re-enter therapies<br />

and/or training protocols<br />

16. Determine biomarkers (imaging, laboratory studies, functional assessment) of<br />

physiological recovery/neuroplasticity at each stage of development<br />

17. Evaluate the optimal times/modalities for intervention in a range of domains (social,<br />

educational, emotional) and independent living and vocational training<br />

18. Evaluate how to promote success in higher education, employment and independent<br />

living<br />

19. Identify predictors of good long-term outcome after PA/TBI<br />

20. Determine how to decrease the risk for psychiatric problems, substance abuse,<br />

delinquency<br />

21. Determine how to develop substance abuse programs that take into account special<br />

populations<br />

22. Determine how one promotes self-management strategies in order to reduce long term<br />

disability risk factors<br />

Research - Advocacy & Support<br />

1. Identify the optimal case management strategy (e.g., directed by parents or professionals)<br />

2. Determine how the family dynamics affect child/young adult outcomes<br />

3. Document how intervention and support for families affect longer term child/young adult<br />

and family outcomes<br />

4. Identify the best models/timing for the child/young adult’s self-determination skill<br />

development throughout childhood and adolescence<br />

5. Identify the best model/timing for family training and education in a variety of skills<br />

6. Identify who best delivers case management and child/young adult self-determination<br />

skill development training consistent with validated principles of context sensitivity<br />

48


7. Determine how we can use technology to best promote child/young adult and family<br />

function<br />

Research – New <strong>The</strong>rapies<br />

1. Characterize and validate new experimental models for different types of developmental<br />

brain injuries<br />

2. Develop mechanism-based age-appropriate therapies and demonstrate effectiveness in<br />

translational models. In this setting, therapies should be thought of in a broad sense and<br />

not be limited to simply medications or physical rehabilitation, but also nutritional,<br />

educational, neural activation strategies, bio-behavioral, family-based and certainly,<br />

combination therapies<br />

3. Rapidly disseminate experimental results to practicing clinician networks and engage in<br />

interdisciplinary design of appropriate clinical trials<br />

4. Demonstrate efficacy of novel and innovative therapeutic interventions in real-life<br />

situations prior to establishing guidelines/protocols. However, research does not end at<br />

this point – ongoing investigations must be conducted to monitor implementation,<br />

demonstrate ability to be generalized or specific indications for therapy, and follow longterm<br />

functional outcomes.<br />

49


CHAPTER 7: Categories of Care: Transition to Adult Life Following PA/TBI<br />

Introduction<br />

As adolescents transition into adult life with a brain injury sustained in childhood, they and their<br />

families confront yet again a major set of challenges as they navigate this most significant<br />

transition. In the best scenario, the older adolescent has had good, comprehensive medical<br />

services that have addressed all of his or her general pediatric as well as specific neurological,<br />

rehabilitative, psychological, and therapeutic services particular to his or her brain injury-related<br />

needs. <strong>The</strong> best background situation would also see this young adult entering the world of work<br />

or postsecondary education with a long history of successful special education interventions that<br />

have been particularly tailored to his neuropsychological profile of strengths and weaknesses,<br />

with consideration of personal interests, goals, and family values. Finally, the individual who is<br />

optimally prepared to make this leap into adult life following pediatric brain injury will have a<br />

reasonably well developed set of social skills, interpersonal experiences, and involvement in<br />

recreational pursuits, camp programs, and group activities centered around areas of interest<br />

shared with other same-age peers. In this scenario, the older adolescent’s well-prepared parents<br />

would have been educated in the wide variety of community resources that have supported their<br />

son’s or daughter’s development of appropriate independence, assumption of social<br />

responsibilities, and they will be ready to continue in the process of letting go of their child from<br />

a home-centered, family-centered social life to a more independent social center focused outside<br />

the family home.<br />

Even in this very best of situations, which is likely the minority of pediatric ABI situations, these<br />

very well-prepared families and young adults face a variety of significant hurdles as they<br />

navigate the transition into adult life following pediatric acquired brain injury with their son or<br />

daughter.<br />

To survey the landscape of this transition as carefully as possible, we will consider the current<br />

status, the current problems, and the clinical and research data needs pertinent to three aspects of<br />

the transition into adult life following pediatric acquired brain injury: 1) medical and therapy<br />

care, including mental health, 2) the transition from school to work including the primary shift of<br />

focus from public school to postsecondary education, vocational preparation, and work, and 3)<br />

support of social development from social life centered on the family of origin to social life<br />

based in relationships outside the family, friendships, and independent, community-based living.<br />

Current status, problems faced, and needs vary dramatically depending on whether the individual<br />

has a high need for services and specialized resources or a more circumscribed, less intensive<br />

need for services and specialized programs, within each of these three aspects of care. <strong>The</strong>refore,<br />

we will further delineate “high need” and “low need” pathways. <strong>The</strong> pathways of care in<br />

medical, school, and social transitions into adult life for children who have PA/TBI are<br />

pictorially represented in Figure 1 below. In Figure 6 below, the top pathway in each domain, in<br />

darker blue, describes the status for children, adolescents, and young adults who have higher<br />

levels of need and the lighter path in pale blue underneath describes the situation for individuals<br />

who have lesser degree of needs.<br />

50


In addition, as we see tens of thousands of young veterans under 25 years old returning from Iraq<br />

and Afghanistan with mild to severe brain injuries due to war conditions, the complexities of<br />

transitioning from a military environment back into a dynamic home-life they left or a brand new<br />

family they just recently began presents considerable and unique challenges that demands a<br />

similar systematic approach.<br />

Pathways of Care: Medical, School and Social Transitions to<br />

Adult Life for Children who have PA/TBI<br />

Medical and <strong>The</strong>rapy Services, including Mental Health<br />

PT, OT, Speech<br />

Psychiatric/behavioral<br />

PT, OT, Speech<br />

Psychiatric/behavioral<br />

Birth-3<br />

Birth-3<br />

Child Find<br />

Child Find<br />

Special<br />

Education<br />

Special<br />

Education<br />

School – Post-Secondary Education / Work<br />

Birth-3<br />

Birth-3<br />

Child Find<br />

Child Find<br />

Special<br />

Education<br />

Special<br />

Education<br />

Residential/day treatment for severe behavioral disorders<br />

51<br />

TCH<br />

Insurance coverage of post acute medical care<br />

ABI training / education for CMHC personnel and community<br />

TCH<br />

Age 14<br />

Age 14<br />

District Transition Services<br />

Transition Program (18-21)<br />

TBI / ABI Teams<br />

District Transition<br />

SWAP<br />

DOE – DVR Partnership<br />

Extreme variability in services district to district, school to school<br />

Social: Family-based – Community-based<br />

Section I: Current Status<br />

BOEC<br />

Boy / Girl Scouts<br />

Lack of opportunities for informal social interactions<br />

Clubs<br />

School-based activities<br />

Community recreation programs<br />

Support Groups<br />

Infant Child Adolescent Adult<br />

FIGURE 6: Pathways of Care<br />

PT, OT,<br />

Access to adult<br />

ABI Medical Care<br />

CCBs<br />

For fee programs<br />

Age 21<br />

Independent Living Centers<br />

Job Accommodation Network<br />

DVR<br />

Age 21<br />

DVR<br />

Workforce Centers<br />

College LD Student Center<br />

Age 25<br />

Social Skills Development Training<br />

CCBs<br />

Independent Living Centers<br />

Day programs<br />

CCBs<br />

Residential Living<br />

Pediatric to Adult Medical and <strong>The</strong>rapy Services, including Mental Health<br />

Medical. Medical and therapy services include general medical care such as that which is<br />

provided by a primary care provider (PCP), as well as medical specialties particular to the best


care of syndromes associated with acquired brain injury. <strong>The</strong>se medical specialties include,<br />

among others: neurology, rehabilitation medicine, urology, gastroenterology, orthopedics,<br />

endocrinology, epileptology, radiology, and neurosurgery. Medical specialists in psychology,<br />

psychiatry, and neuropsychology are also essential components of comprehensive medical care<br />

for individuals during all stages of life following pediatric brain injury and become of critical<br />

importance during this transition to adulthood when so many of the familiar social and<br />

community supports become less available. Finally, therapy services including behavioral<br />

health, counseling, physical therapy, occupational therapy, speech/language therapy, and<br />

nutritional/dietician therapies are also included in this domain. For both those who have high<br />

and lower levels of need, there currently exists at least the provision for comprehensive care<br />

from birth through age 21 with federally-supported programs including Birth to 3, Child Find,<br />

and Special Education. In each state, Department of Health programs for children and families<br />

with special health care needs directs a variety of services and programs in the individual’s home<br />

community that coordinate access to specialty medical services such as epileptology,<br />

neurosurgery, physiatristry, and psychiatry. For families who live a significant distance from a<br />

children’s hospital or a facility that has such specialty pediatric medical personnel, services<br />

actually available may be quite limited and much less comprehensive than is desirable. In such<br />

situations, children who have serious medical needs may experience exacerbations in their<br />

symptoms or their problems before they receive expert evaluations and care at a pediatric facility<br />

with the proper specialty medical expertise in PA/TBI.<br />

Psychiatric/Behavioral Health Services. Across the continuum of ages from infancy through<br />

young adulthood, individuals who have psychological or behavioral health needs related to<br />

acquired brain injury have a very difficult time receiving appropriate services in the community<br />

mental health center system. In the private community as well, there is a significant dearth of<br />

licensed clinical psychologists, child and adult psychiatrists, behavioral specialists, and marriage<br />

and family counselors who have expertise in PA/TBI and the impact of it on psychological<br />

development and behavioral, emotional, and psychiatric syndromes. Finally, there is a<br />

significant lack of day treatment and residential care for children who have severe behavioral<br />

disorders after a PA/TBI. While these children may receive behavioral treatments in school,<br />

specialized facilities for children and young adults who are unable to function in these less<br />

restrictive environments are simply not available.<br />

<strong>The</strong>rapy services. Through a combination of Department of Health and Special Education<br />

programs, physical therapy, occupational therapy, speech/language therapy, adaptive and<br />

physical education, recreation programs, and social support services are provided for students<br />

who have an Individualized Education Program (IEP) through the semester in which they turn<br />

21. <strong>The</strong>se medical and therapeutic services available in some form to all children in each state<br />

through a combination of Health Department, Birth to 3, Child Find, and Special Education<br />

programs, dwindle or precipitously end at age 21 with the end of school eligibility. Thus, an<br />

individual who may have been receiving individual, group, and consultative services throughout<br />

every school day finds him or herself at age 21 without either personnel or financial resources to<br />

support these treatments. In addition, even if payment for therapeutic specialties is not an issue,<br />

it may be very difficult to find adult practitioners who have any understanding, let alone<br />

expertise, in the long term management of contractures, support of developmental and functional<br />

52


gains, development of spoken language, and social skills development in young adults 10-15<br />

years following their acquired brain injury event.<br />

Severe needs post PA/TBI. Individuals who have had severe TBIs need comprehensive and<br />

expert medical care, which anticipates and treats the particular sequalae of acquired brain injury<br />

on the body systems as the individual ages in adulthood. It is very difficult to find adult PCPs<br />

and specialty physicians who feel willing and competent to take on the myriad of unknown and<br />

potentially very complex outcomes of ABI on a physical system that was traumatized during a<br />

crucial period of development. Even in environments that have rich and long standing histories<br />

of providing medical care for both adults with acquired brain injuries and children with acquired<br />

brain injuries, it is difficult to find physicians who are willing to accept an individual with an<br />

acquired brain injury in childhood or adolescence to serve as a PCP for that individual as an<br />

adult. As a result, the pediatric rehabilitation physicians and therapists continue to follow their<br />

patients into their twenties and thirties.<br />

School to Work<br />

<strong>The</strong> scaffolding is in place to support the transition from school to post secondary education or<br />

work through the IEP process, mandated district based school transition programs, and<br />

partnerships between the Department of Education and the Division of Vocational Rehabilitation<br />

in many states. <strong>The</strong>se transition programs have been well articulated and mandated to begin no<br />

later than age 14. <strong>The</strong>y effectively bridge the entire transition into adult life through Job<br />

Accommodation Network programs, the Division of Vocational Rehabilitation Workforce<br />

Centers, and college Learning Disabilities Student Centers. Model programs such as the Schoolto-Work<br />

Alliance Program seamlessly bridge the transition by beginning in middle school with<br />

interest inventories, prevocational coursework, and life skills curriculum embedded completely<br />

in the public school building. As the student enters high school, the balance in the program<br />

shifts to include more outside the school placements, with part day spent in the work place and<br />

part day in the public school classroom. Finally, after graduation from public school at age 21,<br />

supportive programs in the Division of Vocational Rehabilitation continue to provide specialized<br />

counseling, follow-up, coaching, and other assistance through age 25.<br />

While the comprehensive services and seamless transition appears on paper in every district,<br />

these programs are marked by extreme variability in the quality of services provided. One school<br />

district’s transition program may be pertinent, comprehensive, and prepare the student well for<br />

development of realistic goals as well as the skills needed to get and keep a job, while another<br />

district may fail in this regard. In some states outcome evaluation of the adequacy of the<br />

transition program is being taken very seriously and indicators of success (for example, Indicator<br />

13 evaluating the implementation of the transition services program for all student who have<br />

IEPs and Indicator 14 providing for follow-up of functional outcomes of the graduates of this<br />

transition program) are being reviewed. Some of the early data on outcomes and efficacy of this<br />

program suggest very strongly that children are not being prepared adequately in terms of<br />

emotion regulation, executive functions, and management of frustration. <strong>The</strong>y appear to be<br />

equally successful with their non-special education peers in terms of landing a job but they have<br />

a great difficulty keeping the jobs that they acquire. Investigation of the specific ingredients of<br />

school transition programs that are effective, as demonstrated by high proportion of students<br />

working five years after graduation from public school, is clearly warranted.<br />

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Social Opportunities<br />

<strong>The</strong> services and programs support a child’s social life and personal, social, and emotional<br />

development are strongly linked to the aforementioned educational programs offered through<br />

Birth to 3, Child Find, Special Education and supported school/vocational education programs.<br />

<strong>The</strong>re has been a significant emphasis within these programs on development of social skills,<br />

psychological growth, and emotional competencies, including behavior regulation, hobby<br />

development, and development of fitness and sports competencies. <strong>The</strong>refore, it is not surprising<br />

that when these school-based services end at age 21, the young adult with acquired brain injury<br />

finds him or herself in a devastating situation with regard to social support and opportunities for<br />

friendships and meaningful relationships outside of the home and family. For children with all<br />

levels of disability related to their brain injuries, a variety of school-based and community-based<br />

programs have provided excellent opportunities for social interaction and involvement in the<br />

normal group experiences that promote social skills, friendships, and personal maturity. Private<br />

outdoor education groups, Boy Scouts and Girl Scouts, 4-H, school-based clubs, after-school<br />

activities, community recreation programs, community sports programs, integrated sports<br />

leagues, and social skills groups both housed at school and in the community offer remedial,<br />

therapeutic, and purely recreational opportunities for children with acquired brain injuries to<br />

develop and enhance their social skills, meet and make friends, and develop hobbies and<br />

recreational interests.<br />

<strong>The</strong>re are many parallel programs that have been developed for adults who have acquired brain<br />

injuries, but there is often a lack of education and awareness about the existence of these<br />

programs. This may occur because the social opportunities for children are based in the<br />

education system, through the school and community based programs for children, whether they<br />

have special needs or not. <strong>The</strong> programs available in the community for adults who have<br />

sustained brain injury are largely those affiliated with a day treatment program, a residential<br />

hospital program for adults, or a program associated with the local brain injury association,<br />

which typically does not offer very much in the way of services for children and families.<br />

<strong>The</strong>refore, the individual who has had a pretty full day thanks to her Individualized Education<br />

Program at school, providing formal, group, organized, and informal opportunities to be around<br />

same aged peers, suddenly and very precipitously is left without anything to do and no obvious<br />

support or in fracture for meeting same age peers, making friends, or developing those<br />

friendships.<br />

For individuals who have very serious and high level of needs following their pediatric acquired<br />

brain injuries, the transition from living at home to living outside of home may be better<br />

supported than for those who have more moderate level of needs following their brain injuries.<br />

Individuals whose IQ is below 70 or whose functional adaptive skill level is at a similar level<br />

(below the 2 nd percentile for their age group) may be candidates for independent living centers,<br />

day programs, residential living programs, and programs available through the network of<br />

community center boards. <strong>The</strong> large majority of individuals who have survived very serious<br />

level of brain injury into their adulthood have a much more scattered skill set and typically do<br />

not have IQs and functional adaptive levels below the 2 nd percentile. <strong>The</strong>refore they are not<br />

eligible for these programs and they face a significant dearth of any kind of social opportunities.<br />

<strong>The</strong>ir families typically report quite depressing and destabilizing period of time following high<br />

54


school graduation until they cobble together an individual program of advocational interests,<br />

groups, clubs, and a routine to everyday life that is socially and personally fulfilling.<br />

Social opportunities can be effectively developed, as there currently exists all across America a<br />

large variety of programs that provide support for individuals who have a combination of<br />

cognitive and physical disabilities. <strong>The</strong> individuals who run these programs need education in<br />

the particular disability profiles associated with acquired brain injury. If ABI-appropriate<br />

education is offered to community personnel and if case management is provided to the<br />

individual’s family linking them up with these specialized camps, programs, and opportunities, a<br />

good transition between pediatric social opportunities and adult social opportunities can be<br />

constructed.<br />

All along, for those who have had severe acquired brain injuries as well as for their more<br />

moderate to mild brain injury peers, there is a lack of opportunity for informal social<br />

interactions.<br />

Section II: Current Problems<br />

Medical<br />

<strong>The</strong>re is a serious lack of adult medical providers knowledgeable and the complex medical,<br />

neuropsychological, and rehabilitative needs of <strong>PABI</strong> patients in order to transition that patient<br />

for both primary care and specialty care needs. <strong>The</strong> investigation of ongoing need for specialty<br />

medical care, for PCPs who are expert in the long term sequalae of pediatric trauma and acquired<br />

brain injury, who are willing to serve as adult PCPs, and a system for educating adult providers<br />

and transitioning families from the quality medical care that they enjoyed for their children into<br />

equally qualified and available adult medical providers, are areas in which data collection is<br />

necessary.<br />

Further, there are no data on long term impact of severe physical trauma, particularly trauma<br />

affecting the brain’s ability to regulate and control the arousal, inhibitory, and growth systems of<br />

the body. It is also not known how the associated protracted course of medications taken by<br />

young children and adolescents following severe brain injury affects the health and development<br />

of their internal organs (kidney, liver, heart) in adulthood. PCPs who had access to a large data<br />

base of individuals who had severe traumatic brain injury as they age over the next twenty or<br />

thirty years of their life would be able to make more educated decisions regarding etiology,<br />

treatment, and care of these new medical problems in their adult PA/TBI patients..<br />

When children who have had PA/TBI leave the supportive social environment of school, they<br />

often experience a serious psychological and emotional crisis. Prone to anxiety anyhow, these<br />

young adults often become quite withdrawn, socially avoidant, and seriously depressed. <strong>The</strong><br />

lack of education regarding the implications of PA/TBI on emotional, psychological, and social<br />

development among community based psychologists, psychiatrists, and community mental<br />

health providers, results in treatment failure. Emotional problems thus blossom and become<br />

more entrenched and serious psychiatric disorders may develop.<br />

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Finally, a third area of problem affecting the medical care of individual with <strong>PABI</strong> as they<br />

transition into adulthood is the lack of insurance coverage for long term (not acute) physical<br />

therapy, occupational therapy, speech therapy, cognitive rehabilitation, or psychological<br />

interventions. Not affecting the transition phase alone, but across the board for children,<br />

adolescents, and adults, there is a serious lack of availability of residential and day treatment<br />

programs for individuals who develop severe behavioral disorders following acquired brain<br />

injuries.<br />

Education<br />

<strong>The</strong>re exists extreme variability in the conduct of education transition services from district to<br />

district within any state and across states. <strong>The</strong> type and conduct of specific education transition<br />

services has never been clearly described and thus there is no uniformity in terms of what kind of<br />

supports and skill development these programs address. <strong>The</strong>re is no standardized set of<br />

competencies or expectations and very few programs conduct functional program evaluation of<br />

their education transition services. Thus there exists extreme variability in the conduct of the<br />

education transition service program from district to district in terms of the quality of the<br />

program, the relevance, and the success as measured by functional outcomes. <strong>The</strong>re is a high<br />

need for data to be collected on the relevant, sufficient, and necessary component of these<br />

programs. <strong>The</strong>re is a need to develop standards and competencies for training of regular and<br />

special educators as well as the individuals who direct and teach these programs in pediatric<br />

acquired brain injury. Access to all programs is severely restricted not only by location but also<br />

by lack of knowledge about acquired brain injury and there is no case management at this crucial<br />

stage of transition into adult life. Luck and happenstance are too often responsible for an<br />

individual’s finding his way into a beneficial program. <strong>The</strong> burden of responsibility falls on the<br />

family to investigate, develop, and train personnel to carry out the ongoing cognitive<br />

rehabilitative needs for their young adult as well as to provide for social opportunities and<br />

chances for ongoing emotional and psychological growth. Finally, there is a general lack of<br />

opportunity for informal social interactions if the adult with PA/TBI is not attending school.<br />

Section III—<strong>The</strong> <strong>PABI</strong> <strong>Plan</strong><br />

<strong>The</strong> SJBF Registry will provide a significant resource to help address the clinical, educational,<br />

and data needs of the medical community. <strong>The</strong> SJBF Registry can provide an educational<br />

resource for physicians who become the PCPs and the specialty medical providers for these<br />

individuals as they enter adulthood. <strong>The</strong> Registry can clarify the course of PA/TBI through<br />

development, particularly serving as a warehouse for information about the impact of the brain<br />

injury and the lifetime course of medications started very early in development on the physical<br />

systems over time. Finally, the Registry offers the opportunity to integrate knowledge and<br />

practice so that a physician who is willing to learn about and serve as the PCP for adults who<br />

have complex medical needs following PA/TBI will be able to augment her clinical experience<br />

by accessing the SJBF Registry and the Virtual Center for the records of other young adults who<br />

sustained similar injuries in childhood (for example, an anoxic brain injury as a 3 year old versus<br />

serious traumatic brain injury in a skate boarding accident as a 14 year old).<br />

<strong>The</strong> Virtual Center has the potential for bridging the knowledge gap between pediatric and adult<br />

providers through education, making available clinical data, and – very importantly – tracking<br />

56


outcomes over time. <strong>The</strong> Virtual Center will provide an impetus for program development<br />

within states. States that have a longer, richer tradition of providing services for children who<br />

have acquired brain injury as they age can serve as a model for other states who have less<br />

developed systems of care. <strong>The</strong> Virtual Center will house and catalog information for data<br />

collection, a very important point particularly germane to pediatric acquired brain injury.<br />

Because a brain injury experienced in childhood or adolescence affects a brain in the process of<br />

development, a brain injury sustained by a 4 year old will have very different lifetime<br />

implications than a brain injury sustained by a 17 year old. <strong>The</strong> capacity to aggregate cases by<br />

etiology, mechanism of injury, severity of injury, and treatments for individuals at the same<br />

development stage, will be crucial to advancing knowledge in pediatric acquired brain injury.<br />

<strong>The</strong> Virtual Center will allow for the registry of effective treatments from many different<br />

treatment centers and practitioners across the country. <strong>The</strong>se can be distilled into a knowledge<br />

base of “best practices” that can refine treatments into their most effective components, support<br />

the need for third party payment of ongoing treatments that are effective, and inform policy.<br />

Public-private partnerships in resource-sharing will support treatments that affect ongoing brain<br />

recovery throughout neurodevelopment known to occur through the mid twenties.<br />

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CHAPTER 8: Category of Care: Rural/Tele-Health<br />

In order for the system of care to be universally accessible no matter where the PA/TBI family<br />

lives, a strong emphasis must be made to reach the rural and frontier regions of the United States.<br />

For the purposes of this grant proposal, the term “frontier,” like rural, suburban and urban, is<br />

intended to categorize a portion of the population spectrum; frontier is considered the most<br />

remote end of the spectrum. <strong>The</strong> Office for the Advancement of Telehealth defines “frontier<br />

regions” as ZIP code areas whose calculated population centers are more than 60 minutes or 60<br />

miles along the fastest paved road trip to a short-term non-federal general hospital of 75 beds or<br />

more, and are not part of a large rural town with a concentration of over 20,000 population.<br />

States vary significantly in the percentage of their population designated as frontier, from 0<br />

percent (e.g., Delaware and Connecticut) to over 15 percent [Alaska (49%), Wyoming (39%),<br />

Montana (38%), and North Dakota (19%)]. Unless otherwise noted, for the purposes of this<br />

grant proposal, the word “rural” will constitute both the rural and frontier regions of the country.<br />

According to the Bureau of the Census (2001), Rural America makes up over 75% of the<br />

landmass of the United States and contains approximately 25% of the U.S. population (over 75<br />

million Americans).<br />

According to one of the leading organizations in the country dealing with rural health issues, <strong>The</strong><br />

National Rural Health Association, “<strong>The</strong> obstacles faced by health care providers and patients in<br />

rural areas are vastly different than those in urban areas.” Rural Americans face a unique<br />

combination of factors that create disparities in health care not found in urban areas. Many<br />

factors need to be taken into consideration to ensure universal accessibility for children/young<br />

adults and their families within Rural America, such as improving access to financing of health<br />

and education needs and increasing the awareness of PA/TBI among health (including behavioral<br />

health) and education professionals. Only ten percent of physicians practice in Rural America,<br />

and rural poor are less likely to be covered by Medicaid benefits than their urban counterparts.<br />

In addition, cultural and social differences, lack of recognition by legislators and the sheer<br />

isolation of living in remote rural areas compound the challenges rural American PA/TBI<br />

families face in their struggle to provide for their child/young adult suffering from PA/TBI. <strong>The</strong><br />

pervasive disparities related to race, ethnicity and socioeconomic status are exacerbated in<br />

isolated rural and frontier areas of America.<br />

Excerpts below from “Rural and Frontier Mental and Behavioral Health Care: Barriers,<br />

Effective Policy Strategies, Best Practices” by Dr. Donald Sawyer, Dr. David Lambert and John<br />

Gale (2006). Many of the issues raised in this paper are equally relevant for PA/TBI:<br />

“Recent estimates indicate that 16-20 percent or at least 15 million rural residents<br />

struggle with significant substance dependence, mental illness, and medical-psychiatric<br />

co-morbid conditions. While recent studies indicate that the prevalence and incidence of<br />

behavioral health problems are similar in rural and urban areas, a notable exception is the<br />

significantly higher rate of suicide and suicide attempts in rural America. For rural<br />

elderly residents in some regions, the rate is 3 times higher than the national average in<br />

non-rural settings. In addition, rural residents experience many more obstacles to<br />

obtaining behavioral health services, which results in distinct mental health disparities.<br />

<strong>The</strong> mental health needs of rural America are immense. Although national data suggest<br />

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that the prevalence of clinically defined behavioral health problems among the adult<br />

population is similar in rural and urban settings, the availability of behavioral health<br />

services is limited for people living in rural and frontier communities. <strong>The</strong> majority of<br />

Mental Health Professional Shortage Areas (MHPSAs) are in rural counties. <strong>The</strong>re are<br />

2,157 Health Professional Shortage Areas (HPSAs) in rural and frontier areas of all states<br />

and US territories compared to 910 in urban areas. Among 1,253 smaller rural counties<br />

with populations of 2,500 to 20,000, nearly three-fourths of these rural counties lack a<br />

psychiatrist, and 95 percent lack a child psychiatrist. An estimated 2/3 of U.S. patients<br />

with clinical symptoms of mental illness receive no care. Of those who receive formal<br />

treatment, approximately 40% receive care from a mental health specialist and 45% from<br />

a general medical practitioner. Due to the lack of specialty behavioral heath care,<br />

primary care caregivers provide a large proportion of behavioral health care in rural<br />

America.<br />

Barriers to mental and behavioral health service delivery in rural America:<br />

<strong>The</strong> following issues were commonly identified by respondents as barriers to and<br />

concerns regarding service delivery in rural America:<br />

Stigma and Cultural Issues<br />

• Social stigma of mental illness<br />

• Lack of rural-specific technical assistance<br />

• Mistrust of health professionals in some rural and frontier communities<br />

• Focus on illness care rather than on adequate early intervention and prevention<br />

• Lack of cultural competence in spite of increasing diversity<br />

Financing and Reimbursement<br />

• Uncertainty of public funding streams<br />

• Lack of flexible funding streams<br />

• Lack of funding for prescription medication<br />

• Complicated and cumbersome funding arrangements<br />

• Restrictive reimbursement requirements, such as the need to have licensed<br />

professionals on staff to seek Medicaid/Medicare reimbursement, when private<br />

insurers will pay for services provided by case managers, etc.<br />

• Lack of funding for evidenced based practices specifically for rural areas<br />

• Reimbursement problems with telehealth services<br />

• Funding systems are complex and fragmented leading to increased costs for providers<br />

• Higher cost of service delivery in rural areas due to low volume of patients<br />

• Managed care organizations place restrictions on providers<br />

• Lack of insurance coverage for mental and behavioral health services or higher<br />

premiums or co-payments compared to other physical illnesses<br />

Structural and Organizational Issues<br />

• Insufficient communication among primary care providers and community mental<br />

health centers<br />

• Incompatible software or hardware and inadequate infrastructure for telehealth<br />

connections<br />

• Limited availability of clinicians with prescriptive authority<br />

• Lack of specialists, especially those with child/adolescent expertise<br />

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• Lack of public transportation<br />

• Distances and difficulties accessing care even when transportation (private) is<br />

available<br />

• Lack of coordination among Federal Agencies, especially HRSA and SAMHSA<br />

• Professional specialization interferes with adequate “life management” needs<br />

• Lack of integration of mental health and primary care in many areas<br />

• Lack of integration of mental health and substance abuse services<br />

• Difficulties faced by rural providers when competing for funding, such as a lack of<br />

organizational capacity / expertise, the use of urban criteria for contracts (i.e. levels of<br />

required credentialed professional staff) by government agencies, etc.<br />

• Lack of support for care givers, professionals and families (i.e. affordable housing,<br />

comprehensive rehabilitation programs)<br />

• Lack of peer support services and consumer led groups<br />

• Lack of comprehensive needs assessment data specific to rural and frontier areas<br />

• Unintended impact of Federal regulations (HIPPA)<br />

• Unaddressed behavioral health care needs of rural women<br />

Access and Workforce<br />

• Lack of trained staff members/providers/clinicians<br />

• Lack of availability of dual-diagnosis treatment<br />

• Lack of telehealth services<br />

• Lack of continuing educational opportunities (i.e. for RNs to become Nurse<br />

Clinicians with a psychiatric specialty and an ability to prescribe medications)<br />

• Significant distances to service providers<br />

• Excessive wait times before services are available<br />

• Lack of financial incentives for professionals to work in rural areas<br />

• Lack of scholarships and grants for training<br />

• Poor in-service training of, and dissemination of information to, rural practitioners<br />

• Inadequate prescription drug benefits, especially for the self employed<br />

<strong>The</strong> barriers to mental and behavioral health services in rural and frontier America have<br />

changed little over the past three decades. Several studies and projects have reported that<br />

resources have historically been concentrated in urban areas of the United States, and the<br />

limited availability, accessibility and acceptability of rural mental and behavioral health<br />

services have created serious consequences for individuals, families and State mental<br />

health authorities.<br />

Many rural communities grapple with issues of substantial ethnic and cultural diversity,<br />

deteriorating infrastructure, pervasive poverty, limited employment opportunities, and<br />

declining population bases. As a result, the tax bases of these communities have<br />

continued to decline. With dwindling populations and eroding economic bases in many<br />

rural and frontier areas, funding for public mental and behavioral health services has<br />

suffered. <strong>The</strong>se services have been and will continue to be dependent upon public<br />

funding and support. Unfortunately, the budget crises plaguing most State Medicaid<br />

programs limit the level of available funding for mental and behavioral health services<br />

and will likely continue to do so for the foreseeable future.<br />

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Model programs and effective activities for rural America:<br />

Regardless of whether funding is sufficient or insufficient, there are rural and frontier<br />

models that work and that deliver culturally competent and efficacious care. Although<br />

these innovative programs exhibit a wide range of diversity in terms of where they are<br />

located and how they are organized, most share a common theme - the need to make<br />

better use of limited resources in rural communities. <strong>The</strong> bottom line is that there needs to<br />

be a consistent way to fund and promote the models that have proven outcomes, can be<br />

considered evidence-based “best practices” and can be replicated across a variety of rural<br />

communities. Too often innovative rural and frontier model programs are lost after a<br />

grant expires or a reimbursement stream ends.<br />

<strong>The</strong> role telehealth should play in service delivery to rural America:<br />

Expanded Access to Clinical Services<br />

• Avenue for regular access to training and continuing educational services<br />

• Psychiatric consults when psychiatrists are not readily available<br />

• Linkage and follow-up after discharge from an inpatient setting<br />

• Discharge planning from inpatient services to community services<br />

• Prevention and early intervention (i.e. crisis hotlines, referral and information<br />

clearinghouses, skills building, peer support)<br />

• Provision of specialist support for the rural primary care providers<br />

Enhanced Communication between Providers<br />

• Multiple usages, such as 2-way audio-video; telephone; and IP connections<br />

• Professional training<br />

• Ongoing support for rural professional practice<br />

• Provision of specialist support for the rural “generalist”<br />

Enhanced Networking Opportunities for Consumers<br />

• Group meetings for consumers as part of a recovery project<br />

For some time, those in the field of mental and behavioral health have heard that<br />

technology would revolutionize care, providing services from computerized case records<br />

and billing systems to off-site utilization review. In hospitals, technology has been shown<br />

to lead to statistically significant improvements in reduction of infection, accuracy of<br />

medication administration, and reduction of medical errors; however, in rural and frontier<br />

settings, the impact of technology is more elusive. <strong>The</strong> single area where improved<br />

patient care could be realized is in the significant expansion and active use of telehealth.<br />

Emerging technologies have made telehealth more affordable and usable. Telehealth can<br />

be used for long-distance clinical treatment, consultation, patient and professional<br />

education and administrative consultation. It is a greatly underused resource for mental<br />

and behavioral health services in rural and frontier areas. Policies and reimbursement<br />

methodologies would need to be adjusted to better support more comprehensive use of<br />

this intervention.<br />

<strong>The</strong> Role that State Offices of Rural Health (SORH) and other state and local<br />

organizations should play in service delivery to rural America:<br />

• Provide a quality assurance function by monitoring outcomes<br />

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• Provide consequences for wasting of public funds on technology that does not work<br />

and is not able to be utilized after a reasonable period of time<br />

• Encourage open dialogue with providers and create an atmosphere of cooperation and<br />

collegiality<br />

• Advocate on behalf of providers<br />

• Create state plans that reduce or eliminate duplication and waste<br />

• Advocate for evidenced-based issues that affect service delivery<br />

• Advocate for and recommend policies that increase access to care<br />

• Promote inclusiveness with consumers (real and honest involvement); provide funds<br />

for consumers to travel to meetings with funding for child care if necessary<br />

• Promote the development of local organizations which support the mentally ill<br />

<strong>The</strong>re is hope that State Offices of Rural Health can become a driving force behind<br />

developing networks and collaborations of relevant organizations to improve services and<br />

increase patient access.<br />

State Offices of Rural Health are essential partners, bridging primary care and mental<br />

health systems together, targeting program delivery to specific data-based state and local<br />

needs, and encouraging collaborative partnerships. <strong>The</strong>y are important in identifying and<br />

establishing linkages with undeserved populations and connecting local peer-type<br />

programs with State and Federal systems for such undeserved groups. <strong>The</strong>y can be<br />

helpful in partnering the administration and delivery of rural services, especially in pilot<br />

and model programs where delivery skills are high but administrative and general<br />

management skills may be lacking. Finally, they can be an essential player in information<br />

and model sharing at both the state and regional levels.<br />

However, their current functioning, these office are a long way from achieving these lofty<br />

goals. In a survey of over 200 NARMH members (practitioners, administrators,<br />

consumers and family members), only 57 percent were personally aware that their state<br />

had an Office of Rural Health, just 33 percent were knowledgeable about the function of<br />

their Office of Rural Health, and only 28 percent had ever interacted with the Office.<br />

SUMMARY<br />

<strong>The</strong> themes of rural mental health remain constant. Mounting needs, a lack of available<br />

professional staff, and restricted/limited resources strain existing services and limit access<br />

to rural residents in need. Unique geographical and cultural challenges to service delivery<br />

hamper the effectiveness of current delivery models. Urban models and assumptions<br />

imposed by funding sources or regulators further hamper the efforts of providers to serve<br />

rural communities. State and national policy makers continue to operate under a<br />

consistent and pervasive misunderstanding of rural realities. As a result, they do not<br />

adequately account for these rural realities in the development of public policy and they<br />

perpetuate the tendency to seek a single policy solution to rural issues.<br />

In spite of the need to innovate and reach out to rural people, most rural mental and<br />

behavioral health programs typically look like smaller, under-resourced versions of urban<br />

programs. Quite frequently, rural mental and behavioral health services are office-based<br />

practices located in moderately sized towns that see people on a one-to-one basis for<br />

outpatient sessions. Although funding streams, regulatory mechanisms, and training<br />

programs contribute to this problem, they are not solely responsible for the existing state<br />

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of affairs. <strong>The</strong> rural mental health community has not developed or sufficiently advocated<br />

for innovative and replicable evidenced-based solutions tailored specifically to the needs<br />

of rural citizens to serve as alternatives to the existing urban-based models.<br />

Fortunately, there are effective mental and behavioral health advocates in many local,<br />

State, and Federal agencies and organizations that understand and have embraced the<br />

issues of rural communities. By virtue of their willingness to “go the extra mile,” these<br />

key individuals and agencies have begun to move the field toward a better awareness of<br />

the mental and behavioral health needs of rural Americans and the challenges of serving<br />

them. Our challenge is to build on their efforts and maintain the momentum that they<br />

have created. In order to do this, we must address and move beyond the problems briefly<br />

addressed by the Surgeon General and the President’s New Freedom Commission. This<br />

will require State and Federal policymakers, providers, consumers, and mental and<br />

behavioral health advocates working together to forge an ongoing national rural mental<br />

and behavioral health agenda that enables these services to operate in the health care<br />

mainstream by:<br />

• Incorporating policies specifically tailored to the needs of rural communities,<br />

providers, and consumers;<br />

• Providing the resources and tools needed to appropriately deliver services in rural<br />

areas in a culturally sensitive and competent manner; and<br />

• Developing evidenced-based models of care that are both replicable and transferable<br />

across a range of rural communities.”<br />

Rural / Telehealth and childhood injury prevention<br />

As it relates to motor vehicle (MV) collisions, one of the leading causes of PA/TBI in<br />

children/young adults, the strategies adopted from the Prevention Category of Care must take<br />

into strong consideration the rural regions of the country, where over one-third of motor vehicle<br />

collisions occur and two-thirds of the deaths attributed to these collisions occur. <strong>The</strong> people who<br />

reside in these locations, as well as the private and commercial traffic that travels through these<br />

regions, have the same emergency health care needs as their counterparts living in urban and<br />

suburban areas. <strong>The</strong> day-to-day realities of EMS systems in rural and frontier environments are<br />

vastly different when contrasted with their urban and suburban counterparts. Anywhere from 57<br />

to 90 percent of first responders in rural areas are volunteers. MV collisions resulting in death or<br />

serious injury are the cause of 60 percent of total rural injuries, versus only 48 percent of urban<br />

injuries. Poorly defined geographical boundaries, low population density and call volumes,<br />

elongated response and transport times (national average response times in rural areas was 18<br />

minutes, which is eight minutes longer than in urban areas), the need for more well-established<br />

communication infrastructure over remote areas, and the lack of acute or specialty care facilities<br />

are all factors that impact operations. <strong>The</strong>se facets can also widen the disparity between the<br />

services delivered and the public’s expectations.<br />

In addition, rural residents are nearly twice as likely to die from unintentional injuries other than<br />

MV collisions as are their urban counterparts. Rural residents are also at a significantly higher<br />

risk of death and brain injury by gunshot than urban residents. Additional causes of PA/TBI<br />

such as alcohol poisoning have a higher risk factor in rural America since the rate of DUI arrests<br />

is greater among rural youth than their urban counterparts. Forty percent (40%) of rural 12 th<br />

graders reported using alcohol while driving compared to 25% of urban high school seniors.<br />

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Rural / Tele-health issues during Acute Care<br />

While 86.1% of the population lives within 60 minutes of a Level 1 or Level 2 Trauma Center,<br />

many PA/TBI cases will not be presented in such institutions. <strong>The</strong> Acute Category of Care must<br />

develop strategies and programs to deal with the initial assessment and treatment of PA/TBI,<br />

including but not limited to Mild TBI since most of those cases will never be presented at a<br />

Level 1 or Level 2 Trauma Center. <strong>The</strong> use of store-and-forward telehealth for digital images,<br />

video, audio and clinical data can save time and money if used properly. In addition, real-time<br />

telehealth strategies are already being used and those that have been successful should be<br />

expanded to allow instantaneous interaction. Not only video-conferencing but advancements in<br />

technology allow for peripheral devices to be used. <strong>The</strong>se technologies also allow for primary<br />

physicians to receive second opinions from specialists without the families needing to travel any<br />

further than their local healthcare provider. <strong>The</strong> use of telepharmacy programs has the potential<br />

to improve the quality of pharmaceutical care and decrease medication errors and adverse drug<br />

events in small rural hospitals; however many states have not adopted rules and regulations to<br />

implement some of these newer strategies. Many rural hospitals, especially Critical Access<br />

Hospitals (CAHs), have limited hours of on-site pharmacist coverage. In addition, a significant<br />

number of pharmacists in small rural hospitals are primarily retail pharmacists, who provide parttime<br />

pharmacist consultant services in hospitals and nursing homes in addition to their retail<br />

responsibilities. Telepharmacy arrangements have been proposed as a way for smaller rural<br />

hospitals with limited pharmacist coverage to obtain additional pharmacist resources. However,<br />

because telepharmacy is relatively new, there is little literature in peer-reviewed journals.<br />

Limited information on telepharmacy projects is available in other formats such as articles in<br />

newspapers and trade journals, and grant reports. Additionally, Medicaid/Medicare payments to<br />

rural hospitals and physicians are dramatically less than those to their urban counterparts for<br />

equivalent services. This correlates closely with the fact that more than 470 rural hospitals have<br />

closed in the past 25 years.<br />

Rural / Telehealth issues during Reintegration, Long-term care and Adult Transition<br />

Many of the school and community resources in Rural America are not designed (nor do they<br />

have the proper training) to deal with a child/young adult with PA/TBI, let alone their families.<br />

<strong>The</strong> Reintegration and Adult Transition Categories of Care must develop and implement<br />

strategies and programs uniquely designed to meet the challenges facing the rural families,<br />

schools, employers and communities dealing with a child/young adult with PA/TBI. Using<br />

telehealth strategies for non-Rural PA/TBI families may also prove beneficial for the family who<br />

is unable to access specialty health-related services because of barriers (i.e., the suburban town<br />

doesn’t have a specialist in a particular area, the child/young adult is too difficult to move<br />

because of his or her fragile or serious medical condition). Telerehabilitation is currently being<br />

utilized in neuropsychology, speech-language pathology, occupational and physical therapy, and<br />

robot-aided rehabilitation; however, very few applications have been adopted for pediatric cases.<br />

Because of the lack of evidence-based research, few health insurers in the U.S. today will<br />

reimburse for telerehabilitation services.<br />

Taking advantage of the use of the Virtual SJBF Center (see Chapter 7) by having access to<br />

advice, services and support through the SJBF Registry along with the advanced use of an<br />

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electronic health records portal will greatly enhance the experiences and the overall care of the<br />

child/young adult with PA/TBI and their family.<br />

Family Perspective<br />

Families in Rural America dealing with a child/young adult with PA/TBI face obstacles<br />

throughout the continuum of care generally not seen in a more urban setting. Prevention<br />

funding, when it cycles through the system, tends to nearly always focus on families in urban<br />

areas due to the higher population densities, almost completely leaving out those in more<br />

sparsely populated areas. Identification of children/young adults with brain injuries is more<br />

difficult since medical professionals in a rural setting are more generalists than specialists and as<br />

such may not be as quick to identify a PA/TBI compared to their urban counterparts.<br />

Furthermore, there may be little or no choice of getting a second opinion due to the lack of<br />

medical options in rural areas.<br />

Acute care with a moderate to severe PA/TBI poses a significant problem since hospitals in rural<br />

areas are few and far between; even the hospitals that do exist are generally small and illequipped<br />

for more serious cases. Even after the initial emergency response, a child or young<br />

adult in Rural America suspected of having a severe PA/TBI would likely need to be transported<br />

via the quickest possible ambulatory care (airlifted) to a large trauma center 60 or more miles<br />

away. More often than not, family members are not allowed to accompany the child/young adult<br />

during these trips, which further traumatizes the family due to the forced separation. <strong>The</strong><br />

already-distraught family must then drive hours to the new location, which creates an additional<br />

stress and a hazard for them as well as others on the road.<br />

Rehabilitative services in a rural setting can be sparse to non-existent, and the ones that do exist<br />

are notoriously difficult to access and slow to be put in place. This is particularly devastating to<br />

the child/young adult with a PA/TBI since brain injury by its very nature requires the quickest<br />

and the most extensive rehabilitation of perhaps any other bodily injury. Services that are put in<br />

place in a rural setting may be cut off too early for children/young adults with PA/TBI who<br />

“seem” to be doing well after a period of time, due to a push from poorly funded agencies to cut<br />

costs and save resources by expending less manpower. With a child/young adult with a PA/TBI,<br />

cutting these services too early can result in the child getting “lost” in the system, which can lead<br />

to him or her doing poorly years down the road and no one linking it to the earlier brain injury.<br />

Telerehabilitation would be particularly helpful in a rural setting for families actively looking for<br />

ways to help their child/young adult at home without having to travel long distances. It could<br />

also serve as a supplement to in-home therapy by a trained professional.<br />

While there is still a general lack of understanding of brain injury amongst most education<br />

professionals regardless of where they live, this is even more exaggerated in Rural America for<br />

many reasons – lack of funding in poor rural areas may lead to less specialized training for<br />

teachers, rural schools are generally not be able to pay salaries competitive to those in rural areas<br />

(thus not attracting higher-quality teachers). Some schools may not even have special education<br />

teachers at all, let alone those trained in how to handle a child or adolescent with PA/TBI.<br />

All family members, including siblings, generally experience more lack of understanding from<br />

the community at large in Rural America, since people in this population group tend to be less<br />

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educated and thus are less aware of the various manifestations of brain injury. <strong>The</strong> lack of<br />

understanding may lead to less tolerance, inevitably making life even more difficult for those<br />

dealing with the day-to-day effects of a child/young adult with a PA/TBI.<br />

Finally, the lack of much-needed mental health support in a rural setting for families of<br />

children/young adults with PA/TBI is a huge problem. Family members having trouble coping<br />

with the grief due to having essentially “lost” their child due to a PA/TBI are in great need of<br />

mental help, but there is a lack of mental health care in Rural America and a family member who<br />

is the primary caregiver of a child/young adult with PA/TBI in particular may not be able to<br />

travel long distances to get the mental help they require. This may further lead to increased rates<br />

of depression and drug or alcohol use. Teletherepy in these cases, when there is a lack of nearby<br />

psychiatric support, would be hugely beneficial to family members.<br />

Additional Proposed Solutions<br />

1. Prevention strategies and programs specifically designed when necessary for<br />

Rural/Frontier Regions of U.S.<br />

2. Utilize telehealth technologies in the assessment and treatment of PA/TBI during Acute,<br />

Reintegration and Adult Transition phases of the continuum of care.<br />

3. Transmitting medical images and data for diagnosis and/or disease management<br />

4. Exchanging health services or education live via videoconferencing<br />

5. Prevention of secondary and tertiary injury with promotion of good health by patient<br />

monitoring and follow up<br />

6. Health advice by telephone in emergent cases<br />

7. Distance education and training for professionals, families and individuals<br />

8. Administrative uses including meetings and presentations<br />

9. online information and health data management<br />

10. healthcare system integration<br />

11. asset identification, listing and patient to asset matching and movement<br />

12. patient movement and remote admission<br />

13. grant programs that bring necessary equipment and training to the underserved rural and<br />

frontier communities and cost-based rural ambulance reimbursement<br />

<strong>The</strong> Institute of Medicine in a report, “Quality Through Collaboration: <strong>The</strong> Future of Rural<br />

Health” examined the quality of health care in rural America and identified a five-pronged<br />

strategy which would address the challenges faced by rural communities. <strong>The</strong>se are:<br />

1. adopt an integrated approach to addressing both personal and population health needs;<br />

2. establish a stronger health care quality improvement support structure to assist rural<br />

health systems and professionals;<br />

3. enhance the human resource capacity of health care professionals in rural communities,<br />

and the preparedness of rural residents to actively engage in improving their health and<br />

health care;<br />

4. assure that rural health care systems are financially stable; and<br />

5. invest in an information and communications technology (ICT) infrastructure, which has<br />

enormous potential to enhance health and health care over the coming decade.<br />

Additional Research Priorities<br />

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1. demonstrating equivalence of assessment and therapy to in-person assessment and<br />

therapy<br />

2. building new data collection systems to digitize information a therapist can use in<br />

practice<br />

3. Further research in telehaptics (the sense of touch) and virtual reality may broaden the<br />

scope of telerehabilitation practice<br />

4. Increase use of artificial intelligence, wireless technology, PDA and Cellular technologies<br />

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Chapter 9: Category of Care: <strong>The</strong> Virtual SJBF Center - An Ecosystem for the PA/TBI<br />

Community<br />

Scientific methods and data analyses are the cornerstones of medical research and care. In the<br />

traditional model, there is a hypothesis, a question: “If I do this, will the patient benefit?”<br />

However, most projects are often done in isolation and typically centered on a particular<br />

researcher’s practice. At times, researchers collaborate in hopes of increasing the number of<br />

patients to find answers sooner.<br />

In many ways, research reflects clinical medical practice. Although the public believes there is a<br />

free exchange of ideas and best practice technique, typically individual practices are relatively<br />

isolated. Treatment choices may be based on geography and what the caregiver is most familiar<br />

with, rather than best practice standards, or outcome-based choices.<br />

<strong>The</strong> advent of the Internet offers a new model, one allowing active patient and caregiver<br />

collaboration. <strong>The</strong>re are three initial phases to the Virtual SJBF Center:<br />

Phase 1: <strong>The</strong> SJBF Registry<br />

Phase 2: <strong>The</strong> Electronic Health Records Portal<br />

Phase 3: <strong>The</strong> Open Source Initiative<br />

<strong>The</strong> Virtual SJBF Center will also use additional technologies to advance the continuum of care<br />

for children/young adults and their families.<br />

<strong>The</strong> SJBF Registry<br />

While protecting patient rights, the Virtual SJBF Center will provide an open registry for<br />

everyone with a PA/TBI and their families. This methodology (Communities for a Cure) has<br />

been extensively used for the last 8 years for other disease states and will now be made available<br />

to the PA/TBI community. <strong>The</strong> SJBF Registry will apply the best informatics management<br />

approach, used successfully with Multiple Sclerosis and Parkinson’s disease for more than a<br />

decade at the Barrow Neurological Institute (BNI) in Phoenix. Outcomes assessment, education<br />

and other technologies will be available through the registry.<br />

<strong>The</strong> model has three simple steps: enrollment, engagement, and repeated communication.<br />

1. Enrollment: Patients are enrolled in the SJBF Registry - this can occur either at the time<br />

of the acute event or afterwards. <strong>The</strong> patient or a caregiver can enroll the patient by<br />

providing information about the event, age of the patient, clinical evaluation at the time,<br />

etc. In most cases, the patient’s name is recorded, but this is not necessary. A form of<br />

communication is included (email, US mail, text messaging, phone number). In the case<br />

of the SJBP, information will also be gathered from the family members whenever<br />

possible.<br />

2. Engagement: Personalized content can then be provided to the patient and their family,<br />

helping them better understand their condition and how to get help. This differs from<br />

typical, unfiltered Internet content. Over time, the SJBP will continue to add research<br />

and services partners to the registry, similar to the Apple applications store for the<br />

iPhone.<br />

3. Communication: <strong>The</strong>re will be repeated communication with the participants, a<br />

relationship rather than a limited engagement. Participants will be sent questionnaires at<br />

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egular intervals to find out how they are doing, and what their needs are.<br />

Communication will be personalized to particular groups within the registry to facilitate<br />

research efforts over time.<br />

At all times, the registry will follow strict federal guidelines to maintain the patients’ rights to<br />

confidentiality and engagement. <strong>The</strong> patient ultimately controls his or her own information.<br />

As noted on the SJBP web site (http://www.<strong>The</strong><strong>Brain</strong><strong>Project</strong>.org), the intent of this effort is to<br />

foster open collaboration for better care and research.<br />

This will be possible through SJBP’s policy of an open data and communication layer. This does<br />

not mean all information will be “open” for anyone to see, but rather methods of data entry and<br />

transfer will be clearly defined for all potential partners (an open data dictionary and messaging<br />

layer). With appropriate permissions, information will be available for research and care of the<br />

participants.<br />

<strong>The</strong> SJBP believes practice standards should constantly evolve from best practice to outcomebased<br />

methodologies. <strong>The</strong> SJBP will begin with the best practice belief, but after further<br />

interventions and their outcomes can be studied, the results of these interventions need to be<br />

measured and evaluated. Data acquired from the community will be rigorously evaluated in<br />

near-real time to look for better methods of treatment and care.<br />

Additionally, this open standard will facilitate an information exchange throughout the<br />

continuum of care, independent of an individual hospital or care givers office practice.<br />

<strong>The</strong> Electronic Health Records (EHR) Portal<br />

<strong>The</strong> second phase of the Virtual SJBF Center will be the establishment of a portal for families,<br />

physicians and other professionals to upload health records into an interoperable database to<br />

optimize the acquisition, storage, retrieval of this information in real time. This will be a<br />

different method than most are considering with the conversation of health records into<br />

electronic format. <strong>The</strong> most common model is through a top-down, bureaucratic-driven<br />

conversion, while the Virtual SJBF Center’s system will be a bottom-up, consumer-driven<br />

conversion method with eventually hundreds of thousands of caregivers driving their children’s<br />

health records into the database. History has shown that consumer-driven models are much more<br />

effective as change agents and are quicker at conversions than top-down models. Establishing a<br />

collaborative environment to foster communication between physicians, caregivers, patients and<br />

informatics specialists will create success at implementation.<br />

<strong>The</strong> Veteran’s Health Information Systems and Technology Architecture (VistA) is a great<br />

example of an enterprise-wide information system providing continual health benefits to over 4<br />

million veterans annually. This system is one of the most widely used EHRs in the world and it<br />

supports both ambulatory and inpatient care including a web-based user interface for clinicians.<br />

This interface is known as a Computerized Patient Record System (CPRS) which allows health<br />

care providers to review and update a patient’s EHR and to place orders and instruct the patient’s<br />

care. Additional initiatives are currently underway allowing veterans to access and create a copy<br />

of their EHR to port those records to institutions outside the VA health system or make their own<br />

Personal Health Record (PHR).<br />

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"To improve the quality of our health care while lowering its cost, we will make the<br />

immediate investments necessary to ensure that, within five years, all of America's medical<br />

records are computerized," President Barack Obama said in a speech on January 8, 2009, at<br />

George Mason University in Fairfax, Va. "This will cut waste, eliminate red tape and reduce<br />

the need to repeat expensive medical tests."<br />

"But it just won't save billions of dollars and thousands of jobs; it will save lives by<br />

reducing the deadly but preventable medical errors that pervade our health-care system,"<br />

he said.<br />

<strong>The</strong> Open Source Initiative<br />

<strong>The</strong> Open Source Initiative began with the launch of the <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> <strong>Project</strong> in October<br />

2007, when for the first time in medical history all the medical records of an individual were<br />

posted online using open source principals. <strong>Sarah</strong> <strong>Jane</strong> Donohue was this first case. <strong>The</strong> Open<br />

Source Initiative will allow caregivers to opt their children into a first-ever open source database<br />

of neuroinformatics.<br />

<strong>The</strong> goal of the Open Source Initiative will be to move the field of pediatric neurology 50 years<br />

forward in the next five years by sparking 10,000 PhDs around the world. Whenever someone is<br />

going into the field of medicine, education, public health, they will look around at old, stale data<br />

for their graduate work but then come across this rich database consisting of hundreds of<br />

thousands of medical records in an open source format and decide to choose the field of pediatric<br />

neurology.<br />

<strong>The</strong> Virtual SJBF Center will not only be used for electronic processes and communication of<br />

electronic medical records, but will also increase other health care informatics such as<br />

telemedicine, consumer health informatics, health knowledge management for professionals,<br />

mHealth and the development of additional Healthcare Information Systems. <strong>The</strong> development<br />

of a PA/TBI-specific Chronic Disease Management System (CDMS) will allow health care<br />

providers to electronically capture and track specific processes and outcome indicators related to<br />

the child/young adult’s care. This PA/TBI CDMS will be capable of providing reminders,<br />

generating patient-specific reports, create motivation for self-management as well as track<br />

performances and measure effectiveness of treatments.<br />

<strong>The</strong> SJBP recognizes that many factors outside of the medical record are important to the wellbeing<br />

of the patient. Social issues, financial issues, educational barriers and access to resources<br />

are but a few of the factors that will be incorporated into the information pool. Patients care less<br />

about healthcare records, and more about well-being. <strong>The</strong> SJBP will provide the PA/TBI<br />

community an ecosystem encompassing all factors important to their well-being.<br />

<strong>The</strong> Virtual SJBF Center will have customized entry points for patients, their families, clinicians<br />

and researchers. All of these users can enter specifically relevant data. For example, a patient<br />

or guardian may enter information about the patient’s daily routine and self-reported symptoms.<br />

A healthcare provider may enter data about clinical interventions and results. A researcher may<br />

aggregate and analyze the data for new information, or may identify a novel approach to care for<br />

further research. If they desire, any or all of these groups may participate in conversations<br />

70


amongst themselves or one another fostering support, new personal knowledge and new clinical<br />

knowledge.<br />

Figure 6: <strong>The</strong> integration of the data across providers, patients and locations provides a<br />

new and unique resource for addressing PA/TBI.<br />

SJBP Technology Solutions:<br />

Registry Technology for Research Communities<br />

To advance research, creation of a research-specific data registry portal can be accelerated.<br />

Using the registry platform, a typical IRB can be published for data acquisition in 8-10 weeks<br />

with real time reporting of data elements. For example, Communities for a Cure currently is<br />

focused on Multiple Sclerosis (MS) and Parkinson's disease. <strong>The</strong>se communities have more than<br />

50,000 participants enrolled nationwide. With their portals, an advocacy group (currently<br />

MAPRC and NARCOMS) communicate with and collects data from their participants. This<br />

information can be used to identify subjects for study. A researcher can identify specific groups<br />

for study (for example, women of a certain age with a two-year history of MS using fewer than<br />

two medications). <strong>The</strong>se participants can be invited to participate in a trial and contact the<br />

researcher directly. <strong>The</strong> community can also be contacted with a question; a recent question<br />

asking about smoking and MS received 2,000 responses within 24 hours. <strong>The</strong>se registries are<br />

self-reported by patients, who are invested in finding a cure for their own disease. Registries<br />

have been extensively validated over the last decade.<br />

Registry Technology Supporting Research Databases<br />

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Registry technology has been used at BNI for generation of research data bases. Dr. Spetzler, the<br />

director of the Barrow Neurological Institute, is using a solution for the BRAT database, a large<br />

trial evaluating different treatment options for cerebral aneurysms. Web-hosted registries enable<br />

multi-institutional trials. <strong>The</strong>se solutions have also been extend to Cleveland Clinic (Wingspan<br />

Trial), Hopkins, and GWU.<br />

Automated Outcomes Measures<br />

Particularly for PA/TBI, automated outcomes measures of the child and adolescent's functioning<br />

would likely be of value. <strong>The</strong>re are a variety of types of outcome measures to be advanced and<br />

leveraged for PA/TBI.<br />

Computerized testing technologies, such as ANAM4 (Automated Neuropsychological<br />

Assessment Metrics) and ImPACT (Immediate Postconcussion Assessment and Cognitive<br />

Testing) are examples of possible neuropsychological outcome measures. <strong>The</strong>y can be used as<br />

baseline and post-injury measures for neurocognitive changes that result from neurological<br />

injury. In addition, web-based applications of measures that assess behavioral, social-emotional,<br />

attentional, post-injury symptoms, executive control functions, and quality of life outcomes can<br />

be employed to highlight treatment progress in real-time.<br />

Registries and Repositories for Real-Time Data Analysis<br />

Real-time data analysis will be facilitated through the SJBF Registry and repository technology.<br />

For example, at the BNI, Dr. Spetzler receives updates of his trials (crossovers, complications,<br />

etc.) weekly as an email update with graphical representations of current data. Stryker funded<br />

creation of a registry/repository at BNI for low back pain, providing a common platform for back<br />

pain specialists. This platform allows patients to register and complete a history form online.<br />

<strong>The</strong> clinical encounter is completed. <strong>The</strong> patient then receives automated pain scales to evaluate<br />

outcomes (P4P data). <strong>The</strong> BNI’s Dr. Nicholas <strong>The</strong>odore plans to extend this platform to other<br />

providers in his referral network, effectively allowing data exchange across practices. <strong>The</strong><br />

referral network may elect integration these data elements into their own EMR via HL7<br />

integration, or alternatively, print the data and add to their chart. In either case, this allows for a<br />

disease or health specific record to be generated across providers. Further, these data elements<br />

could easily be added to or incorporated for study.<br />

Technology Supporting Education and Documentation<br />

Technology can deliver education and documentation, including that related to trauma from child<br />

abuse (NAT) and similar injuries from motor vehicle accidents, falls and sports injuries. <strong>The</strong><br />

SJBF Registry will enable practitioners to register cases online (with or without identifiers). <strong>The</strong><br />

web portal guides the caregiver through a suggested workup (did you consider ordering this or<br />

that, incorporating related educational pieces, etc.). Online educational methodologies (e.g.<br />

Qube.com) can be tied to real-time reporting for surveillance and follow up. <strong>The</strong> practitioner can<br />

be sent a message reporting outcomes measures and enabling analysis of what measures assisted<br />

in the evaluation. A patient-centered ecosystem incorporating all aspects of the care cycle can be<br />

used for long-term study, from initial event detection to first hospitalization and on through<br />

clinical follow up and home care.<br />

Summary<br />

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Many technologies should be applied to PA/TBI. Fundamental to all of them is data<br />

interoperability. <strong>The</strong> platform will enable data exchange between these future additional<br />

solutions. Key features to success are:<br />

1. Real-time reporting<br />

2. Messaging, allowing the community to be tied together in a relationship<br />

3. Web hosting<br />

4. Personalized content delivery<br />

To dramatically change PA/TBI for patients, providers and researchers, the full power of<br />

technology must be leveraged. Data management, communications, outcomes measures and<br />

education are among the technologies enabled by the SJBP. Millions of children will benefit<br />

from this process, and hundreds of thousands of care providers will be empowered as well.<br />

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CHAPTER 10: Organizational Structure<br />

National Structure to implement the National <strong>PABI</strong> <strong>Plan</strong><br />

<strong>The</strong> mission of the <strong>PABI</strong> <strong>Plan</strong> is to develop a “seamless, standardized, evidence-based system of<br />

care universally accessible for all children/young adults and their families regardless of where<br />

they live in the nation.” <strong>The</strong> first step in developing a PA/TBI Model System to fulfill this<br />

mission is to create a national structure which provides complete national coverage with the<br />

ability to standardize the system of care while still providing the flexibility for each state to have<br />

its own pathway to universal accessibility. This network of 52 institutions will serve as State<br />

Lead Centers of Excellence, one for each state plus the District of Columbia and Puerto Rico. In<br />

order to achieve the goals as outlined in the <strong>PABI</strong> <strong>Plan</strong>, each State Lead Center has collaboration<br />

experience, case management experience and a strong understanding of the existing structures<br />

within their state.<br />

SJBF organized a seven-person Center Selection and Support Committee (CSS), made up of<br />

leading experts in the field of pediatric brain injury, one Member from each region, to develop<br />

the application process and review and approve the applicants to become a State Lead Center.<br />

SJBF will maintain this CSS Committee as oversight of the overall grant and this committee will<br />

be responsible for creating quarterly reports to our federal partners as well as to Congress and the<br />

public.<br />

Each State Lead Center has certain essential, desirable and optional capabilities with the main<br />

responsibility to develop and implement a Statewide Master <strong>Plan</strong> to accomplish the goals and<br />

premises as outlined in the <strong>PABI</strong> <strong>Plan</strong> for their entire state. <strong>The</strong>y will work through and within<br />

the existing structures within their state, while helping to build the capacity of these structures to<br />

provide complete coverage to these children/young adults and their families. We will not<br />

duplicate current services and create further fragmentation within each state.<br />

Part of each State Lead Center’s Master <strong>Plan</strong> for their state will be providing a specialized case<br />

management system for the children/young adults and their families. Once a PA/TBI is<br />

diagnosed in their state, the State Lead Center will “attach” themselves to the families and never<br />

let go unless they move to another state, and then the State Lead Centers in both the original state<br />

and the destination state will collaborate to ensure a seamless transition for that family from one<br />

location to the next. <strong>The</strong>se SJBF Specialists will be highly trained case managers who<br />

understand the needs of PA/TBI families and have a great understanding of the services offered<br />

in their state.<br />

<strong>The</strong>re will be different Levels of designation for institutions and organizations throughout each<br />

state based upon their capabilities and experience. For example, each State Lead Center will also<br />

need to serve as a Level 1 SJBF Center with a dozen SJB Family specialists, a Field Specialist<br />

for educational training capabilities and a Center Manager with administrative support for a<br />

specific geographic/demographic range. A Level 2 SJBF Center will have fewer capabilities (six<br />

SJB Family Specialists, a Field Specialist and no administrative support) and a Level 3 SJBF<br />

Center will have even fewer capabilities (three SJB Family Specialists only). As an example,<br />

Texas’ Master <strong>Plan</strong> has five Level 1 SJB Family Centers (Austin, Dallas, Houston, El Paso and<br />

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San Antonio) an additional eight Level 2 SJB Family Centers in smaller communities and four<br />

Level 3 SJB Family Centers in rural parts of their state, whereas Kansas has only two Level 1<br />

SJB Family Centers (Kansas City and Wichita), four Level 2 SJB Family Centers operating in<br />

smaller communities throughout their state and no Level 3 SJB Family Centers.<br />

In order to encourage increased regional collaboration, the country was divided into seven<br />

Regions with seven or eight states/territories for each Region.<br />

Northeast Region: Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode<br />

Island, Vermont<br />

Mid-Atlantic Region: Delaware, District of Columbia, Maryland, New Jersey, Pennsylvania,<br />

Virginia, West Virginia<br />

Southeast Region: Alabama, Florida, Georgia, Mississippi, North Carolina, Puerto Rico, South<br />

Carolina, Tennessee<br />

Mid-Central Region: Illinois, Indiana, Iowa, Kentucky, Michigan, Minnesota, Ohio, Wisconsin<br />

South-Central Region: Arkansas, Kansas, Louisiana, Missouri, New Mexico, Oklahoma, Texas<br />

Rocky Mountain Region: Colorado, Idaho, Montana, Nebraska, North Dakota, South Dakota,<br />

Utah, Wyoming<br />

Pacific Region: Alaska, Arizona, California, Hawaii, Nevada, Oregon, Washington<br />

In addition, within each Region, one of the State Lead Centers will have a leadership role in one<br />

of the seven Categories of Care with the purpose of establishing a standard collection of<br />

translational data, a standard set of training, education and dissemination of information and the<br />

ability to monitor and develop scientific investigative research within each Category of Care.<br />

<strong>The</strong>re will also be one State Lead Center within each Region which will serve as the National<br />

Lead Center for each Category of Care (see detailed breakdown below). <strong>The</strong> National Lead<br />

Centers will also serve as the coordinating Regional Lead organization within their respective<br />

regions.<br />

<strong>The</strong> seven Categories of Care and their respective State Lead Centers are:<br />

1) Prevention (of all types of PA/TBI)<br />

Northeast Region: Massachusetts – National Lead Center<br />

Mid-Atlantic Region: Delaware<br />

Southeast Region: Georgia<br />

Mid-Central Region: Wisconsin<br />

South-Central Region: Arkansas<br />

Rocky Mountain Region: Wyoming<br />

Pacific Region: Alaska<br />

2) Acute Phase (time of accident/diagnosis through completion of formal inpatient rehab care)<br />

Northeast Region: New Hampshire<br />

Mid-Atlantic Region: Pennsylvania<br />

Southeast Region: Florida – National Lead Center<br />

Mid-Central Region: Indiana<br />

South-Central Region: New Mexico<br />

Rocky Mountain Region: Utah<br />

Pacific Region: California<br />

3) Reintegration / Long-term care (post-discharge, home, community and school-based care)<br />

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Northeast Region: New York<br />

Mid-Atlantic Region: Maryland<br />

Southeast Region: North Carolina<br />

Mid-Central Region: Ohio<br />

South-Central Region: Kansas<br />

Rocky Mountain Region: Nebraska<br />

Pacific Region: Oregon – National Lead Center<br />

4) Adult Transition (post-discharge, 16-25 years of age transitioning into adult system of care)<br />

Northeast Region: Connecticut<br />

Mid-Atlantic Region: New Jersey<br />

Southeast Region: Alabama<br />

Mid-Central Region: Iowa<br />

South-Central Region: Oklahoma<br />

Rocky Mountain Region: Colorado – National Lead Center<br />

Rocky Mountain Region: North Dakota<br />

Pacific Region: Nevada<br />

5) Mild TBI Assessment / Treatment<br />

Northeast Region: Vermont<br />

Mid-Atlantic Region: District of Columbia – National Lead Center<br />

Southeast Region: Tennessee<br />

Mid-Central Region: Minnesota<br />

South-Central Region: Missouri<br />

Rocky Mountain Region: South Dakota<br />

Pacific Region: Hawaii<br />

6) Rural / Telehealth (technology, distance healthcare and delivery of services)<br />

Northeast Region: Maine<br />

Mid-Atlantic Region: West Virginia<br />

Southeast Region: Mississippi<br />

Mid-Central Region: Illinois – National Lead Center<br />

Mid-Central Region: Kentucky<br />

South-Central Region: Louisiana<br />

Rocky Mountain Region: Montana<br />

Pacific Region: Washington<br />

7) <strong>The</strong> Virtual SJBF Center (family registry, electronic medical records and healthcare IT)<br />

Northeast Region: Rhode Island<br />

Mid-Atlantic Region: Virginia<br />

Southeast Region: South Carolina<br />

Southeast Region: Puerto Rico<br />

Mid-Central Region: Michigan<br />

South-Central Region: Texas – National Lead Center<br />

Rocky Mountain Region: Idaho<br />

Pacific Region: Arizona<br />

<strong>The</strong> State Lead Center Organization Chart<br />

Each State Lead Center will have a standard staffing organization beginning with the Program<br />

Director who will oversee the operation of the State Lead Center and ensure the mission of the<br />

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<strong>PABI</strong> <strong>Plan</strong> is being fulfilled by providing support and advice to the State Director who will be<br />

responsible for the day-to-day management of the State Lead Center. <strong>The</strong> staffing organization<br />

is broken up into the three main responsibilities for each center: developing a Statewide Master<br />

<strong>Plan</strong> and Statewide Coordination, the Category of Care Responsibility and Case Management<br />

Responsibility.<br />

STAFFING FOR STATEWIDE COORDINATION<br />

Each State Lead Center will be developing and implementing a Statewide Master <strong>Plan</strong> to create a<br />

seamless, standardized, evidenced-based system of care universally accessible for all<br />

children/young adults and their families regardless of where they live in their state.<br />

Program Director: primary role in overseeing the operation of the State Lead Center and<br />

ensuring the mission of the <strong>PABI</strong> <strong>Plan</strong> is being fulfilled by providing support and advice to the<br />

State Director; will be responsible for reporting to CSS Committee of SJBP about activities and<br />

accomplishments of the State Lead Center<br />

Program Director Assistant: full-time administrative support for the Program Director<br />

State Director: responsible for day-to-day management, operations and performance of the State<br />

Lead Center reporting to the Program Director including<br />

Associate State Director: assist State Director in maintaining budget, creating and editing<br />

reports to Program Director and CSS Committee on State Director’s behalf.<br />

State Epidemiologist: primary task will be to integrate the acquisition and analysis of critical<br />

observational data elements relevant for pediatric acquired brain injury characterization and<br />

outcome determination across entire continuum of care as determined by each Category of Care<br />

Epidemiologists; these types of data will potentially include physiological variables, laboratory<br />

studies, genetic profiles, neuroimaging, patient symptom lists, neuropsychological test results,<br />

global outcome measures and patient/caregiver questionnaires and be centered on accurate and<br />

detailed description of the injury and functional recovery, rather than on any predetermined<br />

hypothesis; these data will require new methods of selection, acquisition, validation and analysis<br />

and will benefit from large numbers of participants throughout the national network;<br />

State Epidemiologist Assistant: graduate student studying epidemiology or similar field to<br />

assist the State Epidemiologist<br />

State Scientific Investigation Research Coordinator: primary responsibility will be to<br />

facilitate interaction and exchange of clinical, translational (bench-to-bedside) and basic science<br />

research ideas and protocols between centers and disciplines across entire continuum of care.<br />

Research areas would include but not be limited to emergency and critical care, clinical<br />

neuroscience, translational, basic neurobiology, biomechanics, neuroengineering and<br />

nanotechnology, epidemiology and biobehavioral.<br />

State Scientific Investigation Research Assistant: graduate student studying scientific<br />

investigation methods to assist the State Scientific Investigation Research Coordinator<br />

State Education/Training Coordinator (plus materials): primary responsibility will be to<br />

oversee programs designed to improve educational services and training to improve the capacity<br />

of community agencies to provide services and support to children/young adults and their<br />

families including working with all of their state’s Field Specialists; they will have an additional<br />

budget based upon the population of their state to implement these services and programs<br />

State General Counsel: definition of general counsel; HIPAA and state and federal regulations<br />

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State IT Manager: primary responsibility will be to manage the technology, communications<br />

and other IT systems for the State Lead Center and entire statewide operations<br />

State Family Support Coordinator: responsible educating and training SJB Family Specialists<br />

around the needs of <strong>PABI</strong> families, parents, caregivers, siblings and other family members and<br />

involving these family members in the <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> <strong>Project</strong><br />

State Prevention/Awareness Coordinator: primary responsibility to support State<br />

Epidemiologist in collecting translational data for Prevention, support State Education/training<br />

Coordinator around prevention efforts, and support State Scientific Investigation Research<br />

Coordinator to monitor and develop research around Prevention; this person will also work with<br />

existing organizations to raise awareness of prevention efforts statewide<br />

State Acute Care Coordinator: primary responsibility to support State Epidemiologist in<br />

collecting translational data for the Acute phase of care, support State Education/training<br />

Coordinator around the Acute phase, and support State Scientific Investigation Research<br />

Coordinator to monitor and develop research around the Acute phase<br />

State Reintegration Coordinator: primary responsibility to support State Epidemiologist in<br />

collecting translational data for the Reintegration phase of care, support State Education/training<br />

Coordinator around the Reintegration phase, and support State Scientific Investigation Research<br />

Coordinator to monitor and develop research around the Reintegration phase<br />

State Adult Transition Coordinator: primary responsibility to support State Epidemiologist in<br />

collecting translational data for the Adult Transition phase of care, support State<br />

Education/training Coordinator around the Adult Transition, and support State Scientific<br />

Investigation Research Coordinator to monitor and develop research around the Adult Transition<br />

State Mild TBI Coordinator: primary responsibility to support State Epidemiologist in<br />

collecting translational data for the Mild TBI Category of Care, support State Education/training<br />

Coordinator around Mild TBI, and support State Scientific Investigation Research Coordinator to<br />

monitor and develop research around Mild TBI<br />

State Mental Health Coordinator: primarily responsible for educating and training SJB Family<br />

Specialists around mental health services and systems of support for entire <strong>PABI</strong> family as well<br />

as being a direct resource for staff and <strong>PABI</strong> families surrounding mental health services for<br />

their state<br />

State Assistive/Emerging Technology Coordinator: primarily responsible for educating and<br />

training SJB Family Specialists around assistive and emerging technologies for acquisition and<br />

proper functional usage of these tools as well as being a direct resource for staff and <strong>PABI</strong><br />

families surrounding any assistive and emerging technologies<br />

State Correctional System Coordinator: primarily responsible for outreach to young adults in<br />

the juvenile delinquency system for screening for potential <strong>PABI</strong> as well as working with law<br />

enforcement on prevention and awareness issues around <strong>PABI</strong><br />

State MISC Coordinator: each state has a staff person that is unique to their particular state<br />

(i.e., Texas needs a bi-lingual coordinator for their growing Hispanic population while Montana<br />

needs a Native American coordinator for their large population on reservations)<br />

State Veterans Coordinator: with more than half of our veterans returning from Iraq and<br />

Afghanistan with traumatic brain injury under 25 years of age, the primary responsibility will be<br />

outreach to these young veterans and their families ensuring they are receiving the care and<br />

support they need and deserve.<br />

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State Data Manager: primary responsibility will be to assist the State Lead Center employees<br />

with integration of data with <strong>The</strong> Virtual SJBF Center as well as overall help desk for general<br />

computer problems.<br />

State Public Policy Manager: primary responsibility will be to monitor all local and state rules,<br />

regulations, laws and judicial decisions affecting <strong>PABI</strong> families, including but not limited to<br />

Medicaid, school IEP procedures and health insurance regulations.<br />

State Community Relations Manager: primary responsibility will be to connect the mission of<br />

SJBP to the communities-at-large by making presentations, ?????<br />

State Administrative Support: general office clerical and administrative support services.<br />

Charity care: each State Lead Center will be able to provide certain services to populations who<br />

have very limited resources or access to these services; decisions about the type of service will<br />

be made by each State Lead Center based on the needs of their state.<br />

Human Resources Support: each State Lead Center will be screening and hiring applicants as<br />

well as processing their benefits; we allocated $1,000 per employee which each State Lead<br />

Center determining the best method for implementing (i.e., some State Lead Centers will handle<br />

this within their primary institutions while some will hire HR personnel).<br />

Training Support: we allocated $250 per employee for orientation and training for new<br />

employees.<br />

Other costs associated with each State Lead Center included in the itemized budget are:<br />

State Lead Center Office Space Cost; State Lead Center Transportation/Travel; State Lead<br />

Center Office Equipment/Communications; State Lead Center Supplies; Annual and Regional<br />

Conferences<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: each State Lead Center is allocated an<br />

amount to be directed to their respective state <strong>Brain</strong> Injury Association to develop programs for<br />

the pediatric brain injury community (for those states where a <strong>Brain</strong> Injury Association does not<br />

exist, the funds will be used to establish one with an emphasis on the pediatric brain injury<br />

community)<br />

STAFFING FOR REGIONAL/NATIONAL CATEGORY OF CARE RESPONSIBILITY<br />

Each State Lead Center will be responsible for continuity and standardization of translational<br />

data collection, dissemination of education/training and monitoring basic science research for<br />

ONE Category of Care for their region (one State Lead Center will also serve as the National<br />

Lead Center for each specific Category of Care)<br />

National Category Director: this person will be responsible for leading the collaboration with<br />

all their respective Category of Care State Lead Centers to make final decisions about the<br />

translational data collected, the standardization of education and training surrounding the<br />

Category of Care and monitoring, encouraging and creating scientific investigative research for<br />

their Category of Care; (this position will only be in the seven National Lead Centers)<br />

National Category Epidemiologist: this person will be responsible for leading the collaboration<br />

with all their respective Category of Care State Lead Centers to implement the collection of<br />

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translational data for their Category of Care; (this position will only be in the seven National<br />

Lead Centers)<br />

National Category Education/Training Coordinator: this person will be responsible for<br />

leading the collaboration with all their respective Category of Care State Lead Centers to<br />

standardize the education and training surrounding the Category of Care; (this position will only<br />

be in the seven National Lead Centers)<br />

National Category Scientific Investigation Research: this person will be responsible for<br />

leading the collaboration with all their respective Category of Care State Lead Centers to<br />

monitor, encourage and create scientific investigative research for their Category of Care; (this<br />

position will only be in the seven National Lead Centers)<br />

National Category Additional Staffing positions: some Categories of Care will need additional<br />

specific leadership positions that are unique to their Category; (these positions will only be in the<br />

seven National Lead Centers)<br />

Prevention Category: National Intentional Head Injury Prevention Coordinator,<br />

National Unintentional Head Injury Prevention Coordinator, and National non-Traumatic<br />

Acquired <strong>Brain</strong> Injury Prevention Coordinator<br />

Acute Category: National Acute Category Assistant Director<br />

Reintegration Category: National Assistive/Emerging Technology Director<br />

Adult Transition Category: National Veteran Coordinator<br />

Virtual SJBF Center: National Database Manager; National Content Manager; National<br />

Help Desk Support Manager; National Business Development Manager; National HIPAA<br />

Compliance Officer<br />

National Additional Technology: some Categories of Care will need additional technology,<br />

hardware, software or capital spending unique to their Category<br />

Mild TBI Category: development of Mild TBI assessment tools and technology<br />

Rural/Tele-medicine: strategic telemedicine and telecommunication technologies to<br />

certain states<br />

Virtual SJBF Center: Development of SJBF Registry and Personal Health/Education<br />

Records Portal and Open Source Initiative<br />

Regional Category Director: this person will be responsible for leading and managing the<br />

collaboration for their entire region for their respective Category of Care State Lead Centers and<br />

assist in making final decisions about the translational data collected, the standardization of<br />

education and training surrounding the Category of Care and monitoring, encouraging and<br />

creating scientific investigative research for their Category of Care<br />

Regional Category Epidemiologist: this person will be responsible for leading and managing<br />

the collection of translational data for their entire region for their respective Category of Care<br />

Regional Category Education/Training Coordinator: this person will be responsible for<br />

leading and managing the standardization of education and training for their entire region for<br />

their respective Category of Care<br />

Regional Category Scientific Investigation Research: this person will be responsible for<br />

leading the collaboration with all their respective Category of Care State Lead Centers to<br />

monitor, encourage and create scientific investigative research for their Category of Care; this<br />

person will be responsible for leading and managing the efforts to monitor, encourage and create<br />

scientific investigative research for their entire region for their respective Category of Care<br />

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Regional Category Additional Staffing positions: some Categories of Care will need<br />

additional specific leadership positions that are unique to their Category<br />

Reintegration Category: Regional Assistive/Emerging Technology Coordinator<br />

Adult Transition Category: Regional Veteran Coordinator<br />

Virtual SJBF Center: Regional Business Development Managers<br />

Regional Additional Technology: some Categories of Care will need additional technology,<br />

hardware, software or capital spending unique to their Category<br />

Mild TBI Category: School and ED-based Mild TBI assessment tools (approximately<br />

150 per region)<br />

Rural/Tele-medicine: Develop high-level communications platform for region<br />

Regional Category Administrative Support: general clerical and administrative support for the<br />

Category of Care staff<br />

Other costs associated with each Category of Care included in the itemized budget are:<br />

Regional Category Office Space Cost; Regional Category Transportation/Travel; Regional<br />

Category Office Equipment/Communications; Regional Category Supplies<br />

STAFFING FOR CASE MANAGEMENT RESPONSIBILITY<br />

Each State Lead Center will also serve as a SJB Family Level 1 Center for case management. To<br />

serve as a Level 1 Center each institution must be able to manage a specialized case management<br />

system for the children/young adults and their families (this would be the staffing for all Level 1<br />

Centers within each state to cover a certain geographic region/demographic population). A<br />

Level 1 Center will have a Center Manager, a Field Specialist, a dozen SJB Family Specialists,<br />

administrative support and office space. A Level 2 Center will have a Field Specialist, six SJB<br />

Family Specialists without any administrative support or office space. A Level 3 Center will<br />

only have three SJB Family Specialists. Both Level 2 and Level 3 Centers will be managed by<br />

the Center Manager within their region.<br />

Center Manager – responsible for specific geographic coverage area by managing the Field<br />

Specialists and all SJB Family Specialists within coverage area<br />

Field Specialist – responsible for education and training within coverage area and assisting the<br />

SJB Family Specialists with students and families when the student reaches age 16 and continues<br />

until age 25 for transition-related issues<br />

<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family Specialists – responsible for serving as highly-trained case managers<br />

for the child/young adult and their families as soon as a PA/TBI is diagnosed and working to<br />

make sure they receive the services<br />

Additional itemized budget items for the Case Management Responsibility include<br />

Transportation/Travel; Office Equipment/Communications; Supplies<br />

A profile for each State Lead Center is attached which provides contact and biographical<br />

information for each Program Director, an overview of the funds that State Lead Center will be<br />

receiving as well as an itemized breakdown of the costs associated with each position and line<br />

item described above.<br />

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CHAPTER 11: Financing the <strong>PABI</strong> <strong>Plan</strong><br />

BUDGETS AND FINANCING<br />

<strong>The</strong>re is no single Federal Department or Agency within a Department solely responsible for the<br />

system of care for the millions of children and young adults suffering with a brain injury.<br />

<strong>The</strong>refore, this is a multi-Department unsolicited grant proposal to the following Departments<br />

which have partial jurisdiction and responsibility (with some considerable overlap):<br />

Department of Education<br />

Department of Health and Human Services<br />

Department of Veterans Affairs<br />

Department of Transportation<br />

Department of Justice<br />

Department of Housing and Urban Development<br />

This grant proposal is requesting the funds be allocated by each Department according to the<br />

American Recovery and Reinvestment Act (ARRA) based upon an internal analysis by each<br />

Department corresponding to their respective jurisdiction within implementing the <strong>PABI</strong> <strong>Plan</strong>.<br />

This grant proposal accomplishes many of the goals set by ARRA:<br />

1) Creating over 6,000 jobs in across every state and territory<br />

2) Converting a large group of Americans with numerous and complex medical<br />

conditions into an electronic health record system, which will reduce medical<br />

errors, save billions in health care costs, and allow millions of families to learn<br />

from each other’s experiences<br />

3) Provide relief and support to millions of families who are managing their child’s<br />

health and education needs through a very byzantine system, many of these<br />

families are in low-income and vulnerable households<br />

4) Using comparative effectiveness research, we will improve the health of these<br />

millions of children and young adults, improve the health of communities and the<br />

performance of the health system by conducting, supporting and synthesizing<br />

research that compares the clinical outcomes, effectiveness and appropriateness of<br />

items, services and procedures that are used to prevent, diagnose and treat the #1<br />

leading cause of death and disability for children and young adults in the nation –<br />

brain injuries<br />

5) Develop the largest clinical and self-reporting registry and the largest “open<br />

source” database in the world of medical and education records to advance the<br />

field of pediatric neurology and other related areas<br />

6) Develop and expand prevention efforts<br />

7) Developing and implementing a nationwide, comprehensive, coordinated<br />

multidisciplinary, interagency system to provide early intervention services and to<br />

improve outcomes, train, educate and support families and professionals during<br />

this crucial time period<br />

8) Develop and implement effective adult transition programs to support individuals<br />

with significant disabilities by maximizing their leadership, empowerment,


9) Improve information technology systems to deliver benefits and services to our<br />

younger Veteran population who sustained a brain injury due to blast during war<br />

before they turned 25 years of age (while their brain was still in its developmental<br />

stage) while at the same time create additional support systems for the families of<br />

these young wounded warriors<br />

10) Whether it is through prevention of abusive head trauma/child abuse or helping to<br />

identify the young adults currently in our juvenile delinquency system with an<br />

undiagnosed and untreated brain injury, there is considerable correlation with the<br />

Department of Justice goals<br />

<strong>The</strong> prioritization of the comparative effectiveness research and investments were outlined as:<br />

1) Potential impact: based on prevalence of condition, burden of disease, variability<br />

in outcomes, costs potential for increased patient benefits or decreased harm<br />

2) Potential to evaluate comparative effectiveness in diverse populations and patient<br />

sub-groups and engage communities in research<br />

3) Addresses need or gap unlikely to be addressed through other organizations<br />

4) Potential for multiplicative effect (e.g., lays foundation for future CER such as<br />

data infrastructure and methods development and training and generating<br />

additional investment outside government)<br />

Without question, this grant proposal addresses each of these priorities and it would be extremely<br />

difficult for someone to make the case that there is a better proposal to address each of these<br />

priorities.<br />

As outlined above, the seven National Lead Centers will begin hiring and training their State<br />

Lead Center Management and Category of Care personnel during the first quarter of this project<br />

(allowing up to six months to complete this task). <strong>The</strong> remaining 45 State Lead Centers will<br />

begin hiring and training their State Lead Center Management and Category of Care personnel<br />

during the second quarter of this project (also allowing up to six months to complete this task).<br />

<strong>The</strong> National Lead Centers will begin hiring and training their Level 1 Center personnel by the<br />

third quarter (or sooner if the first task is accomplished early) and will have twelve months to<br />

have their Level 1 Centers fully operational. <strong>The</strong> remaining 45 State Lead Centers will begin<br />

hiring and training their Level 1 personnel by the fourth quarter (or sooner if the first task is<br />

accomplished early). <strong>The</strong> National Lead Centers will begin hiring and training their Level 2<br />

Center personnel by the fourth quarter with nine months allocated to accomplish this task and<br />

will begin hiring and training their Level 3 Center personnel by the fifth quarter with six months<br />

allocated to accomplish this task (or sooner if they are ahead of schedule). <strong>The</strong> remaining 45<br />

State Lead Centers will be expected to begin their Level 2 and Level 3 hiring and training no<br />

later than the fifth and sixth quarter respectively. This staggered roll-out will allow for the seven<br />

National Lead Centers to work out any problems ahead of time and share their experiences with<br />

the remaining 45 State Lead Centers.<br />

<strong>The</strong> entire grant proposal is approximately $930 million (a detailed spreadsheet with a<br />

breakdown of each State Lead Center and its itemized staffing and other costs is attached). <strong>The</strong><br />

average amount directed to each State Lead Center for this two-year project is $18 million and<br />

the variations are based upon population, cost of living and Category of Care responsibilities<br />

(National Lead Centers have additional staffing and direct responsibility for some of the specific<br />

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projects, a smaller state will have fewer SJB Family Specialists and another state may have a<br />

higher than average cost of living or fringe rate).<br />

<strong>The</strong> funds will be distributed to each State Lead Center directly. Each organization serving as a<br />

State Lead Center has agreed to keep all indirect costs as a percentage of the overall budget to a<br />

maximum allowable percentage of 20%. <strong>The</strong>re will be a 2% administrative fee to the <strong>Sarah</strong> <strong>Jane</strong><br />

<strong>Brain</strong> Foundation for management of the entire national system. <strong>The</strong> <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong><br />

Foundation will be responsible for the coordination and implementation of the grant and will<br />

provide quarterly reports on the activities and accomplishments for all 52 State Lead Centers.<br />

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CHAPTER 12: Summary of <strong>PABI</strong> Grant Proposal along with Assumptions for Budget<br />

Here is a summary of the <strong>PABI</strong> Grant proposal budget along with the baseline annual salaries for each<br />

position and the formulas for other line items.<br />

In addition, attached is a breakdown by state of the variable assumptions:<br />

• % of average salary vs. U.S. average<br />

• the number of Level 1,2 and 3 Centers per state<br />

• % fringe rate for benefits per state<br />

Number of Level 1 Centers nationwide: 130<br />

Number of Level 2 Centers nationwide: 176<br />

Number of Level 3 Centers nationwide: 155<br />

Total number of jobs <strong>PABI</strong> Grant directly creates in United States: 6,150<br />

Budget Overview for <strong>PABI</strong> Grant<br />

State Lead Center Management Sub-total: $ 324,126,920<br />

Category of Care Management Sub-total: $ 150,445,553<br />

Case Management Sub-total: $ 285,992,508<br />

State Lead Center Sub-total: $ 762,228,981<br />

Indirect Cost to Institution (20%): $ 152,445,796<br />

Administrative Cost to SJBF (2%): $ 15,244,580<br />

TOTAL AMOUNT OF <strong>PABI</strong> GRANT PROPOSAL: $ 929,919,357<br />

85


Summary of <strong>PABI</strong> Grant Proposal continued<br />

Title/Description Base Annual Amount for <strong>PABI</strong> Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: varies<br />

Program Director Assistant: $ 45,000<br />

State Director: $ 150,000<br />

Associate State Director: $ 65,000<br />

State Epidemiologist: $ 100,000<br />

State Epidemiologist Assistant: $ 45,000<br />

State Scientific Investigation Research Coordinator: $ 85,000<br />

State Scientific Investigation Research Assistant: $ 45,000<br />

State Education/Training Coordinator (plus materials): $ 85,000+$80,000<br />

State General Counsel: $ 120,000<br />

State IT Manager: $ 95,000<br />

State Family Support Coordinator: $ 75,000<br />

State Prevention/Awareness Coordinator: $ 75,000<br />

State Acute Care Coordinator: $ 75,000<br />

State Reintegration Coordinator: $ 75,000<br />

State Adult Transition Coordinator: $ 75,000<br />

State Mild TBI Coordinator: $ 75,000<br />

State Mental Health Coordinator: $ 65,000<br />

State Assistive/Emerging Technology Coordinator: $ 65,000<br />

State Correctional System Coordinator: $ 65,000<br />

State MISC Coordinator: $ 65,000<br />

State Veterans Coordinator: $ 65,000<br />

State Data Manager: $ 65,000<br />

State Public Policy Manager: $ 75,000<br />

State Community Relations Manager: $ 65,000<br />

State Administrative Support: $ 45,000 per employee<br />

Charity care: $ 200,000<br />

Human Resources Support: $1,000 per employee<br />

Training Support: $ 250 per employee<br />

State Lead Center Office Space Cost: $ 31 sq/ft<br />

State Lead Center Transportation/Travel: $ 200 per round trip visit<br />

State Lead Center Office Equipment/Communications: center + employee calculation<br />

State Lead Center Supplies: $ 2,000 per employee<br />

Annual and Regional Conferences: $ 16,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 100,000<br />

86


Summary of Grant Proposal continued<br />

Title/Description Base Annual Amount for <strong>PABI</strong> Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Acute Phase<br />

National Category Director: $ 180,000<br />

National Category Epidemiologist: $ 150,000<br />

National Category Education/Training Coordinator: $ 120,000<br />

National Category Scientific Investigation Research: $ 120,000<br />

Regional Category Director: $ 150,000<br />

Regional Category Epidemiologist: $ 120,000<br />

Regional Category Education/Training Coordinator: $ 100,000<br />

Regional Category Scientific Investigation Research: $ 100,000<br />

Regional Category Administrative Support: $ 45,000 per employee<br />

Regional Category Office Space Cost: $ 31 sq/ft<br />

Regional Category Transportation/Travel: $ 750 per round trip visit<br />

Regional Category Office Equipment/Communications: office + employee calculation<br />

Regional Category Supplies: $ 2,000 per employee<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 100,000<br />

Center Field Specialist(s): $ 80,000<br />

Center SJB Family Specialist(s): $ 65,000<br />

Center Administrative Support: $ 45,000<br />

Level 1 Office Space Cost: $ 31 sq/ft<br />

Level 1 Transportation/Travel: $ 200 per roundtrip visit<br />

Level 1 Office Equipment/Communications: center and employee variables<br />

Level 1 Supplies: $ 2,000 per employee<br />

87


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Alabama<br />

<strong>The</strong> University of Alabama at Birmingham / <strong>The</strong> Children's Hospital of Alabama<br />

www.uab.edu<br />

REGION: Southeast CATEGORY OF CARE: Adult Transition<br />

Program Director: Richard Drew Davis, MD Position Title: Assistant Professor<br />

Department: Department of Pediatrics Major Subdivision: Division of Pediatric<br />

Rehabilitation Medicine<br />

Address: 1600 7th Avenue South, ACC 406, Birmingham, AL 35233<br />

Phone: 205‐939‐9790<br />

Email: ddavis@peds.uab.edu<br />

Level 1 Center(s): Birmingham<br />

Level 2 Center(s): Huntsville, Mobile<br />

Level 3 Center(s): Montgomery, Dothan<br />

Number of jobs <strong>PABI</strong> Grant creates in Alabama: 84<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,580,228<br />

Category of Care Management Sub‐total: $ 1,642,744<br />

Case Management Sub‐total: $ 2,098,851<br />

State Lead Center Sub‐total: $ 9,353,824<br />

Indirect Cost to Institution (20%): $ 1,870,765<br />

Administrative Cost to SJBF (2%): $ 187,076<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 11,411,665


<strong>The</strong> University of Alabama at Birmingham / <strong>The</strong> Children's Hospital of Alabama Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 229,250<br />

Program Director Assistant: $ 87,446<br />

State Director: $ 291,486<br />

Associate State Director: $ 126,310<br />

State Epidemiologist: $ 194,324<br />

State Epidemiologist Assistant: $ 87,446<br />

State Scientific Investigation Research Coordinator: $ 165,175<br />

State Scientific Investigation Research Assistant: $ 165,175<br />

State Education/Training Coordinator (plus materials): $ 275,361<br />

State General Counsel: $ 233,188<br />

State IT Manager: $ 184,608<br />

State Family Support Coordinator: $ 145,743<br />

State Prevention/Awareness Coordinator: $ 145,743<br />

State Acute Care Coordinator: $ 145,743<br />

State Reintegration Coordinator: $ 145,743<br />

State Adult Transition Coordinator: $ 145,743<br />

State Mild TBI Coordinator: $ 145,743<br />

State Mental Health Coordinator: $ 126,310<br />

State Assistive/Emerging Technology Coordinator: $ 126,310<br />

State Correctional System Coordinator: $ 126,310<br />

State MISC Coordinator: $ 126,310<br />

State Veterans Coordinator: $ 126,310<br />

State Data Manager: $ 126,310<br />

State Public Policy Manager: $ 145,743<br />

State Community Relations Manager: $ 126,310<br />

State Administrative Support: $ 524,674<br />

Charity care: $ 296,677<br />

Human Resources Support: $ 84,000<br />

Training Support: $ 21,000<br />

State Lead Center Office Space Cost: $ 285,107<br />

State Lead Center Transportation/Travel: $ 96,123<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 91,970<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 84,765<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,580,228


<strong>The</strong> University of Alabama at Birmingham / <strong>The</strong> Children's Hospital of Alabama Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Adult Transition<br />

Regional Category Director: $ 291,486<br />

Regional Category Epidemiologist: $ 233,188<br />

Regional Category Education/Training Coordinator: $ 194,324<br />

Regional Category Scientific Investigation Research: $ 194,324<br />

Regional Additional (Regional Veteran Coordinator): $ 194,324<br />

Regional Category Administrative Support: $ 349,783<br />

Regional Category Office Space Cost: $ 82,773<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 26,701<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,642,744


<strong>The</strong> University of Alabama at Birmingham / <strong>The</strong> Children's Hospital of Alabama Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 138,803<br />

Level 1 Center Field Specialist(s): $ 111,042<br />

Level 1 Center SJB Family Specialist(s): $ 757,863<br />

Level 1 Center Administrative Support: $ 124,922<br />

Level 1 Office Space Cost: $ 44,502<br />

Level 1 Transportation/Travel: $ 27,214<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 50,859<br />

Level 2 Center Field Specialist(s): $ 133,251<br />

Level 2 Center SJB Family Specialist(s): $ 433,064<br />

Level 2 Transportation/Travel: $ 15,566<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 17,801<br />

Level 3 Center SJB Family Specialist(s): $ 162,399<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 5,086<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,098,851<br />

STATE LEAD CENTER SUB‐TOTAL: $ 9,353,824<br />

INDIRECT COST TO INSTITUTION: $ 1,870,765<br />

ADMINISTRATIVE FEE TO SJBF: $ 187,076<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,411,665<br />

TOTAL JOBS CREATED IN Alabama: 84


h Principal Investigator/Program Director (Last, first, middle):<br />

NAME<br />

Richard Drew Davis, MD<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel in the order listed for Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

POSITION TITLE<br />

Assistant Professor<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Auburn University, Auburn, Alabama BS 1992 – 1995 Zoology<br />

University of Alabama School of Medicine,<br />

Birmingham, Alabama<br />

MD 1996 – 2000 Medicine<br />

A. Positions and Honors.<br />

2000 – 2001 Family Practice Internship, University of Alabama, College of Community Health<br />

Sciences, Tuscaloosa, Alabama<br />

2001 – 2004 Physical Medicine and Rehabilitation Resident, University of Alabama at Birmingham,<br />

Birmingham, Alabama<br />

2003 – 2004 Chief Resident, Department of Physical Medicine and Rehabilitation, University of<br />

Alabama at Birmingham, Birmingham, Alabama<br />

2004 – 2005 Pediatric Rehabilitation Medicine Fellow, University of Alabama at Birmingham,<br />

Birmingham, Alabama<br />

2005-present Assistant Professor, University of Alabama at Birmingham, Birmingham, Alabama<br />

2005-present Active Staff, Children’s Hospital of Alabama, Birmingham, Alabama<br />

2005-present Attending Physician, Pediatric Rehabilitation Medicine Inpatient and Consult Service,<br />

Children’s Hospital, Birmingham, Alabama<br />

2005-present Attending Physician, Pediatric Rehabilitation Medicine Clinic, Children’s Hospital,<br />

Birmingham, Alabama<br />

2005-present Attending Physician, Pediatric Multidisciplinary Muscular Dystrophy Association<br />

Clinic, Children’s Hospital, Birmingham, Alabama<br />

2005-present Attending Physician, Pediatric Multidisciplinary Spina Bifida Clinic, Children’s<br />

Hospital, Birmingham, Alabama<br />

2005-present Medical Director, Children’s Health Systems Early Intervention Services<br />

2007-present Director of Rehabilitation Medicine, Children’s Hospital, Birmingham, Alabama<br />

B. Selected peer-reviewed publications (in chronological order).<br />

Tubbs RS, Law C, Davis D, Shoja M, Acakpo-Satchivi L, Wellons JC, Blount JP, Oakes J. Scheduled oral<br />

analgesics and the need for opiates in children following partial dorsal rhizotomy. J Neurosurg, 2007 Jun;106(6<br />

Suppl):439-40.<br />

Books and Book Chapters<br />

Law C, Davis RD. Rehabilitation Concepts in Myelomeningocele and Other Spinal Dysraphisms,<br />

Physical Medicine & Rehabilitation, Third Edition, W.B. Saunders Company. 2007<br />

C. Research Support. List selected ongoing or completed (during the last three years) research projects<br />

(federal and non-federal support). Begin with the projects that are most relevant to the research proposed in<br />

this application. Briefly indicate the overall goals of the projects and responsibilities of principal investigator<br />

identified above.<br />

PHS 398/2590 (Rev. 05/01) Page _______ Biographical Sketch Format Page<br />

Number pages consecutively at the bottom throughout the application. Do not use suffixes such as 3a, 3b.


h Principal Investigator/Program Director (Last, first, middle):<br />

Current Research Support<br />

Kaul Pediatric Research Institute<br />

Remodeling the Damaged Immature <strong>Brain</strong> by Pediatric CI <strong>The</strong>rapy<br />

<strong>The</strong> purpose of this trial is to determine what changes may be occurring in the grey and white matter of the<br />

brain of children who have undergone constraint-induced movement therapy.<br />

Role: Principal Investigator<br />

ACQUIREc <strong>The</strong>rapy Gift Account<br />

A Multi-Site Trial for ACQUIREc <strong>The</strong>rapy<br />

<strong>The</strong> purpose of this trial is to establish a multi-site collaboration that can build and demonstrate capacity to<br />

conduct a rigorous program of research related to ACQUIREc therapy and other aspects of pediatric<br />

constraint-induced movement therapy.<br />

Role: Co-Investigator and Medical Supervisor<br />

Boyd Foundation<br />

Team ACES (Advocacy, Creative Coping, Education, and Support) intervention for school-aged children newly<br />

diagnosed with leukemia<br />

<strong>The</strong> purpose of this project is to use exercise to increase healthy behaviors in pediatric leukemia patients.<br />

Role: Co-Investigator<br />

Alabama Council for Developmental Disabilities<br />

Using the iPhone Software Development Kit (SDK) to create universally designed programs to enhance<br />

communication, mobility, and environmental control for individuals with disabilities<br />

<strong>The</strong> purpose of this project is to gather consumer input and develop a proof-of-concept prototypes using the<br />

iPhone SDK to address communication, mobility, and environmental control for individuals with disabilities.<br />

Role: Collaborator<br />

PHS 398/2590 (Rev. 05/01) Page _______ Biographical Sketch Format Page<br />

Number pages consecutively at the bottom throughout the application. Do not use suffixes such as 3a, 3b.


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Alaska<br />

<strong>The</strong> Children's Hospital at Providence<br />

www.providence.org<br />

REGION: Pacific CATEGORY OF CARE: Prevention<br />

Program Director: Christie Artuso, Ed.D, RN, CCRN, PCCN,CNRN Position Title: Director<br />

Department: Department of Neuroscience Services<br />

Address: 3200 Providence Drive, Anchorage, AK 99508<br />

Phone: 907‐212‐3138<br />

Email: christie.artuso@providence.org<br />

Program Director: Cindy Alkire, RNC, BSN, MHA Position Title: Assistant Chief Nurse Executive<br />

Address: 3200 Providence Drive, Anchorage, AK 99508<br />

Phone: 907‐212‐2889<br />

Email: cindy.alkire@providence.org<br />

Level 1 Center(s): Anchorage (Children's Hospital at Providence)<br />

Level 2 Center(s): Fairbanks, Juneau, Anchorage (Alaska Native Medical Center)<br />

Level 3 Center(s): Rural mobile centers<br />

Number of jobs <strong>PABI</strong> Grant creates in Alaska: 91<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 6,472,268<br />

Category of Care Management Sub‐total: $ 1,878,420<br />

Case Management Sub‐total: $ 2,945,883<br />

State Lead Center Sub‐total: $ 11,328,572<br />

Indirect Cost to Institution (20%): $ 2,265,714<br />

Administrative Cost to SJBF (2%): $ 226,571<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 13,820,857


<strong>The</strong> Children's Hospital at Providence Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 83,300<br />

Program Director Assistant: $ 108,178<br />

State Director: $ 360,593<br />

Associate State Director: $ 156,257<br />

State Epidemiologist: $ 240,395<br />

State Epidemiologist Assistant: $ 108,178<br />

State Scientific Investigation Research Coordinator: $ 204,336<br />

State Scientific Investigation Research Assistant: $ 204,336<br />

State Education/Training Coordinator (plus materials): $ 220,557<br />

State General Counsel: $ 288,474<br />

State IT Manager: $ 228,376<br />

State Family Support Coordinator: $ 180,296<br />

State Prevention/Awareness Coordinator: $ 180,296<br />

State Acute Care Coordinator: $ 180,296<br />

State Reintegration Coordinator: $ 180,296<br />

State Adult Transition Coordinator: $ 180,296<br />

State Mild TBI Coordinator: $ 180,296<br />

State Mental Health Coordinator: $ 156,257<br />

State Assistive/Emerging Technology Coordinator: $ 156,257<br />

State Correctional System Coordinator: $ 156,257<br />

State MISC Coordinator: $ 156,257<br />

State Veterans Coordinator: $ 156,257<br />

State Data Manager: $ 156,257<br />

State Public Policy Manager: $ 180,296<br />

State Community Relations Manager: $ 156,257<br />

State Administrative Support: $ 649,067<br />

Charity care: $ 353,522<br />

Human Resources Support: $ 91,000<br />

Training Support: $ 22,750<br />

State Lead Center Office Space Cost: $ 339,735<br />

State Lead Center Transportation/Travel: $ 113,400<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 109,592<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 101,006<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 6,472,268


<strong>The</strong> Children's Hospital at Providence Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Prevention<br />

Regional Category Director: $ 360,593<br />

Regional Category Epidemiologist: $ 288,474<br />

Regional Category Education/Training Coordinator: $ 240,395<br />

Regional Category Scientific Investigation Research: $ 240,395<br />

Regional Category Administrative Support: $ 432,712<br />

Regional Category Office Space Cost: $ 98,633<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 31,817<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,878,420


<strong>The</strong> Children's Hospital at Providence Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 171,711<br />

Level 1 Center Field Specialist(s): $ 137,369<br />

Level 1 Center SJB Family Specialist(s): $ 937,542<br />

Level 1 Center Administrative Support: $ 154,540<br />

Level 1 Office Space Cost: $ 53,028<br />

Level 1 Transportation/Travel: $ 27,900<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 60,604<br />

Level 2 Center Field Specialist(s): $ 247,264<br />

Level 2 Center SJB Family Specialist(s): $ 803,607<br />

Level 2 Transportation/Travel: $ 23,760<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 31,817<br />

Level 3 Center SJB Family Specialist(s): $ 200,902<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 6,060<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,945,883<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,328,572<br />

INDIRECT COST TO INSTITUTION: $ 2,265,714<br />

ADMINISTRATIVE FEE TO SJBF: $ 226,571<br />

STATE LEAD CENTER SUB‐TOTAL: $ 13,820,857<br />

TOTAL JOBS CREATED IN Alaska: 91


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Arizona<br />

Barrow Neurological Institute / St. Joseph Hospital and Medical Center<br />

www.thebarrow.org<br />

REGION: Pacific CATEGORY OF CARE: Virtual SJB Center<br />

Program Director: Javier Cardenas, MD Position Title: Child Neurologist<br />

Department: Department of Child Neurology<br />

Address: 500 W. Thomas Road, Suite 400, Phoenix, AZ 85013<br />

Phone: 602‐406‐3800<br />

Email: javier.cardenas@chw.edu<br />

Level 1 Center(s): Phoenix (Barrow Neurological Institute)<br />

Level 2 Center(s): Phoenix (Phoenix Children's Hospital), Mesa (Banner Children's Hospital)<br />

Level 3 Center(s): Glendale (Banner Thunderbird Hospital), Gilbert (Mercy Gilbert Hospital)<br />

Number of jobs <strong>PABI</strong> Grant creates in Arizona: 84<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,893,971<br />

Category of Care Management Sub‐total: $ 1,766,991<br />

Case Management Sub‐total: $ 2,266,949<br />

State Lead Center Sub‐total: $ 9,959,912<br />

Indirect Cost to Institution (20%): $ 1,991,982<br />

Administrative Cost to SJBF (2%): $ 199,198<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 12,151,092


Barrow Neurological Institute / St. Joseph Hospital and Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 79,650<br />

Program Director Assistant: $ 94,808<br />

State Director: $ 316,025<br />

Associate State Director: $ 136,944<br />

State Epidemiologist: $ 210,684<br />

State Epidemiologist Assistant: $ 94,808<br />

State Scientific Investigation Research Coordinator: $ 179,081<br />

State Scientific Investigation Research Assistant: $ 179,081<br />

State Education/Training Coordinator (plus materials): $ 332,715<br />

State General Counsel: $ 252,820<br />

State IT Manager: $ 200,149<br />

State Family Support Coordinator: $ 158,013<br />

State Prevention/Awareness Coordinator: $ 158,013<br />

State Acute Care Coordinator: $ 158,013<br />

State Reintegration Coordinator: $ 158,013<br />

State Adult Transition Coordinator: $ 158,013<br />

State Mild TBI Coordinator: $ 158,013<br />

State Mental Health Coordinator: $ 136,944<br />

State Assistive/Emerging Technology Coordinator: $ 136,944<br />

State Correctional System Coordinator: $ 136,944<br />

State MISC Coordinator: $ 136,944<br />

State Veterans Coordinator: $ 136,944<br />

State Data Manager: $ 136,944<br />

State Public Policy Manager: $ 158,013<br />

State Community Relations Manager: $ 136,944<br />

State Administrative Support: $ 568,846<br />

Charity care: $ 324,029<br />

Human Resources Support: $ 84,000<br />

Training Support: $ 21,000<br />

State Lead Center Office Space Cost: $ 311,392<br />

State Lead Center Transportation/Travel: $ 104,985<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 100,449<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 92,580<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,893,971


Barrow Neurological Institute / St. Joseph Hospital and Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Virtual SJB Center<br />

Regional Category Director: $ 316,025<br />

Regional Category Epidemiologist: $ 252,820<br />

Regional Category Education/Training Coordinator: $ 210,684<br />

Regional Category Scientific Investigation Research: $ 210,684<br />

Additional (Regional Business Development Manager): $ 210,684<br />

Regional Category Administrative Support: $ 379,231<br />

Regional Category Office Space Cost: $ 90,404<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 29,163<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,766,991


Barrow Neurological Institute / St. Joseph Hospital and Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 150,488<br />

Level 1 Center Field Specialist(s): $ 120,391<br />

Level 1 Center SJB Family Specialist(s): $ 821,666<br />

Level 1 Center Administrative Support: $ 135,439<br />

Level 1 Office Space Cost: $ 48,604<br />

Level 1 Transportation/Travel: $ 27,566<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 55,548<br />

Level 2 Center Field Specialist(s): $ 144,469<br />

Level 2 Center SJB Family Specialist(s): $ 469,523<br />

Level 2 Transportation/Travel: $ 15,706<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 19,442<br />

Level 3 Center SJB Family Specialist(s): $ 176,071<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 5,555<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,266,949<br />

STATE LEAD CENTER SUB‐TOTAL: $ 9,959,912<br />

INDIRECT COST TO INSTITUTION: $ 1,991,982<br />

ADMINISTRATIVE FEE TO SJBF: $ 199,198<br />

STATE LEAD CENTER SUB‐TOTAL: $ 12,151,092<br />

TOTAL JOBS CREATED IN Arizona: 84


Employment<br />

Education<br />

Postgraduate Training<br />

Honors & Awards<br />

Javier Cárdenas, MD<br />

Child Neurologist<br />

500 W. Thomas Rd. suite 400<br />

Phoenix, Arizona 85013<br />

(602) 406-3800<br />

Javier.cardenas@chw.edu<br />

Child Neurologist, Barrow Neurological Institute, St.<br />

Joseph’s Hospital and Medical Center, Phoenix, AZ<br />

2009-present<br />

Special Education Teacher, Science and English for students<br />

with learning disabilities, Tolleson Union High School,<br />

Tolleson, AZ 1999-2000.<br />

M.D., University of Arizona College of Medicine, 2000-2004<br />

Tucson, Arizona<br />

B.A., Arizona State University, 1996-1999<br />

Tempe, Arizona<br />

Special Education, Magna Cum Laude<br />

University of Arizona, 1994-1996<br />

Tucson, Arizona<br />

Pediatric Neurology Resident, Barrow Neurological<br />

Institute, St. Joseph’s Hospital and Medical Center,<br />

Phoenix, AZ 2006 – 2009<br />

Pediatric Resident, Children’s Health Center, St. Joseph’s<br />

Hospital and Medical Center, Phoenix, AZ 2004-2006<br />

Housestaff Servant Leadership Award, St. Joseph’s Hospital<br />

and Medical Center, 2009<br />

<strong>The</strong> Arizona Neurological Society Award for outstanding<br />

poster presentation, 2007<br />

<strong>The</strong> M. Caroline Duncan Award, <strong>The</strong> Southern Pediatric<br />

Neurology Society 32 nd annual meeting, 2007<br />

<strong>The</strong> Walt Vikram Troester Memorial Scholarship, for<br />

exemplary compassion in the care of neonates, St.<br />

Joseph’s Hospital and Medical Center, 2006<br />

Outstanding Resident Teacher of the Year, <strong>The</strong><br />

Children’s Health Center, St. Joseph’s Hospital and<br />

Medical Center, 2006<br />

Pediatric Intern of the Year, <strong>The</strong> Children’s Health<br />

Center, St. Joseph’s Hospital and Medical Center,<br />

2005


Research Experience<br />

Publications<br />

Presentations<br />

Exemplary Student Researcher, <strong>The</strong> Translational<br />

Genomics Research Institute, 2003<br />

Magna Cum Laude, Arizona State University, 1999<br />

College of Education Dean’s List, Arizona State<br />

University 1996-1999<br />

City of Tempe Kid Zone: Kid Zone Site of the Month<br />

October, 1998<br />

College of Liberal Arts and Sciences Dean’s List,<br />

University of Arizona 1994-1996<br />

TGen, <strong>The</strong> Translational Genomics Research Institute.<br />

Research intern, August 2003, January-March 2004.<br />

Assisted in locating a previously unmapped fatal genetic<br />

disease found in Amish infants. Contributed to the<br />

discovery of dominant and recessive gene alleles in ALS.<br />

Pursued the genetic origins of Autism under the<br />

guidance of Dietrich Stephan, Ph.D., Director,<br />

Neurogenomics program<br />

Arizona State University, Department of Biology.<br />

Research assistant, summer 1999. Investigated behavioral<br />

and physiologic characteristics of Africanized honey bees<br />

under the guidance of Jennifer Fewell, Ph.D., associate<br />

professor of Biology, and John Harrison, Ph.D., professor<br />

of Biology<br />

Cardenas JF, Rho JM, Ng YT. “Reversible Lamotrigine-<br />

induced Neurobehavioral Disturbances in Children with<br />

Epilepsy.” J Child Neurol 2009.<br />

Cardenas JF, Bodensteiner J. “Osmotic demyelination<br />

syndrome as a consequence of treating hyperammonemia<br />

in a patient with ornithine transcarbomylase deficiency.”<br />

J Child Neurol 2009 Feb 18 epub ahead of print.<br />

Chapman K, Cardenas JF. “Hemimegalencephaly in a<br />

patient with a neurocutaneous syndrome.” Semin Pediatr<br />

Neurol. 2008 Dec;15(4):190-3.<br />

Puffenberger, et al. “A high-density SNP genome scan<br />

identifies TSPYL loss-of function as causative of Swarey<br />

syndrome.” Proceedings of the National Academy of<br />

Sciences. June 2004.<br />

“Hypothermia for the Treatment of Traumatic <strong>Brain</strong><br />

Injury.” Pediatric Neuroscience Grand Rounds. St.<br />

Joseph's Hospital and Medical Center. Phoenix, AZ.<br />

February, 2009.<br />

“Second Impact Syndrome: Fact or Fiction?” Pediatric


Certifications<br />

Neuroscience Grand Rounds. St.Joseph's Hospital<br />

and Medical Center. Phoenix, AZ. December 2008.<br />

“Strategies for the Prevention of Traumatic <strong>Brain</strong> Injury.”<br />

<strong>The</strong> 13 th Annual Barrow Pediatric Neuroscience<br />

Symposium. Barrow Neurological Institute. Phoenix,<br />

AZ. November 2008.<br />

"Traumatic <strong>Brain</strong> Injury in Children." Pediatrics Grand<br />

Rounds. St. Joseph's Hospital and Medical Center.<br />

Phoenix, AZ. March 2008.<br />

"Toxic Leukoencephalopathy After Heroin Inhalation<br />

(Chasing the Dragon)." Southern Pediatric Society<br />

Annual Meeting. New Orleans, LA. March 2008.<br />

“Lamotrigine-induced Severe Hyperactivity and<br />

Behavioral Exacerbation.” March 2007. Southern<br />

Pediatric Neurology Society Annual Meeting. New<br />

Orleans, LA<br />

“Embryology of the Central Nervous System.” May<br />

2007. General Pediatrics Noon Conference. Saint<br />

Joseph’s Hospital and Medical Center. Phoenix, AZ<br />

“Evaluation of Developmental Delay.” December 2007<br />

General Pediatrics Noon Conference. Saint Joseph’s<br />

Hospital and Medical Center. Phoenix, AZ<br />

Case Presentation:“Mitochondrial Encephalomyopathy,<br />

Lactic Acidosis with Stroke-Like Episodes (MELAS).”<br />

February 2007. Barrow Neurological Institute. Saint<br />

Joseph’s Hospital and Medical Center. Phoenix, AZ<br />

Case Presentation: “Wernicke Encephalopathy.” May<br />

2007 Barrow Neurological Institute. Saint Joseph’s<br />

Hospital and Medical Center. Phoenix, AZ<br />

Poster Presentation: ”Toxic Leukoencephalopathy After<br />

Heroin Inhalation: Pathognomonic Images From Five<br />

Cases of Chasing the Dragon.” Nov 2008. Child<br />

Neurology Society Meeting. Santa Clara, CA<br />

Poster Presentation: “Sydenham’s Chorea as a<br />

Presentation of Moya Moya Disease.” July 2008.<br />

Arizona Neurological Society Summer Meeting.<br />

Sedona, AZ<br />

Poster Presentation: “Chasing the Dragon Will Get You<br />

Burned: Three Cases of Toxic Leukoencephalopathy<br />

after Heroin Inhalation.” July 2007. Arizona<br />

Neurological Society Summer Meeting. Sedona, AZ<br />

Poster Presentation: “Reversible Lamotrigine-induced<br />

Neurobehavioral Activation in Epileptic Children.”<br />

October 2007. Child Neurology Society Annual<br />

Meeting. Quebec City, Quebec. Canada.


Licensure<br />

Professional<br />

Organizations<br />

Languages<br />

Advocacy<br />

Appointments<br />

Volunteer Activities<br />

Pediatric Advanced Life Support 2004, 2007<br />

Special Education: Grades K-12, Learning Disabilities,<br />

Mental Retardation, issued August 1999, expired July<br />

2004.<br />

Arizona Medical Board 2007-present<br />

USMLE Step III, April 2006; pass<br />

USMLE Step II, July 2003: pass<br />

USMLE Step I, June 2002: pass<br />

American Academy of Neurology<br />

Child Neurology Society<br />

Arizona Neurological Society<br />

Spanish- proficient written and spoken<br />

Palatucci Advocacy Leadership Forum. American Academy<br />

of Neurology. 2008, 2009 (advisor)<br />

Arizona State Governor’s Advisory Council on Spinal and<br />

Head Injuries 2008-present<br />

Chicanos por la Causa (CPLC) Board of Directors, 2009<br />

Arizona School for the Arts (ASA) Board of Directors, 2009<br />

Muscular Dystrophy Association<br />

Camp Medical Staff, June 2008, 2009<br />

Special Olympics of Arizona<br />

Physical Examiner to underprivileged athletes,<br />

September, 2003, 2004, 2005, 2006, 2007, 2008<br />

Head Coach (basketball, bowling, track and field),<br />

Tolleson Union High School, Tolleson, AZ 1999-<br />

2000<br />

Assistant Coach (basketball, bowling, track and field),<br />

Chandler High School, Chandler, AZ 1994-1999<br />

Best Buddies, mentor to a child with developmental<br />

disabilities, Tucson, AZ 1994-1995<br />

Peer facilitator, assisted in the education of a disabled peer,<br />

Chandler High School, Chandler, AZ 1993-1994


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Arkansas<br />

UAMS/Arkansas Children's Hospital Research Institute (ACHRI)<br />

achri.archildrens.org<br />

REGION: Southcentral CATEGORY OF CARE: Prevention<br />

Program Director: Mary Aitken, MD Position Title: Professor of Pediatrics<br />

Department: Department of Pediatrics<br />

Address: 13 Children's Way, Little Rock, AR 72202<br />

Phone: 501‐686‐7000<br />

Email: Aitkenmarye@uams.edu<br />

Level 1 Center(s): Little Rock, Fayetteville<br />

Level 2 Center(s): Jonesboro, El Dorado<br />

Level 3 Center(s): Ft. Smith, Mountain Home, Texarkana, Helena<br />

Number of jobs <strong>PABI</strong> Grant creates in Arkansas: 104<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 4,856,960<br />

Category of Care Management Sub‐total: $ 1,369,806<br />

Case Management Sub‐total: $ 3,040,546<br />

State Lead Center Sub‐total: $ 9,299,312<br />

Indirect Cost to Institution (20%): $ 1,859,862<br />

Administrative Cost to SJBF (2%): $ 185,986<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 11,345,161


UAMS/Arkansas Children's Hospital Research Institute (ACHRI) Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 177,188<br />

Program Director Assistant: $ 75,170<br />

State Director: $ 250,565<br />

Associate State Director: $ 108,578<br />

State Epidemiologist: $ 167,044<br />

State Epidemiologist Assistant: $ 75,170<br />

State Scientific Investigation Research Coordinator: $ 141,987<br />

State Scientific Investigation Research Assistant: $ 141,987<br />

State Education/Training Coordinator (plus materials): $ 209,475<br />

State General Counsel: $ 200,452<br />

State IT Manager: $ 158,691<br />

State Family Support Coordinator: $ 125,283<br />

State Prevention/Awareness Coordinator: $ 125,283<br />

State Acute Care Coordinator: $ 125,283<br />

State Reintegration Coordinator: $ 125,283<br />

State Adult Transition Coordinator: $ 125,283<br />

State Mild TBI Coordinator: $ 125,283<br />

State Mental Health Coordinator: $ 108,578<br />

State Assistive/Emerging Technology Coordinator: $ 108,578<br />

State Correctional System Coordinator: $ 108,578<br />

State MISC Coordinator: $ 108,578<br />

State Veterans Coordinator: $ 108,578<br />

State Data Manager: $ 108,578<br />

State Public Policy Manager: $ 125,283<br />

State Community Relations Manager: $ 108,578<br />

State Administrative Support: $ 451,017<br />

Charity care: $ 267,270<br />

Human Resources Support: $ 104,000<br />

Training Support: $ 26,000<br />

State Lead Center Office Space Cost: $ 256,846<br />

State Lead Center Transportation/Travel: $ 86,595<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 82,854<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 76,363<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 4,856,960


UAMS/Arkansas Children's Hospital Research Institute (ACHRI) Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Prevention<br />

Regional Category Director: $ 250,565<br />

Regional Category Epidemiologist: $ 200,452<br />

Regional Category Education/Training Coordinator: $ 167,044<br />

Regional Category Scientific Investigation Research: $ 167,044<br />

Regional Category Administrative Support: $ 300,678<br />

Regional Category Office Space Cost: $ 74,568<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 24,054<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,369,806


UAMS/Arkansas Children's Hospital Research Institute (ACHRI) Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 238,634<br />

Level 1 Center Field Specialist(s): $ 190,907<br />

Level 1 Center SJB Family Specialist(s): $ 1,302,939<br />

Level 1 Center Administrative Support: $ 214,770<br />

Level 1 Office Space Cost: $ 40,090<br />

Level 1 Transportation/Travel: $ 53,673<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 72,545<br />

Level 2 Center Field Specialist(s): $ 114,544<br />

Level 2 Center SJB Family Specialist(s): $ 372,268<br />

Level 2 Transportation/Travel: $ 15,415<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 16,036<br />

Level 3 Center SJB Family Specialist(s): $ 279,201<br />

Level 3 Transportation/Travel: $ 9,360<br />

Level 3 Office Equipment/Communications: $ 22,800<br />

Level 3 Supplies: $ 9,164<br />

CASE MANAGEMENT SUB‐TOTAL: $ 3,040,546<br />

STATE LEAD CENTER SUB‐TOTAL: $ 9,299,312<br />

INDIRECT COST TO INSTITUTION: $ 1,859,862<br />

ADMINISTRATIVE FEE TO SJBF: $ 185,986<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,345,161<br />

TOTAL JOBS CREATED IN Arkansas: 104


Program Director/Principal Investigator (Last, First, Middle):.<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

Aitken, Mary Elizabeth<br />

eRA COMMONS USER NAME (credential, e.g., agency login)<br />

meaitken<br />

POSITION TITLE<br />

Professor of Pediatrics<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

University of North Carolina, Chapel Hill, NC<br />

University of North Carolina School of Medicine,<br />

BA 1983 Economics/Chemistry<br />

Chapel Hill, NC<br />

MD<br />

1988 Medicine<br />

University of Washington, Seattle, Washington<br />

A. Positions and Honors<br />

Positions and Employment<br />

MPH 1996 Epidemiology<br />

1983-1984 Economist I, Research Triangle Institute, Research Triangle Park, NC<br />

1988-1991 Pediatric Internship and Residency, Johns Hopkins Hospital, Baltimore, MD<br />

1991-1992 Medical Officer, Pediatric Emergency Services, Auckland Children’s Hospital, Auckland, NZ<br />

1992-1993 Pediatrician, Kron Medical, Research Triangle Park, NC<br />

1992-1994 Pediatric Staff and Research Team, King Edward VII Memorial Hospital, Hamilton, Bermuda<br />

1992-1993 Visiting Research Fellow, University of Wales College of Medicine, Cardiff, Wales, UK<br />

1992-1994 Senior Fellow and Acting Instructor, General Pediatrics, University of Washington, Department<br />

of Pediatrics, Seattle, WA<br />

1996-2002 Assistant Professor of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR<br />

1997-2007 Co-Director, Center for Health Promotion, Department of Pediatrics, University of Arkansas for<br />

Medical Sciences, Little Rock, AR<br />

2002-2008 Adjunct Associate Professor, Department of Maternal Child Health, College of Public Health,<br />

UAMS, Little Rock, AR<br />

2002-2008 Associate Professor of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR<br />

2005-present Director, Trauma Research, Arkansas Children’s Hospital<br />

2006-present Section Chief, Center for Applied Research and Evaluation. Department of Pediatrics,<br />

University of Arkansas for Medical Sciences, Little Rock, AR<br />

2008-present Professor of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR<br />

2008-present Medical Director, Arkansas Children’s Hospital Injury Prevention Center<br />

Other Experience and Professional Memberships<br />

1992 Diplomate, American Board of Pediatrics<br />

1993 Fellow, American Academy of Pediatrics<br />

1994 Ambulatory Pediatrics Association<br />

1994 American Public Health Association<br />

1995 International Society for Child and Adolescent Injury Prevention<br />

Honors<br />

1982 Phi Beta Kappa<br />

1986 Warwick Fellowship<br />

1987 Merit Scholarship, University of North Carolina School of Medicine<br />

1998 Robert Wood Johnson Foundation, Generalist Physician Faculty Scholars Program Awardee<br />

2000 Sidney and Elizabeth Licht Award for Excellence in Scientific Writing<br />

2002 Society for Pediatric Research<br />

2005 Executive Committee, American Academy of Pediatrics Section on Injury & Poisoning Prevention<br />

2006 Joan M. Cranmer Award for Mentorship, University of Arkansas for Medical Sciences<br />

PHS 398/2590 (Rev. 11/07) Page Biographical Sketch Format Page


Program Director/Principal Investigator (Last, First, Middle):.<br />

B. Selected peer-reviewed publications (in chronological order)<br />

1. Rivara FP, Aitken ME. Prevention of injuries to children and adolescents. Advances in Pediatrics.<br />

1998; 45:37-72.<br />

2. Aitken ME, Rivara FP, Jaffe KM, DiScala C. Functional outcome following pediatric multiple trauma.<br />

Arch Phys Med Rehabil. 1999;80:889-895.<br />

3. Aitken ME, Rowlands LA, Wheeler G. Advocating for children’s health at the state level: lessons<br />

learned. Arch Pediatr Adolesc Med. 2001;155:877-880.<br />

4. Aitken ME, Tilford JM, Barrett KW, Parker JG, Simpson PM, Landgraf J, Robbins JM. Health status of<br />

children after admission for injury. Pediatrics. 2002;110:337-342.<br />

5. Aitken ME, Barrett KW, Mele NC. Recovery of injured children: parent perspectives on family needs.<br />

Arch Phys Med Rehabil. 2004;85:567-73.<br />

6. Harvey P, Aitken ME, Ryan GW, Demeter LA, Givens G, Sundararaman R, Goulette S. Strategies to<br />

increase smoke alarm use in high-risk households. J Comm Health. 2004;29(5):375-385.<br />

7. Aitken ME, Korehbandi P, Parnell D, Parker JG, Stefans V, Tompkins E, Schulz EG. Development<br />

and early experience with a comprehensive family support program for pediatric trauma and<br />

rehabilitation patients. Arch Phys Med Rehabil. 2005;86:175-179.<br />

8. Aitken ME, Graham CJ, Mullins SH, Killingsworth JB, Parnell DN, Dick RM. All-terrain vehicle injury in<br />

children: strategies for prevention. Inj Prev. 2004;10:303-307.<br />

9. Killingsworth JB, Tilford JM, Parker J, Graham CJ, Dick RM, Aitken ME. National hospitalization<br />

impact of pediatric all-terrain vehicle injury. Pediatrics. 2005 Mar;115(3):e316-21.<br />

10. Tilford JM, Aitken ME, Anand KWS, Parker J, Jo C-H, Killingsworth JB, et al. Hospitalizations for<br />

critically ill children with traumatic brain injury: A longitudinal analysis. Crit Care Med. 2005;33:2074-81.<br />

11. McCarthy ML, MacKenzie EJ, Durbin DR, Aitken ME, Jaffe KM, Paidas CN, Slomine BS, Dorsch AM,<br />

Berk RA, Christensen JS, Ding R. CHAT Study Group. <strong>The</strong> pediatric quality of life inventory: an<br />

evaluation of its reliability and validity for children with traumatic brain injury. Arch Phys Med Rehabil.<br />

2005;86(10):1901-9.<br />

12. Graham J, Liggin R, Shirm S, Aitken ME, Dick R. Mass casualty events at schools: a national<br />

preparedness survey. Pediatrics. 2006;117:e8-e15.<br />

13. Lopez AM, Tilford JM, Anand KS, Green JW, Aitken ME, Fiser DH. Variation in pediatric intensive care<br />

therapies by race, gender, and insurance status. Pediatr Crit Care Med. 7(1):2-6, January 2006.<br />

14. McCarthy ML, Durbin D, Houseknecht E, Aitken ME, Klotz P, Knight V,Korehbandi P, Mackenzie E,<br />

Paidas C, Slomine B, Ziegfeld S. Health-related quality of life outcomes during the first year post<br />

traumatic brain Injury. Arch Pediatr Adolesc Med. 2006;160(3):252-260.<br />

15. Slomine BS, McCarthy M, Ding R, MacKenzie EJ, Jaffe KM, Aitken ME, Durbin DR, Christensen JR,<br />

Dorsch AM, Padidas, CN. Healthcare utilization and needs after pediatric traumatic brain injury.<br />

Pediatrics. 2006;117(4):663-74. Epub 2006 Mar 13.<br />

16. Ward-Begnoche WL, Aitken ME, Liggin R, Mullins SH, Kassam-Adams N. Winston FK. Emergency<br />

department-based screening for post traumatic stress in pediatric traumatic patients. Inj Prev.<br />

2006;12(5):323-326.<br />

17. Tilford JM, Aitken ME, Goodman AC, Fiser DH, Killingsworth JB, Green JW, Adelson PD. Child<br />

health-related quality of life following neurocritical care for traumatic brain injury: an analysis of<br />

preference-weighted outcomes. Neurocrit Care. 2007;7(1): 64-75.<br />

18. Aitken ME, Mullins SH, Lancaster VE, Miller BK. “Cubs Click It for Safety”: A school-based<br />

intervention for Tween passenger safety. J Trauma. 2007 Sept;63(3 Suppl):S39-43.<br />

19. Tilford JM, Aitken ME, Goodman AC, Adelson PD. Measuring the cost-effectiveness of technologic<br />

change in the treatment of pediatric traumatic brain injury. J Trauma. 2007 Dec;63(6 Suppl):S113-20;<br />

discussion S121.<br />

20. Bowman SM, Aitken ME, Helmkamp JC, Maham SA, Graham J. Impact of helmets on injuries to riders<br />

of all-terrain vehicles. Inj Prev. 2009;15(1):3-7.<br />

21. Bowman SM, Bird TM, Aitken ME, Tilford JM. Trends in hospitalizations associated with pediatric<br />

traumatic brain injuries. Pediatrics. 2008;122(5):988-93.<br />

22. Aitken ME, McCarthy ML, Slomine BS, Ding R, , Durbin DR, Jaffe KM, Paidas C, Dorsch A,<br />

Christensen J, MacKenzie EJ. Family burden after traumatic brain injury in children. Pediatrics.<br />

2009;123(1):199-206.<br />

PHS 398/2590 (Rev. 11/07) Page Continuation Format Page


C. Research Support<br />

Ongoing Research Support<br />

Program Director/Principal Investigator (Last, First, Middle):.<br />

1R49CE000975 (Aitken PI) 02/19/07-02/18/10<br />

Centers for Disease Control and Prevention<br />

Strike Out Child Passenger Injury<br />

Tailored intervention to increase booster seat use in rural communities<br />

No number (Aitken PI) 07/01/07-06/30/10<br />

Arkansas Children’s Hospital<br />

Arkansas Injury Prevention Center<br />

Injury prevention education and outreach in Arkansas<br />

1H34MC08514 (Aitken PI) 09/01/07-08/31/10<br />

Health Resources and Services Administration, Emergency Medical Services for Children<br />

Targeted ATV Safety Educational Strategies for Rural Children<br />

Development of materials and dissemination in rural communities<br />

No Number (Aitken PI) 01/31/09-01/30/10<br />

Dean’s/CUMG Research Development Fund.<br />

Building Consensus for Safer Teen Driving<br />

To establish a teen driving safety program and a clinic-based educational intervention<br />

Arkansas Department of Transportation. (Aitken PI, Shaw Co-I) 12/01/07-03/01/10<br />

Mapping the way to success: Arkansas’s Safe Routes to School: Walking and wheeling toolkit & online<br />

resource guide.<br />

Evaluate implementation of an active commuting program in Arkansas<br />

#: 1 UL1RR029884 (Lowery PI) 07/01/09-03/31/14<br />

Arkansas Center for Clinical and Translational Research<br />

Establish an integrative Center for Clinical and Translational Research that transforms the pace, effectiveness,<br />

and quality of translational research at UAMS, resulting in better health for all Arkansans.<br />

Completed Research Support<br />

No Number (Aitken PI) 7/02/99-6/30/03<br />

Robert Wood Johnson Foundation<br />

Outcomes of Pediatric Trauma<br />

Explore measurement and clinical issues related to general health status in the general pediatric trauma<br />

population and to develop predictive models for adverse injury outcomes.<br />

SG-03282001C (Aitken PI) 1/01/02-6/30/03<br />

Dean’s CUMG Research Fund/University of Arkansas for Medical Sciences<br />

Assessing Health-Related Quality of Life in Injury Patients Using the PedsQL Scale<br />

Evaluate the reliability and validity of using the PedsQL and the BRIEF for measuring the health and well-being<br />

of children who sustain a TBI.<br />

DC R49/CCR319701-01 (McCarthy) 9/30/01 - 09/29/04<br />

Measuring Children’s Health Following Traumatic Injury<br />

Validation of surveillance instrument measuring morbidity following traumatic brain injury in children.<br />

Children’s Health After Trauma (CHAT)<br />

Role: Consultant<br />

PHS 398/2590 (Rev. 11/07) Page Continuation Format Page


Program Director/Principal Investigator (Last, First, Middle):.<br />

MCH 1 H34 MC 00100-01 (Aitken PI) 3/01/01-2/28/05<br />

MCHB-HRSA-DHHS<br />

Coordinating Discharge Care for Injured and Special Needs Children<br />

Implement clinical and social interventions in high-risk populations after injury (rehabilitation, TBI) and assess<br />

these interventions for dissemination.<br />

MC00105 (Tilford) 3/01/01-2/28/05<br />

MCHB-HRSA-DHHS<br />

Economic Evaluation of Intensive Care Services for Pediatric Traumatic <strong>Brain</strong> Injury Patients<br />

Examine trends in traumatic injury treatment and outcome over time, as well as costs and benefits of intensive<br />

care services to TBI patients.<br />

Role: Co-I<br />

MCH-15 (Dick) 10/97-2/06<br />

DHHS/EMS<br />

Emergency Medical Services for Children Partnership<br />

Statewide planning grant to assess emergency services for children.<br />

Role: Co-I<br />

NIH-NCRR #RR020146 (Garcia-Rill) 12/05-7/06<br />

Center for Biomedical Research Excellence (COBRE) Center for Translational Neuroscience.<br />

National Institutes of Health, National Center for Research Resources.<br />

Pilot grant: Arousal and Attention in Pediatric Traumatic <strong>Brain</strong> Injury<br />

Role: Co-I<br />

No Number (Graham) 10/01/04-6/30/07<br />

CUMG<br />

All-terrain vehicle safety community campaign pilot and evaluation<br />

Assess the effectiveness of an educational safety campaign in a rural community.<br />

Role: Co-I<br />

1002788R (Aitken PI) 05/01/06-09/29/07<br />

West Virginia University Injury Prevention Research Center<br />

Measurement of Rural ATV Safety Behaviors<br />

Piloting observational surveys of ATV rider safety behaviors in rural communties.<br />

047012 (Aitken PI) 11/01/03-12/31/07<br />

Robert Wood Johnson Foundation via sub contract with Columbia University<br />

Injury Free Coalition for Kids<br />

Community-hospital research partnership to develop targeted injury prevention strategies and disseminate<br />

these through a network of 40 children’s hospitals.<br />

No number (Aitken PI) 08/01/07-09/30/08<br />

Allstate Foundation via sub contract with Columbia University<br />

Building Consensus for Safer Teen Driving<br />

Pilot family-based GDL intervention<br />

MCH-15 (Thompson) 10/06-02/09<br />

DHHS/EMS<br />

Emergency Medical Services for Children Partnership<br />

Statewide planning grant to assess emergency services for children<br />

Role: Co-I<br />

PHS 398/2590 (Rev. 11/07) Page Continuation Format Page


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

California<br />

Mattel Children's Hospital UCLA<br />

www.mattel.medsch.ucla.edu<br />

REGION: Pacific CATEGORY OF CARE: Acute Phase<br />

Program Director: Christopher Giza, MD Position Title: Associate Professor In‐Residence<br />

Department: Neurosurgery and Pediatric Neurology<br />

Address: 757 Westwood Plaza, Los Angeles, CA 90095<br />

Phone: 310‐825‐3550<br />

Email: cgiza@mednet.ucla.edu<br />

Level 1 Center(s): Los Angeles/Hollywood/San Fernando Valley, Los Angeles/Downtown/South L.A.,<br />

Oakland/East Bay, Palo Alto/San Jose, Sacramento/Davis, San Bernardino/Inland Empire, San Diego, San<br />

Francisco<br />

Level 2 Center(s): Bakersfield, Fresno, Irvine/Orange County, La Jolla, Modesto, Redding, San Jose, Santa<br />

Barbara, Santa Rosa, Torrance<br />

Level 3 Center(s): Bishop, Chico, Escondido, Eureka/North Coast, Lancaster/Palmdale, Long Beach<br />

(Miller Children's), Palm Springs, Pomona (Casa Colina), Roseville (Sutter Roseville Medical Center),<br />

Salinas/Monterey, San Luis Obispo, Santa Clarita (Herny Mayo), Visalia or Me<br />

Number of jobs <strong>PABI</strong> Grant creates in California: 274<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 8,325,706<br />

Category of Care Management Sub‐total: $ 2,099,413<br />

Case Management Sub‐total: $ 19,587,592<br />

State Lead Center Sub‐total: $ 30,044,711<br />

Indirect Cost to Institution (20%): $ 6,008,942<br />

Administrative Cost to SJBF (2%): $ 600,894<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 36,654,548


Mattel Children's Hospital UCLA Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 90,563<br />

Program Director Assistant: $ 122,435<br />

State Director: $ 408,118<br />

Associate State Director: $ 176,851<br />

State Epidemiologist: $ 272,078<br />

State Epidemiologist Assistant: $ 122,435<br />

State Scientific Investigation Research Coordinator: $ 231,267<br />

State Scientific Investigation Research Assistant: $ 231,267<br />

State Education/Training Coordinator (plus materials): $ 1,100,022<br />

State General Counsel: $ 326,494<br />

State IT Manager: $ 258,474<br />

State Family Support Coordinator: $ 204,059<br />

State Prevention/Awareness Coordinator: $ 204,059<br />

State Acute Care Coordinator: $ 204,059<br />

State Reintegration Coordinator: $ 204,059<br />

State Adult Transition Coordinator: $ 204,059<br />

State Mild TBI Coordinator: $ 204,059<br />

State Mental Health Coordinator: $ 176,851<br />

State Assistive/Emerging Technology Coordinator: $ 176,851<br />

State Correctional System Coordinator: $ 176,851<br />

State MISC Coordinator: $ 176,851<br />

State Veterans Coordinator: $ 176,851<br />

State Data Manager: $ 176,851<br />

State Public Policy Manager: $ 204,059<br />

State Community Relations Manager: $ 176,851<br />

State Administrative Support: $ 734,612<br />

Charity care: $ 394,316<br />

Human Resources Support: $ 274,000<br />

Training Support: $ 68,500<br />

State Lead Center Office Space Cost: $ 378,938<br />

State Lead Center Transportation/Travel: $ 113,400<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 122,238<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 112,662<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 8,325,706


Mattel Children's Hospital UCLA Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Acute Phase<br />

Regional Category Director: $ 408,118<br />

Regional Category Epidemiologist: $ 326,494<br />

Regional Category Education/Training Coordinator: $ 272,078<br />

Regional Category Scientific Investigation Research: $ 272,078<br />

Regional Category Administrative Support: $ 489,741<br />

Regional Category Office Space Cost: $ 110,014<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 35,488<br />

CATEGORY OF CARE SUB‐TOTAL: $ 2,099,413


Mattel Children's Hospital UCLA Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 1,554,733<br />

Level 1 Center Field Specialist(s): $ 1,243,787<br />

Level 1 Center SJB Family Specialist(s): $ 8,488,845<br />

Level 1 Center Administrative Support: $ 1,399,260<br />

Level 1 Office Space Cost: $ 59,147<br />

Level 1 Transportation/Travel: $ 223,200<br />

Level 1 Office Equipment/Communications: $ 228,400<br />

Level 1 Supplies: $ 343,619<br />

Level 2 Center Field Specialist(s): $ 932,840<br />

Level 2 Center SJB Family Specialist(s): $ 3,031,730<br />

Level 2 Transportation/Travel: $ 79,200<br />

Level 2 Office Equipment/Communications: $ 133,000<br />

Level 2 Supplies: $ 118,295<br />

Level 3 Center SJB Family Specialist(s): $ 1,591,658<br />

Level 3 Transportation/Travel: $ 32,760<br />

Level 3 Office Equipment/Communications: $ 79,800<br />

Level 3 Supplies: $ 47,318<br />

CASE MANAGEMENT SUB‐TOTAL: $ 19,587,592<br />

STATE LEAD CENTER SUB‐TOTAL: $ 30,044,711<br />

INDIRECT COST TO INSTITUTION: $ 6,008,942<br />

ADMINISTRATIVE FEE TO SJBF: $ 600,894<br />

STATE LEAD CENTER SUB‐TOTAL: $ 36,654,548<br />

TOTAL JOBS CREATED IN California: 274


BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

Christopher Conrad Giza, M.D.<br />

eRA COMMONS USER NAME (credential, e.g., agency login)<br />

GIZAC2<br />

POSITION TITLE<br />

Associate Professor In-Residence<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Dartmouth College, Hanover, NH A.B. 1982-86 Biochemistry<br />

W Virginia Univ. School of Medicine, Morgantown M.D. 1986-90 Medicine<br />

Hosp. of the Univ. of Pennsylvania, Philadelphia Internship 1990-91 Internal Medicine<br />

University of California, Los Angeles Residency 1991-94 Neurology<br />

University of California, Los Angeles Fellowship 1994-96 Pediatric Neurology<br />

Please refer to the application instructions in order to complete sections A, B, and C of the Biographical<br />

Sketch.<br />

A. PROFESSIONAL POSITIONS<br />

1996-1997 Search and Rescue Team Member, Yosemite National Park, CA<br />

1996-1998 Private Practice Physician, locum tenens. Neurological Associates of the Valley Medical Group,<br />

West Hills, CA and Long Beach Memorial Medical Center, Long Beach, CA<br />

1998-2000 Postgraduate Researcher, Division of Neurosurgery, Department of Surgery, UCLA School of<br />

Medicine and Medical Center, Los Angeles, CA<br />

2000-2001 Assistant Researcher, Division of Neurosurgery, Department of Surgery, UCLA School of<br />

Medicine and Medical Center, Los Angeles, CA<br />

2001-2007 Assistant Professor In-Residence, Divisions of Neurosurgery and Pediatric Neurology, David<br />

Geffen School of Medicine and Mattel Children’s Hospital at UCLA, Los Angeles, CA<br />

2002- Member, UCLA <strong>Brain</strong> Research Institute, Los Angeles, CA<br />

2005-2007 Assistant Professor, Interdepartmental Program in Neuroscience, UCLA School of Medicine,<br />

Los Angeles, CA<br />

2007- Associate Professor In-Residence, Divisions of Neurosurgery and Pediatric Neurology,<br />

Interdepartmental Programs in Neuroscience and Biomedical Engineering, David Geffen<br />

School of Medicine at UCLA, Los Angeles, CA<br />

HONORS AND AWARDS<br />

1982 National Merit Scholar<br />

1985-1986 Rufus Choate Scholar (top 5% in class)<br />

1986 Sigma Xi Scientific Research Society Grant-in-Aid of Research<br />

1987 Alpha Omega Alpha Medical Student Research Grant<br />

1988- Alpha Omega Alpha Medical Honor Society<br />

1989-1990 American Bureau for Medical Advancement in China/ Warner-Lambert Fellowship<br />

1989-1990 Vice-President, Medical School senior class<br />

1989-1990 Herschel C. Price Educational Foundation Grant<br />

1996 Mead Johnson Award for Teaching Excellence in Pediatrics<br />

1998-1999 Lind Lawrence Foundation Postdoctoral Fellow<br />

1998 International Society for Cerebral Blood Flow and Metabolism, Junior Delegate Bursary Award<br />

2001, 2002 University of California Neurotrauma Travel Fellowship<br />

2001-2002 J. Athletic Training Clint Thompson Award 1 st runner-up for Outstanding Non-Research<br />

Manuscript, “<strong>The</strong> Neurometabolic Cascade of Concussion”.<br />

2002-2003 American Alpine Club Research Grant Award<br />

2002 Nominated to Speakers Bureau of National Athletic Trainers Association<br />

2002-2003 UCLA <strong>Brain</strong> Injury Research Center Young Investigator Award


2005 UCLA Council on Research Conference Travel Grant for invited lectures at the 14 th Annual<br />

Conference of the Neurotrauma Society of India.<br />

2005 P.S. Ramani Oration Recipient at the 14 th Annual Conference for the Neurotrauma Society of<br />

India.<br />

2007 Visiting Professor, Pepperdine University, Malibu, CA, June 19 th<br />

2007-2009 Shields Fellow, Child Neurology Society; supported by Winokur Family Foundation.<br />

2009 Paul R. Dyken Scholarship Lecturer at the 34 th Annual Meeting of the Southern Pediatric<br />

Neurology Society<br />

CERTIFICATIONS<br />

Diplomate, American Board of Psychiatry and Neurology, certified in Child Neurology, 1998-2008.<br />

Maintenance of certification passed, 2009-2019.<br />

B. PEER-REVIEWED MANUSCRIPTS<br />

1. Liu X, Giza CC, Triezenburg SJ, and Vrana KE. High efficiency transient expression of eukaryotic genes:<br />

novel use of an HSV-1 immediately early promoter (ICP4). Biotech. 1990; 9(2): 168-173.<br />

2. Giza CC and Sankar RS. Pathogenesis of the developmental epilepsies. Current Opin. in Ped. 1998;<br />

10(6): 567-574.<br />

3. Giza CC, Kuratani JD, Cokely H, and Sankar RS. Periventricular nodular heterotopia and childhood<br />

absence epilepsy: a case report. Ped Neurol. 1999; 20(4):315-8.<br />

4. Mathern, GW; Giza, CC; Yudovin, S; Vinters, HV; Peacock, WJ; Shewmon, DA; Shields, WD.<br />

Postoperative seizure control and antiepileptic drug use in pediatric epilepsy surgery patients: the UCLA<br />

experience, 1986-1997. Epilepsia 1999; 40(12):1740-9.<br />

5. Fineman I, Giza CC, Nahed B, Lee SM and Hovda DA. Inhibition of neocortical plasticity during<br />

development by moderate concussive brain injury. J. Neurotrauma 2000; 17(9): 739-49.<br />

6. Rabizadeh S, Ye X, Wang JJL, Sperandio S, Wang, JJL, Ellerby HM, Ellerby LM, Giza CC, Andrusiak RL,<br />

Frankowski H, Yaron Y, Moayeri NN, Rovelli G, Evans CJ, Butcher LL, Nolan GP, Assa-Munt N, and<br />

Bredesen DE. Neurotrophin dependence domain: A domain required for the mediation of apoptosis by the<br />

p75 neurotrophin receptor. J. Molec. Neurosci. 2000; 15: 215-229.<br />

7. Giza CC and Hovda DA. <strong>The</strong> Neurometabolic Cascade of Concussion. J. Athletic Training 2001;<br />

36(3):228-235.<br />

8. Giza CC, Prins ML, Hovda DA, Herschman HR and Feldman JD. Genes preferentially induced by<br />

depolarization after concussive brain injury: Effects of age and injury severity. J Neurotrauma 2002<br />

Apr;19(4):387-402.<br />

9. Ip EY, Giza CC, Griesbach G and Hovda DA. Effects of enriched environment and fluid percussion injury<br />

on dendritic arborization within the cerebral cortex of the developing rat. J. Neurotrauma 2002<br />

May;19(5):573-85.<br />

10. Zanier ER, Lee SM, Vespa P, Giza CC and Hovda DA. Increased hippocampal CA3 vulnerability to low<br />

level glutamate analogue following lateral fluid percussion injury. J. Neurotrauma 2003 May; 20(5):409-<br />

420.<br />

11. Gordon BM and Giza CC. Tick paralysis presenting in an urban setting. Ped Neurol 2004 Feb; 30(2):<br />

122-4.<br />

12. Bhidayasiri R and Giza CC. Images in Pediatric Neurosurgery - Subdural hematoma and retinal<br />

hemorrhages in an infant: accidental or non-accidental injury? Ped Neurosurg 2004; 40(3):147-18.<br />

13. Giza CC. Sports Concussion. <strong>Brain</strong> Injury Professional 2004; 1(1): 22-25.<br />

14. Osteen CL, Giza CC and Hovda DA. Injury-induced alterations in NMDA receptor subunit composition<br />

contribute to prolonged 45 calcium accumulation following lateral fluid percussion. Neuroscience 2004<br />

128(2):305-322.<br />

15. Giza CC, Griesbach GS and Hovda DA. Experience-Dependent Behavioral Plasticity is Disturbed<br />

Following Traumatic Injury to the Immature <strong>Brain</strong>. Behavioral <strong>Brain</strong> Res, 2005; 157(1):11-22.<br />

16. Gurkoff GG, Giza CC and Hovda DA. Lateral fluid percussion injury in the developing rat causes an<br />

acute, mild behavioral dysfunction in the absence of significant cell death. <strong>Brain</strong> Res, 2006 Mar 10;<br />

1077(1):24-36.<br />

PHS 398/2590 (Rev. 11/07) Page Continuation Format Page


17. Madikians A and Giza CC. A Clinician’s Guide to the Pathophysiology of Traumatic <strong>Brain</strong> Injury. Indian J<br />

Neurotrauma, June 2006; 3(1):9-17.<br />

18. Giza CC. Better Never Than Late: Lasting Effects of Pediatric Traumatic <strong>Brain</strong> Injury. Indian J<br />

Neurotrauma, June 2006; 3(1):19-26.<br />

19. Giza CC, Santa Maria NS, and Hovda DA. N-methyl-D-aspartate receptor subunit changes following<br />

traumatic injury to the developing brain. J. Neurotrauma, Jun, 2006; 23(6):950-61.<br />

20. Prins ML and Giza CC. Induction of monocarboxylate transporter-2 expression and ketone transport<br />

following traumatic brain injury in juvenile and adult rats. Dev Neurosci, 2006; 28(4-5):447-56.<br />

21. Giza CC and Prins ML. Is being plastic fantastic? Mechanisms of impaired plasticity following<br />

developmental traumatic brain injury. Dev Neurosci, 2006; 28(4-5):364-79.<br />

22. Giza CC, Mink RB and Madikians A. Pediatric traumatic brain injury (TBI): Not Just Little Adults. Curr<br />

Op Critical Care, 2007; 13(2):143-152.<br />

23. Giza CC, Kolb B, Harris NG, Asarnow RF, Prins ML. Hitting a moving target: Basic mechanisms of<br />

recovery after acquired developmental brain injury. Devel Neurorehab, TPDR 408928, in press, 2009.<br />

24. Reger ML, Hovda DA and Giza CC. Ontogeny of working memory as measured by the novel object<br />

recognition task. Devel Psychobiol, DEV-09-033R1, in press, 7/27/09.<br />

25. Gurkoff GG, Giza CC, Shin D, Auvin S, Sankar R and Hovda DA. Traumatic <strong>Brain</strong> Injury Produces a<br />

State of Protection from Acute Effects of Secondary Seizures. Neuroscience, NSC-09-382R1, in press,<br />

8/4/09.<br />

26. Babikian T, Marion SD, Copeland S, Alger JR, O’Neill J, Cazalis F, Mink R, Giza CC, Vu JA, Hilleary SM,<br />

Kernan CL, Newman N, Asarnow RF. Metabolic levels in corpus callosum and their structural and<br />

behavioral correlates following moderate to severe pediatric TBI. J. Neurotrauma, ID number: NEU-<br />

2009-1058, submitted, 7/2/2009.<br />

27. Giza CC and DiFiori J. Pathophysiology of Sports Concussion. Sport Health, submitted, 7/8/2009.<br />

28. Madikians A and Giza CC. Management of Pediatric Traumatic <strong>Brain</strong> Injury. Curr Treat Options in<br />

Neurol, submitted, 7/24/2009.<br />

BOOKS/BOOK CHAPTERS<br />

1. Giza CC and Hovda DA. Ionic and Metabolic Consequences of Concussion. In Neurologic Athletic<br />

Head and Spine Injuries. RC Cantu, ed. Philadelphia, PA. W. B. Saunders Company, 2000.<br />

2. Giza CC and Hovda DA. Pathophysiology of Concussion. In Sports Neuropsychology. Michael Collins,<br />

ed. Lisse, Netherlands. Swets and Zeitlinger. 2004.<br />

3. Bhidayashiri R, Waters M and Giza CC. Neurological Differential Diagnosis: A Prioritized Approach.<br />

Malden, Massachusetts. Blackwell Publishing, 2005.<br />

4. Giza CC. Traumatic <strong>Brain</strong> Injury in Children. In Pediatric Neurology: Principles and Practice. 4 th<br />

edition. Swaiman K, Ashwal S, Ferriero D, eds. Elsevier, 2006.<br />

5. Arndt D and Giza CC. Post-Traumatic Seizures and Epilepsy. In Pediatric Epilepsy Case Studies:<br />

From Infancy and Childhood Through Adolescence. Chapman K, Roberts C, Rho J, eds. Elsevier,<br />

2008.<br />

6. Giza CC. Traumatic <strong>Brain</strong> Injury. In International Neurology: A Clinical Approach. Lisak RP, Truong<br />

DD, Carroll W, Bhidayasiri R, eds. Blackwell Publishing. In press, 2009.<br />

7. Prins ML, Giza CC, Hovda DA. Neurobiology of Traumatic <strong>Brain</strong> Injury Sustained During Development.<br />

In Pediatric Traumatic <strong>Brain</strong> Injury. Anderson V and Yeates K, eds. In press, 2009.<br />

8. Giza CC. Post-traumatic epileptogenesis: Good and Bad Plasticity. In Mechanisms of Epilepsy. Rho<br />

J, Sankar R, Stafstrom C, eds., Submitted, 2009.<br />

C. RESEARCH PROJECTS ONGOING OR COMPLETED DURING THE LAST THREE YEARS<br />

ONGOING<br />

“Restoration of plasticity following pediatric traumatic brain injury”<br />

K02 (NS057420-1) CC Giza (PI)<br />

NINDS/NIH Division of Stroke and Trauma<br />

Role: PI<br />

9 calendar months<br />

PHS 398/2590 (Rev. 11/07) Page Continuation Format Page


9/1/2007-8/30/2012<br />

“Traumatic <strong>Brain</strong> Injury Induced Cerebral Metabolic Depression and Recovery”<br />

P01 (NS058489-01A2) DA Hovda (Program Director).<br />

NINDS/NIH Division of Stroke and Trauma<br />

<strong>Project</strong> 2: “Age-dependent use of alternative cerebral substrates during TBI-induced glucose metabolic<br />

depression.” ML Prins (PI)<br />

Role: Investigator<br />

0.3 calendar months<br />

Award letter received 2/09.<br />

“Loss of developmental plasticity after head injury”<br />

R01 (NS27544-07A1) DA Hovda (PI)<br />

NINDS/NIH Division of Stroke and Trauma<br />

Role: Co-Investigator<br />

0.3 calendar months<br />

4/1/06-3/31/10<br />

COMPLETED<br />

“NMDA receptor dysfunction after traumatic brain injury”<br />

K08 (NS02197-01A1) CC Giza (PI). Mentor: DA Hovda<br />

NINDS/NIH Division of Stroke and Trauma<br />

Role: PI/Mentee<br />

10/1/02-8/30/07<br />

“Metabolism of alternative fuels following developmental traumatic brain injury”<br />

R01 (NS052406) Mayumi L. Prins (PI).<br />

NINDS/NIH Division of Stroke and Trauma<br />

Role: Co-Investigator<br />

0.3 calendar months<br />

6/1/2005-5/31/2009<br />

PHS 398/2590 (Rev. 11/07) Page Continuation Format Page


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Colorado<br />

<strong>The</strong> Children's Hospital<br />

www.thechildrenshospital.org<br />

REGION: Rocky Mountain CATEGORY OF CARE: Adult Transition<br />

(National Lead)<br />

Program Director: Jeanne Dise‐Lewis, Ph.D. Position Title: Director of Psychology<br />

Programs in Rehabilitation Medicine<br />

Department: Department of Rehabilitation Medicine<br />

Address: 13123 East 16th Avenue, Box 285, Aurora, CO 80045<br />

Phone: 720‐777‐6642<br />

Email: dise‐lewis.jeanne@tchden.org<br />

Level 1 Center(s): Aurora (Children's Hospital), Denver<br />

Level 2 Center(s): Colorado Springs, Pueblo, Greeley<br />

Level 3 Center(s): Lakewood, Boulder, Grand Junction<br />

Number of jobs <strong>PABI</strong> Grant creates in Colorado: 113<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 7,280,203<br />

Category of Care Management Sub‐total: $ 3,829,174<br />

Case Management Sub‐total: $ 5,908,323<br />

State Lead Center Sub‐total: $ 17,049,701<br />

Indirect Cost to Institution (20%): $ 3,409,940<br />

Administrative Cost to SJBF (2%): $ 340,994<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 20,800,635


<strong>The</strong> Children's Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 0<br />

Program Director Assistant: $ 120,949<br />

State Director: $ 403,165<br />

Associate State Director: $ 174,705<br />

State Epidemiologist: $ 268,777<br />

State Epidemiologist Assistant: $ 120,949<br />

State Scientific Investigation Research Coordinator: $ 228,460<br />

State Scientific Investigation Research Assistant: $ 228,460<br />

State Education/Training Coordinator (plus materials): $ 361,884<br />

State General Counsel: $ 322,532<br />

State IT Manager: $ 255,338<br />

State Family Support Coordinator: $ 201,582<br />

State Prevention/Awareness Coordinator: $ 201,582<br />

State Acute Care Coordinator: $ 201,582<br />

State Reintegration Coordinator: $ 201,582<br />

State Adult Transition Coordinator: $ 201,582<br />

State Mild TBI Coordinator: $ 201,582<br />

State Mental Health Coordinator: $ 174,705<br />

State Assistive/Emerging Technology Coordinator: $ 174,705<br />

State Correctional System Coordinator: $ 174,705<br />

State MISC Coordinator: $ 174,705<br />

State Veterans Coordinator: $ 174,705<br />

State Data Manager: $ 174,705<br />

State Public Policy Manager: $ 201,582<br />

State Community Relations Manager: $ 174,705<br />

State Administrative Support: $ 725,697<br />

Charity care: $ 413,502<br />

Human Resources Support: $ 113,000<br />

Training Support: $ 28,250<br />

State Lead Center Office Space Cost: $ 397,376<br />

State Lead Center Transportation/Travel: $ 129,600<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 128,186<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 103,376<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 7,280,203


<strong>The</strong> Children's Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Adult Transition (National Lead)<br />

National Category Director: $ 468,000<br />

National Category Epidemiologist: $ 390,000<br />

National Category Education/Training Coordinator: $ 312,000<br />

National Category Scientific Investigation Research: $ 312,000<br />

National Veteran Coordinator: $ 312,000<br />

Regional Category Director: $ 403,165<br />

Regional Category Epidemiologist: $ 322,532<br />

Regional Category Education/Training Coordinator: $ 268,777<br />

Regional Category Scientific Investigation Research: $ 268,777<br />

Regional Additional (Regional Veteran Coordinator): $ 268,777<br />

Regional Additional Tech<br />

Regional Category Administrative Support: $ 483,798<br />

Regional Category Office Space Cost: $ 179,460<br />

Regional Category Transportation/Travel: $ 180,000<br />

Regional Category Office Equipment/Communications: $ 43,400<br />

Regional Category Supplies: $ 57,890<br />

CATEGORY OF CARE SUB‐TOTAL: $ 3,829,174


<strong>The</strong> Children's Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 403,165<br />

Level 1 Center Field Specialist(s): $ 322,532<br />

Level 1 Center SJB Family Specialist(s): $ 2,358,514<br />

Level 1 Center Administrative Support: $ 362,848<br />

Level 1 Office Space Cost: $ 65,127<br />

Level 1 Transportation/Travel: $ 66,960<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 117,848<br />

Level 2 Center Field Specialist(s): $ 322,532<br />

Level 2 Center SJB Family Specialist(s): $ 1,179,257<br />

Level 2 Transportation/Travel: $ 31,680<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 43,418<br />

Level 3 Center SJB Family Specialist(s): $ 491,357<br />

Level 3 Transportation/Travel: $ 10,530<br />

Level 3 Office Equipment/Communications: $ 17,100<br />

Level 3 Supplies: $ 13,956<br />

CASE MANAGEMENT SUB‐TOTAL: $ 5,908,323<br />

STATE LEAD CENTER SUB‐TOTAL: $ 17,049,701<br />

INDIRECT COST TO INSTITUTION: $ 3,409,940<br />

ADMINISTRATIVE FEE TO SJBF: $ 340,994<br />

STATE LEAD CENTER SUB‐TOTAL: $ 20,800,635<br />

TOTAL JOBS CREATED IN Colorado: 113


CURRICULUM VITAE<br />

JEANNE E. DISE, Ph.D.<br />

PERSONAL DATA:<br />

CURRENT POSITION: Associate Professor<br />

Departments of Physical Medicine and Rehabilitation and Psychiatry<br />

University of Colorado Health Sciences Center<br />

Denver, Colorado<br />

Director of Psychology Programs in Rehabilitation Medicine<br />

<strong>The</strong> Children’s Hospital<br />

Denver, Colorado<br />

BUSINESS ADDRESS: <strong>The</strong> Children’s Hospital<br />

Department of Rehabilitation Medicine<br />

13123 East 16 th Avenue, Box 285<br />

Aurora, CO 80045<br />

Phone: 720-777-6642<br />

FAX: 720-777-7297<br />

E mail: dise-lewis.jeanne@tchden.org<br />

HOME ADDRESS: 6800 East 10th Avenue<br />

Denver, CO 80220<br />

EDUCATION:<br />

UNDERGRADUATE: Saint Joseph's University<br />

Philadelphia, Pennsylvania<br />

B.S., Magna Cum Laude, 1975<br />

Psychology<br />

GRADUATE: University of Pennsylvania<br />

Philadelphia, Pennsylvania<br />

M.S., Human Learning and Development, 1977<br />

University of Denver<br />

Denver, Colorado<br />

M.A., Child Clinical Psychology, 1979<br />

University of Colorado Health Sciences Center<br />

Denver, Colorado<br />

Internship, Pediatric Psychology, 1982<br />

University of Denver<br />

Denver, Colorado<br />

Ph.D., Child Clinical Psychology, 1984<br />

ACADEMIC APPOINTMENTS:<br />

Associate Professor<br />

Departments of Rehabilitation Medicine and Psychiatry<br />

University of Colorado Health Sciences Center<br />

Denver, Colorado 1/2001 - present<br />

Visiting Associate Professor<br />

Departments of Rehabilitation Medicine and Psychiatry<br />

University of Colorado Health Sciences Center<br />

Denver, Colorado 1/2000 – 1/2001


Curriculum Vitae<br />

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Clinical Assistant Professor<br />

Departments of Rehabilitation Medicine and Psychiatry<br />

University of Colorado Health Sciences Center<br />

Denver, Colorado 7/1997 – 12/1999<br />

Assistant Professor<br />

Departments of Rehabilitation Medicine and Psychiatry<br />

University of Colorado Health Sciences Center<br />

Denver, Colorado 7/1987 – 7/1997<br />

Instructor<br />

Departments of Rehabilitation Medicine and Psychiatry<br />

University of Colorado Health Sciences Center<br />

Denver, Colorado 1985 - 1987<br />

Instructor<br />

Brown University School of Medicine<br />

Providence, Rhode Island 1982 - 1983<br />

HOSPITAL AND<br />

OTHER<br />

PROFESSIONAL Director of Psychology Programs in Rehabilitation Medicine<br />

POSITIONS: <strong>The</strong> Children’s Hospital<br />

University of Colorado Health Sciences Center<br />

Denver, Colorado 1/2000 - present<br />

Director, Multidisciplinary Outpatient Rehabilitation Evaluation Clinic<br />

<strong>The</strong> Children’s Hospital<br />

Denver, Colorado 1990 - 2000<br />

Chief Clinical Psychologist<br />

Department of Rehabilitation Medicine<br />

University of Colorado Health Sciences Center<br />

Denver, Colorado 1985 - 1990<br />

Chief of Clinical Services<br />

<strong>The</strong> Wallace Village for Children<br />

Broomfield, Colorado 1984 - 1985<br />

Clinical Supervisor<br />

<strong>The</strong> Wallace Village for Children<br />

Broomfield, Colorado 1983 – 1984<br />

Psychological Associate<br />

Emma Pendleton Bradley Hospital<br />

East Providence, Rhode Island 1982 - 1983


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Jeanne E. Dise<br />

Page 3<br />

HONORS AND<br />

AWARDS:<br />

Federal TBI Program’s Most Popular State Agency Grant Product Award: “ABI in Children<br />

and Adolescents. HRSA: April 2008<br />

Appointed Board Member, <strong>The</strong> Colorado Traumatic <strong>Brain</strong> Injury Trust Fund<br />

Board 2002-2009<br />

Chair, <strong>The</strong> Colorado Traumatic <strong>Brain</strong> Injury Advisory Board, 2002-2005<br />

Member, <strong>The</strong> Colorado Traumatic <strong>Brain</strong> Injury Advisory Board, 2000-2006<br />

<strong>The</strong> Children’s Choice Award for Outstanding Teamwork, 1998<br />

Phi Delta Kappa Honor Society, 1977<br />

Graduated Magna Cum Laude, 1975<br />

Dean’s List 1971-1975<br />

Alpha Sigma Nu Honor Society, 1974<br />

Psi Chi Honor Society, 1974<br />

National Merit Scholarship, 1971<br />

National Honor Society, 1968-1971<br />

INVITED COMMITTEES<br />

AND SERVICE<br />

RESPONSIBILITIES:<br />

National: Co-Author, Position Paper on Children and Youth with Traumatic <strong>Brain</strong> Injuries<br />

TBI Technical Assistance Center at NASHIA<br />

2007-8<br />

Invited Participant: Seventh Annual Galveston <strong>Brain</strong> Injury Conference (Moody<br />

Invitational)<br />

Galveston, TX April 25-28, 2007<br />

Invited Participant: Evaluation of the HRSA Traumatic <strong>Brain</strong> Injury Program, Spring 2006<br />

Invited Participant: Sixth Annual Galveston <strong>Brain</strong> Injury Conference (Moody Invitational)<br />

Galveston, TX May 4-6, 2006<br />

Invited Participant: Children and Youth Work Group<br />

TBI Technical Assistance Center at NASHIA<br />

Denver, CO July 5 and 6, 2005<br />

Invited Participant: National Center for Injury Control and Prevention Focus Group<br />

Atlanta, GA November 3, 2004<br />

Invited Participant: Health Resources and Services Administration’s (HRSA) Maternal<br />

and Child Health Bureau / <strong>Brain</strong> Injury Association of America Taskforce on Children<br />

and Adolescents with TBI<br />

Member: Health Resources and Services Administration’s (HRSA) Maternal and Child<br />

Health Bureau / <strong>Brain</strong> Injury Association of America Special Workgroup on Children<br />

and Adolescents with TBI<br />

Invited Participant: Symposium on TBI in Children and Youth: II<br />

<strong>Brain</strong> Injury Association<br />

Washington, DC December 2000


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Jeanne E. Dise<br />

Page 4<br />

Invited Participant: Surveillance of Children and Youth with Traumatic <strong>Brain</strong> Injury<br />

Centers for Disease Control and Prevention<br />

Atlanta, Georgia October 26-27 2000<br />

Invited Participant: Health Resources and Services Administration’s (HRSA) Maternal<br />

and Child Health Bureau / <strong>Brain</strong> Injury Association of America Taskforce on Children<br />

and Adolescents with TBI<br />

Member: Health Resources and Services Administration’s (HRSA) Maternal and Child<br />

Health Bureau / <strong>Brain</strong> Injury Association of America Special Workgroup on Children<br />

and Adolescents with TBI<br />

Invited Participant: Traumatic <strong>Brain</strong> Injury in Children and Youth: Visioning Process to<br />

Prepare for the Future<br />

<strong>Brain</strong> Injury Association; Washington, DC November 1999<br />

Group Leader: Western Region Faculty Institute for Training<br />

University of Colorado Health Sciences Center<br />

Denver, CO June 7-8, 1996<br />

State: Board Member: <strong>The</strong> Colorado Traumatic <strong>Brain</strong> Injury Trust Fund 2002-2009.<br />

Chair, <strong>The</strong> Colorado Traumatic <strong>Brain</strong> Injury Advisory Board, 2002-2005.<br />

Member, <strong>The</strong> Colorado Traumatic <strong>Brain</strong> Injury Advisory Board, 2000-present<br />

Program Committee, Second Collaborative Conference on TBI, Denver, CO, 9/2005.<br />

Program Committee, First Collaborative Conference on TBI, Denver, CO, 9/20-21/2003.<br />

BIAC website Development Committee, CO TBI Implementation Grant, 2004.<br />

Chair, <strong>The</strong> Colorado Traumatic <strong>Brain</strong> Injury Advisory Board, 2002-2004<br />

Member, Colorado Advisory Board for <strong>Brain</strong> Injury: Child and Adolescent Needs and<br />

Resources Committee, 1999-present.<br />

Steering Committee, Statewide Resources for Child and Adolescent <strong>Brain</strong> Injury (Colorado<br />

TBI Network Teams), 2000-present.<br />

Community: Secretary, International Baccalaureate Program Parent Committee, George Washington<br />

High School, Denver Public Schools, Denver CO, 9/2002-9/2007<br />

Member, Cory Elementary School Collaborative Decision Making Board:<br />

2000-02.<br />

Member, Board of Directors, Montview Community Preschool and Kindergarten, Denver,<br />

CO: 1990, 1991, 1994, 1995, 1996.<br />

Chair, Arts Committee, Montclair School, 1995-1996.<br />

Hospital Based:<br />

<strong>The</strong> Children's Hospital Leadership Team 2006-present<br />

<strong>The</strong> Children's Hospital Staff Transition Team 2005-present<br />

Electronic Medical Records Team Leader 2004-present<br />

<strong>The</strong> Children’s Hospital Department of Physical Medicine and Rehabilitation Inpatient<br />

Program Continuing Education Committee 2001-present<br />

Rehabilitation Managers 1990-present<br />

Rehabilitation Outcomes Data Committee 1992-96<br />

Family-Centered Care Committee 1993-95<br />

<strong>The</strong> Children’s Hospital Psychiatry and Behavioral Sciences Department<br />

Psychology Internship Training Committee 1990-present


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Jeanne E. Dise<br />

Page 5<br />

Cleo Wallace Residential Center<br />

Executive Committee 1983-85<br />

Quality Assurance Committee 1983-85<br />

Clinical Milieu Committee 1983-85<br />

Hospital Initiative: JCAHO Policies<br />

and Procedures Committee<br />

1983-85<br />

BOARD<br />

CERTIFICATION<br />

AND LICENSURE: Licensed to practice psychology, 1986-present: Colorado Board of Psychologist Examiners.<br />

Diplomate in Pediatric Rehabilitation, 1990: American Board of Psychological Specialties.<br />

REVIEW WORK: Grant Reviewer, US Department of Education, NIDRR<br />

June 2007<br />

Grant Reviewer, US Department of Education, OSEP<br />

August 2004<br />

April 2003<br />

August 2003<br />

TEACHING:<br />

CONFERENCES: Director, Traumatic <strong>Brain</strong> Injury Network Teams (TNT) Second Annual Regional<br />

Televideo Conference<br />

Denver, CO, April 25, 2008<br />

Director, Traumatic <strong>Brain</strong> Injury Network Teams (TNT) First Annual Regional Televideo<br />

Conference<br />

Denver, CO, February 9, 2007<br />

INVITED LECTURES AND PAPER PRESENTATIONS:<br />

Invited Addresses:<br />

National<br />

“<strong>The</strong> 2 nd Federal Interagency Conference on TBI: Integrating Models of Research and<br />

Service Delivery”<br />

Bethesda, MD: March 9-11, 2006<br />

“Fostering Medical/Educational Collaboration for Students who have Special Healthcare<br />

Needs”<br />

Children’s Hospital of Philadelphia Medical Education Program: May 13, 2005<br />

“TBI: Its Rippling Impact on Child and Adolescent Development”<br />

<strong>The</strong> 35 th Annual Arizona Association of School Psychologists Conference<br />

Tucson, AZ October 2003<br />

Regional<br />

“Acquired <strong>Brain</strong> Injury in Childhood and Adolescence: Developmental Considerations<br />

regarding the impact on Executive Functions”<br />

7 th Annual Research Symposium: Living with TBI: from Injury to Inspiration<br />

Colorado State University, Fort Collins, CO, May 2008<br />

“Executive Functions: Dilemmas and Accommodations for Youth with TBI”<br />

<strong>The</strong> Hidden Trauma Conference


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Jeanne E. Dise<br />

Page 6<br />

Englewood, CO, October 2007<br />

“Executive Functions: A Developmental Understanding”<br />

Full day workshop: Colorado Association of Speech/Hearing and Audiology<br />

Denver, CO; October, 2007<br />

“<strong>Brain</strong>STARS: Addressing Behavioral Competency and Mental Health in Young Children<br />

after Acquired <strong>Brain</strong> Injury”<br />

<strong>Project</strong> Bloom and the Colorado Association for Infant Mental Health Symposium; Denver,<br />

CO<br />

February 8-9, 2007<br />

“Learning& Education Strategies: What Parents can do to Optimize your Child’s Potential”<br />

Spina Bifida Association of Colorado Educational Seminar; Denver, CO<br />

January 30, 2007<br />

“Executive Functions: A Developmental Understanding”<br />

Keynote address: Colorado Speech/Hearing Association’s 21 st Annual Symposium; Denver,<br />

CO<br />

January 26-27, 2007<br />

“Traumatic <strong>Brain</strong> Injury: <strong>Brain</strong>STARS Consultation Program”<br />

Nursing Grand Rounds: <strong>The</strong> Children's Hospital Webcast<br />

January 24, 2007<br />

“TBI During Development: Double Jeopardy!”<br />

<strong>The</strong> Hidden Trauma: THE NEXT STEP Conference<br />

Inverness Center, Engelwood, CO<br />

September 17, 2005<br />

“A Guide to Executive Function Interventions for Children who have TBI”<br />

<strong>The</strong> Hidden Trauma: THE NEXT STEP Conference<br />

Inverness Center, Engelwood, CO September 17, 2005<br />

“<strong>The</strong> Rippling Effects of Traumatic <strong>Brain</strong> Injury on Development in Childhood and<br />

Adolescence”<br />

CO Department of Human Services, Division of Child Welfare<br />

Littleton, CO June 22. 2005<br />

“A Developmental Perspective on Acquired <strong>Brain</strong> Injury”<br />

CO Department of Human Services / Mental Health TBI Pilot <strong>Project</strong><br />

Aurora, CO May 6, 2005<br />

“Traumatic <strong>Brain</strong> Injury in Children and Adolescents: Using the <strong>Brain</strong>STARS Manual to<br />

Address Needs”<br />

Colorado Child and Adolescent Mental Health Conference<br />

Colorado Springs, CO April 12, 2005<br />

“Behavior and Learning Challenges faced by Children who have ABI”<br />

<strong>The</strong> Children's Hospital Neurosurgery, Neurology, Neurotrauma/Rehabilitation Nurses<br />

Annual Conference<br />

Denver, CO November 1, 2005


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Jeanne E. Dise<br />

Page 7<br />

“Understanding and Reducing the Rippling Impact of TBI in Childhood and Adolescence”<br />

Mental Health and TBI: Life-Long Issues and Community Service Needs<br />

Vail, CO September 29, 2004<br />

“<strong>Brain</strong>STARS Training: Traumatic <strong>Brain</strong> Injury in Children”<br />

HCP Annual All-Staff Training Day<br />

Denver, CO May 6, 2004<br />

“A Developmental Perspective on Acquired <strong>Brain</strong> Injury”<br />

<strong>The</strong> Hidden Trauma: Tools for Success/ A Collaborative Conference on Pediatric TBI<br />

Denver, CO September, 2003<br />

“Pediatric Acquired <strong>Brain</strong> Injury: Implications for Childcare Providers” Colorado<br />

Department of Human Services 2001 Child Care Conference,<br />

Denver, CO September, 2001<br />

Local “Pediatric Acquired <strong>Brain</strong> Injury: Findings from a Three-year Longitudinal Study”<br />

<strong>The</strong> Children's Hospital 24 th Annual Community and School Health Pediatric Conference<br />

Denver, CO June 12-13, 2008<br />

“<strong>Brain</strong> Injury: A Topic of Public Concern for the Latino Community”<br />

1150 AM KNRB Radio show<br />

January 25, 2008, 12:00-3:30pm<br />

“Pediatric ABI: Sequelae and Interventions”<br />

JFK Partners Key Concepts Course; Denver, CO<br />

February 5, 2007<br />

“Understanding Mental Health Implications of TBI in Children and Adolescents”<br />

TBI/MHC Pilot Program, CO Department of Mental Health<br />

Aurora CO May 6, 2005<br />

“<strong>The</strong> <strong>Brain</strong>STARS Model: Working with Students who have Acquired <strong>Brain</strong> Injuries”<br />

Academy School District 20 Annual Learning Services Staff Development<br />

April 15, 2005<br />

“<strong>The</strong> <strong>Brain</strong>STARS Manual: A Resource for Educators and Mental Health Professionals<br />

working with Students who have ABI”<br />

Academy School District 20 Annual Learning Services Staff Development<br />

April 15, 2005<br />

“<strong>The</strong> <strong>Brain</strong>STARS Model: Working with Students who have Acquired <strong>Brain</strong> Injuries”<br />

Adams 12 School District Personnel Inservice Training<br />

October 30, 2004<br />

“<strong>The</strong> <strong>Brain</strong>STARS Model: Working with Students who have Acquired <strong>Brain</strong> Injuries”<br />

Douglas County Schools Personnel Inservice Training<br />

November 17, 2004<br />

<strong>Brain</strong>STARS Regional Training Events in <strong>Brain</strong> Injury: in Collaboration with Colorado’s HRSA TBI Grant or TBI<br />

Trust Fund:<br />

Educators, HCP Personnel and Family members, Aurora Public Schools<br />

Aurora, CO May 1, 2007


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Jeanne E. Dise<br />

Page 8<br />

Educators, HCP Personnel and Family members Denver Public Schools,<br />

Denver, CO April 16, 2007<br />

Denver Public Schools TBI Team Training in <strong>Brain</strong>STARS Consultation Model<br />

Denver, CO March 1, 2007<br />

Educators, HCP Personnel, Family members and BOCES Personnel,<br />

Durango, CO November 2, 2006<br />

Educators, HCP Personnel, Family members and BOCES Personnel,<br />

Columbus, NE September 15, 2006<br />

Educators, HCP Personnel, and BOCES Personnel,<br />

Greeley, CO January 30, 2006<br />

Educators, HCP Personnel, and BOCES Personnel,<br />

Grand Junction CO November 14, 2005<br />

Educators, HCP Personnel, and BOCES Personnel,<br />

Holdrege, NE June 28, 2005<br />

Educators, Family members, HCP Personnel, and BOCES Personnel,<br />

Cortez, CO April 26, 2005<br />

Educators, Family members, HCP Personnel, and BOCES Personnel,<br />

Greeley, CO May, 2004<br />

Educators, Familiy members, and BOCES Personnel<br />

LaJunta, CO November 12, 2003<br />

Educators, Familiy members and BOCES Personnel, Greeley, CO<br />

October 30, 2003<br />

Colorado Division of Youth Corrections Annual Conference and Staff Training, Glenwood<br />

Springs, CO January 7, 2003<br />

Family members, Educators and BOCES Personnel, Fletcher Miller School, Jefferson<br />

County, CO<br />

December 6, 2002<br />

Family members, Educators and BOCES Personnel, Colorado Springs, CO<br />

November 19-21, 2002<br />

Family members, Educators and BOCES Personnel, Durango CO<br />

October 18, 2002<br />

Lectures and Presentations: “Adults with Nonverbal Learning Disorder: Developing friendships and romantic<br />

relationships”<br />

35 th National Spina Bifida Association Conference<br />

Tucson, AZ; June 22-25 2008<br />

“<strong>Brain</strong>STARS: A <strong>The</strong>ory-driven, Team Intervention program for Students who have<br />

Traumatic <strong>Brain</strong> Injury”<br />

New Frontiers in Pediatric TBI Conference<br />

San Diego, CA; November 2007


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Jeanne E. Dise<br />

Page 9<br />

Concussion in High School Athletes: Data and Implications from 3 Years of Computerized<br />

Neuropsychological Testing”<br />

New Frontiers in Pediatric TBI Conference<br />

San Diego, CA; November 2007<br />

“<strong>Brain</strong>STARS: A <strong>The</strong>ory-driven, Team Intervention program for Students who have<br />

Traumatic <strong>Brain</strong> Injury”<br />

5 th Annual Conference of the American Academy of Clinical Neuropsychology Denver,<br />

CO; June 2007<br />

Concussion in High School Athletes: Data and Implications from 3 Years of Computerized<br />

Neuropsychological Testing”<br />

5 th Annual Conference of the American Academy of Clinical Neuropsychology Denver,<br />

CO; June 2007<br />

“<strong>Brain</strong>STARS: A Resource Manual for Parents and Educators of Children who have TBI”<br />

23 rd Annual Pacific Rim Conference on Disabilities; Honolulu HI<br />

March 12-14, 2007<br />

“Concussion in High School Athletes”<br />

23 rd Annual Pacific Rim Conference on Disabilities; Honolulu HI<br />

March 12-14, 2007<br />

“TBI During Development: Double Jeopardy!”<br />

2006 Annual Conference of <strong>Brain</strong> Injury Association of Colorado<br />

Vail, CO; September 2006<br />

“Concussion in High School Athletes and Beyond”<br />

2006 Annual Conference of <strong>Brain</strong> Injury Association of Colorado<br />

Vail, CO; September 2006<br />

“How to Build and Use a TBI Team around your Student: the <strong>Brain</strong>STARS Model”<br />

2006 Annual Conference of <strong>Brain</strong> Injury Association of Colorado<br />

Vail, CO; September 2006<br />

“Pediatric TBI: Treatment of Neurobehavioral Consequences”<br />

2004 Annual Conference of <strong>Brain</strong> Injury Association of Colorado<br />

Vail, CO; September 2005<br />

“An Investigation of Mental Processing Speed in Children after TBI”<br />

2004 Annual Conference of <strong>Brain</strong> Injury Association of Colorado<br />

Vail, CO September 2004<br />

“Managing Behavior using an Antecedents-Based Approach”<br />

2004 Annual Conference of <strong>Brain</strong> Injury Association of Colorado<br />

Vail, CO; September 2004<br />

“Making Classroom Decisions for Students with TBI: An Interactive Session”<br />

Council on Exceptional Children 2004 Expo and Convention<br />

New Orleans, LA; April 2004


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Jeanne E. Dise<br />

Page 10<br />

“Traumatic <strong>Brain</strong> Injury in Children and Adolescents: Using the <strong>Brain</strong>STARS Manual to<br />

Address Needs”<br />

Courage to Risk Conference<br />

Colorado Springs, CO; February 2004<br />

“TBI Board and Trust Fund: Children and Adolescents”<br />

Colorado HCP Network Conference<br />

Denver, CO; January 2004<br />

“Understanding the Cognitive and Educational Test Profiles of Students with ABI”<br />

<strong>The</strong> Hidden Trauma: Tools for Success/ A Collaborative Conference on Pediatric TBI<br />

Denver, CO September, 2003<br />

“<strong>The</strong> Learning Challenges of Children and Adolescents with TBI”<br />

<strong>Brain</strong> Injury Association of Colorado Annual Conference<br />

Vail, CO October, 2003<br />

Acquired <strong>Brain</strong> Injury in Students: What All School Psychologists Should Know”<br />

Colorado Society of School Psychologists Annual Convention<br />

Beaver Creek, CO; November 2002<br />

“Using the <strong>Brain</strong>STARS Manual to Understand and Accommodate Deficiencies Related to<br />

ABI in Students”<br />

Colorado Society of School Psychologists Annual Convention<br />

Beaver Creek, CO November 2002<br />

“Lessons Learned from School Consultation for Students with ABI”<br />

Colorado Society of School Psychologists Annual Convention<br />

Beaver Creek, CO November 2002<br />

“<strong>The</strong> <strong>Brain</strong>STARS <strong>Project</strong>: Where We’ve Been and Future Directions”<br />

Rehabilitation Science and Engineering Consortium Meeting<br />

Denver, CO November, 2002<br />

“<strong>Brain</strong>STARS: A Model Demonstration <strong>Project</strong> for Students with ABI”<br />

Second Annual Coleman Institute on Cognitive Disabilities<br />

Boulder, CO October, 2002<br />

“Pediatric Acquired <strong>Brain</strong> Injury: Implications for Child Protection Teams”<br />

Colorado Child Welfare Annual Conference<br />

Vail, CO October, 2002<br />

“Supports and Resources for Children and Families with TBI in Colorado”<br />

<strong>Brain</strong> Injury Association of Colorado Annual Conference<br />

Vail, CO October, 2002<br />

“School Consultations for Students with Acquired <strong>Brain</strong> Injury”<br />

OSEP Leadership and Research <strong>Project</strong> Directors Conference<br />

Washington, D.C. July, 2002<br />

“Lessons Learned from School Consultations for Students with Acquired <strong>Brain</strong> Injury”<br />

<strong>Brain</strong> Injury Association of America Annual Conference<br />

Minneapolis, MN July, 2002


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Jeanne E. Dise<br />

Page 11<br />

“Traumatic <strong>Brain</strong> Injury in Children: What School Personnel Need to Know”<br />

18 th Annual Community and School Health Pediatric Conference<br />

<strong>The</strong> Children’s Hospital<br />

Denver, CO June 13-14, 2002<br />

“Acquired <strong>Brain</strong> Injury in Children and Adolescents: Recognizing and Responding to<br />

Psychological Features”<br />

Mental Health Centers of Boulder Valley, Inc.<br />

Boulder, CO, May 2, 2002<br />

“Acquired <strong>Brain</strong> Injury in Children and Adolescents: Background and Developmental<br />

Issues”<br />

Mental Health Centers of Boulder Valley, Inc.<br />

April 25, 2002<br />

“Traumatic <strong>Brain</strong> Injury in School-age Children and Adolescents”<br />

Partnering for Health: Colorado Statewide School Health Conference<br />

Colorado Association of School Nurses Annual Conference<br />

Winter Park CO April 25-27, 2002<br />

“Acquired <strong>Brain</strong> Injury in Children and Adolescents: Using the <strong>Brain</strong>STARS Model to<br />

Intervene”<br />

Pacific Rim Conference on Disability Studies<br />

Honolulu, HI March 25, 2002<br />

“<strong>Brain</strong>Stars: <strong>Brain</strong> Injury – Strategies for Teams and Re-education for Students”<br />

Pacific Rim Conference on Disability Studies<br />

Honolulu, HI March 25, 2002<br />

“School Challenges for Students with <strong>Brain</strong> Injury”<br />

Pacific Rim Conference on Disability Studies<br />

Honolulu, HI March 25, 2002<br />

“<strong>Brain</strong>STARS: Partners in Prevention”<br />

Fifth Annual Administration for Children and Families, West-Central Tribal Child<br />

Care/Tribal Roundtable Conference: Strengthening Families through Quality Service<br />

Denver, CO March 19-21, 2002<br />

“Pediatric Acquired <strong>Brain</strong> Injury: Using the <strong>Brain</strong>Stars Manual to Understand and Respond<br />

to Problems”<br />

<strong>Brain</strong> Injury Association of Colorado<br />

Denver, Colorado October, 2001<br />

“<strong>The</strong> Rippling Effects of Pediatric <strong>Brain</strong> Injury”<br />

Inservice presentation to Victims Assistance and EMT Teams<br />

Colorado State Patrol<br />

Golden, CO September, 2001<br />

“Lessons Learned from School Consultation for Children and Youth with ABI”<br />

<strong>Brain</strong> Injury Association Annual Conference<br />

Atlanta, GA July, 2001


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“Acquired <strong>Brain</strong> Injury: A rippling event in children’s lives”<br />

Executive Committee of State of Colorado: Directors of Programs Serving Children and<br />

Youth<br />

Denver, CO February 23, 2001<br />

“<strong>The</strong> Effects of Reduced Mental Processing Speed on Academic Performance”<br />

Courage to Risk: Thirteenth Collaborative Conference for Special Education<br />

Colorado Springs, CO February 2001<br />

“Acquired <strong>Brain</strong> Injury: <strong>The</strong> Rippling Effects in Children’s Lives”<br />

<strong>Brain</strong> Injury Association of Colorado Annual Conference<br />

Vail, CO October 2000<br />

“<strong>Brain</strong> Injury: Strategies for Teachers and Re-education for Students”<br />

Courage to Risk: Twelfth Collaborative Conference for Special Education<br />

Colorado Springs, CO February 2000<br />

“<strong>Brain</strong>Stars: A Child’s Path to Recovery from <strong>Brain</strong> Injury”<br />

<strong>Brain</strong> Injury Association of Colorado Annual Conference<br />

Vail, CO October 1999<br />

“<strong>Brain</strong>Stars: Answering your Questions about Pediatric <strong>Brain</strong> Injury”<br />

<strong>Brain</strong> Injury Association of Colorado Annual Conference<br />

Vail, CO October 1999<br />

“Child Developmental Considerations in Reactions to Burn Injury”<br />

<strong>The</strong> Childrens’ Hospital Burn Team<br />

Denver, CO Spring 1999<br />

“Deficits in conceptual reasoning abilities in adolescents with Spina Bifida: Implications<br />

and Interventions<br />

International Symposium on Spina Bifida<br />

Verona, Italy May, 1999<br />

“Pediatric Rehabilitation: Psychosocial Issues”<br />

Residents in Developmental Medicine and Pediatrics<br />

University of Colorado Health Sciences Center<br />

Denver, CO Spring 1999<br />

“Questions and Answers about Pediatric TBI”<br />

<strong>Brain</strong> Injury Association of Colorado Annual Conference<br />

Vail, CO October, 1998<br />

“Daily Challenges Following Pediatric Traumatic <strong>Brain</strong> Injury”<br />

<strong>Brain</strong> Injury Association of Colorado Annual Conference<br />

Vail, CO October, 1998<br />

“Adaptations for Learning Enhancement: Learning and Education Strategies” Colorado<br />

Spina Bifida Association<br />

Denver, CO October, 1998<br />

“Traumatic <strong>Brain</strong> Injury: Cognitive, Learning, and Psychosocial Aspects”<br />

14th Annual Community and School Health Conference


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<strong>The</strong> Children's Hospital; Denver, CO June, 1998<br />

“<strong>The</strong> Effects of Pediatric Traumatic <strong>Brain</strong> Injury on Mental Processing Speed” 22nd Annual<br />

Williamsburg Conference: Cognitive, Neuromedical and Behavioral Aspects of <strong>Brain</strong><br />

Injury<br />

Williamsburg, VA, June, 1998<br />

“Pediatric Traumatic <strong>Brain</strong> Injury and the Relationships Among Thinking- Behavior-<br />

Emotional Systems”<br />

22nd Annual Williamsburg Conference: Cognitive, Neuromedical and Behavioral Aspects<br />

of <strong>Brain</strong> Injury<br />

Williamsburg, VA June, 1998<br />

“Impact of Reduced Mental Processing Speed on Educational Performance” <strong>Brain</strong> Injury<br />

Association of Colorado Annual Conference<br />

Vail, CO 1997<br />

“School-Based Accommodations for Pediatric Traumatic <strong>Brain</strong> Injury”<br />

<strong>Brain</strong> Injury Association of Colorado Annual Conference<br />

Vail, CO 1997<br />

“Multidisciplinary Assessment of Pediatric Traumatic <strong>Brain</strong> Injury”<br />

<strong>Brain</strong> Injury Association of Colorado Annual Conference<br />

Vail, CO 1997<br />

“<strong>The</strong> Recovery of Mental Processing Speed Following Pediatric Traumatic <strong>Brain</strong> Injury”<br />

<strong>Brain</strong> Injury Association of Colorado Annual Conference<br />

Vail, CO 1997<br />

“An Examination of the Deficits in Conceptual Reasoning Abilities Associated With Spina<br />

Bifida”<br />

Association of Academic Physiatrists Annual Meeting<br />

Colorado Springs, CO March, 1997<br />

“Troubleshooting Cognitive Processing in the DD Client”<br />

Colorado Association of Nurses for the Developmentally Disabled<br />

Annual Conference<br />

Spring 1997<br />

“Understanding and Accommodating the Learning Styles of Non-traditional Students”<br />

Pikes Peak Special Education Advisory Council<br />

Monument, CO January, 1997<br />

“A Team-based Approach to Assessment and Consultation following Traumatic <strong>Brain</strong><br />

Injury”<br />

10th Annual Cognitive Rehabilitation Conference<br />

Washington, D.C. September, 1996<br />

“<strong>The</strong> Recovery of Mental Processing Speed Following Traumatic <strong>Brain</strong> Injury” 10th<br />

Annual Cognitive Rehabilitation Conference<br />

Washington, D.C. September, 1996


Curriculum Vitae<br />

Jeanne E. Dise<br />

Page 14<br />

LECTURE SERIES AND WORKSHOPS<br />

“Neurodevelopmental Assessment”<br />

<strong>The</strong> Children’s Hospital Residents in Pediatrics and Rehabilitation<br />

Denver, CO July 1996<br />

“Treating Adolescents in Rehabilitation <strong>The</strong>rapies”<br />

Department of Rehabilitation Medicine<br />

University of Colorado Health Sciences Center<br />

Denver, CO June 1996<br />

“Stress and Coping in the Workplace”<br />

Working Women Count!<br />

U.S. Department of Labor Women’s Bureau Conference<br />

Denver, CO 1996<br />

“A Holistic Approach to Understanding Spina Bifida”<br />

Eleventh Annual Pacific Rim Conference<br />

Honolulu, HA January, 1995<br />

“Neuropsychological and Psychosocial Concomitants of Spina Bifida”<br />

Colorado Association of School Nurses<br />

March, 1994<br />

“Stressful Life Events and Coping in Children”<br />

Denver Psychobiological Research Group<br />

Denver, CO Spring 1994<br />

“Neuropsychological and Educational Outcomes Following Traumatic <strong>Brain</strong> Injury”<br />

First Annual TBI Consortium<br />

Denver, CO 1992<br />

“Psychosocial Adaptation to Limb Loss”<br />

University of Colorado Health Sciences Center<br />

Denver, CO January 22-23, 1988<br />

“Children's Coping with Stress: Effects on Depression and Psychosomatic Symptoms”<br />

Annual Convention of the American Psychological Association<br />

Anaheim, CA 1983<br />

“Psychological Stress, Social Support Systems, and Pregnancy Complications in<br />

Adolescents”<br />

Annual Convention of the American Psychological Association<br />

Montreal, Canada 1980<br />

“Acquired <strong>Brain</strong> Injury in Children and Adolescents Part II: Cognitive and<br />

Psychoemotional Assessment and Interventions”<br />

Boulder Valley Mental Health Systems<br />

Boulder, CO May 2, 2002 (2 C.E.U.s)


Curriculum Vitae<br />

Jeanne E. Dise<br />

Page 15<br />

“Acquired <strong>Brain</strong> Injury in Children and Adolescents Part I: Background and<br />

Developmental Interactions”<br />

Boulder Valley Mental Health Systems<br />

Boulder, CO April 26, 2002 (2 C.E.U.s)<br />

“<strong>Brain</strong>Stars: Partners in Prevention”<br />

West-Central Hub Tribal Child Care Meeting<br />

U.S. Department of Health and Human Services Administration<br />

Denver, CO March 19-21, 2002<br />

“Acquired <strong>Brain</strong> Injury in Children and Adolescents: What Every School Psychologist<br />

Needs to Know”<br />

Denver Public Schools<br />

Denver, CO January 11, 2002 (3 C.E.U.s)<br />

“Acquired <strong>Brain</strong> Injury: Implications for School Personnel”<br />

Denver Public Schools<br />

Denver, CO September, 2001 (3 C.E.U.s)<br />

“Acquired <strong>Brain</strong> Injury in Children and Youth” Two 3-hour inservice presentations to<br />

Denver Child Find Teams.<br />

Denver, CO August, 2001 (6 C.E.U.s)<br />

“<strong>Brain</strong>Stars: An Inservice Training for Teachers”<br />

Denver Public Schools<br />

Denver, CO May 2001 (3 C.E.U.s)<br />

“Understanding and Responding to Common Classroom Problems of Students with<br />

Acquired <strong>Brain</strong> Injury”<br />

Denver Public Schools<br />

Denver, CO March 2001 (3 C.E.U.s)<br />

“<strong>Brain</strong>Stars: An Inservice Training for Teachers”<br />

Cherry Creek School District<br />

Englewood, CO February 2001 (4 C.E.U.s)<br />

“Acquired <strong>Brain</strong> Injury in Children”<br />

<strong>The</strong> Children’s Hospital of Philadelphia Inservice Training<br />

Philadelphia, PA November, 2000<br />

“Understanding and Responding to Common Classroom Problems of Students with<br />

Acquired <strong>Brain</strong> Injury”<br />

Boulder Valley Public Schools<br />

Boulder, CO April 28, 2000 (2 C.E.U.s)<br />

“BRAINSTARS: An Inservice Training for Teachers”<br />

Boulder Valley Public Schools<br />

Boulder, CO January 24, 2000 (4 C.E.U.s)<br />

“BRAINSTARS: A Community Forum on <strong>Brain</strong> Injury in Children”<br />

Boulder, CO January 24, 2000


Curriculum Vitae<br />

Jeanne E. Dise<br />

Page 16<br />

“Pediatric Acquired <strong>Brain</strong> Injury”<br />

Developmental Evaluation Clinics<br />

Health Care Program for Children with Special Needs<br />

Colorado Department of Public Health and Environment<br />

Family and Community Health Services<br />

Denver, CO January 14, 2000 (4 C.E.U.s)<br />

“Pediatric Psychology”<br />

Eight-part lecture series for clinical psychology interns and post-doctoral fellows<br />

<strong>The</strong> Children’s Hospital<br />

Denver, CO 1990-present<br />

“BRAINSTARS: <strong>Brain</strong> Injury: Strategies for Teachers and Re-education for Students”<br />

Two day workshop for educators, parents and school personnel<br />

Manhattan, KS October, 1998 (6 C.E.U.s)<br />

“Pediatric Acquired <strong>Brain</strong> Injury: A Community Forum”<br />

Manhattan, KS October, 1998<br />

“Psychological, Social, and Cognitive Considerations for the Pediatric Rehabilitation<br />

Physician”<br />

Four-part lecture series for physiatry residents<br />

<strong>The</strong> Children’s Hospital and University of Colorado Health Sciences Center Denver, CO<br />

1990-1997<br />

“Traumatic <strong>Brain</strong> Injuries: Moving Forward”<br />

Workshop for teenagers and parents to retrain cognitive skills following traumatic brain<br />

injury<br />

Denver, CO Spring-Summer-Fall, 1997<br />

“Pediatric Traumatic <strong>Brain</strong> Injury: Comprehensive Assessment, Curricular Adaptations and<br />

Remediation”<br />

Two day workshop<br />

Manhattan School District October, 1997 (6 C.E.U.s)<br />

“Pediatric Acquired <strong>Brain</strong> Injury: A Community Forum”<br />

Manhattan, Kansas October, 1997<br />

“Recognizing Stress and Facilitating Coping in Children”<br />

A series of training workshops, radio broadcasts, and group sessions presented at public<br />

schools, residential treatment centers, and hospital units<br />

Colorado<br />

1982 - 1987<br />

“Cognitive, Developmental, and Social-Emotional Considerations in Spina Bifida”<br />

University of Colorado Health Sciences Center School of Nursing<br />

Denver, CO 2 lectures: June 1995<br />

“Developmental Considerations in Pediatric Traumatic <strong>Brain</strong> Injury”<br />

University of Colorado Health Sciences Center School of Nursing<br />

Denver, CO 2 lectures: June 1995


Curriculum Vitae<br />

Jeanne E. Dise<br />

Page 17<br />

GRANTS:<br />

“Psychological and Emotional Development: Implications for Health Providers”<br />

Six part lecture series<br />

University of Colorado Health Sciences Center, Physical <strong>The</strong>rapy School<br />

Denver, CO 1985-1989<br />

Principle Investigator Lewis, H.C. and Dise-Lewis, J.E. Preparing School Psychologists to Serve Students who<br />

have Traumatic <strong>Brain</strong> Injury. U.S. Department of Education, Office of Special Education<br />

and Rehabilitation Services, Office of Special Education Programs; # H325K080310;<br />

7/30/08-7/30/12. Budget: $800,000.<br />

Site Coordinator Glang, A and Todis, B. “Systematic Hospital-to-School Transition for Students with<br />

Traumatic <strong>Brain</strong> Injury,” NIDRR Multicenter Grant. 5/2007-5/2012.<br />

Principle Investigator Dise-Lewis, J.E. A Longitudinal Investigation of Outcomes Associated with Pediatric<br />

Traumatic <strong>Brain</strong> Injury. Centers for Disease Control and Prevention # 1 R49 CE000394-01;<br />

9/30/04-9/30/07. Budget: $900,000.<br />

Principle Investigator Dise, J.E. Pediatric Traumatic <strong>Brain</strong> Injury Bridge Grant. <strong>The</strong> Children’s Hospital Research<br />

Institute, Denver CO. 10/1/03-7/30/04. Budget: $35,000.<br />

Principle Investigator Dise, J.E. BRAINSTARS: <strong>Brain</strong> Injury - Strategies for Teams and<br />

Re-Education for Students. U.S. Department of Education, Office of Special<br />

Education and Rehabilitation Services, 6/1999 - 6/2003. Budget: $600,000<br />

PUBLICATIONS<br />

Journal Articles<br />

Peer Reviewed:<br />

Brenner LA, Dise-Lewis JE, Bartles SK, O’Brien SE, Godleski M, Selinger M (2007).<br />

<strong>The</strong> long-term impact and rehabilitation of pediatric brain injury: A 50 year follow-up<br />

case study. Journal of Head Trauma Rehabilitation, 22(1), 43-51.<br />

Glang A, Dise-Lewis JE, Tyler J. (2006). Identification and appropriate service delivery<br />

for children who have TBI in schools. Journal of Head Trauma Rehabilitation- Abstracts,<br />

23:26, 411-412.<br />

Dise, J.E. (2001). A developmental perspective on psychological principles of burn care.<br />

Journal of Burn Care and Rehabilitation, 22(3), 255-260.<br />

Calvery, M.L. and Dise, J.E. (2000). Cognitive problems associated with spina bifida.<br />

Child’s Nervous System.<br />

Dise, J.E. and Lohr, M.E. (1998). Examination of deficits in conceptual reasoning abilities<br />

associated with spina bifida. American Journal of Physical Medicine & Rehabilitation, 8,<br />

247-251.<br />

Dise-Lewis, J.E. (1988). <strong>The</strong> Life Events and Coping Inventory: An assessment of life<br />

stress in children. Journal of Psychosomatic Medicine, 50, 484-499.


Curriculum Vitae<br />

Jeanne E. Dise<br />

Page 18<br />

Non-Peer Dise-Lewis, J.E. (2002) Mild traumatic brain injury in children and<br />

Reviewed: adolescents. <strong>The</strong> Children’s Hospital PM&R Update, 5-2.<br />

Dise-Lewis, J.E. (2000). Acquired brain injury in children. School Health<br />

Reporter, 1-4.<br />

Dise-Lewis, J.E. (1999). Pediatric acquired brain injury. <strong>The</strong> Children’s Hospital PM&R<br />

Update 2(3), 1-4.<br />

Dise-Lewis, J.E. ( 1995). Spina bifida: Cognitive disabilities and academic<br />

remediations. In Information and Strategies for a Better Understanding of Students with<br />

Spina Bifida. Colorado Spina Bifida Association, Denver, CO.<br />

Books: Dise, J.E., Calvery, M.E., and Lewis, H.C. (2001). <strong>Brain</strong>STARS Manual. Wake Forest, NC:<br />

Lash and Associates Publishing/Training.<br />

Dise, J.E. and Dettmer, J. (2000). Traumatic <strong>Brain</strong> Injury: A Manual for Educators.<br />

Denver, CO: Colorado Department of Education.<br />

DVD: Dise-Lewis, J.E. (2007) Acquired brain injury in children and adolescents: Weaving a<br />

safety net through education and training. Colorado Department of Health, Healthcare<br />

Programs for Children with Special Needs, training DVD.<br />

Text Chapters: Dise-Lewis, J.E. (1994). Approaches to facilitate social/emotional growth in medically<br />

fragile infants and toddlers. In Lewis, H.C. Medically fragile infants and toddlers: An<br />

interdisciplinary training curriculum. Denver, Colorado: J.F.K. Center for Developmental<br />

Disabilities, University of Colorado Press.<br />

Dise-Lewis, J.E. (1988). Psychosocial adaptation to limb loss. In R. Meier, and Atkins,<br />

D., (Eds). Comprehensive management of the upper limb amputee. New York: Springer<br />

Verlag.<br />

PROFESSIONAL AFFILIATIONS:<br />

Member, American Board of Medical Psychotherapists<br />

Member, American College of Forensic Examiners<br />

Member, American Congress of Rehabilitation Medicine<br />

Member, American Psychological Association (APA)<br />

Member, <strong>Brain</strong> Injury Association of Colorado<br />

Member, Colorado Psychological Association<br />

Member, Division of Clinical Neuropsychology, APA<br />

Member, Division of Rehabilitation Psychology, APA<br />

Member, National Register of Health Service Providers in Psychology<br />

CONTINUING EDUCATION:<br />

Courses Attended:<br />

2008<br />

October Healing Touch for Self-Care. Denver CO 8 hours


Curriculum Vitae<br />

Jeanne E. Dise<br />

Page 19<br />

2005<br />

September <strong>The</strong> Hidden Trauma: A Collaborative Conference on Traumatic <strong>Brain</strong> Injury Denver CO 12 hours<br />

2003<br />

September <strong>The</strong> Hidden Trauma: A Collaborative Conference on Traumatic <strong>Brain</strong> Injury Denver CO 12 hours<br />

April Council on Exceptional Children Annual Conference, Seattle, WA<br />

12 hours<br />

2001<br />

November Achieving New Heights with Denver, CO 12 hours<br />

Assistive Technology<br />

July TBI Educators Conference Atlanta, Georgia 6 hours<br />

2000<br />

April Annual Conference on Denver, CO 16 hours<br />

Language and Learning<br />

July TBI Educators Conference Chicago, IL 6 hours<br />

1999<br />

June 23 rd Annual Williamsburg Conf. Richmond, VA 22.5 hours<br />

Cognitive, Neuromedical &<br />

Behavioral Aspects of <strong>Brain</strong><br />

Injury<br />

January JFK Partners 30 th Anniversary Denver, CO 4 hours<br />

Conference of the UAP<br />

Univ. of Colorado Health<br />

Sciences Center<br />

1998<br />

June 22nd Annual Williamsburg Conf. Richmond, VA 22.5 hours<br />

Cognitive, Neuromedical &<br />

Behavioral Aspects of <strong>Brain</strong> Injury<br />

1997<br />

June 21st Annual Williamsburg Conf. Richmond, VA 22.5 hours<br />

Cognitive, Neuromedical &<br />

Behavioral Aspects of <strong>Brain</strong><br />

Injury<br />

1996<br />

June 20th Annual Williamsburg Conf. Richmond, VA 22.5 hours<br />

Cognitive, Neuromedical &<br />

Behavioral Aspects of <strong>Brain</strong> Injury<br />

1995<br />

June 19th Annual Williamsburg Conf. Richmond, VA 22.5 hours<br />

Cognitive, Neuromedical &<br />

Behavioral Aspects of <strong>Brain</strong><br />

Injury<br />

Courage to Risk: Seventh Colorado Springs, CO 12 hours<br />

Collaborative Conference for Special Education


Curriculum Vitae<br />

Jeanne E. Dise<br />

Page 20<br />

1994<br />

Traumatic <strong>Brain</strong> Injury Philadelphia, PA 18 hours<br />

Children’s Hospital of<br />

Philadelphia<br />

Univ. of Pennsylvania<br />

School of Medicine<br />

Philadelphia, Pennsylvania<br />

Programming for Children Cape May, NJ 6 hours<br />

with Disabilities Within<br />

Natural Environments and<br />

Inclusive Settings<br />

Rutgers University<br />

Temple University School of Medicine<br />

Philadelphia, Pennsylvania<br />

1993<br />

April University of California-San Diego San Diego, CA 14.5 hours<br />

School of Medicine Cat. 1 CE<br />

West Coast Neuropsychology<br />

Conference<br />

Neuropsychology With Children<br />

April Ralph Reitan, Ph.D. Scottsdale, AZ 24 hours<br />

Workshop in Clinical Neuropsychology<br />

Ralph Reitan, Ph.D. Scottsdale, AZ 24 hours<br />

Advanced Workshop in Child<br />

Neuropsychology<br />

REFERENCES: Jeffrey I. Dolgan, Ph.D.<br />

Chief of Psychology<br />

<strong>The</strong> Children’s Hospital<br />

13123 East 16 th Avenue, B130<br />

Aurora, CO 80045<br />

720-777-6093<br />

720-777-7311 FAX<br />

Richard Finkel, M.D.<br />

Children’s Hospital of Philadelphia<br />

Division of Neurology<br />

6 Wood Building<br />

34 th & Civic Center Blvd.<br />

Philadelphia, PA 19104<br />

215-590-2763<br />

Arthur C. Jones, Ph.D.<br />

University of Denver<br />

Department of Psychology<br />

Denver, CO 80210<br />

303-871-3306 303-871-4747 FAX


Curriculum Vitae<br />

Jeanne E. Dise<br />

Page 21<br />

Dennis J. Matthews, M.D.<br />

Director, Department of Physical<br />

Medicine and Rehabilitation<br />

<strong>The</strong> Children’s Hospital and<br />

University of Colorado Health<br />

Sciences Center<br />

13123 East 16 th Avenue, B285<br />

Aurora, CO 80045<br />

720-777-3907<br />

720-777-7297 FAX<br />

Charles S. Reichardt, Ph.D.<br />

University of Denver<br />

Department of Psychology<br />

Denver, CO 80210<br />

303-871-3783<br />

303-871-4747 FAX<br />

Cordelia Robinson, Ph.D<br />

Director, JFK Partners<br />

University of Colorado Health<br />

Sciences Center<br />

13121 E. 17th Ave C234<br />

PO Box 6511<br />

Aurora, CO 80045<br />

303-724-7680<br />

303-724-7664 FAX<br />

Sally J. Rogers, Ph.D.<br />

Professor of Psychiatry<br />

M.I.N.D. Institute<br />

University of California – Davis<br />

Medical Center<br />

4860 Y Street, Suite 3020<br />

Sacramento, CA 95817<br />

916-734-7809<br />

916-734-7185 FAX<br />

Stephen Shirk, Ph.D.<br />

University of Denver<br />

Department of Psychology<br />

Denver, CO 80210<br />

303-871-3306<br />

303-871-4747 FAX<br />

<strong>Jane</strong>t Stewart, M.D.<br />

Rehabilitation Department<br />

<strong>The</strong> Childrens Hospital<br />

13123 East 16 th Avenue, Box 285<br />

Aurora, CO 80045<br />

720-777-6633<br />

720-777-7297 FAX


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Connecticut<br />

Yale‐New Haven Children's Hospital<br />

www.ynhh.org<br />

REGION: Northeast CATEGORY OF CARE: Adult Transition<br />

Program Director: Linda Degutis, DrPH, MSN Position Title: Director<br />

Department: Yale Center for Public Health Preparedness Major Subdivision: Department of<br />

Emergency Medicine<br />

Address: 464 Congress Avenue, Suite 260, New Haven, CT 06519<br />

Phone: 203‐785‐4363<br />

Email: linda.degutis@yale.edu<br />

Level 1 Center(s): Harford, New Haven<br />

Level 2 Center(s): Norwich, Bridgeport, Danbury, New Britian<br />

Level 3 Center(s): 0<br />

Number of jobs <strong>PABI</strong> Grant creates in Connecticut: 99<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 7,873,538<br />

Category of Care Management Sub‐total: $ 2,383,691<br />

Case Management Sub‐total: $ 5,109,893<br />

State Lead Center Sub‐total: $ 15,399,122<br />

Indirect Cost to Institution (20%): $ 3,079,824<br />

Administrative Cost to SJBF (2%): $ 307,982<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 18,786,929


Yale‐New Haven Children's Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 69,038<br />

Program Director Assistant: $ 131,972<br />

State Director: $ 439,907<br />

Associate State Director: $ 190,626<br />

State Epidemiologist: $ 293,271<br />

State Epidemiologist Assistant: $ 131,972<br />

State Scientific Investigation Research Coordinator: $ 249,280<br />

State Scientific Investigation Research Assistant: $ 249,280<br />

State Education/Training Coordinator (plus materials): $ 332,034<br />

State General Counsel: $ 351,925<br />

State IT Manager: $ 278,607<br />

State Family Support Coordinator: $ 219,953<br />

State Prevention/Awareness Coordinator: $ 219,953<br />

State Acute Care Coordinator: $ 219,953<br />

State Reintegration Coordinator: $ 219,953<br />

State Adult Transition Coordinator: $ 219,953<br />

State Mild TBI Coordinator: $ 219,953<br />

State Mental Health Coordinator: $ 190,626<br />

State Assistive/Emerging Technology Coordinator: $ 190,626<br />

State Correctional System Coordinator: $ 190,626<br />

State MISC Coordinator: $ 190,626<br />

State Veterans Coordinator: $ 190,626<br />

State Data Manager: $ 190,626<br />

State Public Policy Manager: $ 219,953<br />

State Community Relations Manager: $ 190,626<br />

State Administrative Support: $ 791,832<br />

Charity care: $ 446,040<br />

Human Resources Support: $ 99,000<br />

Training Support: $ 24,750<br />

State Lead Center Office Space Cost: $ 428,644<br />

State Lead Center Transportation/Travel: $ 113,400<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 138,272<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 127,440<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 7,873,538


Yale‐New Haven Children's Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Adult Transition<br />

Regional Category Director: $ 439,907<br />

Regional Category Epidemiologist: $ 351,925<br />

Regional Category Education/Training Coordinator: $ 293,271<br />

Regional Category Scientific Investigation Research: $ 293,271<br />

Regional Additional (Regional Veteran Coordinator): $ 293,271<br />

Regional Category Administrative Support: $ 527,888<br />

Regional Category Office Space Cost: $ 124,445<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 40,144<br />

CATEGORY OF CARE SUB‐TOTAL: $ 2,383,691


Yale‐New Haven Children's Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 418,959<br />

Level 1 Center Field Specialist(s): $ 335,167<br />

Level 1 Center SJB Family Specialist(s): $ 2,287,514<br />

Level 1 Center Administrative Support: $ 377,063<br />

Level 1 Office Space Cost: $ 66,906<br />

Level 1 Transportation/Travel: $ 55,800<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 121,068<br />

Level 2 Center Field Specialist(s): $ 301,650<br />

Level 2 Center SJB Family Specialist(s): $ 980,363<br />

Level 2 Transportation/Travel: $ 23,760<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 40,144<br />

CASE MANAGEMENT SUB‐TOTAL: $ 5,109,893<br />

STATE LEAD CENTER SUB‐TOTAL: $ 15,399,122<br />

INDIRECT COST TO INSTITUTION: $ 3,079,824<br />

ADMINISTRATIVE FEE TO SJBF: $ 307,982<br />

STATE LEAD CENTER SUB‐TOTAL: $ 18,786,929<br />

TOTAL JOBS CREATED IN Connecticut: 99


Principal Investigator/Program Director (Last, First, Middle):<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed<br />

on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

Degutis, Linda C.<br />

POSITION TITLE<br />

eRA COMMONS USER NAME<br />

ldegutis<br />

Associate Professor<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as<br />

DEGREE<br />

INSTITUTION AND LOCATION<br />

(if<br />

applicable)<br />

YEAR(s) FIELD OF STUDY<br />

DePaul University, Chicago, Illinois BS 1975 Major in Nursing<br />

DePaul University, Chicago, Illinois 1976-78 Basic Science<br />

Yale University Graduate School of Nursing,<br />

New Haven, Connecticut<br />

MSN 1982 Cardiovascular CNS<br />

Yale University School of Medicine, New Haven,<br />

CT<br />

A. POSITIONS AND HONORS<br />

DrPH 1994<br />

Chronic Disease<br />

Epidemiology<br />

1975-1976 Staff Nurse/Charge Nurse, Rush-Presbyterian St. Luke’s Medical Center, Chicago, IL<br />

1978 Staff Nurse, Emergency Department, Norwalk Hospital, Norwalk, CT<br />

1978-1982 Staff Nurse/Charge Nurse, Yale-New Haven Hospital, New Haven, CT<br />

1982-1990 Trauma Program Coordinator, Yale School of Medicine, New Haven, CT<br />

1982-1994 Clinical Instructor, Yale University Graduate School of Nursing, New Haven, CT<br />

1984-1995 Lecturer, Dept of Surgery, Yale School of Medicine, New Haven, CT<br />

1986-1987 Research Assistant, National Acute Spinal Cord Injury Study, II, Section of Neurosurgery,<br />

Yale School of Medicine, New Haven, CT<br />

1990-1991 Trauma Program Director, Dept of Surgery, Yale School of Medicine, New Haven, CT<br />

1991-1992 Trauma Coordinator, Dept of Surgery, Bridgeport Hospital, Bridgeport, CT<br />

1992-1995 Trauma Program Coordinator, Dept of Surgery, Yale School of Medicine, New Haven, CT<br />

1993-1996 Subinvestigator\Research Associate, National Acute Spinal Cord Injury Study III, Section of<br />

Neurosurgery, Yale School of Medicine, New Haven, CT<br />

1994-2001 Assistant Clinical Professor, Yale University Graduate School of Nursing, New Haven, CT<br />

1994-1998 Co-Director, New Haven Regional Injury Prevention Program, Dept of Surgery, Section of<br />

Emergency Medicine, Yale School of Medicine<br />

1995-2001 Assistant Professor, Section of Emergency Medicine, Dept of Surgery, Yale School of<br />

Medicine<br />

9/96-10/97 Health Policy Fellow Office of Senator Paul Wellstone, Washington, DC, Robert Wood<br />

Johnson Health Policy Fellowship Program and Institute of Medicine<br />

1997- 2004 Associate Research Director, Section of Emergency Medicine, Dept of Surgery, Yale School<br />

of Medicine<br />

1998-2002 Director, New Haven Regional Injury Prevention Program, New Haven, CT<br />

1991-2001 Assistant Professor, Dept of Epidemiology and Public Health, Yale School of Medicine<br />

1999 - Co-Director, <strong>Project</strong> ASSERT: A Program to Provide Health Assessment and Substance<br />

Abuse Screening in the Emergency Department, Yale New Haven Hospital, New Haven, CT<br />

1999-2002 Director, New Haven Community Epidemiology Work Group, New Haven Fighting Back<br />

<strong>Project</strong>, New Haven, CT<br />

1999-2001 Member, Technical Advisory Group for the redesign of DAWN (Drug Abuse Warning Network)<br />

SAMHSA<br />

2000-2003 Mentor, <strong>Project</strong> MAINSTREAM, HRSA/AMERSA/SAMHSA-CSAT Faculty Development<br />

Program in Substance Abuse Education<br />

2001 - Affiliate Faculty, Robert Wood Johnson Clinical Scholars Program, Yale School of Medicine<br />

PHS 398/2590 (Rev. 09/04, Reissued 4/2006) Page 1 Biographical Sketch Format Page


2001 - Associate Professor, Sect of Emergency Med, Dept of Surgery; Environmental Health<br />

Division, School of Public Health, Yale University, New Haven, CT<br />

2001 - Associate Clinical Professor, Yale School of Nursing, New Haven, CT<br />

2001 - Member, Trauma Information and Exchange Program Advisory Board, Johns Hopkins School of<br />

Public Health, Baltimore, MD<br />

2002 - 2004 Member, Technical Advisory Group, new DAWN implementation, SAMHSA<br />

2004 - Research Director, Section of Emergency Medicine, Yale School of Med, New Haven, CT<br />

2005 - Director and Co-PI, Yale Center for Public Health Preparedness, Yale School of Public Health<br />

2007 Distinguished Career Award, Injury Control and Emergency Health Services Section,<br />

American Public Health Association<br />

2007 – 2008 President, American Public Health Association<br />

2008 - Fellow (Hon), Royal Society for Public Health<br />

2008 – 2009 Immediate Past President, American Pubic Health Association<br />

2008 - Member, Advisory Board, Robert Wood Johnson Health Policy Fellowship Program, Institute of<br />

Medicine<br />

2008 - Member, Executive Board, Advocates for Highway and Auto Safety<br />

B. SELECTED PEER-REVIEWED PUBLICATIONS (IN CHRONOLOGICAL ORDER)<br />

1. Baker CC, Degutis LC, DeSantis JG, Baue AE. <strong>The</strong> impact of a trauma service on trauma care in a<br />

university hospital. Am J Surg, 149 (4):453-8, 1985.<br />

2. Baker CC, Degutis LC. Predicting outcome in the multiple trauma patient. Infect in Surg, 5 (4):243-5,<br />

1986.<br />

3. Gertler J, Degutis LC, Garvey R, Clay R, Baker CC. Pitfalls in the diagnosis and management of blunt<br />

splenic trauma. Conn Med, 50 (10):645-7, 1987.<br />

4. Degutis LC, Baker CC. Trauma in the elderly - a statewide perspective. Conn Med, 50(3):161-164, 1987.<br />

5. Ross P, Degutis LC, Baker CC. Cardiac contusion: <strong>The</strong> effect on operative management of the trauma<br />

patient. Arch Surg, 124:506-7, 1989.<br />

6. Longo WE, Baker CC, McMillen MA, Modlin IM, Degutis LC, Zucker KA. Non-operative management of<br />

blunt splenic trauma in adults: criteria for success. Ann Surg, 2 10 (5) 626-9, 1989<br />

7. Higgins RS, Sanchez JA, Degutis LC, Dewar MC, Franco KL, Kopf GS, Elefteriades JA, Hammond GL,<br />

Baldwin JC. Mechanical circulatory support decreases neurologic complications in the treatment of<br />

traumatic injuries of the thoracic aorta. Arch Surg, 127 (5): 516-9, 1992.<br />

8. Burns GA, Cohn SM, Frumento RJ, Degutis LC, Hammers L. Prospective ultrasound evaluation of venous<br />

thrombosis in high-risk trauma patients. J Trauma, 1993 Sept; 35(3):405-408.<br />

9. Gabram SGA, Libby MCN, Jacobs LM, Atweh N, Degutis LC, Reich JJ, Ryan N, Thomas RG, Zelman J.<br />

Peer review of on-scene air medical triage in Connecticut. Conn Med, 58(1):3-12 1994<br />

10. Cohn SM, Pollak JS, McCarthy S, Degutis LC. Detection of aortic tear in the acute trauma patient using<br />

MRI. MRI, 12(6):963-967, 1994.<br />

11. Bretsky PM, Blanc DC, Phelps S, Ransom JA, Degutis LC, Groce NE. Epidemiology of firearm mortality<br />

and injury estimates: State of CT, 1988-1993. Ann Emerg Med, 28(2):176-182, 1996.<br />

12. Moscovitz H, Degutis L, Bruno GR, Schriver J. Emergency department patients with assault injuries:<br />

previous injury and assault convictions. Ann Emerg Med, 29(6):770-775, 1997.<br />

13. Taylor CR, Degutis L, Burns G, Cohn S, Rosenfield AT. CT in abdominal trauma: Impact on clinical<br />

management. J Trauma, 44(5):893-901, 1998.<br />

14. Degutis LC. Screening for alcohol problems in emergency department patients with minor injury: results<br />

and recommendations for practice and policy. Cont Drug Problems, 25:463-475, 1998.<br />

15. Groce NE, Degutis LC. Rehabilitation needs as a result of firearm-related injury: a four year retrospective<br />

study from an inner-city hospital in the US. Int J Rehab Res, 22, 1-3, 1999.<br />

16. Merrell GA, Driscoll JC, Degutis LC, Renshaw TS. Prevention of childhood pedestrian trauma: A study of<br />

interventions over six years. J Bone Joint Surg AM. 9(6):627-638, 2002.<br />

17. D’Onofrio G, Degutis LC. Preventive care in the emergency department: screening and brief intervention<br />

for alcohol problems in the emergency department: a systematic review. Acad Emerg Med 2002;9:627-38.<br />

18. D’Onofrio G, Nadel ES, Degutis LC, et al. Improving emergency medicine residents' approach to patients<br />

with alcohol problems: a controlled educational trial. Ann Emerg Med 2002;40:50-62.<br />

PHS 398/2590 (Rev. 09/04, Reissued 4/2006) Page 2 Continuation Format Page


19. McCausland JB. Linden JA. Degutis LC. Ramanujam P. Sullivan LM. D'onofrio G. Nonoccupational<br />

postexposure HIV prevention: emergency physicians' current practices, attitudes, and beliefs. Ann Emerg<br />

Med. 2003; 42(5):651-6.<br />

20. Kane BG, Degutis LC, Sayward HK, D’Onofrio G. Compliance with Centers for Disease Control<br />

Recommendations for the Diagnosis and Treatment of Sexually Transmitted Diseases. Acad Emerg Med.<br />

2004, 11(4):371-377.<br />

21. Degutis LC, Rabinovici R, Sabbaj A, Mascia R, D’Onofrio G. <strong>The</strong> saliva strip test is an accurate method to<br />

determine blood alcohol concentration in trauma patients. Acad Emerg Med. 2004, 11(8)885-887<br />

22. Levine E, Degutis L, Pruzinsky T, Shin J, Persing JA. Quality of life and facial trauma psychological and<br />

body image effects. Annals of Plastic Surgery. 2005, 24(5)502-510.<br />

23. D’Onofrio G, Pantalon MV, Degutis L, Fiellin D, O’Connor P. Development and implementation of an<br />

emergency practitioner-performed brief intervention for hazardous and harmful drinkers in the emergency<br />

department. Acad Emerg Med. 2005, 12(3):249-56<br />

24. D’Onofrio G, Degutis, LC. Screening and brief intervention in the Emergency Department. Alcohol<br />

Research and Health. 2005, 28(2)63-72.<br />

25. Safdar B. Degutis LC. Landry K. Vedere SR. Moscovitz HC. D'Onofrio G. Intravenous morphine plus<br />

ketorolac is superior to either drug alone for treatment of acute renal colic. Ann Emerg Med. 2006,<br />

48(2):173-81, 181.e1.<br />

26. Degutis LC. “Substance Use Disorders and Mental Health Problems in the Emergency Department”<br />

Solicited background paper for the Institute of Medicine Report on <strong>The</strong> Future of Emergency Care, 2006.<br />

27. D’Onofrio G, McCausland JB, Tarabar A, Degutis LC. Illy: Clinical and Public Health Implications of a<br />

Street Drug. Substance Abuse, Journal of AMERSA, 2006, 27(4) 45-51.<br />

28. Lerner, E. B., O’Connor, R. E., Schwartz, R., Brinsfield, K., Ashkenazi, I., Degutis, L. C., Dionne, J.P.,<br />

Hines, S., Hunter, S., O’Reilly, G., and Sattin, R. W. “Blast-Related Injuries from Terrorism: An International<br />

Perspective.” Prehospital Emergency Care, 2007, 11(2): 137-53.<br />

29. Durante, A. J., Melchreit, R., Sullivan, K., Degutis, L. “Partnering for Success: Recruitment, Training, and<br />

Deployment of Public Health Exercise Evaluators.” Public Health Reports, 2007, 122(6).<br />

30. Degutis LC and the Collaborative for ED Screening and Brief Intervention. An evidence based alcohol<br />

screening, brief intervention and referral to treatment (SBIRT) curriculum for emergency department (ED)<br />

providers improves skills and utilization. Subst Abuse 2007;28(4):79-92.<br />

31. Larkin GL, Hamann CJ, Monico EP, Degutis L, Schuur J, Kantor W, Graffeo CS. Knowledge translation at<br />

the macro level: legal and ethical considerations. Acad Emerg Med 2007;14(11):1042-6.<br />

32. Yende S, D’Angelo G, Kellum JA, Weissfeld L, Fine J, Welch RD, Kong L, Carter M, Angus DC,<br />

“Inflammatory Markers at Hospital Discharge Predict Subsequent Mortality after Pneumonia and Sepsis.”<br />

AM J Respir Crit Care Med, 2008 177:1242-1247. Degutis LC (list of GenIMS investigators:<br />

www.ccm.upmc.edu/genims_investigators).<br />

33. Monico E, Larkin GL, Degutis LC, “Informed Consent for Research: Current Practices in Academic<br />

Emergency Medicine”. Acad Emerg Med 2008; 15:573-576; doi: 10.1111/j.1553-2712.2008.00098.x.<br />

34. Greve MW, Young DJ, Goss AL, Degutis LC, “Mild to Moderate Skiing and Snowboarding Head Injuries in<br />

two Areas of the United States”. Wilderness and Environmental Medicine 2009; In Press<br />

35. Durante A, Melchreit R, Sullivan K, Degutis LC, “Connecticut Competency-Based Point of Dispensing<br />

Worker Training Needs Assessment”. Disaster Med and Pub Health Preparedness; 2009; In Press<br />

C. RESEARCH SUPPORT<br />

Ongoing Research Support<br />

Gail D’Onofrio (PI) 9/30/08 – 9/29/13<br />

Substance Abuse and Mental Health Services Administration (SAMHSA)<br />

<strong>The</strong> SBIRT Training in Yale Residency Programs: Implementation and Dissemination to Implement and<br />

Disseminate SBIRT Curriculum for Alcohol/Drugs into Targeted Yale Residencies and Beyond<br />

Role: Co-investigator<br />

Brian Leaderer (PI) 9/1/05 – 8/31/09<br />

Centers for Disease Control and Prevention<br />

Yale Center for Public Health Preparedness<br />

PHS 398/2590 (Rev. 09/04, Reissued 4/2006) Page 3 Continuation Format Page


Major goal: to provide education in disaster preparedness for the public health workforce<br />

Role: Director, Co-PI<br />

Gail D’Onofrio (PI) 3/10/05 – 2/28/10<br />

National Institute of Alcoholism and Alcohol Abuse (NIAAA)<br />

Enhancing Emergency Physician-Performed Alcohol Interventions in the ED<br />

Major goal: To test the effectiveness of screening and brief intervention enhanced by a booster session for<br />

emergency department patients with alcohol problems<br />

Role: Co-Investigator<br />

Completed Research Support<br />

Brian Leaderer (PI) 9/1/05 – 8/31/06<br />

Association of Schools of Public Health<br />

Yale Center for Public Health Preparedness<br />

Major goal: to provide education in disaster preparedness for the public health workforce<br />

Role: Director, and Co-PI<br />

Linda Degutis (PI) 10/25/04 – 3/30/07<br />

Alcohol Screening and Brief Intervention (ASBI)<br />

National Highway Traffic Safety Administration<br />

Major goal: to explore methods of implementing ASBI in emergency departments and trauma centers in<br />

NHTSA regions I & II<br />

Role: PI<br />

Gail D’Onofrio (PI) 10/1/04 – 9/30/07<br />

Connecticut Screening and Brief Intervention Initiative<br />

Department of Mental Health and Addiction Services (SAMHSA)<br />

Major goal: To implement and evaluate programs for screening, brief intervention and referral to treatment for<br />

patients with alcohol and other drug problems in the primary care and emergency department settings.<br />

Role: Co-Investigator<br />

Linda Degutis (PI) 7/2002–9/2004<br />

U.S. Department of Education (subcontract from Governor’s Prevention Partnership)<br />

Campus Community Partnerships to Decrease Campus Alcohol Problems<br />

<strong>The</strong> major goal is to examine the impact of 3 different campus-based strategies in decreasing alcohol problems<br />

on 4 college campuses in Connecticut.<br />

Role: Evaluator<br />

James O’Hara (PI) 9/1/02-8/31/03<br />

Robert Wood Johnson Foundation and Pew Foundation, (Subcontract from Georgetown University)<br />

Center on Alcohol Marketing and Youth (CAMY)<br />

<strong>The</strong> major goal was to examine media placement of alcohol advertising in youth-oriented markets.<br />

Role: Yale PI<br />

Gail D’Onofrio (PI) 9/13/01–7/31/05<br />

National Institutes of Health (NIAAA)<br />

Emergency Physician Brief Intervention for Alcohol<br />

<strong>The</strong> major goal is to evaluate the effectiveness of a brief intervention conducted in an emergency room setting<br />

with harmful/hazardous drinkers.<br />

Role: Co-Investigator<br />

Linda Degutis (PI) 3/1/01-5/1/01<br />

Westat Corporation<br />

Drug Abuse Warning Network Field Study<br />

PHS 398/2590 (Rev. 09/04, Reissued 4/2006) Page 4 Continuation Format Page


Major goal: to compare several processes of identification of drug-related ED visits.<br />

Role: Principal Investigator<br />

Linda Degutis (PI) 1/1/01-6/30/04<br />

Robert Wood Johnson Foundation, Substance Abuse Policy Research Program<br />

A Comparative Analysis of the Passage and Failure of Passage of DWI Legislation and Regulation in the US<br />

and Canada<br />

Major goal: to explore reasons for passage of DWI-related policies in the US and Canada<br />

Role: PI<br />

Linda Degutis (PI) 10/1/99–7/30/03<br />

Robert Wood Johnson Foundation, Substance Abuse Policy Research Program<br />

Mandatory Substance Abuse Screening in Injured Patients: Implications for Policy Development and<br />

Implementation<br />

Major goal: to evaluate the impact of implementation of a Connecticut state law that requires screening for<br />

alcohol and other drug problems in injured patients.<br />

Role: Principal Investigator<br />

PHS 398/2590 (Rev. 09/04, Reissued 4/2006) Page 5 Continuation Format Page


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Delaware<br />

Nemours / Alfred I. duPont Hospital for Children<br />

www.nemours.org<br />

REGION: Mid‐Atlantic CATEGORY OF CARE: Prevention<br />

Program Director: Michael Alexander, MD Position Title: Professor<br />

Department: Pediatrics and Rehabilitation Medicine<br />

Address: 1600 Rockland Road, Wilmington, DE 19803<br />

Phone: (302) 651‐5601<br />

Email: malex@NEMOURS.ORG<br />

Level 1 Center(s): Wilmington (AI du Pont Hospital for Children), Newark (Christiana Medical Center),<br />

Milford (Kent Sussex Hospital)<br />

Level 2 Center(s): New Castle County Schools, Kent County Schools, Sussex County Schools<br />

Level 3 Center(s): 0<br />

Number of jobs <strong>PABI</strong> Grant creates in Delaware: 113<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 6,709,699<br />

Category of Care Management Sub‐total: $ 1,921,009<br />

Case Management Sub‐total: $ 5,835,200<br />

State Lead Center Sub‐total: $ 14,497,908<br />

Indirect Cost to Institution (20%): $ 2,899,582<br />

Administrative Cost to SJBF (2%): $ 289,958<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 17,687,448


Nemours / Alfred I. duPont Hospital for Children Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 118,869<br />

Program Director Assistant: $ 110,506<br />

State Director: $ 368,354<br />

Associate State Director: $ 159,620<br />

State Epidemiologist: $ 245,569<br />

State Epidemiologist Assistant: $ 110,506<br />

State Scientific Investigation Research Coordinator: $ 208,734<br />

State Scientific Investigation Research Assistant: $ 208,734<br />

State Education/Training Coordinator (plus materials): $ 229,370<br />

State General Counsel: $ 294,683<br />

State IT Manager: $ 233,291<br />

State Family Support Coordinator: $ 184,177<br />

State Prevention/Awareness Coordinator: $ 184,177<br />

State Acute Care Coordinator: $ 184,177<br />

State Reintegration Coordinator: $ 184,177<br />

State Adult Transition Coordinator: $ 184,177<br />

State Mild TBI Coordinator: $ 184,177<br />

State Mental Health Coordinator: $ 159,620<br />

State Assistive/Emerging Technology Coordinator: $ 159,620<br />

State Correctional System Coordinator: $ 159,620<br />

State MISC Coordinator: $ 159,620<br />

State Veterans Coordinator: $ 159,620<br />

State Data Manager: $ 159,620<br />

State Public Policy Manager: $ 184,177<br />

State Community Relations Manager: $ 159,620<br />

State Administrative Support: $ 663,037<br />

Charity care: $ 377,799<br />

Human Resources Support: $ 113,000<br />

Training Support: $ 28,250<br />

State Lead Center Office Space Cost: $ 363,065<br />

State Lead Center Transportation/Travel: $ 113,400<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 117,118<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 107,943<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 6,709,699


Nemours / Alfred I. duPont Hospital for Children Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Prevention<br />

Regional Category Director: $ 368,354<br />

Regional Category Epidemiologist: $ 294,683<br />

Regional Category Education/Training Coordinator: $ 245,569<br />

Regional Category Scientific Investigation Research: $ 245,569<br />

Regional Category Administrative Support: $ 442,025<br />

Regional Category Office Space Cost: $ 105,406<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 34,002<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,921,009


Nemours / Alfred I. duPont Hospital for Children Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 526,220<br />

Level 1 Center Field Specialist(s): $ 420,976<br />

Level 1 Center SJB Family Specialist(s): $ 2,873,161<br />

Level 1 Center Administrative Support: $ 473,598<br />

Level 1 Office Space Cost: $ 56,670<br />

Level 1 Transportation/Travel: $ 83,700<br />

Level 1 Office Equipment/Communications: $ 89,400<br />

Level 1 Supplies: $ 140,325<br />

Level 2 Center Field Specialist(s): $ 252,586<br />

Level 2 Center SJB Family Specialist(s): $ 820,903<br />

Level 2 Transportation/Travel: $ 23,760<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 34,002<br />

CASE MANAGEMENT SUB‐TOTAL: $ 5,835,200<br />

STATE LEAD CENTER SUB‐TOTAL: $ 14,497,908<br />

INDIRECT COST TO INSTITUTION: $ 2,899,582<br />

ADMINISTRATIVE FEE TO SJBF: $ 289,958<br />

STATE LEAD CENTER SUB‐TOTAL: $ 17,687,448<br />

TOTAL JOBS CREATED IN Delaware: 113


First Name: Michael MI: A Last Name: Alexander<br />

Present Position: Chief of Rehabilitation Alfred I du Pont Hospital for Children<br />

Wilmington, Delaware and Chief of Division of Pediatric Rehabilitation for Departments of<br />

Pediatrics and Physical Medicine and Rehabilitation at Thomas Jefferson University<br />

School Name: George Mason University<br />

University of Virginia<br />

Primary Degree<br />

Awarded: BA<br />

Specialty<br />

Physical Medicine and<br />

Rehabilitation<br />

Year<br />

Completed: 1969<br />

Secondary Degree<br />

Awarded: MD<br />

Year<br />

Completed: 1972<br />

Certification and Re-Certification Information Current Licensure Data<br />

Subspecialty in Pediatric<br />

Rehabilitation Medicine<br />

Original<br />

Certification<br />

Year<br />

1977<br />

2003<br />

Pediatrics 1977<br />

Most Recent<br />

Certification Year State<br />

Not time limited<br />

Expires 2013<br />

Not time limited<br />

Date of<br />

Expiration<br />

Pa Dec 2010<br />

De Dec 2009<br />

Academic Appointments - List the past ten years, beginning with your current position.<br />

Start End<br />

Date1989 DatePresent<br />

Description of Position(s) Clinical Professor of Pediatrics and Physical<br />

Medicine and Rehabilitation till 2007 at which time became Professor<br />

without prefix<br />

Concise Summary of Role/Responsibilities in Program: Chief of Division of Pediatric<br />

Rehabilitation evaluate residents and monitor faculty which consists on another 2 double boarded<br />

and subspecialty boarded doctors. We teach straight PMR residents as well as PedPMR residents<br />

and we now have a one year fellowship in Pediatric Rehabilitation Medicine.<br />

Current Professional Activities / Committees (Limit of 10):<br />

1. Board Trustee DIMER<br />

2. Past President Medical Society of Delaware<br />

3. Co editor on 4 th edition of Pediatric Rehabilitation Medicine<br />

Selected Bibliography - Most representative Peer Reviewed Publications / Journal Articles from the<br />

last 5 years (Limit of 10):<br />

Rahman, T., Ramanathan, R., Stroud, S., Sample, W., Seliktar, R., Harwin, W., Alexander, M.,<br />

Scavina, M: Towards the control of a powered orthosis for people with muscular dystrophy. Proc<br />

Instn Mech Engrs. Volume 215, Part H. Pages 267-274. 2001<br />

Rahman, T., Sample, W,. Jaykumar, S., King, M., Wee, J., Seliktar, R., Alexander, M., Scavina,


M., Clark, A., Passive exoskeletons for assisting limb movement. Journal of Rehabilitation<br />

Research and Development Volume 43 No. 5, 583-590, 2006<br />

Rahman, T., Sample, W., Seliktar, R., Scavina, M.T, Clark, A. L., Moran, K., and Alexander, M.<br />

A. Design and Testing of a Functional Arm Orthosis in Patients with Neuromuscular Diseases.<br />

IEEE Transactions on Neural Stystems and Rehabilitation Engineering Vol. 15, No 2 pages 244-251<br />

June 2007<br />

Selected Review Articles, Chapters and/or Textbooks (Limit of 5):<br />

Keenan, C., Alexander, M.A., Sung, In-Young, Miller, F., Dabney, K.: Intrathecal Baclofen for the<br />

Treatment of Spasticity in Children. Physical Medicine and Rehabilitation: State of the Art<br />

Reviews. Hanley & Belfus, 2000.<br />

Rahman, R., Alexander, M.A.: Robots and Other Technologies in Pediatric Rehabilitation.<br />

Physical Medicine and Rehabilitation: State of the Art Reviews. Hanley & Belfus, 2000.<br />

Molnar, G.E., Alexander, M.A.: Pediatric Rehabilitation, 3 rd Edition. Hanley & Belfus.<br />

Philadelphia, PA. 1999.<br />

Alexander, M.A., Molnar, G.E.: Physical Medicine and Rehabilitation: State of the Art Reviews,<br />

Vol. 14. No. 2. Hanley & Belfus, Philadelphia, PA. 2000<br />

Miller, F., Dabney, K., Alexander, M., Associate Editors. Cerebral Palsy, Springer, New York,<br />

2005.<br />

Participation in Local, Regional and National Activities / Presentations / Abstracts / Grants (Limit<br />

of 5):<br />

Talk entitled “<strong>The</strong> Perils of Adolescent Drivers”, St. Marks High School parents group,<br />

Wilmington, DE, January 13, 2005.<br />

Talk entitled “Technology for Disabled Children”, <strong>The</strong> First State First Lego League Competition,<br />

University of Delaware, Newark, DE, January 22, 2005.<br />

Talk entitled “Spasticity”, presented to staff at Easter Seals Society, Montgomery County, PA, April<br />

4, 2006.<br />

Talk entitled “Technology – From Language Boards to Robots”, Pediatric Residents Education<br />

Lecture, duPont Hospital for Children, Wilmington, DE, April 5, 2006.<br />

Talk entitled “Rehabilitation of SCI in Children” Seventeenth Annual Trauma Conference,<br />

Penlinsula Regional Medical Center, Ocean City, Maryland September 21, 2007


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

District of Columbia<br />

Children's National Medical Center<br />

www.childrensnational.org<br />

REGION: Mid‐Atlantic CATEGORY OF CARE: Mild TBI (National Lead)<br />

Program Director: Gerard Gioia, Ph.D. Position Title: Director, Pediatric<br />

Neuropsychology Program<br />

Department: Division of Pediatric Neuropsychology<br />

Address: 15245 Shady Grove Road, Suite 350, Rockville, MD 20850<br />

Phone: 301‐765‐5430<br />

Email: ggioia@cnmc.org<br />

Level 1 Center(s): Children's National Medical Center<br />

Level 2 Center(s): National Rehabilitation Hospital, Georgetown University Hospital<br />

Level 3 Center(s): 2 @ Department of Health/ CNMC Community Health Center, 2 @ DC Public School<br />

Number of jobs <strong>PABI</strong> Grant creates in District of Columbia: 94<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 11,277,659<br />

Category of Care Management Sub‐total: $ 10,019,183<br />

Case Management Sub‐total: $ 5,983,567<br />

State Lead Center Sub‐total: $ 27,312,409<br />

Indirect Cost to Institution (20%): $ 5,462,482<br />

Administrative Cost to SJBF (2%): $ 546,248<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 33,321,139


Children's National Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 0<br />

Program Director Assistant: $ 198,487<br />

State Director: $ 661,622<br />

Associate State Director: $ 286,703<br />

State Epidemiologist: $ 441,081<br />

State Epidemiologist Assistant: $ 198,487<br />

State Scientific Investigation Research Coordinator: $ 374,919<br />

State Scientific Investigation Research Assistant: $ 374,919<br />

State Education/Training Coordinator (plus materials): $ 390,906<br />

State General Counsel: $ 529,298<br />

State IT Manager: $ 419,027<br />

State Family Support Coordinator: $ 330,811<br />

State Prevention/Awareness Coordinator: $ 330,811<br />

State Acute Care Coordinator: $ 330,811<br />

State Reintegration Coordinator: $ 330,811<br />

State Adult Transition Coordinator: $ 330,811<br />

State Mild TBI Coordinator: $ 330,811<br />

State Mental Health Coordinator: $ 286,703<br />

State Assistive/Emerging Technology Coordinator: $ 286,703<br />

State Correctional System Coordinator: $ 286,703<br />

State MISC Coordinator: $ 286,703<br />

State Veterans Coordinator: $ 286,703<br />

State Data Manager: $ 286,703<br />

State Public Policy Manager: $ 330,811<br />

State Community Relations Manager: $ 286,703<br />

State Administrative Support: $ 1,190,920<br />

Charity care: $ 630,116<br />

Human Resources Support: $ 94,000<br />

Training Support: $ 23,500<br />

State Lead Center Office Space Cost: $ 605,542<br />

State Lead Center Transportation/Travel: $ 129,600<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 195,336<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 157,529<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 11,277,659


Children's National Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Mild TBI (National Lead)<br />

National Category Director: $ 504,000<br />

National Category Epidemiologist: $ 420,000<br />

National Category Education/Training Coordinator: $ 336,000<br />

National Category Scientific Investigation Research: $ 336,000<br />

National Tech (Development of Mild TBI asses tools): $ 4,700,000<br />

Regional Category Director: $ 661,622<br />

Regional Category Epidemiologist: $ 529,298<br />

Regional Category Education/Training Coordinator: $ 441,081<br />

Regional Category Scientific Investigation Research: $ 441,081<br />

Regional Category Administrative Support: $ 793,947<br />

Regional Category Office Space Cost: $ 253,937<br />

Regional Category Transportation/Travel: $ 180,000<br />

Regional Category Office Equipment/Communications: $ 40,300<br />

Regional Category Supplies: $ 81,915<br />

CATEGORY OF CARE SUB‐TOTAL: $ 10,019,183


Children's National Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 330,811<br />

Level 1 Center Field Specialist(s): $ 264,649<br />

Level 1 Center SJB Family Specialist(s): $ 1,935,245<br />

Level 1 Center Administrative Support: $ 297,730<br />

Level 1 Office Space Cost: $ 99,243<br />

Level 1 Transportation/Travel: $ 33,480<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 113,421<br />

Level 2 Center Field Specialist(s): $ 352,865<br />

Level 2 Center SJB Family Specialist(s): $ 1,290,163<br />

Level 2 Transportation/Travel: $ 21,120<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 44,108<br />

Level 3 Center SJB Family Specialist(s): $ 1,075,136<br />

Level 3 Transportation/Travel: $ 14,040<br />

Level 3 Office Equipment/Communications: $ 22,800<br />

Level 3 Supplies: $ 28,355<br />

CASE MANAGEMENT SUB‐TOTAL: $ 5,983,567<br />

STATE LEAD CENTER SUB‐TOTAL: $ 27,312,409<br />

INDIRECT COST TO INSTITUTION: $ 5,462,482<br />

ADMINISTRATIVE FEE TO SJBF: $ 546,248<br />

STATE LEAD CENTER SUB‐TOTAL: $ 33,321,139<br />

TOTAL JOBS CREATED IN District of Columbia: 94


Program Director/Principal Investigator (Last, First, Middle):<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

Gerard A. Gioia, Ph.D. Chief, Division of Pediatric Neuropsychology<br />

Director, Safe Concussion Outcome, Recovery & Education<br />

eRA COMMONS USER NAME (credential, e.g., agency login)<br />

GeGioia<br />

(SCORE) Program<br />

Director, GCRC Neurobehavioral and Psychosocial Eval. Core<br />

Laboratory, IDDRC Neurobehavioral Eval. Core Lab<br />

Associate Professor, Depts of Pediatrics and Psychiatry,<br />

George Washington University School of Medicine<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Franklin & Marshall College B.A. 1978 Psychology<br />

University of North Carolina – Chapel Hill<br />

Ph.D. 1984<br />

Children’s Hospital – Boston/ Harvard Medical School Postdoctoral<br />

Fellowship<br />

School Psychology<br />

1987 Pediatric Neuropsychology<br />

A. Positions and Honors. List in chronological order previous positions, concluding with your present position. List any<br />

honors. Including present membership on any Federal Government public advisory committee.<br />

PREVIOUS EMPLOYMENT:<br />

1984-1986 School Psychologist, Howard County Public Schools, Ellicott City, Maryland<br />

1987-1989 Staff Neuropsychologist, Neuropsychology Program, <strong>The</strong> Children’s Hospital, Boston, MA<br />

1989-2002 Director, Division of Pediatric Psychology/ Neuropsychology, Mt. Washington Pediatric Hospital, Baltimore, Maryland<br />

OTHER APPOINTMENTS:<br />

2001- Member, Special Education subcommittee, State of Maryland Advisory Council on Attention Deficit Hyperactivity Disorder.<br />

1997- Member, Professional Advisory Board, Epilepsy Association of Chesapeake Region<br />

1996-2000 Member, Board of Directors, Coalition to End Childhood Lead Poisoning.<br />

1995-1999 Member, Advisory Board of the Graduate Education Program, Division of Adolescent Medicine, University of Maryland<br />

School of Medicine.<br />

JOURNAL/GRANT REVIEW:<br />

1996- Ad hoc reviewer, Journal of Pediatric Psychology<br />

1997-1999 Reviewer, NIMH Small Business Innovation Research Grant Program<br />

2000- Ad hoc reviewer, Journal of the International Neuropsychological Society<br />

2001- Ad hoc reviewer, Child Neuropsychology<br />

2001- Reviewer, NICHD Special Grants Program<br />

2006- Consulting Editor, Assessment<br />

B. Selected peer-reviewed publications (in chronological order).<br />

Cohen JS, Gioia G, Atabaki S, Teach SJ. (2009) Sports-related concussions in pediatrics. Current Opinions in Pediatrics. 21(3):288-<br />

93.<br />

Gioia, GA, Schneider, JC, Vaughan, CG, & Isquith, PK (2009) Which symptom assessments and approaches are uniquely appropriate<br />

for paediatric concussion? British Journal of Sports Medicine. 43(Suppl I):i13–i22.<br />

Gioia, GA, Collins, MW & Isquith, PK (2008) Improving identification and diagnosis of mild TBI with evidence: Psychometric<br />

support for the Acute Concussion Evaluation (ACE). Journal of Head Trauma Rehabilitation. 23, 230–42.<br />

Gioia, GA (2008) Ten steps and commitments for an effective youth sports concussion program. <strong>Brain</strong> Injury Professional. 4(4), 14-<br />

15.<br />

Krull, KR, Gioia, GA, Ness, KK, Ellenberg, L et al. (2008) Reliability and validity of the Childhood Cancer Survivor Study<br />

Neurocognitive Questionnaire. Cancer, 113, 2188-2197.<br />

Reddy, CC, Collins, MW, & Gioia, GA (2008) Adolescent sports concussion. Physical Medicine and Rehabilitation Clinics of North<br />

America. 19, 247-269.<br />

Gioia, G.A. Isquith. PK & Kenealy, L (2008) Assessment of behavioral aspects of executive function. In Anderson, V., Jacobs, R., &<br />

Anderson P. (Eds.), Executive functions and the frontal lobes: A life span approach. Sussex, England: Psychology Press.<br />

PHS 398/2590 (Rev. 11/07) Page 1 Biographical Sketch Format Page


Program Director/Principal Investigator (Last, First, Middle):<br />

Gaillard WD, Berl MM, Moore EN, Ritzl EK, Rosenberger LR, Weinstein SL, Conry JA, Pearl PL, Ritter FF, Sato S, Vezina LG,<br />

Vaidya CJ, Wiggs E, Fratalli C, Risse G, Ratner NB, Gioia G, <strong>The</strong>odore WH (2007). Atypical language in lesional and<br />

nonlesional complex partial epilepsy. Neurology. 69(18):1761-71.<br />

Acosta MT, Gioia GA, Silva AJ. (2006) Neurofibromatosis type 1: new insights into neurocognitive issues. Current Neurology &<br />

Neuroscience Reports. 6(2):136-43.<br />

Isquith, P.K., Crawford, J.S., Espy, K.A., & Gioia, G.A. (2005) Assessment of executive function in preschool-aged children. Mental<br />

Retardation and Developmental Disabilities Research Reviews. 11, 209-215.<br />

Roth, R.M., Isquith, P.K., & Gioia, G.A. (2005) Assessment and Intervention for Executive Dysfunction. In G.P. Koocher, J.C.<br />

Norcross, & S.S. Hill (Eds.) Psychologists’ Desk Reference. 2 nd Edition. (pp. 38-40) New York: Oxford University Press.<br />

Roth, R.M. Isquith, P.K., & Gioia, G.A. (2005) Behavior Rating Inventory of Executive Function – Adult Version. Odessa, Fla.:<br />

Psychological Assessment Resources, Inc.<br />

Isquith, P.K., Gioia, G.A. & Espy, K.A. (2004) Executive function in preschool children: Examination through everyday behavior.<br />

Developmental Neuropsychology, 26, 403-422.<br />

Gioia, G.A. & Isquith, P.K. (2004) Ecological assessment of executive function in traumatic brain injury. Developmental<br />

Neuropsychology, 25, 135-158.<br />

Guy, S.C., Isquith, P.K. & Gioia, G.A. (2004). Behavior Rating Inventory of Executive Function – Self Report Version. Odessa, Fla.:<br />

Psychological Assessment Resources, Inc.<br />

Gioia, G.A., Espy, K.A., & Isquith, P.K. (2003). Behavior Rating Inventory of Executive Function – Preschool Version. Odessa, Fla.:<br />

Psychological Assessment Resources, Inc.<br />

Gioia, G.A., Isquith, P.K., Kenworthy, L., & Barton, R.M. (2002) Profiles of everyday executive function in acquired and<br />

developmental disorders. Child Neuropsychology, 8, 121-137.<br />

Gioia, G.A., Isquith, P.K., Retzlaff, P.D., & Espy, K.A. (2002) Confirmatory factor analysis of the Behavior Rating Inventory of<br />

Executive Function (BRIEF) in a clinical sample. Child Neuropsychology, 8, 249-257.<br />

Gioia, G.A. & Isquith, P.K. (2002) New perspectives on educating children with ADHD: Contributions of the executive functions<br />

Journal of Health Care Law & Policy 5, 124-163.<br />

Gioia, G.A., Isquith, P.K., Guy, S.C. and Kenworthy, L. (2002). Behavior Rating Inventory of Executive Function – Software<br />

Portfolio. Odessa, Fla.: Psychological Assessment Resources, Inc.<br />

Gioia, G.A. & Isquith, P.K. (2001) Executive function and ADHD: Exploration through children’s everyday behaviors. Clinical<br />

Neuropsychological Assessment, 2, 61-84.<br />

Gioia, G.A., Isquith, P.K. and Guy, S.C. (2001) Assessment of Executive Functions in Children with Neurologic Impairment. (pp.<br />

317-356). In R.J. Simeonsson and S. Rosenthal (Eds.) Psychological and Developmental Assessment. New York: Guilford<br />

Press.<br />

Gioia, G.A., Isquith, P.K., Retzlaff, P.D. & Pratt, B.M. (2001) Modeling executive functions with everyday behaviors: A unitary or<br />

fractionated system? <strong>Brain</strong> and Cognition, 47, 203-207.<br />

Gioia, G.A., Isquith, P.K., Guy, S.C. and Kenworthy, L. (2000). Behavior Rating Inventory of Executive Function. Odessa, Fla.:<br />

Psychological Assessment Resources, Inc.<br />

Baron, I.S. and Gioia, G.A. (1998) Neuropsychology of Infants and Young Children. In G. Goldstein, P. Nussbaum and S. Beers<br />

(Eds.) Neuropsychology. (Human <strong>Brain</strong> Function: Assessment and Rehabilitation) New York: Plenum Press.<br />

Gioia, G.A. (1998) Re-examining the factor structure of the Wide Range Assessment of Memory and Learning: Implications for<br />

clinical interpretation. Assessment, 5, 127-140.<br />

Ylvisaker, M. and Gioia, G.A. (1998) Cognitive Assessment. In M. Ylvisaker (Ed.) Traumatic <strong>Brain</strong> Injury Rehabilitation: Children<br />

and Adolescents (2nd Edition) Boston: Butterworth-Heinemann.<br />

Aylward, G., Gioia, G.A., Verlhust, S.J. and Bell, S. (1995) Factor structure of the Wide Range Assessment of Memory and Learning<br />

in a clinical population. Journal of Psychoeducational Assessment, 13, 132-142.<br />

Gioia, G.A. (1993) Development and mental retardation. In R. Smith (Ed.) Children with mental retardation: A Parent's Guide.<br />

Rockville, Md.: Woodbine House.<br />

Waber, D.P., Gioia, G., Paccia, J., Sherman, B., Dinklage, D., Sollee, N., and Sallan, S. (1990) Sex differences in cognitive<br />

processing in children treated with CNS prophylaxis for acute lymphoblastic leukemia. Journal of Pediatric Psychology, 15,<br />

105-122.<br />

C. Research Support. List selected ongoing or completed (during the last three years) research projects (federal and<br />

non-federal support); begin with the projects that are most relevant to the research proposed in this application.<br />

Briefly indicate the overall goals of the projects and responsibilities of principal investigator identified above.<br />

Title: Feasibility of Acute Concussion Management in the Emergency Department<br />

Source: CDC 1U49CE001385-01<br />

Status: Active<br />

Role: Principal Investigator<br />

% Effort: 5.5%<br />

Start Date: 09/01/2008<br />

PHS 398/2590 (Rev. 11/07) Page 2 Continuation Format Page


Program Director/Principal Investigator (Last, First, Middle):<br />

End Date: 07/31/2010<br />

<strong>Project</strong> Goals: <strong>The</strong> goal of this research is to demonstrate the capacity to improve management of mTBI presenting to the Emergency<br />

Department by the systematic application of the Acute Concussion Evaluation (ACE) and the ACE Care <strong>Plan</strong>. We will conduct a pilot<br />

implementation study that will provide important evidence for improving identification, diagnosis and management of mTBI in the<br />

ED setting. Specific Aim 1. Evaluate the feasibility of the ACE and ACE Care <strong>Plan</strong> for standardized implementation in the ED<br />

setting. Specific Aim 2. Determine if the ACE-ED and ACE-ED Care <strong>Plan</strong> can be implemented by the ED staff and disseminated to<br />

the Primary Care Providers (PCP). Specific Aim 3. Determine if routine use of the ACE-ED and ACE-ED Care <strong>Plan</strong> will improve<br />

patient/family follow-up behavior and patient recovery.<br />

Title: Outcome Measurement of mTBI in Children and Adolescents (7528)<br />

Source: CDC CCU323352-03<br />

Status: Completed<br />

Role: Principal Investigator<br />

% Effort: 35<br />

Start Date: 09/30/2003<br />

End Date: 12/31/2008<br />

<strong>Project</strong> Goals: <strong>The</strong> major goal of this study is to develop and validate a test battery for children, 5-18 years, that is easily administered<br />

by technical personnel, portable, and repeatable while sensitive in detecting and monitoring neurocognitive and behavioral outcomes<br />

of mTBI. <strong>The</strong> test will be developed and normed on over 1,000 children across the 5-18 year age range, examining performance in<br />

boys and girls and at-risk children with learning and attentional problems. 160 children and adolescents (80 boys, 80 girls) who have<br />

sustained mTBI will be recruited from the CNMC Emergency Dept. and the UPMC/ CNMC Sports Concussion programs and<br />

followed serially during the first two weeks post-injury and up to one year to detect deficits and monitor recovery outcome in<br />

cognitive performance and real-world home and school functioning.<br />

Title: Neurobehavioral and Psychosocial Evaluation Core (General Clinical Research Center) (Mark Batshaw, M.D.,<br />

Principal Investigator) (0198)<br />

Source: NIH 5 P30 HD40677-08 (Gallo, PI)<br />

Status: Active<br />

Role: Director, Core Laboratory<br />

% Effort: 10<br />

Start Date: 07/01/02<br />

End Date: 11/30/2009<br />

<strong>Project</strong> Goals: 1) provide access to an extensive battery of neuropsychological testing services; 2) develop and administer<br />

neurobehavioral tasks for relevant protocols; 3) provide consultation to GCRC investigators on the proper design and use of<br />

neurobehavioral and neuropsychological measures in research studies; and 4) train investigators and their staff in the use of these<br />

measures.<br />

Title: Neurobehavioral Evaluation Core (Intellectual and Developmental Disabilities Research Center) (V. Gallo, PhD,<br />

Principal Investigator) (0198)<br />

Source: NIH<br />

Status: Active<br />

Role: Director, Core Laboratory<br />

% Effort: 5<br />

Start Date: 07/01/2006<br />

End Date: 06/30/2011<br />

<strong>Project</strong> Goals: 1) provide access to an extensive battery of neuropsychological testing services; 2) develop and administer<br />

neurobehavioral tasks for neuroimaging protocols, including fMRI projects through the Neuroimaging Core; 3) provide consultation to<br />

IDDRC investigators on the proper design and use of neurobehavioral and neuropsychological measures in research studies; and 4)<br />

train investigators and their staff in the use of these measures.<br />

Title: Neurofibromatosis Consortium (R. Packer, M.D., Principal Investigator)<br />

Source: DoD<br />

Status: Active<br />

Role: Chair, Neurocognitive Committee<br />

% Effort: 10<br />

St. Date 07/01/2006<br />

End Date 12/31/2011<br />

<strong>Project</strong> Goals: Provide leadership and guidance to the Neurocognitive committee in developing research protocols that investigate the<br />

neuropsychological outcomes in NF clinical trials.<br />

PHS 398/2590 (Rev. 11/07) Page 3 Continuation Format Page


Program Director/Principal Investigator (Last, First, Middle):<br />

Title: Development and Clinical Validation of a Children’s Version of the Automated Neuropsychological Assessment<br />

Metrics (ANAM)<br />

Source: National Rehabilitation Hospital (Department of Defense) Seed Grant<br />

Status: Completed<br />

Role: Co-PI<br />

% Effort: 4.5%<br />

Start Date: 07/01/05<br />

End Date: 06/30/06<br />

<strong>Project</strong> Goals: Develop and adapted pilot version of the ANAM neuropsychological test battery for use with children age 10-12 years<br />

of age. Collect preliminary normative data, and validate with patients sustaining mTBI.<br />

Title: Plasticity of Language in Epilepsy (W. Gaillard, M.D., Principal Investigator)<br />

Source: NIH, NINDS<br />

Status: Completed<br />

Role: Co-Investigator<br />

% Effort: 3<br />

St. Date 09/01/2002<br />

End Date 08/30/2007<br />

PHS 398/2590 (Rev. 11/07) Page 4 Continuation Format Page


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Florida<br />

University of Miami Miller School of Medicine<br />

www.med.miami.edu<br />

REGION: Southeast CATEGORY OF CARE: Acute Phase (National Lead)<br />

Program Director: Gillian Hotz, Ph.D. Position Title: Associate Research Professor<br />

Department: Department of Neurological Surgery Major Subdivision: Division of Trauma &<br />

Surgical Critical Care<br />

Address: LPLC‐1095 NW 14th Terrace #1‐40, Miami, FL 33136<br />

Phone: 305‐243‐4004<br />

Email: ghotz@med.miami.edu<br />

Program Director: John W. Kuluz, MD Position Title: Pediatric Intensivist<br />

Address: 13085 Coronado Lane, North Miami, FL 33181<br />

Phone: 305‐895‐0530<br />

Email: jkuluz@bellsouth.net<br />

Level 1 Center(s): Miami X 2 (UM School of Medicine/Jackson Memorial Medical Center, Miami<br />

Children's Hospital), Orlando (Orlando Regional Medical Center), Jacksonville (UF/Shands Jacksonville<br />

Medical Center), Tampa (Tampa General Hospital), Ft. Lauderdale (Broward General)<br />

Level 2 Center(s): Pensacola (Baptist Hospital), Daytona Beach (Halifax Medical Center), Melbourne<br />

(Holmes Regional Medical Center), Lakeland (Lakeland Regional Medical Center), St. Petersburg (All<br />

Childrens Hospital), Ft. Myers (Lee Memorial Hospital), Delray Beach (Delray)<br />

Level 3 Center(s): Pensacola (Sacred Heart Hospital), Pensacola (West Florida Regional Medical Center),<br />

St. Petersburg (Bayfront Medical Center), Ft. Lauderdale (North Broward Medical Center), Jacksonville<br />

(Brookes Rehab Center), Hallendale (Joe DiMaggio Rehad Center)<br />

Number of jobs <strong>PABI</strong> Grant creates in Florida: 248<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 7,102,885<br />

Category of Care Management Sub‐total: $ 3,526,894<br />

Case Management Sub‐total: $ 18,755,430<br />

State Lead Center Sub‐total: $ 29,417,209<br />

Indirect Cost to Institution (20%): $ 5,883,442<br />

Administrative Cost to SJBF (2%): $ 588,344<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 35,888,995


University of Miami Miller School of Medicine Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 172,900<br />

Program Director Assistant: $ 105,576<br />

State Director: $ 351,920<br />

Associate State Director: $ 152,499<br />

State Epidemiologist: $ 234,613<br />

State Epidemiologist Assistant: $ 105,576<br />

State Scientific Investigation Research Coordinator: $ 199,421<br />

State Scientific Investigation Research Assistant: $ 199,421<br />

State Education/Training Coordinator (plus materials): $ 694,502<br />

State General Counsel: $ 281,536<br />

State IT Manager: $ 222,882<br />

State Family Support Coordinator: $ 175,960<br />

State Prevention/Awareness Coordinator: $ 175,960<br />

State Acute Care Coordinator: $ 175,960<br />

State Reintegration Coordinator: $ 175,960<br />

State Adult Transition Coordinator: $ 175,960<br />

State Mild TBI Coordinator: $ 175,960<br />

State Mental Health Coordinator: $ 152,499<br />

State Assistive/Emerging Technology Coordinator: $ 152,499<br />

State Correctional System Coordinator: $ 152,499<br />

State MISC Coordinator: $ 152,499<br />

State Veterans Coordinator: $ 152,499<br />

State Data Manager: $ 152,499<br />

State Public Policy Manager: $ 175,960<br />

State Community Relations Manager: $ 152,499<br />

State Administrative Support: $ 633,455<br />

Charity care: $ 352,802<br />

Human Resources Support: $ 248,000<br />

Training Support: $ 62,000<br />

State Lead Center Office Space Cost: $ 339,042<br />

State Lead Center Transportation/Travel: $ 114,308<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 109,369<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 88,200<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 7,102,885


University of Miami Miller School of Medicine Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Acute Phase (National Lead)<br />

National Category Director: $ 532,000<br />

National Category Epidemiologist: $ 399,000<br />

National Category Education/Training Coordinator: $ 319,200<br />

National Category Scientific Investigation Research: $ 319,200<br />

National Additional (National Acute Category Asst Dir): $ 53,200<br />

Regional Category Director: $ 351,920<br />

Regional Category Epidemiologist: $ 281,536<br />

Regional Category Education/Training Coordinator: $ 234,613<br />

Regional Category Scientific Investigation Research: $ 234,613<br />

Regional Category Administrative Support: $ 422,304<br />

Regional Category Office Space Cost: $ 153,116<br />

Regional Category Transportation/Travel: $ 180,000<br />

Regional Category Office Equipment/Communications: $ 43,400<br />

Regional Category Supplies: $ 49,392<br />

CATEGORY OF CARE SUB‐TOTAL: $ 3,526,894


University of Miami Miller School of Medicine Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 1,583,638<br />

Level 1 Center Field Specialist(s): $ 1,266,911<br />

Level 1 Center SJB Family Specialist(s): $ 9,264,285<br />

Level 1 Center Administrative Support: $ 1,425,275<br />

Level 1 Office Space Cost: $ 55,566<br />

Level 1 Transportation/Travel: $ 295,585<br />

Level 1 Office Equipment/Communications: $ 256,200<br />

Level 1 Supplies: $ 359,858<br />

Level 2 Center Field Specialist(s): $ 656,917<br />

Level 2 Center SJB Family Specialist(s): $ 2,401,852<br />

Level 2 Transportation/Travel: $ 72,929<br />

Level 2 Office Equipment/Communications: $ 93,100<br />

Level 2 Supplies: $ 86,436<br />

Level 3 Center SJB Family Specialist(s): $ 857,804<br />

Level 3 Transportation/Travel: $ 21,060<br />

Level 3 Office Equipment/Communications: $ 34,200<br />

Level 3 Supplies: $ 23,814<br />

CASE MANAGEMENT SUB‐TOTAL: $ 18755430<br />

STATE LEAD CENTER SUB‐TOTAL: $ 29,417,209<br />

INDIRECT COST TO INSTITUTION: $ 5,883,442<br />

ADMINISTRATIVE FEE TO SJBF: $ 588,344<br />

STATE LEAD CENTER SUB‐TOTAL: $ 35,888,995<br />

TOTAL JOBS CREATED IN Florida: 248


FF Principal Investigator/Program Director (Last, first, middle): Hotz, Gillian PhD<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel in the order listed on Form Page 2.<br />

Photocopy this page or follow this format for each person.<br />

NAME POSITION TITLE<br />

Gillian A. Hotz, PhD Associate Research Professor<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training).<br />

INSTITUTION AND LOCATION DEGREE<br />

(if applicable)<br />

University of Toronto/York University, Toronto, Canada<br />

Boston University, Boston, MA<br />

Boston University School of Medicine, Boston, MA<br />

BSc.<br />

MSc.<br />

Ph.D.<br />

YEAR(s) FIELD OF STUDY<br />

PHS 398 (Rev. 5/95) (Form Page 6) Page FF<br />

Number pages consecutively at the bottom throughout the application. Do not use suffixes such as 3a, 3b.<br />

1983<br />

1985<br />

1992<br />

Psychology<br />

Speech Pathology<br />

Behavioral Neuroscience<br />

RESEARCH AND PROFESSIONAL EXPERIENCE: Concluding with present position, list, in chronological order, previous employment, experience,<br />

and honors. Include present membership on any Federal Government public advisory committee. List, in chronological order, the titles, all authors, and<br />

complete references to all publications during the past three years and to representative earlier publications pertinent to this application. If the list of<br />

publications in the last three years exceeds two pages, select the most pertinent publications. DO NOT EXCEED TWO PAGES.<br />

A. PROFESSIONAL EXPERIENCE:<br />

7/2009 to date Associate Research Professor, Co-Director Pediatric <strong>Brain</strong> & SCI Program, Director Neurotrauma Outcome<br />

Research Department of Neurological Surgery and <strong>The</strong> Miami <strong>Project</strong> to Cure Paralysis<br />

2005 to 6/2009 Associate Research Professor, Division of Trauma, Department of Surgery<br />

2003 to 6/2009 Co-Director Pediatric <strong>Brain</strong> & SCI Program, Divisions of Trauma and Surgical Critical Care, Dept. Surgery<br />

2003 to 6/2009 Director Neurotrauma Outcome Research, Divisions of Trauma & Surgical Critical Care, Dept. of Surgery,<br />

2002 to date Director WalkSafe Program<br />

2002 to date Director of Snoezelen Program, UM/JMMC<br />

2001 to 2006 Assistant Director Pediatric Rehabilitation Unit, Department of Neurosurgical Surgery, University of Miami<br />

2001 to 2006 Assistant Professor, Division of Neurotrauma, Department of Neurological Surgery, University of Miami<br />

1998 to date Director Concussion Program<br />

1997 to 2001 Assistant Director, Division of Neurorehabilitation, Department of Neurology, University of Miami<br />

1994 to 2001 Assistant Professor, Division of Neurorehabilitation, Department of Neurology, University of Miami<br />

1993 to date Program/ Research Coordinator, Division of Neurorehabilitation, Department of Neurology, University of Miami<br />

1992 to 1993 Post-doc Fellow, Division of Neuropsychology, Department of Neurology, University of Miami<br />

1986 to 1989 Speech Pathologist /Clinical Researcher, St. Michael's Hospital, Toronto, Ontario, Canada<br />

PH.D. THESIS:<br />

Perseveration in Closed Head Injury. Advisor: Nancy Helm-Estabrooks, Boston University School of Medicine, 1992.<br />

AREAS OF CONCENTRATION:<br />

Traumatic <strong>Brain</strong> Injury, Neurorehabilitation, Outcomes, Concussion, Snoezelen/MSE, Injury Prevention, Pediatrics<br />

MEMBERSHIPS:<br />

<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> <strong>Project</strong>: National Advisory Group<br />

ImPACT Concussion Management Provider<br />

American Association of Multisensory Environments<br />

Florida Injury Prevention Advisory Committee<br />

Florida <strong>Brain</strong> and Spinal Cord Injury Program: Research/Outcomes and School Re-entry Committees<br />

Florida Committee on Trauma<br />

American Society of Neurorehabilitation<br />

International Neurotrauma Society<br />

<strong>The</strong> American Psychological Association<br />

<strong>The</strong> American Speech Language Hearing Association<br />

<strong>The</strong> Florida <strong>Brain</strong> Injury Association<br />

Aspen Neurobehavioral Group: Pediatric TBI Group


FF Principal Investigator/Program Director (Last, first, middle): Hotz, Gillian PhD<br />

B. SELECTED PUBLICATIONS AND PAPERS:<br />

Hotz, G., Helm-Estabrooks N., Wolf Nelson N., <strong>Plan</strong>te E. <strong>The</strong> Pediatric Test of <strong>Brain</strong> Injury: Qualitative Interpretation of a<br />

New Test of Neurocognitive-Linguistic Abilities. Topics in Language Disorders.2009. 29, 3, 207-223.<br />

Hotz, G., Kennedy A., Lutfi K, Cohn S. Preventing Pediatric Pedestrian Injuries. Journal of Trauma. 2009;66:1492-1499.<br />

Hotz, G., Garces de Marcilla, A., Lutfi, K., Castellon, P., Duncan, R. <strong>The</strong> Walk Safe Program: Developing and Evaluating<br />

the Educational Component. Journal of Trauma. 2009;66:17-22.<br />

Laatsch, L., Harrington D., Hotz, G., Marcantuono., J., Mozzoni, MP., Walsh, V., Hersey, KP., An Evidence Based Review<br />

of Cognitive and Behavioral Rehabilitation Treatment Studies in Children with Acquired <strong>Brain</strong> Injury. Journal Head Trauma<br />

Rehabilitation. 2007; 22(4):248-256.<br />

Hotz, G.A., Castelblanco A., Duncan, R., Lara, I., Weiss A., Kuluz, J. Snoezelen: a controlled multi-sensory stimulation<br />

therapy for children with severe brain injury. <strong>Brain</strong> Injury. July 2006; 20(8):879-888.<br />

Hotz, G.A., Cohn, S., Castelblanco, A., Colston, S., et al. WalkSafe: A school based pedestrian safety intervention<br />

program, Traffic Injury Prevention. 5:1-8, 2004.<br />

Hotz, G.A., Cohn, S., Castelblanco, A., Colston, S. et al. WalkSafe: A school based pedestrian safety intervention program.<br />

Accepted for pub. Traffic Injury and Prevention 5:1-8,2004.<br />

Hotz, G.A., Cohn, S., Nelson, J., Mishkin, D., Li, P., Duncan, R. Pediatric pedestrian trauma study: a pilot project, Traffic<br />

Injury and Prevention. 5:132-136, 2004.<br />

Hotz, G.A., Cohn, S., Mishkin, D., Duncan, R. Li, P. Motorcycle riders at one year post-injury and repeal of the helmet law. ,<br />

Traffic Injury Prevention. 5:87-89, 2004<br />

Mellman,T, Hotz, G. Psychological and Behavioral Complications of Trauma. (submitted for pub.2/05) In Cohn, S.(ed):<br />

Complications in Surgery and Trauma. Marcel Dekker Inc. 2003.<br />

Hotz, G.A., Cohn, S., Popkin, C., Ekeh, P., Duncan, R. <strong>The</strong> impact of a no helmet law on motorcycle related accidents in<br />

Florida. Journal of Trauma. 2002: 52: 3, 469-474.<br />

Hotz, G.A, Helm-Estabrooks, N., Wolf Nelson, N. Development of the Pediatric Test of <strong>Brain</strong> Injury. Journal of Head Trauma<br />

Rehabilitation. 2001:16:5.<br />

Hotz, G.A., Helm-Estabrooks, N., Wolf Neson, N. <strong>The</strong> Pediatric Test of <strong>Brain</strong> Injury (PTBI) (Research Version). Applied<br />

Symbolix. 2000.<br />

Hotz, G.A., Stewart, K., Petrin, D., Villanueva, P et al. Neurobehavioral outcomes of penetrating and tangential gunshot<br />

wounds to the head. <strong>Brain</strong> Injury 2000:14(7)649-657.<br />

Hotz, G.A., Wiseberg, J.A., Petrin, D., Murtha, M et al. Difficulties in the implementation of a trauma outcome program in an<br />

urban trauma center. submitted for review 1/10/01 to Archives of Physical Medicine and Rehabilitation.<br />

Hotz, G.A, & Helm-Estabrooks, N: A case of post-traumatic stuttering. Seminars in Speech and Language.1998: 19(1):23-30.<br />

Hotz, G.A., Rosenberg, J., Kelly, J., Potts, A, Brooks, J.:Concussion in Sports, Head Up Program: 1997, <strong>Brain</strong> Injury<br />

Association. Washington DC.<br />

Augenstein, J.A., Hotz, G.A., Nedd, K.J., Digges, K.H. et al. Assessment of Mild Traumatic <strong>Brain</strong> Injury: A Systematic<br />

Trauma Center Approach. In Bandak FA, Eppinger RH, Ommaya, Ak eds. Traumatic brain injury, bioscience and mechanics.<br />

New York: Mary Ann Liebert, Inc. 1996: 125-137.<br />

Hotz, G.A. & Helm-Estabrooks, N. Perseveration: A Review. <strong>Brain</strong> Injury. 1995: 9(2):151-159.<br />

Hotz, G.A. & Helm-estabrooks, N. Perseveration in Closed Head Injury. <strong>Brain</strong> Injury. 1995: 9(2):161-172.<br />

Frost, R.D., Gillenson, M.L., Hotz, G., Nedd, K.J., & Parris, R.K. An expert database technique applied to an aphasia<br />

classification system. Aphasiology. 1994; 8(1): 55-63.<br />

Moulton, R., Tucker, W., Sullivan, I., Gutman, M., Hotz, G. Development of an audit tool for preventable death from head<br />

injury. Annals of the Royal College of Phsicians and Surgeons. 1992:25(4):188-193.<br />

Shedden, P.M., Moulton, R., Sullivan, I., Hotz, G., Tucker, W., & Muller, P.Effect of population characeristics on Head Injury<br />

mortality. Journal of Pediatric Neuroscience. 1990-91; 16:203-207.<br />

Moulton, R., Hotz, G., and Tucker, W. <strong>The</strong> impact of delayed transfer on mortality in head injury. Annals of the Royal College<br />

of Physicians and Surgeons. 1991: 24: 4: 197-200.<br />

Gutman, M.B., Moulton, R., Sullivan, I., Hotz, G., Tucker, W., Muller, P.Risk factors predicting operable intracranial<br />

hematomas in head injury. Journal of Neurosurgery. 1992:77(1):9-14.<br />

C. CONFERENCE PRESENTATIONS:<br />

Hotz, G. Concussion in High School Football Review for Coaches and Trainers. Miami-Dade County Athletics<br />

Department. August 12, 2009, Miami, FL.<br />

Hotz, G. Overview of a Successful Pedestrian Safety Oriented Public/Health Transporation<br />

Collaboration.Pedestrian Injury Prevention State Workshop. NHTSA. June 2&3, Washington, DC. 2009.<br />

PHS 398 (Rev. 5/95) (Form Page 6) Page FF<br />

Number pages consecutively at the bottom throughout the application. Do not use suffixes such as 3a, 3b.


FF Principal Investigator/Program Director (Last, first, middle): Hotz, Gillian PhD<br />

Hotz, G. A Novel Treatment Program During Early Stages of Recovery From TBI. Pediatric TBI Issues in<br />

Management, Rehabilitation and Research. Tampa General Hospital, April 25. Tampa, FL. 2009.<br />

Hotz, G. <strong>The</strong> Effects of Multisensory Environments in Children Recovering from Severe <strong>Brain</strong> Injury. 6 th Annual Pediatric <strong>Brain</strong><br />

& SCI Conference, Nov 10&11, Miami, FL, 2008.<br />

Hotz, G. Importance and efficacy of evidence based practice for Multisensory Environments. International Snoezelen<br />

Association Conference. October 2-5, 2008, Neuveld Germany.<br />

Hotz, G. WalkSafe Statewide Program. Florida Committee On Trauma Meeting. July 9 th , Orlando, FL. 2008.<br />

Hotz, G. Randomized Controlled Trials in Rehabilitation. UC Neurotrauma Meeting, June 23-25 th , Carmel, CA.<br />

2008<br />

Hotz, G. WalkSafe Update. Florida Safekids Annual Meeting. May 21 st , Tampa, FL. 2008<br />

Hotz, G. WalkSafe: A Pediatric Pedestrian Injury Prevention Program. 2007 Forging New Frontiers: Sustaining<br />

Innovations for Healthy Communities. Injury Free Coalition for Kids. Nov. 30 th -Dec. 2 nd , Ft. Lauderdale, FL, 2007<br />

Hotz, G. Pediatric TBI:Early Intervention and Continuum of Care. AANS/CNS Pediatric Neurological Surgery<br />

Annual Meeting, Nov. 26-Dec.1, Miami, FL, 2007<br />

Hotz, G., Helm-Estabrooks, N., Nelson, N., <strong>Plan</strong>te, E. Pediatric Traumatic <strong>Brain</strong> Injury: Neurocognitive and<br />

Language Assessment. American Speech Language and Hearing Association. Nov. 15-18, Boston, MA, 2007<br />

Hotz, G. WalkSafe: Statewide Implementation of a pediatric pedestrian injury prevention program. 1st National<br />

Safe Routes to School Conference. Nov.5-7, Dearborn, Michigan, 2007<br />

Hotz, G. Importance of Early Neurocognitive Assessment. Pediatric <strong>Brain</strong> & SCI Conference, Nov. 2-4, Coconut<br />

Grove, FL, 2007<br />

Hotz, G.. Efficacy of MSE with a Snozelen Approach. 5 th International Snoezelen Association Conference . Sept.<br />

20-21 st , Montreal, Canada, 2007<br />

Hotz, G. WalkSafe: Countywide Program. Pro Bike Pro Walk Florida, August 27-31 st , Orlando, FL, 2007<br />

Hotz, G. Early Neurocognitive Assessment and Outcome. Pediatric <strong>Brain</strong> & SCI Conference. Nov.2-4, Miami, FL.,<br />

2006<br />

Hotz, G. WalkSafe: A county-wide pedestrian injury prevention program. FDOT, St. Augustine, FL, April , 2006.<br />

Hotz, G. Assessment & Treatment of Low Level Patients. Patricia Neal Rehab Center.<br />

Knoxville, TN, March, 2006,<br />

Hotz, G. A Novel treament for low level patients. Pediatric <strong>Brain</strong> Injury Conference. Miami, FL, November, 2005<br />

Hotz, G. Neuroplasticity in children recovering from severe brain injury. Come to Your Senses Conference.<br />

Toronto, Canada, October, 2005.<br />

Hotz, G. A room for brain injury.WorldWideSnoezelen Conference.Holland,October, 2005.<br />

Hotz, G. Snoezelen: A novel treatment for children with severe brain injury. Childrens Specialized Hospital. New<br />

Jersey, December, 2004.<br />

Hotz, G. Measuring Outcomes in Children with Traumatic <strong>Brain</strong> Injury. Pan American Trauma Society, XVII<br />

Congress. November, 2004, Miami, FL.<br />

Hotz, G. <strong>The</strong> Effect of Snoezelen <strong>The</strong>rapy in children with severe TBI. Pediatric Traumatic and Acquired <strong>Brain</strong><br />

Injury: <strong>The</strong> Continuum of Care. Miami, FL. October, 2004.<br />

Hotz, G. WalkSafe: Findings of a 3 year study. SafeKids State Meeting. Tampa, FL, August, 2004.<br />

Hotz, G. Snoezelen: A controlled multisensory stimulation therapy for children with traumatic brain injuries. <strong>The</strong><br />

First International Conference in Israel on Snoezelen, Herzeliya, Israel, May 2004.<br />

Hotz, G.A. Neurorehabilitation: <strong>The</strong> Program, Team and Outcomes. Pediatric Neurotrauma: <strong>The</strong> Aftermath of the Injury.<br />

October , 2003, Miami, FL.<br />

Hotz, G.A. Assessing the Neurocognitive Effects of TBI in Children. <strong>Brain</strong> Injury Association of Florida, <strong>The</strong> Journey<br />

Continues, <strong>The</strong> Future of TBI in a Changing World. April, 2002, Palm Beach, FL.<br />

Hotz, G.A. Development of the Pediatric Test of <strong>Brain</strong> Injury. <strong>Brain</strong> Injury Association. 20 th Annual Symposium. July, 2001,<br />

Atlanta, GA.<br />

Hotz, G.A., Calvin, R. A Traumatic <strong>Brain</strong> Injury and SCI Point-of-Care, Team Based Information System. <strong>Brain</strong> Injury<br />

Association, 19 th Annual Symposium. July, 2000.<br />

Kelly, J., Rosenberg, J., Hotz, G: A Dissemination Program for Concussion in Sports. Annual Academy of Neurology<br />

Meeting. April, 1999.<br />

Hotz, G., Rosenberg, J., Kelly, J., Potts, A., Brooks, J: A Dissemination Strategy for Sports related concussions in High School<br />

Athletes: A pilot curriculum. 1998. Sports: related concussion and nervous system injuries. Orlando Regional Healthcare<br />

System. Orlando, Florida, March, 1998.<br />

PHS 398 (Rev. 5/95) (Form Page 6) Page FF<br />

Number pages consecutively at the bottom throughout the application. Do not use suffixes such as 3a, 3b.


FF Principal Investigator/Program Director (Last, first, middle): Hotz, Gillian PhD<br />

Hotz, G. Functional outcomes after traumatic brain injury. Florida State Association of Rehabilitation Nurses. Haines City ,<br />

Florida, May, 1997.<br />

Hotz, G. Concussion in Sports: Post-concussive symptoms. University of Miami/ HealthSouth Doctors Hospital. Miami,<br />

Florida, March, 1997.<br />

D. RESEARCH SUPPORT<br />

<strong>The</strong> Children’s Trust 8/1/09-7/31/10 10% funding<br />

Title: WalkSafe Prevention Grant<br />

Florida Department of Transportation<br />

Title: Safe Routes to School 7/1/09-6/30/10 15% funding<br />

Title: Pedestrian Social Marketing Campaign 9/1/09-12/31/09 5% funding<br />

Dept. of Health: Emergency Medical Service 7/1/09-6/30/10 15% funding<br />

Title: WalkSafe Statewide<br />

Metropolitan <strong>Plan</strong>ning Organization 8/1/09-7/31/10 5% funding<br />

Title: BikeSafe<br />

<strong>The</strong> Children’s Trust<br />

Title: WalkSafe Prevention Grant 8/1/08-7/31/09 10% funding<br />

Dept. of Health: Emergency Medical Services<br />

Title: WalkSafe Statewide<br />

7/1/08-6/30/09 15% funding<br />

<strong>The</strong> Children’s Trust 10/1/07-9/30/09 5% funding<br />

Title: Buckle UP for Life<br />

<strong>The</strong> Mayors Car Seat Initiative for M-D County $450,000<br />

Department of Education 10/1/07-9/30/10 25% funding<br />

National Institute Disability Rehabilitation Research $600,000<br />

Investigating the Effects of Snoezelen in Children Recovering from Severe TBI<br />

Dept of Health: Emergency Medical Services 7/1/07-6/30/08 15% funding<br />

Title: WalkSafe Statewide $240,000<br />

Florida Department of Transportation<br />

Title: Safe Routes to School 7/1/07-6/30/08 30% funding<br />

WalkSafe: Non-Infrastructure $160,000<br />

Florida Dept. of Transportation 7/1/07- 6/30/10<br />

Title: Transportation Enhancement<br />

WalkSafe: County-wide $350,000 20% funding<br />

<strong>The</strong> Children’s Trust 9/1/05-8/30/06<br />

$91,269<br />

Title: WalkSafe: An Elementary School Pedestrian Injury Prevention Program<br />

25% funding<br />

<strong>The</strong> purpose of this study is to provide an elementary school based pedestrian injury prevention program to a high risk district<br />

in Miami-Dade county in order to decrease the number of children that get hit by cars.<br />

National Institute of Health: NINDS 3/1/05-4/30/09<br />

$206,000<br />

Title: Neurobehavioral Outcome of Head Injury in Children (Hotz, G: Miami Site) 15% funding<br />

<strong>The</strong> purpose of this multi-center study is to study the neurobehavioral sequelae of children<br />

recovering from severe brain injury with including MRI findings at specific time intervals<br />

post injury.<br />

Florida <strong>Brain</strong> and Spinal Cord Injury Program (Hotz, G) 7/1/04-6/30/05 15% funding<br />

PHS 398 (Rev. 5/95) (Form Page 6) Page FF<br />

Number pages consecutively at the bottom throughout the application. Do not use suffixes such as 3a, 3b.


FF Principal Investigator/Program Director (Last, first, middle): Hotz, Gillian PhD<br />

$35,000<br />

Title: Snoezelen <strong>The</strong>rapy in Children with Severe TBI. <strong>The</strong> purpose is to evaluate specific pieces of equipment and<br />

assessment tools to measure physiological and behavioral changes.<br />

Florida <strong>Brain</strong> and Spinal Cord Injury Program (Hotz, G) 7/1/03-6/30/04 10% funding<br />

$30,000<br />

Title: Evaluating behavioral changes in children following TBI using Snoezelen, a multisensory stimulation room.<br />

<strong>The</strong> primary purpose of this study is to measure any changes in behavior in children with severe brain injury.<br />

Florida Department of Transportation (Hotz G, Cohn S) 10/01/03-9/30/04 50% funding<br />

Title: WalkSafe Program $136,183<br />

<strong>The</strong> primary objective of this study is to implement an educational intervention pedestrian safety program in all elementary<br />

schools in Miami-Dade County.<br />

Florida Department of Transportation (Hotz G, Cohn S) 10/01/02-9/30/03 50% funding<br />

Title: Pediatric Pedestrian Trauma Study $187,081<br />

<strong>The</strong> primary objective of this study is to evaluate the effectiveness of implementing an educational intervention (WalkSafe<br />

program) in 16 elementary schools in a high risk district in Miami-Dade.<br />

Florida Department of Transportation (Cohn S, Hotz G) 10/01/01-9/30/02 50% funding<br />

Title: Pediatric Pedestrian Trauma Study $44,300<br />

<strong>The</strong> primary objective of this study is to pilot an educational based pedestrian safety program for elementary school children.<br />

PHS 398 (Rev. 5/95) (Form Page 6) Page FF<br />

Number pages consecutively at the bottom throughout the application. Do not use suffixes such as 3a, 3b.


Principal Investigator/Program Director (Last, First, Middle): Kuluz, John W.<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

KULUZ, John W.<br />

eRA COMMONS USER NAME<br />

jkuluz<br />

POSITION TITLE<br />

Associate Professor of Pediatrics<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

University of Notre Dame; South Bend, Indiana B.S. May, 1980 Pre-professional Sciences<br />

University of Mississippi School of Medicine; Jackson, M.D. May, 1984 Medicine<br />

A. Positions and Honors<br />

Position Institution Supervisor Date<br />

Pediatric Residency University of Florida, School of Medicine Robert Parkhurst, M.D. 1984-1987<br />

Pediatric Critical Care University of California, San Francisco Scott J. Soifer, M.D. 1987-1990<br />

Research Fellow Cardiovascular Research Institute George A. Gregory, M.D. 1987-1990<br />

University of California, San Francisco<br />

Assistant Professor University of Miami School of Medicine R. Rodney Howell, M.D. 1990-1999<br />

Associate Professor University of Miami School of Medicine R. Rodney Howell, M.D. 1999-2009<br />

B. PUBLICATIONS<br />

BOOK CHAPTERS<br />

Kuluz J, Kim H, Dixon D, Samdani A, Gonzalez-Brito M, Mulcahey M: Special considerations for the child with SCI.<br />

In: Spinal Cord Injury Rehabilitation. Edited by Edelle Field-Fote. FA Davis. Philadelphia. In Press<br />

Schleien CL, Kuluz JW: <strong>The</strong> role of leukocytes in global and focal brain ischemia. In: Update in Intensive Care and<br />

Emergency Medicine: Intensive Care in Childhood. Edited by Tibboel D and van der Voort, Springer-Verlag, <strong>The</strong><br />

Netherlands, 1996.<br />

Schleien CL, Kuluz JW: Physiological Foundations of Cardiopulmonary Resuscitation. In: Pediatric Critical Care. Edited<br />

by Fuhrman B. Mosby, New York, 1995.<br />

Schleien CL, Gelman B, Kuluz JW: Pediatric Cardiopulmonary Resuscitation. In: Anesthesiology Clinics of North<br />

America. Edited by Rothenberg DM. W.B. Saunders Company, Philadelphia, pp.943-979, 1995.<br />

Schleien CL, Kuluz JW: Cardiopulmonary Resuscitation. In: <strong>The</strong> Science and Practice of Pediatric Cardiology. 2nd<br />

Edition. Edited by Garson A Jr, Bricker JT, Fisher DJ, Neish SR. Williams and Wilkins, Houston, 1995.<br />

Schleien CL, Kuluz JW, Shaffner DH: Cardiology Resuscitation. In: Textbook of Pediatrics Intensive Care. 3 rd Edition.<br />

Edited by Rogers MC. Williams and Wilkins, Baltimore, pp. 3-49, 1995.<br />

Schleien CL, Kuluz JW, Shaffner DH, Rogers MC: Cardiopulmonary Resuscitation. In: Handbook of Pediatric Intensive<br />

Care. 2nd Edition. Edited by Rogers MC, Helfaer MA. Williams and Wilkins, Baltimore pp. 1-37, 1994.<br />

JOURNAL ARTICLES<br />

Sandberg DI, Crandall KM, Koru-Sengul T, Padgett KR, Landrum J, Babino D, Petito CK, Solano J, Gonzalez-Brito M,<br />

Kuluz JW: Pharmacokinetic analysis of etoposide distribution after administration directly into the fourth ventricle in a<br />

piglet model. J Neurooncol. 2009 Aug 18.<br />

Huang T, Solano J, He D, Loutfi M, Dietrich WD, Kuluz J: Traumatic Injury Activates MAP Kinases in Astrocytes:<br />

Mechanisms of Hypothermia and Hyperthermia.J Neurotrauma. 2009 Jan 22.<br />

Huang TT, Du M, Kuluz J, Li Y, Ma H. Post-receptor Crosstalk on PI3K/Akt between GH and Insulin in Noncatch-Up<br />

Growth Rats Born Small for Gestational Age. Horm Res. 2008 May 20;70(1):29-35<br />

Sandberg DI, Crandall KM, Petito CK, Padgett KR, Landrum J, Babino D, He D, Solano J,Gonzalez-Brito M, Kuluz<br />

JW. Chemotherapy Administration Directly into the Fourth Ventricle in a New Piglet Model. J Neurosurg Pediatrics. 2008<br />

May;1(5):373-380.<br />

Sandberg DI, Crandall K, Petito CK, Padgett K, Landrum J, Babino D, He D, Benglis DM, Ramirez MA, Kuluz JW.<br />

Distribution of Etoposide in cerebrospinal fluid after infusions into the fourth ventricle in piglets. J Neurosurg Pediatrics.<br />

2008 Apr;1(4):A354<br />

McGoron AJ, Capille M, Georgiou MF, Sanchez P, Solano J, Gonzalez-Brito M, Kuluz JW. Post traumatic brain<br />

perfusion SPECT analysis using reconstructed ROI maps of radioactive microsphere derived cerebral blood flow and<br />

statistical parametric mapping. BMC Med Imaging 2008 Feb 29;8:4<br />

Kuluz J, Huang T, Watson B, Vannucci S. Stroke in the Immature <strong>Brain</strong>: Review of Pathophysiology and Animal Models<br />

of Pediatric Stroke. Future Neurology, 2008:3(2):199-216<br />

Kuluz J, Prado R, He D, Zhao W, Dietrich WD, Watson, B. New pediatric model of ischemic stroke induced by<br />

photothrombosis in infant piglets: acute changes in cerebral blood flow, microvasculature and early histopathology.<br />

Stroke. 2007 Jun;38(6):1932-7


Huang TT, He D, Kleiner G, Kuluz J. Neuron-like differentiation of adipose-derived stem cells from infant piglets in vitro.<br />

J Spinal Cord Med 2007 30:S35-S40<br />

Hotz GA, Castelblanco A, Lara IM, Weiss AD, Duncan R, Kuluz JW. Snoezelen: a controlled multi-sensory stimulation<br />

therapy for children recovering from severe brain injury. <strong>Brain</strong> Injury 2006 Jul;20(8):879-88<br />

Youngblut JM, Brooten D, Kuluz JW: Parents' reactions at 24-48 hrs after a preschool child's head injury.<br />

Pediatr Crit Care Med. 2005 Sep;6(5):550-6.<br />

McGoron AJ, Xuming M, Georgiou MF, Kuluz JW: Computer phantom study of brain PET glucose metabolism imaging<br />

using a rotating SPECT/PET camera. Comput Biol Med. 2005 Jul;35(6):511-31<br />

Tang K, Liu, Kuluz JW, Hu B: Alterations of CaMKII after hypoxia-ischemia during brain development. J Neurochemi<br />

2004;1471-4159.<br />

Dietrich WD and Kuluz JW: Emerging therapies: new research in the field of stroke: therapeutic hypothermia after<br />

cardiac arrest. Stroke 2003;34:1051-3.<br />

McLaughlin GE, Kashimawo LA, Steele BW, Kuluz JW: Reversal of acute tacrolimus-induced renal vasoconstriction by<br />

theophylline in rats. Pediatr Crit Care Med 2003;4:358-62.<br />

McLaughin GE, Kulatunga S, Kuluz JW, Gelman B, Schleien CL: Cerebral blood flow during partial liquid ventilation in<br />

surfactant-deficient lungs under varying ventilation strategies. Ped Crit Care Med 2000;2:88-92.<br />

Matsushita Y, Bramlett HM, Kuluz JW, Alonso 0, Dietrich WD: Delayed hemorrhagic hypotension exacerbates the<br />

hemodynamic and histopathological consequences of traumatic brain injury in rats. J Cereb Blood Flow Metab<br />

2001;21(7):847-856.<br />

Monroy M, Kuluz JW, He D, Dietrich WD, Schleien CL: <strong>The</strong> role of nitric oxide in the cerebrovascular and<br />

thermoregulatory response to interleukin-1β. Am J Physiol Heart Circ Physiol 2001;280:H1448-H1453.<br />

Kuluz JW, McLaughlin GE, Gelman B, Cantwell GP, Thomas J, Mahon T, Schleien CL: <strong>The</strong> FiO2 in infants receiving<br />

oxygen via nasal cannula can exceed safe levels. Respir Care 2001;46:897-901.<br />

<strong>The</strong> TG, McLaughlin GE, Kuluz JW, Schachner L, Schleien CL: Ten days of orotracheal intubation with successful<br />

extubation in an infant with junctional epidermolysis bullosa. Pediatr Crit Care Med 2000;1:88-90.<br />

Schleien CL, Kuluz JW, Gelman B, Dietrich WD: Hemodynamic effects of nitric oxide synthase inhibition before and<br />

after cardiac arrest in infant piglets. Am J Physiol 1998;274:H1378-H1385.<br />

Wang N, Kuluz J, Barron M, Perryman R: Cardiopulmonary bypass in a patient with moyamoya disease. Anesth Analg<br />

1997;(5):1160-3.<br />

Gelman B, Schleien CL, Lohe AS, Kuluz JW: Selective brain cooling in infant piglets after cardiac arrest and<br />

resuscitation. Crit Care Med 1996;24:2009-20 17.<br />

Caceres MJ, Schleien CL, Kuluz JW, Gelman B, Dietrich WD: Early endothelial damage and leukocyte accumulation in<br />

piglet brains following cardiac arrest. Acta Neuropathol 1995;90:582-591.<br />

Dallessio JJ, Markley MA, Lohe A, Kuluz JW, Oiticica C, McLaughlin GE: Management of a traumatic pulmonary<br />

pseudocyst using high-frequency oscillatory ventillation. J Trauma 1995;39(6):1188-1190.<br />

Kuluz JW, Prado R, Chang J, Ginsberg MD, Schleien CL, Busto R: Selective brain cooling increases cortical cerebral<br />

blood flow in rats. Am J Physiology 1993;265:H824-827.<br />

Kuluz JW, Prado RJ, Dietrich WD, Schleien CL, Watson BD: <strong>The</strong> effect of nitric oxide synthase inhibition on infarct<br />

volume after reversible focal cerebral ischemia in conscious rats. Stroke I 993;24(12):2023-2029.<br />

Kuluz JW, Gregory GA, Han Y, Dietrich D, Schleien CL: Fructose-I ,6-bisphosphate reduces infarct volume after<br />

reversible middle cerebral artery occlusion in rats. Stroke 1993;24(lO):1576-1583.<br />

Prado R, Watson BD, Kuluz JW, Dietrich WD: Endothelium-derived nitric oxide synthase inhibition: Effects on cerebral<br />

blood flow, pial arterial diameter and vascular morphology in the rat. Stroke 1992;23:l 118-1124.<br />

Kuluz JW, Gregory GA, Yu ACH, Chang Y: Selective brain cooling during and after prolonged global ischemia reduces<br />

cortical damage in rats. Stroke 1992;23(12):1792-1797.


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Georgia<br />

Children's Healthcare of Atlanta<br />

www.choa.org<br />

REGION: Southeast CATEGORY OF CARE: Prevention<br />

Program Director: Julie Krupa, Ph.D. Position Title: Research <strong>Project</strong> Coordinator<br />

Department: Department of Gastroenterology Major Subdivision: Rehabilitation Services<br />

Address: 1001 Johnson Ferry Road NE, Atlanta, GA 30342<br />

Phone: 404‐785‐3284<br />

Email: Julie.Krupa@choa.org<br />

Level 1 Center(s): Atlanta<br />

Level 2 Center(s): Augusta, Columbus, Savannah<br />

Level 3 Center(s): Rome, Valdosta, Brunswick, Athens, Macon<br />

Number of jobs <strong>PABI</strong> Grant creates in Georgia: 100<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 6,018,288<br />

Category of Care Management Sub‐total: $ 1,659,803<br />

Case Management Sub‐total: $ 2,870,157<br />

State Lead Center Sub‐total: $ 10,580,248<br />

Indirect Cost to Institution (20%): $ 2,116,050<br />

Administrative Cost to SJBF (2%): $ 211,605<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 12,907,903


Children's Healthcare of Atlanta Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 128,100<br />

Program Director Assistant: $ 93,383<br />

State Director: $ 311,278<br />

Associate State Director: $ 134,887<br />

State Epidemiologist: $ 207,518<br />

State Epidemiologist Assistant: $ 93,383<br />

State Scientific Investigation Research Coordinator: $ 176,391<br />

State Scientific Investigation Research Assistant: $ 176,391<br />

State Education/Training Coordinator (plus materials): $ 405,316<br />

State General Counsel: $ 249,022<br />

State IT Manager: $ 197,143<br />

State Family Support Coordinator: $ 155,639<br />

State Prevention/Awareness Coordinator: $ 155,639<br />

State Acute Care Coordinator: $ 155,639<br />

State Reintegration Coordinator: $ 155,639<br />

State Adult Transition Coordinator: $ 155,639<br />

State Mild TBI Coordinator: $ 155,639<br />

State Mental Health Coordinator: $ 134,887<br />

State Assistive/Emerging Technology Coordinator: $ 134,887<br />

State Correctional System Coordinator: $ 134,887<br />

State MISC Coordinator: $ 134,887<br />

State Veterans Coordinator: $ 134,887<br />

State Data Manager: $ 134,887<br />

State Public Policy Manager: $ 155,639<br />

State Community Relations Manager: $ 134,887<br />

State Administrative Support: $ 560,300<br />

Charity care: $ 340,194<br />

Human Resources Support: $ 100,000<br />

Training Support: $ 25,000<br />

State Lead Center Office Space Cost: $ 326,927<br />

State Lead Center Transportation/Travel: $ 110,223<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 105,460<br />

Annual and Regional Conferences: $ 32000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 97,198<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 6,018,288


Children's Healthcare of Atlanta Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Prevention<br />

Regional Category Director: $ 311,278<br />

Regional Category Epidemiologist: $ 249,022<br />

Regional Category Education/Training Coordinator: $ 207,518<br />

Regional Category Scientific Investigation Research: $ 207,518<br />

Regional Category Administrative Support: $ 373,533<br />

Regional Category Office Space Cost: $ 94,914<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 30,617<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,659,803


Children's Healthcare of Atlanta Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 148,227<br />

Level 1 Center Field Specialist(s): $ 118,582<br />

Level 1 Center SJB Family Specialist(s): $ 809,322<br />

Level 1 Center Administrative Support: $ 133,405<br />

Level 1 Office Space Cost: $ 51,029<br />

Level 1 Transportation/Travel: $ 27,774<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 58,319<br />

Level 2 Center Field Specialist(s): $ 213,448<br />

Level 2 Center SJB Family Specialist(s): $ 693,705<br />

Level 2 Transportation/Travel: $ 23,684<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 30,617<br />

Level 3 Center SJB Family Specialist(s): $ 433,565<br />

Level 3 Transportation/Travel: $ 11,700<br />

Level 3 Office Equipment/Communications: $ 28,500<br />

Level 3 Supplies: $ 14,580<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,870,157<br />

STATE LEAD CENTER SUB‐TOTAL: $ 10,580,248<br />

INDIRECT COST TO INSTITUTION: $ 2,116,050<br />

ADMINISTRATIVE FEE TO SJBF: $ 211,605<br />

STATE LEAD CENTER SUB‐TOTAL: $ 12,907,903<br />

TOTAL JOBS CREATED IN Georgia: 100


Principal Investigator: Haarbauer-Krupa, Juliet K.<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

Haarbauer-Krupa, Juliet K.<br />

POSITION TITLE<br />

Research <strong>Project</strong> Coordinator<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Pennsylvania State University, State College,PA BS 1977 Speech Pathology<br />

University of Pittsburgh, Pittsburgh, PA MA 1980 Speech Pathology<br />

Georgia State University, Atlanta, GA PHD 2008 Educational Psychology<br />

A. Positions and Honors<br />

1980-1985 Speech Pathologist, Rehabilitation Institute of Pittsburgh, Pittsburgh, PA. Responsible for<br />

Developing clinical programs for pediatrics in the area of acquired brain injury and Assistive<br />

Technology.<br />

1985-1987 Speech Pathologist, National Rehabilitation Hospital Washington, D.C. Duties included the<br />

development of an acquired brain injury unit for adults and therapeutic feeding team.<br />

1988-1990 Pediatric Program Coordinator, Atlanta Rehabilitation Institute. Developed a pediatric day<br />

treatment model for acquired brain injury.<br />

1990-1990 Speech, Pathologist, Children’s Healthcare of Atlanta. Duties include evaluation and<br />

treatment of children.<br />

1991-2005 Private Practice in Speech Pathology, Atlanta, GA. Specialized practice for children with<br />

neurologic difficulties in the areas of language, communication and feeding.<br />

2002-2005 Augmented Language Intervention for Toddlers <strong>Project</strong>: Duties included the development of<br />

projects, proposals for conference presentations, manuscript preparation and transcription. Mary<br />

Ann Romski, Ph.D., Principle Investigator, Melissa Cheslock, M.A., Lab Coordinator.<br />

2006-2008 Research Scientist, Children’s Healthcare of Atlanta, Rehabilitation Services and<br />

Division of Gastroenterology<br />

Responsible for developing and implementing a research agenda for feeding and swallowing<br />

and rehabilitation projects.<br />

2009-present Research <strong>Project</strong> Coordinator, Children’s Healthcare of Atlanta, Rehabilitation Services.<br />

Responsible for developing a research program and implementing a research agenda.<br />

Other experience and professional memberships<br />

American Speech-Language Hearing Association<br />

Special Interest Divisions (ASHA): Dysphagia; Neurogenics; Child Language; Augmentative<br />

Communication.<br />

Dysphagia Research Society<br />

Georgia Speech-Language and Hearing Association<br />

International Neuropsychological Society<br />

PHS 398/2590 (Rev. 09/04, Reissued 4/2006) Biographical Sketch Format Page


Principal Investigator: Haarbauer-Krupa, Juliet K.<br />

Society for Research in Child Development<br />

North American <strong>Brain</strong> Injury Association<br />

Member, Children and Youth Advisory Committee for the Georgia <strong>Brain</strong> and Spinal Cord Injury Trust Fund<br />

B. Publications<br />

Peer Reviewed Journal Articles<br />

Haarbauer-Krupa, J. (2009). Cognitive Rehabilitation for children and youth: Moving toward collaborative<br />

partnerships, <strong>Brain</strong> Injury Professional, in press.<br />

Romski, M., Haarbauer-Krupa, J. Cheslock, M., Sevcik, R. & Adamson, L. (2008) Language and<br />

communication changes in a child with holoprosecephaly: A case report. Journal of Medical Speech Pathology,<br />

March.<br />

Haarbauer-Krupa, J., Wilhoit, A., Clabby, M., & Robinson, B, (2008). (Abstract) Dysphagia in children with<br />

congenital heart disease, Dysphagia, March.<br />

Brown-Lewis, R, and Haarbauer-Krupa, J. (2006). Do trauma services enhance functional and length of stay<br />

outcomes for pediatric patients with an acquired brain injury? Journal of Head Trauma Rehabilitation,<br />

November 2006.<br />

Peer Reviewed Conference Papers/Reports:<br />

Fitting Technology for Children with Acquired <strong>Brain</strong> Injuries, oral presentation with Michelle Spady to<br />

Georgia Speech and Hearing Annual Convention, Atlanta, GA, March 2009.<br />

Traumatic <strong>Brain</strong> Injuries in Preschool Children: High Risk for Consequences and Disparities in<br />

Identification, poster presented at the International Neuropsychological Society, Atlanta GA , February, 2009.<br />

Acquired <strong>Brain</strong> Injuries in Preschool children: Identification and follow-up issues, oral presentation and<br />

the North American <strong>Brain</strong> Injury Society Conference, New Orleans, LA., October 2008.<br />

Dysphagia in children with congenital heart disease, oral presentation presented with Anna Wilhoit, Martha,<br />

Clabby, and Byron Robinson at the Dysphagia Research Society Conference, March 2008.<br />

Educational and social participation outcomes in children with traumatic brain injuries who are<br />

graduates of a day rehabilitation program, poster presented with Mimi Gold, North American <strong>Brain</strong> Injury<br />

Society Conference, San Antonio Texas, September 2007.<br />

Dysphagia in children with congenital heart disease, poster presented with Elizabeth Harding and Anna<br />

Wilhoit at the American Speech-Language and Hearing Association , Miami, Florida, November 2006.<br />

<strong>The</strong> relationship between speech, language and reading in young children, poster presented at the<br />

American Speech-Language and Hearing Association , Miami, Florida, November 2006.<br />

Language Disorders: How lesion studies inform about profiles, paper presented at the American Speech-<br />

Language and Hearing Association, Miami, Florida, November 2006.<br />

Do trauma services enhance functional and length of stay outcomes for pediatric patients with an<br />

acquired brain injury? Presentation with Rosemary Brown-Lewis at the 2 nd Annual Interagency Trauma<br />

Conference, March 9-11, Bethesda, Maryland<br />

Developmental Patterns of word retrieval errors in children and their mother’s response, poster presented<br />

with Amy Lederberg and Mary Ann Romski at the American Speech-Language-Hearing Annual conference,<br />

Nov 2003 Chicago, Il.<br />

Phonemic Errors in the conversations of young children, poster presented with Kim Anders at American<br />

Speech, Language and Hearing Association Conference, Nov 2003 Chicago, Il.<br />

A neurobiologic model of hunger and satiation relative to oral development, paper presented at the<br />

American Speech Language and Hearing Association conference, Nov 2003, Chicago.<br />

Developmental Patterns of word retrieval errors in children, poster presented with Amy Lederberg and<br />

Mary Ann Romski at the annual meeting of the Society for Research in Child Development, Tampa FL<br />

<strong>The</strong> Developing <strong>Brain</strong>: Pediatric Neuroanatomy Update and Review, ASHA , 2000.<br />

Cognitive Rehabilitation with Adolescents, Invited presentation, Vanderbilt University, November 2000.<br />

PHS 398/2590 (Rev. 09/04, Reissued 4/2006) 2<br />

Continuation Format Page


Principal Investigator: Haarbauer-Krupa, Juliet K.<br />

Medical Aspects of Speech and Language Disorders, Co-presenter with John Riski, Ph.D. at GSHA<br />

Conference, March 1997.<br />

Fitting Technology for Patients with Memory and Organization Problems, Paper presented at GSHA<br />

Conference, March 1997.<br />

Development of Oral-Motor Skills, Implications for Feeding and Speaking, Invited lecture for Purdue<br />

University Videoconference Series, October 1996.<br />

Acquired <strong>Brain</strong> Injury in Children, Invited lecturer for audio teleconference, Purdue University, June-July<br />

1996.<br />

Acquired <strong>Brain</strong> Injury in Children, Invited lecturer for 4-day teacher training course for Metro Atlanta<br />

Educators, June 1996.<br />

Other<br />

Ylvisaker, M, Szekeres, S. & Haarbauer-Krupa, J. (1998). Memory, Organization and Language, M.<br />

Ylvisaker (ed) Head Injury Rehabilitation: Children and Adolescents, Butterworth-Heinemann,<br />

Ylvisaker, M., Szekeres, S. Haarbauer-Krupa, J., Urbanczyk, B. & Feeney, T. (1994). Speech and Language<br />

Intervention in Educational Dimensions of Acquired <strong>Brain</strong> Injury, Savage and Wolcott (eds.), , Pro-Ed,<br />

Haarbauer-Krupa, J. Moser, L., Smith, G. Sullivan, D. & Szekeres, S. (1985). Cognitive Rehabilitation<br />

<strong>The</strong>rapy: Middle Stages of Recovery, in Head Injury Rehabilitation: Children and Adolescents,<br />

Ylvisaker (ed.) College-Hill Press.<br />

Haarbauer-Krupa, J., Henry, K. Szekeres, S. and Ylvisaker, M., (1985). Cognitive Rehabilitation <strong>The</strong>rapy: Late<br />

Stages of Recovery, in Head Injury Rehabilitation: Children and Adolescents, Ylvisaker (Ed), College-<br />

Hill Press.<br />

B. Research Support<br />

Dudley Moore Grant: Dysphagia in Children with Congenital Heart Disease, July 2006 to present<br />

Children’s Healthcare of Atlanta.<br />

Role: Principle Investigator<br />

PHS 398/2590 (Rev. 09/04, Reissued 4/2006) 3<br />

Continuation Format Page


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Hawaii<br />

Center on Disability Studies at <strong>The</strong> University of Hawaii<br />

www.cds.hawaii.edu<br />

REGION: Pacific CATEGORY OF CARE: Mild TBI<br />

Program Director: Jean Johnson, Ph.D. Position Title: Associate Director/Associate<br />

Professor<br />

Department: Center on Disabilities Studies<br />

Address: 1776 University Avenue, Honolulu, HI 96822<br />

Phone: 808‐956‐2653<br />

Email: jeanj@hawaii.edu<br />

Program Director: Jeffrey Okamoto, MD Position Title: Associate Director, Hawaii MCH<br />

LEND program<br />

Address: 1319 Punahou Street, #739a, Honolulu, HI 96826<br />

Phone: 808‐956‐3142<br />

Level 1 Center(s): Oahu, Maui, Kauai, Hilo (Big Island)<br />

Level 2 Center(s): Guam, Saipan (CNMI), Palau, FSM (Pohnpei), Marshalls (Marjuro), American Samoa,<br />

Hana, Molokai, Kona (Big Island)<br />

Level 3 Center(s): FSM (Yap), FSM (Chuuk), FSM (Kosrae), Marshalls (Ebeye) and Lanai<br />

Number of jobs <strong>PABI</strong> Grant creates in Hawaii: 184<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 6,187,416<br />

Category of Care Management Sub‐total: $ 1,998,192<br />

Case Management Sub‐total: $ 9,032,087<br />

State Lead Center Sub‐total: $ 17,249,695<br />

Indirect Cost to Institution (20%): $ 3,449,939<br />

Administrative Cost to SJBF (2%): $ 344,994<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 21,044,628


Center on Disability Studies at <strong>The</strong> University of Hawaii Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 317,053<br />

Program Director Assistant: $ 96,786<br />

State Director: $ 322,620<br />

Associate State Director: $ 139,802<br />

State Epidemiologist: $ 215,080<br />

State Epidemiologist Assistant: $ 96,786<br />

State Scientific Investigation Research Coordinator: $ 182,818<br />

State Scientific Investigation Research Assistant: $ 182,818<br />

State Education/Training Coordinator (plus materials): $ 213,265<br />

State General Counsel: $ 258,096<br />

State IT Manager: $ 204,326<br />

State Family Support Coordinator: $ 161,310<br />

State Prevention/Awareness Coordinator: $ 161,310<br />

State Acute Care Coordinator: $ 161,310<br />

State Reintegration Coordinator: $ 161,310<br />

State Adult Transition Coordinator: $ 161,310<br />

State Mild TBI Coordinator: $ 161,310<br />

State Mental Health Coordinator: $ 139,802<br />

State Assistive/Emerging Technology Coordinator: $ 139,802<br />

State Correctional System Coordinator: $ 139,802<br />

State MISC Coordinator: $ 139,802<br />

State Veterans Coordinator: $ 139,802<br />

State Data Manager: $ 139,802<br />

State Public Policy Manager: $ 161,310<br />

State Community Relations Manager: $ 139,802<br />

State Administrative Support: $ 580,716<br />

Charity care: $ 311,034<br />

Human Resources Support: $ 184,000<br />

Training Support: $ 46,000<br />

State Lead Center Office Space Cost: $ 298,904<br />

State Lead Center Transportation/Travel: $ 100,775<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 96,421<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 88,867<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 6,187,416


Center on Disability Studies at <strong>The</strong> University of Hawaii Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Mild TBI<br />

Regional Category Director: $ 322,620<br />

Regional Category Epidemiologist: $ 258,096<br />

Regional Category Education/Training Coordinator: $ 215,080<br />

Regional Category Scientific Investigation Research: $ 215,080<br />

Regional Category Administrative Support: $ 387,144<br />

Regional Category Office Space Cost: $ 86,778<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 27,993<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,998,192


Center on Disability Studies at <strong>The</strong> University of Hawaii Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 614,514<br />

Level 1 Center Field Specialist(s): $ 491,611<br />

Level 1 Center SJB Family Specialist(s): $ 3,355,247<br />

Level 1 Center Administrative Support: $ 553,063<br />

Level 1 Office Space Cost: $ 46,655<br />

Level 1 Transportation/Travel: $ 109,596<br />

Level 1 Office Equipment/Communications: $ 117,200<br />

Level 1 Supplies: $ 146,630<br />

Level 2 Center Field Specialist(s): $ 663,675<br />

Level 2 Center SJB Family Specialist(s): $ 2,156,945<br />

Level 2 Transportation/Travel: $ 70,378<br />

Level 2 Office Equipment/Communications: $ 119,700<br />

Level 2 Supplies: $ 83,979<br />

Level 3 Center SJB Family Specialist(s): $ 449,363<br />

Level 3 Transportation/Travel: $ 11,700<br />

Level 3 Office Equipment/Communications: $ 28,500<br />

Level 3 Supplies: $ 13,330<br />

CASE MANAGEMENT SUB‐TOTAL: $ 9,032,087<br />

STATE LEAD CENTER SUB‐TOTAL: $ 17,249,695<br />

INDIRECT COST TO INSTITUTION: $ 3,449,939<br />

ADMINISTRATIVE FEE TO SJBF: $ 344,994<br />

STATE LEAD CENTER SUB‐TOTAL: $ 21,044,628<br />

TOTAL JOBS CREATED IN Hawaii: 184


Jean L. Johnson, DrPH April 19, 2009<br />

NAME<br />

Jean L. Johnson<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

POSITION TITLE<br />

Associate Director, Center on Disability Studies<br />

College of Education, University of Hawai`i<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

University of Tennessee BS 1963 Special Education<br />

Northwestern University MA 1964 Audiology<br />

University of Hawai`i MPH 1977 Maternal-Child Health<br />

University of Hawai`i DrPH 1992 Community Health<br />

A. Positions and Honors: Positions and Employment<br />

1982-1987 Administrator, Bureau of Family Health Services, Department of Public Health and Social<br />

Services, Government of Guam<br />

1983-1990 Partner, Audiological Associates, Guam<br />

1985-1990 Audiological Consultant for the Micronesian Otitis Media Training <strong>Project</strong> administered<br />

through the University of Hawai`i School of Medicine<br />

1987-1999 Director, Zero-to-Three Hawai`i <strong>Project</strong>, Department of Health, Part C of IDEA Program for<br />

the State of Hawai`i<br />

1995-present Associate Clinical Instructor, University of Hawai`i School of Medicine<br />

1999-present Assistant Professor, Director of Community Training and Outreach<br />

Center on Disability Studies, University of Hawai`i<br />

2001-present Faculty, Maternal and Child Health Leadership in Neurological and Other Related Disorders.<br />

2001-present Associate Graduate Faculty, University of Hawai`i at Manoa<br />

2004-present Director (Interim), Center on Disability Studies, University of Hawai`i<br />

2005-Present Associate Director, Center on Disability Studies, University of Hawai`i<br />

Other Experience and Professional Memberships<br />

1999-present Hawai`i Early Intervention Coordinating Council. Appointed by Governor.<br />

1996-2000 Federal Interagency Coordinating Council. Appointed by the U.S. Secretary of Education to<br />

represent Part H Programs on the Federal Interagency Coordinating Council (under IDEA).<br />

Chair of the Finance Committee; Chair of the Department of Defense Task Force; Member of<br />

the Executive Committee.<br />

1999-present Board of Directors, Easter Seals of Hawai`i. Member of the Program Committee and<br />

Strategic <strong>Plan</strong>ning Committee; Vice-Chair, 2003-2004; Chair, 2004-2005.<br />

2000-present Maternal Child Health Review Panel. Chaired federal review panel to review newborn<br />

hearing screening grant applications, 2001-2005.<br />

2001-present Special Education Advisory Council. Appointed by the Hawai`i Superintendent of Education.<br />

2001-2003 Chair, Faculty Senate for Center on Disability Studies.<br />

2002-2006 State Council on Developmental Disabilities. Appointed by the Governor. Chair the Health<br />

and Early Education Committee. Member of the Executive Committee.<br />

2003-2004 Faculty Senate, College of Education, Diversity and Governance Committees<br />

2004-2005 Vice-Chair, Faculty Senate, College of Education;<br />

2005-2007 Chair, Faculty Senate, College of Education<br />

B. Selected peer-reviewed publications (in chronological order).<br />

1) Pryor, Micki; Pryor, Jan; Manning, Jean; Manning, Scot; Rudoy, Raul; Stewart, Jean;<br />

Dever, Gregory J.; and Stool, Sylvan (1985). Vitamin A Deficiency/Otitis Media in<br />

Micronesia: A Clinical Report. Pacific Health Dialogue.<br />

PHS 398/2590 (Rev. 05/01) Page Biographical Sketch Format Page


Principal Investigator/Program Director (Last, First, Middle):<br />

2) Dever, Gregory J.; Stewart, Jean L.; and David, Amanis (1985). Prevalence of Otitis<br />

Media in Selected Populations on Pohnpei: A Preliminary Study. International Journal<br />

of Pediatric Otorhinolaryngology, 10, 143-152.<br />

3) Stewart, Jean L.; Anae, Annabel P.; and Gipe, Patricia N. (1989). Pacific Islander Children: Prevalence of<br />

Hearing Loss and Middle Ear Disease. Topics in Language Disorders, 9(3), 76-83.<br />

4) Sia, Calvin C.J. and Stewart, Jean L. (1989). <strong>The</strong> Medical Home and PL 99-457 in Hawai`i. Hawai`i Medical<br />

Journal, 48 (12), 529-535.<br />

5) Garrett, J.A.; and Stewart, J.L. (1989). Hearing Loss and Otitis Media on Guam: Impact of Professional<br />

Services. Asia-Pacific Journal of Public Health, 3 (3), 213-218.<br />

6) Chezik, Kathryn H.; Pratt, Judith E.; Stewart, Jean L.; and Deal, Vicki R. (1989). Addressing Service Delivery in<br />

Remote/Rural Areas. ASHA, 31 (1), 213-218.<br />

7) Dever, G.J.; Stool, S.; and Stewart, J.L. (1990). Otitis Oceania: Middle Ear Disease in the Pacific Basin. Annals<br />

of Otology, Rhinology & Laryngology, 99, (7), Supplement 149, 25-27.<br />

8) Stewart, Jean L. and Triolo, Dennis J. (1990). Development of Speech-Language-Hearing Services in Guam and<br />

Micronesia. ASHA, 32, 37-40.<br />

9) Pratt, Judith E.; Chezik, Kathryn H.; Hilyer-Wright, Nereida; Patterson, Mary A.; Stewart, Jean L.; Wilson, W.<br />

Freda; and Deal, Vicki R. (1991). REACH: A Model for Service Delivery and Professional Development Within<br />

Remote/Rural Regions of the United States and U.S. Territories. ASHA, Supplement No. 6, 33 (9), 5-14.<br />

10) Johnson, Jean L.; Mauk, Gary W.; Takekawa, Kristine M.; Simon, Peter; Sia, Calvin C.J.; and<br />

Blackwell, Peter M. (1993). Implementing a Statewide System of Services for Infants and Toddlers<br />

with Hearing Disabilities. Seminars in Hearing, 17 (1), 105-119.<br />

11) Hosford-Dunn, Holly; Baxter, <strong>Jane</strong> H.; Cherow, Evelyn; Desmond, Alan L.; Jacobson, Gary; Johnson,<br />

Jean L.; and Martin, Patty F. (1994). <strong>Plan</strong>ning and Initiating an Autonomous Audiology Practice.<br />

Washington, D.C.: American Speech-Language-Hearing Association.<br />

12) Johnson, Jean L.; Yuen, JoAnn; Nishimoto, Patricia I.; Johnson, Robert C.; and Johnson, Roma (1994).<br />

Family Centered Care: Thriving in Hawai`i Under Part H. Clinics in Commun. Disorders, 4:4, 254-265.<br />

13) Johnson, Jean L.; Kuntz, Nancy L.; Sia, Calvin C.J.; White, Karl R.; and Johnson, Roma L. (1997).<br />

Newborn Hearing Screening in Hawai`i. Hawai`i Medical Journal. Honolulu, HI: 56:12, 352-355.<br />

14) Johnson, Jean; Weirather, Yusnita; Sia, Calvin C.J; Okamoto, Jeff, and Shapiro, Beppie (2002).<br />

Universal Newborn Hearing Screening: A Goal Being Achieved in Hawai`i. Hawai`i Medical Journal,<br />

61:2, 26-29.<br />

15) Johnson, Jean and Woll, Josie (2003). Health Disparities: <strong>The</strong> Gap the MUST Be Closed. Disability Studies<br />

Quarterly, Spring 2003 (no pages, on-line journal).<br />

16) Johnson J; White K; Widen J; Vohr B; Gravel J; Weirather Y; Maxon A; Spivak L; James M; Sullivan-Mahoney<br />

M; Kennalley T; Holstrum J. (2005). A Multi-Center Evaluation of How Many Infants with Permanent Hearing<br />

Loss Pass a Two-Stage OAE/A-ABR Newborn Hearing Screening Protocol. Pediatrics, 116:3, 663-672.<br />

17) Johnson JL, White KR, Widen JE, Gravel JS, Vohr BR, James M, Kennalley T, Maxon AB, Spivak L, Sullivan-<br />

Mahoney M, Weirather Y, Meyer S (2005). A Multi-Site Study to Examine the Efficacy of the OAE/A-ABR<br />

Newborn Hearing Sreening Protocol: Introduction & Overview of the Study. American Academy of Audiology,<br />

14, 178-185.<br />

C. Most Recent Research Activities: Principal Investigator/<strong>Project</strong> Director<br />

1993-1999 <strong>Project</strong> BEGIN. Nine year controlled trial research study to determine effectiveness of early<br />

intervention services. Funded by Centers for Disease Control.<br />

1995-1999 Supportive Parenting <strong>Project</strong>. Five-year model demonstration project to develop a statewide<br />

model of services for parents with cognitive disabilities who are parenting an infant or toddler.<br />

Funded by the U.S. Department of Education.<br />

1999-2001 Positive Behavioral Supports. <strong>Project</strong> to enhance positive behavioral supports for persons with<br />

developmental disabilities. Funded by the Administration on Developmental Disabilities.<br />

2000-2004 Efficacy of OAE/ABR Protocol in Identifying Hearing Loss in Infants. Prospective<br />

study involving twelve birthing facilities across the nation. Funded by CDC.<br />

2005-2011 <strong>Project</strong> Ho`omohala. Prospective six year study of transition outcomes in youth with serious<br />

emotional and behavioral challenges. Funded by SAMSHA.<br />

2008-2011 First Step to Success. Prospective three year study to a behavioral intervention with preschool<br />

children at risk for behavioral problems. Funded by U.S. DOE, Native Hawaiian Program.<br />

PHS 398/2590 (Rev. 05/01) Page Continuation Format Page


Jeffrey K. Okamoto M.D.<br />

Curriculum Vitae<br />

Present Position: Associate Director, Hawaii MCH LEND program<br />

Medical Director, State of Hawaii Department of Health Developmental Disabilities Division<br />

Medical School Information<br />

John A. Burns School of Medicine, University of Hawaii at Manoa<br />

Degree Awarded: MD Year Completed: 1988<br />

Certification and Re-Certification* Current Licensure:<br />

Specialty/ Certification<br />

Re-<br />

Certification<br />

Date of<br />

Subspecialty Name Year<br />

Year<br />

State Expiration<br />

Pediatrics 1991-1998 2006-2012 Hawaii 2008<br />

Developmental-<br />

Behavioral Pediatrics<br />

2002-2012 California 2008<br />

Academic Appointments (Begin with Current Position and list past ten years)<br />

Years Position(s) Description<br />

Current Assistant Professor of Pediatrics, Department of Pediatrics, John A. Burns School<br />

of Medicine, University of Hawaii at Manoa<br />

1993-1995 Assistant Professor of Pediatrics, Department of Pediatrics, University of Southern<br />

California<br />

Current Professional Activities/Committees)<br />

Co-Director, Pono Interdisciplinary Clinic in Disabilities, and Associate Director, Maternal and Child<br />

Health Leadership Education in Neurodevelopmental and Related Disabilities (MCH LEND); Center on<br />

Disability Studies/University Center for Excellence (CDS/UCE) in Research, Education, & Service,<br />

University of Hawaii at Manoa<br />

Director of the Developmental-Behavioral Pediatrics Training Program, John A. Burns School of<br />

Medicine (Medical student, resident, subspecialty resident teaching)<br />

Medical Director, State of Hawaii Department of Health Developmental Disabilities Division<br />

Medical Director, Department of Rehabilitation Services, Kapiolani Medical Center for Women and<br />

Children<br />

National Executive Committee Member, Council on School Health, American Academy of Pediatrics<br />

Board member, Healthy Mothers, Healthy Babies of Hawaii<br />

Chairperson, Center on Disability Studies Council<br />

Committee member, University Coordinating Council for the Center on Disability Studies, University<br />

of Hawaii at Manoa<br />

Selected Bibliography<br />

Johnson J, Weirather Y, Sia C, Okamoto J, and B. Shapiro. Universal Newborn Hearing<br />

Screening: A Goal Being Achieved in Hawaii. Hawaii Medical Journal. 2002; 61:26-30.<br />

Okamoto J., Ratliffe K.T., Ah Sam A. Childhood disabilities in medical education at the John A.<br />

Burns School of Medicine (JABSOM). Hawaii Medical Journal. 2001; 60:5.<br />

Okamoto J.K., Ratliffe K.T., Ah Sam A. Training in disabilities for medical students and paediatric<br />

residents in educational settings. Journal of Intellectual Disability Research. 2000; 44:416. (Abstract).<br />

A1


Selected Review Articles/Chapters/Textbooks<br />

Okamoto J. Chapter 2 Health Services, and Chapter 4 Populations with Unique Needs. In: School<br />

Health: Policy and Practice. 6 th edition. American Academy of Pediatrics, Elk Grove Village, IL 2004.<br />

Okamoto J. Developmental Screening of Infants, Toddlers and Preschoolers. In: Yamamoto L, Patrinos<br />

ME, Okamoto J, Michels M, and Inaba A (eds). Case Based Pediatrics for Medical Students and<br />

Residents. AuthorHouse 2004.<br />

Okamoto J. Disabilities and Physician Interactions in Schools. In: Yamamoto L, Patrinos ME,<br />

Okamoto J, Michels M, and Inaba A (eds). Case Based Pediatrics for Medical Students and Residents.<br />

AuthorHouse 2004.<br />

Okamoto J. Attention Deficit Hyperactivity Disorder. In: Yamamoto L, Patrinos ME, Okamoto J,<br />

Michels M, and Inaba A (eds). Case Based Pediatrics for Medical Students and Residents.<br />

AuthorHouse 2004.<br />

Okamoto J. Book review – Japanese Frames of Mind: Cultural Perspectives on Human Development.<br />

J Dev Behav Pediatr. 2002. 23 (5): 388.<br />

Participation in Local, Regional, and National Activities/Presentations - Selected<br />

Invited Presenter – Scenarios and Discussion on Mental Retardation, Autism, and ADHD;<br />

Developmental Screening and Behavioral Rating Scales Workshops. Northern Marianas College,<br />

Community Development Institute – University Centers for Excellence in Developmental Disabilities<br />

(UCEDD Program) – Saipan - 5/29/09 to 6/1/09<br />

Supporting Individuals with Co-Occurring Mental Illness and Developmental Disability: A System-<br />

Wide Collaboration – with Dr. Christine Walton and Eva Kishimoto - – International Conference on<br />

Diverse Abilities and Innovative Supports 2008 – 8/13/08<br />

Presentation for the National Maternal and Child Health Developmental-Behavioral Pediatrics (DBP)<br />

Programs – <strong>The</strong> Hawaii DBP Program and the Military Medical System – Omni Parker House, Boston<br />

– 3/24/07<br />

Pediatrics Grand Rounds – An Update on the Evaluation and Management of Mental Retardation – with<br />

Dr. Laurie Seaver (from Genetics) – KMCWC Auditorium 12/21/06<br />

Cerebral Palsy. Presentation to case managers of the Developmental Disabilities Division through the<br />

VCC teleconferencing on Honolulu, Kapolei, and the Big Island 5/1/06.<br />

Invited Presenter at the Hawaii Chapter of the National Association of Pediatric Nurse Associates and<br />

Practitioners – Interdisciplinary Approach to Children with Feeding Problems – with Melinda Kohr<br />

Ph.D., Anne Tsukahara-Ho OTP, Amy Pendleton M.S., CCC-SLP, and Sayuri Asano MPH, PD, CSP.<br />

Hale Koa Hotel, Waikiki 4/19/06<br />

Visiting Professor to University of Virginia Kluge Rehabilitation Center:<br />

Conferences: “Strategies for Behavioral Problems in Toddlers/Young Children”; “Communication with<br />

Children and Families”; “Giving Difficult News to Families” March 2006<br />

A2


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Idaho<br />

Idaho State University / Institute of Rural Health<br />

www.isu.edu<br />

REGION: Rocky Mountain CATEGORY OF CARE: Virtual SJB Center<br />

Program Director: Russell Spearman, M.Ed. Position Title: Senior Research<br />

Associate<br />

Department: Traumatic <strong>Brain</strong> Injury Program<br />

Address: 12301 West Explorer Drive, suite 103, Boise, ID 83713<br />

Phone: 208‐373‐1773<br />

Email: spearuss@isu.edu<br />

Level 1 Center(s): Pocayello (Idaho State University), Boise<br />

Level 2 Center(s): Couer d'Alene<br />

Level 3 Center(s): Nampa, Lewiston<br />

Number of jobs <strong>PABI</strong> Grant creates in Idaho: 91<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,368,511<br />

Category of Care Management Sub‐total: $ 1,659,297<br />

Case Management Sub‐total: $ 3,064,488<br />

State Lead Center Sub‐total: $ 10,124,296<br />

Indirect Cost to Institution (20%): $ 2,024,859<br />

Administrative Cost to SJBF (2%): $ 202,486<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 12,351,641


Idaho State University / Institute of Rural Health Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 52,150<br />

Program Director Assistant: $ 89,886<br />

State Director: $ 299,621<br />

Associate State Director: $ 129,836<br />

State Epidemiologist: $ 199,747<br />

State Epidemiologist Assistant: $ 89,886<br />

State Scientific Investigation Research Coordinator: $ 169,785<br />

State Scientific Investigation Research Assistant: $ 169,785<br />

State Education/Training Coordinator (plus materials): $ 205,801<br />

State General Counsel: $ 239,697<br />

State IT Manager: $ 189,760<br />

State Family Support Coordinator: $ 149,810<br />

State Prevention/Awareness Coordinator: $ 149,810<br />

State Acute Care Coordinator: $ 149,810<br />

State Reintegration Coordinator: $ 149,810<br />

State Adult Transition Coordinator: $ 149,810<br />

State Mild TBI Coordinator: $ 149,810<br />

State Mental Health Coordinator: $ 129,836<br />

State Assistive/Emerging Technology Coordinator: $ 129,836<br />

State Correctional System Coordinator: $ 129,836<br />

State MISC Coordinator: $ 129,836<br />

State Veterans Coordinator: $ 129,836<br />

State Data Manager: $ 129,836<br />

State Public Policy Manager: $ 149,810<br />

State Community Relations Manager: $ 129,836<br />

State Administrative Support: $ 539,317<br />

Charity care: $ 268,117<br />

Human Resources Support: $ 91,000<br />

Training Support: $ 22,750<br />

State Lead Center Office Space Cost: $ 257,660<br />

State Lead Center Transportation/Travel: $ 86,870<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 83,116<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 76,605<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,368,511


Idaho State University / Institute of Rural Health Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Virtual SJB Center<br />

Regional Category Director: $ 299,621<br />

Regional Category Epidemiologist: $ 239,697<br />

Regional Category Education/Training Coordinator: $ 199,747<br />

Regional Category Scientific Investigation Research: $ 199,747<br />

Regional Additional (Regional Bus. Dvlpt Man.): $ 199,747<br />

Regional Category Administrative Support: $ 359,545<br />

Regional Category Office Space Cost: $ 74,805<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 24,131<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,659,297


Idaho State University / Institute of Rural Health Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 285,353<br />

Level 1 Center Field Specialist(s): $ 228,282<br />

Level 1 Center SJB Family Specialist(s): $ 1,558,027<br />

Level 1 Center Administrative Support: $ 256,818<br />

Level 1 Office Space Cost: $ 40,218<br />

Level 1 Transportation/Travel: $ 53,694<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 72,775<br />

Level 2 Center Field Specialist(s): $ 68,485<br />

Level 2 Center SJB Family Specialist(s): $ 222,575<br />

Level 2 Transportation/Travel: $ 7,709<br />

Level 2 Office Equipment/Communications: $ 13,300<br />

Level 2 Supplies: $ 8,044<br />

Level 3 Center SJB Family Specialist(s): $ 166,932<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 4,596<br />

CASE MANAGEMENT SUB‐TOTAL: $ 3,064,488<br />

STATE LEAD CENTER SUB‐TOTAL: $ 10,124,296<br />

INDIRECT COST TO INSTITUTION: $ 2,024,859<br />

ADMINISTRATIVE FEE TO SJBF: $ 202,486<br />

STATE LEAD CENTER SUB‐TOTAL: $ 12,351,641<br />

TOTAL JOBS CREATED IN Idaho: 91


NAME<br />

RUSSELL C. SPEARMAN<br />

BIOGRAPHICAL SKETCH<br />

POSITION TITLE<br />

Senior Research Associate<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training)<br />

INSTITUTION AND LOCATION<br />

Manhattan College, Bronx, New York<br />

College of Idaho, Caldwell, Idaho<br />

Boise University, Boise, Idaho<br />

DEGREE<br />

(If applicable)<br />

B.S.<br />

M.Ed.<br />

YEAR(s)<br />

Spearman, Russell, C<br />

FIELD OF STUDY<br />

PHS 398 (Rev. 4/98) (Form Page 6) Page _12__<br />

Number pages consecutively at the bottom throughout the application. Do not use suffixes such as 3a, 3b. FF<br />

1980<br />

1988<br />

1992<br />

Physical Education<br />

Masters in Education- School Admin.<br />

Completed 21 graduate level credit hrs.<br />

Above Master’s Program.<br />

PROFESSIONAL EXPERIENCE<br />

2009-2013 Principal Investigator, Traumatic <strong>Brain</strong> Injury Implementation Partnership Grant, Idaho State University, Boise, Idaho<br />

2008-2011 Co-Principal Investigator, Person-Centered Hospital Discharge Model Grant, Idaho State University, Boise, Idaho<br />

2006-2009 <strong>Project</strong> Director, Idaho Traumatic <strong>Brain</strong> Injury Partnership Grant, Idaho State University, Boise Center, Idaho<br />

2003-2006 <strong>Project</strong> Director, Idaho Traumatic <strong>Brain</strong> Injury Implementation Grant, Idaho State University, Boise Center, Idaho<br />

2000-2003 <strong>Project</strong> Director, Idaho Traumatic <strong>Brain</strong> Injury <strong>Plan</strong>ning Grant, Idaho State University, Boise Center, Idaho<br />

1998-2000 Medical Program Specialist, Medicaid Policy and Operations, Dept. of Health and Welfare, Boise, Idaho<br />

1996-1998 Executive Director, Governor’s Council on Developmental Disabilities, Boise, Idaho<br />

1989-1996 Developmental Services Program Specialist, Boise, Idaho<br />

1989-1989 Developmental Services Consultant, Idaho Center on Disabilities, University of Idaho, Moscow, Idaho<br />

1984-1989 Developmental Specialist, Developmental Disabilities Center, Dept. of Health and Welfare, Caldwell, Idaho<br />

1981-1984 Developmental Specialist, Idaho State School and Hospital, Dept. of Health and Welfare, Nampa, Idaho<br />

SELECTED AWARDS AND HONORS<br />

2006 Federal TBI Program’s Most Valuable TBISERV Contributor<br />

2002 National Association of Social Workers, Idaho Chapter, “Public Citizen of the Year”<br />

1997 Idaho’s Home of Your Own Initiative, “A single family secondary mortgage program for Idahoans with Disabilities”<br />

MEMBERSHIPS<br />

Idaho Rural Health Association<br />

National Association of State Head Injury Administrators<br />

Consortium of Idahoans with Disabilities<br />

Idaho Statewide Seatbelt Coalition<br />

RESEARCH INTERESTS<br />

Telehealth/Technology<br />

Disability<br />

Rural/Frontier Health<br />

Health Professions Training<br />

Health Information<br />

Trauma/Injury Prevention<br />

Rural geriatric issues, aging in place, demographics<br />

Public Behavorial Health<br />

Primary Long Term Support – Unserved/Underserved/Minorities<br />

Cultural Competence<br />

SELECTED BIBLIOGRAPHY<br />

Spearman, R.C. Stamm. B.H. Tivis, L (2007, August) Traumatic <strong>Brain</strong> Injury State <strong>Plan</strong>ning Grant: Preparing for Change in a Rural<br />

State. Journal of Head Trauma and Rehabilitation.<br />

Spearman, R.C., Stamm, B.H., Rosen, B., Kayala, D., Zillinger, M., Breeze, P. & Wargo, L.M. (200, Feb). <strong>The</strong> Rapid Growth in the<br />

Use of Medicaid Waivers and Its Impact on Services. Journal of Head Trauma and Rehabilitation. Available online at the National<br />

Association of State Head Injury Administrators (www.nashia.org) at http://www.nashia.org/art/Spearman.pdf.<br />

Spearman, R.C. Berrey, Debbie, (1998, January) Home Sweet Home. A Resource Guide About the Idaho Home of Your Own Initiative, Idaho State Council<br />

on Developmental Disabilities.


Spearman, Russell, C<br />

Witmer, Dorothy, Spearman, Russ, (1993, November) Technical Committee Report and Curriculum Guide for Supported Employment Personnel, State<br />

Division of Vocational Education<br />

de Loyola, Shawn, Sword, Marilyn, and Spearman, Russ, (1990, January) 1990 Report on Developmental Disabilities in Idaho, a State of the State Analysis<br />

de Loyola, Shawn, Sword, Marilyn, and Spearman, Russ, (1991, October) Idaho Transition Report: Executive Summary, Idaho State Council on<br />

Developmental Disabilities<br />

de Loyola, Shawn, Sword, Marilyn, and Spearman, Russ, (1991, October) Idaho Transition Report: A Comprehensive Analysis and Survey of Idaho's<br />

Current System of Transition Services for Students in Special Education, Idaho State Council on Developmental Disabilities<br />

Spearman, Russ, editor. (1990, October) Journey to Success: Discovering Vocational Opportunities for Idahoans with Developmental Disabilities, Idaho State<br />

Council on Developmental Disabilities<br />

Spearman, R.C. (1989, July) Results of Statewide Public Forums and Focus Group Meetings, Idaho State Council on Developmental Disabilities<br />

SELECTED PEER - REVIEWED AND INVITED PRESENTATIONS<br />

Spearman, R.C. (2009, June) Improving Systems of Care: Long Term Care Symposium: “Where We Are And Where We Are Going” &<br />

“Bridging the Challenges And Expanding <strong>The</strong> Opportunities”, Boise, ID<br />

Spearman, R.C. Kelly, M.E, (2009, March) “<strong>The</strong> Idaho Veteran’s Model”: 7 th Annual Pacific Northwest <strong>Brain</strong> Injury Conference- Living<br />

with <strong>Brain</strong> Injury-Identifying the Problems, Finding Solutions, Portland, Oregon<br />

Spearman, R.C., Tivis, L.J, Tivis R, Stamm, BH. (2008, April) “Traumatic <strong>Brain</strong> Injury Grant Program: Preparing for Change in a Rural<br />

State” poster session presented at the Kasiska College of Health Professions Research Day, Idaho State University, Pocatello, ID<br />

Spearman, R.C. (2008, April) Assisting Veterans with TBI: Idaho Collaborative Approach, 11th Annual Federal Traumatic <strong>Brain</strong> Injury<br />

Leadership Meeting, Service Members with TBI Summit, Doubletree Hotel and Executive Meeting Center, Bethesda, MD<br />

Spearman, R.C. (2008, Nov) “Idaho’s Person Centered Hospital Discharge Model Grant”, Idaho Commission on Aging, Boise, ID.<br />

Spearman, R.C. (2008, Feb.) Assisting Veterans with Traumatic <strong>Brain</strong> Injury - Idaho's Collaborative Approach “ 6 th Annual Pacific<br />

Northwest <strong>Brain</strong> Injury Conference –Living with <strong>Brain</strong> Injury –Emerging Partnerships, Portland, Oregon.<br />

Spearman, R.C. Tivis, L.T. (2007, Dec.) “Idaho’s Traumatic <strong>Brain</strong> Injury Virtual Program Center” - Telehealth Idaho Veterans with<br />

Traumatic <strong>Brain</strong> Injury 7 th Virtual Grand Round Series. Boise, ID<br />

Spearman, R.C. (2007, Oct) “Idaho’s Traumatic <strong>Brain</strong> Injury Virtual Program Center”, 5 th Annual Pacific Northwest <strong>Brain</strong> Injury<br />

Conference, Portland, Oregon.<br />

Spearman, R.C. Tivis, L.J., Stamm, B.H. (2007, Oct.) Idaho TBI Program: Evaluations, Outcomes, and Improvements. Poster presented at<br />

the 4 th Annual Pacific Northwest <strong>Brain</strong> Injury Conference.<br />

Spearman, R.C. (2007, August) “Overview of Idaho’s Traumatic <strong>Brain</strong> Injury Partnership Grant – Implications For Returning Service<br />

Personnel”, Annual Service Officer Training-Doubletree, Riverside Hotel, Boise, ID<br />

Spearman, R.C. (2007, July) “Employment and Traumatic <strong>Brain</strong> Injury”. Idaho National Rehabilitation Association Summer Conference,<br />

Shiloh Inn Suites, Twin Falls, ID<br />

Spearman, R.C. Stamm, B.H. Tivis, L.J. (2007, April ) “Idaho TBI Program Evaluation, Outcome & Improvements” poster session<br />

presented at the Kasiska College of Health Professions Research Day, Idaho State University, Pocatello, ID<br />

Spearman, R.C. Stamm, B.H, Larson, D (2007, January) “Traumatic <strong>Brain</strong> Injury: Causes, Impacts and Implications for the Criminal Justice<br />

System”, 2007 Drug Court and Mental Health Court Institute, Doubletree Riverside Hotel, Boise, ID.<br />

Spearman, R.C. (2006, Oct.) “Idaho Traumatic <strong>Brain</strong> Injury Virtual Program Center” 19 th Annual Conference on Health Care – Tele<br />

Health Idaho Partners 5 th Annual Meeting, Pocatello, ID.<br />

PHS 398 (Rev. 4/98) (Form Page 6) Page _13__<br />

Number pages consecutively at the bottom throughout the application. Do not use suffixes such as 3a, 3b. FF


Spearman, Russell, C<br />

Spearman, R.C.—(2005, Oct.) “TBI Education for Rural Health Professionals “ Telehealth Idaho Virtual Grand Rounds”, 3 rd Annual<br />

Pacific Northwest <strong>Brain</strong> Injury Conference, Portland, Oregon<br />

Spearman, R.C. Stamm, B.H. Tivis, L.J, Larson, D., Nandikolla V.K. (2005, Oct.) “Understanding the Societal Costs of Traumatic <strong>Brain</strong><br />

Injuries Poster session presented at 17 th Annual Kasiska College of Health Professions Research Day, Pocatello, ID<br />

Spearman, R.C. (2005, August) “Home Sweet Home” – Single Family Home Ownership For People with Disabilities: Western Interstate<br />

Commission For Higher Education (WICHE) Rural Mental Health Grand Rounds Webcast<br />

Spearman, R.C. Stamm, B.H. Tivis, L.J. (2005, May) “Idaho TBI Program Evaluation, Outcome & Improvements” poster session<br />

presented at the 5 th biennial Idaho Rural Health Association Meeting, Sun Valley, ID.<br />

Spearman, R.C., (2005, May) Medicaid <strong>Brain</strong> Injury Waivers: A National Perspective. Poster and breakout session presented at the 21 st<br />

National Home and Community Based Services Waiver Conference, Orlando, Fl.<br />

Stamm, B.H., Spearman, R.C., (2005, May) Home Sweet Home: Single Family Home Ownership for Persons with Disabilities. Poster<br />

session presented at the 28 th Annual National Rural Health Association Conference, New Orleans, LA.<br />

Spearman, R.C., Tivis, L.J., Stamm, B.H., Cunningham, B.J., Vialpando, J.R., (2005, April) Telehealth Idaho: Traumatic <strong>Brain</strong> Injury Virtual<br />

Grand Rounds Series Ranks High. Poster session presented at the 16 th Annual Kasiska College of Health Professions Research Day,<br />

Pocatello, ID<br />

Stamm B.H, Spearman, R.C. (2005, March) “Idaho Traumatic <strong>Brain</strong> Injury Program: Evaluation, Outcomes & Improvements Poster<br />

Presentation presented at 9 th Annual Federal Traumatic <strong>Brain</strong> Injury Program State Grantee Meeting, Bethesda, MD.<br />

Spearman, R.C., Gafford, S., Offutt, S., (2005, March) We Know You’re Out <strong>The</strong>re: How Do We Find You? Breakout session presented at<br />

the 8 th Annual Federal Traumatic <strong>Brain</strong> Injury Program Grantee Meeting, Washington. D.C.<br />

Spearman, R.C. Ditto, B, Rosen, B. Fillbrandt, J, Wargo L. (2005, January) Medicaid <strong>Brain</strong> Injury Waivers: A National Perspective.Building a<br />

System of Community-Based Long Term Supports. Hilton of Santa Fe.<br />

Stamm, B.H., Kirkwood, A.D., Cellucci, L, Piland, N.F, Spearman, R.C. Conley, H.K, Story, C, Parker, D. (2004, March) “Understanding and<br />

Creating a Hospital Climate for Community Integration Idaho Real Choices Systems Change Grant”. Building Systems So That Money Follows <strong>The</strong><br />

Person”, Baltimore, Maryland.<br />

Spearman, R.C. Goodall P. Spivack, M. (2002, June) “ A Place to Call Your Own: Housing Options and Supports for Persons with a TBI: 6 th Annual<br />

Traumatic <strong>Brain</strong> Injury State Grant Program Grantee Meeting, Washington, D.C.<br />

Spearman, R.C. Stamm B,H. (2002, June) Idaho TBI State Grant Program Poster Presentation, 6 th Annual Traumatic <strong>Brain</strong> Injury State Grant<br />

Program Grantee Meeting, Washington, D.C.<br />

Stamm, B.H. Cunningham, B..J. Khabir, S., Elkington, A., Halawa, A., Hobbs, J., Piland, N.F. Conley, H., Kirkwood, A.D., Davis, K.,<br />

Spearman, R.C., Laxminarayan, S., Bishop, A., Kreilach, S., Dahlquist, D., Weeg, S., Giller, E. (2002, June). Capital Hill Telehealth and E-<br />

Health Demonstration. Steering Committee on Telehealth And Healthcare Informatics. Dirksen Senate Office Building.<br />

Spearman, R.C. Stamm, B.H. Conley, H.K Winters, (2002, April) Report from the Traumatic <strong>Brain</strong> Injury State <strong>Plan</strong>ning Grant for the State of Idaho.<br />

Poster presented at the Idaho Rural Health Association Symposium. Sun Valley, ID<br />

Spearman, R.C. Wrigley, S. (2002, March) “<strong>The</strong> Use of Community Supports”, Hawaii’s Conference on Self-Determination, Honolulu, Hawaii.<br />

Spearman, R.C. Stamm, B. H. (2002, March) “Fulfilling the Promise of Community Living, Centers for Medicare and Medicaid Services”, 2 nd Annual<br />

Systems Change Conference, Washington, D.C.<br />

Spearman, R.C. Stamm, B.H. & Winters, S. (2001, Dec.) “A Public Health Approach To State <strong>Plan</strong>ning For Traumatic <strong>Brain</strong><br />

Injury”. 17 th Annual Meeting of the International Society for Traumatic Stress Studies. New Orleans, LA.<br />

Spearman, R.C. (2001, July) “”<strong>The</strong> Use of Medicaid Waivers and <strong>The</strong>ir Impact on Services” Building Blocks of Change, National <strong>Brain</strong> Injury<br />

Association 20 th Annual Symposium<br />

Spearman, R.C. (2001, March) “<strong>The</strong> Use of Medicaid Waivers and <strong>The</strong>ir Impact on Services”. 2 nd Annual Can Do Conference on Self-<br />

Determination Honolulu, Hawaii.<br />

PHS 398 (Rev. 4/98) (Form Page 6) Page _14__<br />

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Spearman, Russell, C<br />

Spearman, R.C. “Trends in Medicaid Waivers” (2001, August) Health Resources and Services Administration’s (HRSA) Maternal and Child Health<br />

Bureau (MCHB), Traumatic <strong>Brain</strong> Injury (TBI) State Grant Program, 5 th annual grantee meeting, Washington D.C<br />

Spearman, R.C. “<strong>The</strong> Use of Medicaid Waivers and <strong>The</strong>ir Impact on Services” (2001, July) National <strong>Brain</strong> Injury Association 20 th Annual Symposium,<br />

Atlanta Georgia<br />

Spearman, R.C, Stamm, B.H, Winters. (2001, May)“New Directions, Idaho’s Traumatic <strong>Brain</strong> Injury <strong>Plan</strong>ning Grant”, Idaho Rural Health Association,<br />

Sun Valley, Idaho,<br />

Spearman, R.C “Oh Give Me A Home: Opening Doors to Home Ownership For Individuals with Developmental Disabilities”, (1997, Dec.) <strong>The</strong> Association<br />

For Persons with Severe Disabilities (TASH), Boston, Massachusetts.<br />

Spearman, R.C."Using Your Funds Strategically To Change the World", (1995, June) National Association of Developmental Disabilities Councils<br />

(NADDC) Public Policy - Technical Assistance Institute, Washington, DC<br />

Spearman, R.C: "Idaho's Home of Your Own Initiative" (1995, June) Community Supports Partnership Meeting, Boise, ID<br />

Spearman, R.C, "State Housing and Homelessness Policy," (1995, April) Fifth Annual Housing Summit, "Building Partnerships for Affordable<br />

Housing", Boise, ID<br />

Spearman, R.C, Free, F, "Community Advocacy for Fair Housing," (1995, April) Fifth Annual Housing Summit, "Building Partnerships for Affordable<br />

Housing", Boise, ID<br />

Spearman, R.C. "Using Natural Supports in the Workplace:" (1994, July) Eighth Annual Idaho Parents Conference for Families with Children with<br />

Disabilities, Boise, ID<br />

Spearman, R.C. "Achieving Housing Diversity in Idaho's Communities", (1994, April) Fourth Annual Housing Summit, "Special Needs Populations",<br />

Boise, ID<br />

Spearman R.C. "Fair Housing Act Amendments to Idaho's Human Rights Act", (1993, Oct.) Idaho Governor’s Council on Developmental Disabilities,<br />

Boise, ID<br />

Spearman R.C. "Transitions & Interagency Resources and Responsibilities:" (1993, Oct.) Annual CEC Conference, Sun Valley, ID<br />

Spearman, R.C. "A Review of Case Management in Idaho" (1993, April) Idaho Council on Developmental Disabilities, Boise, ID<br />

Spearman, R.C. "Programs to Achieve Self-Support (PASS)," (1993, April) University of Idaho Special Education and Counseling Department,<br />

Moscow, ID<br />

Spearman, R.C, "From School to Work and Adult Services," (1993, April) Idaho Parents Unlimited Regional Consultant Training<br />

LEGISLATIVE ACHIEVEMENTS<br />

Spearman, R.C. Seiler, R, Darrington, D. Assistive Technology Warranty Act, (1997) Designed to protect people with disabilities from the<br />

consequences of the sales of defective equipment and devices which they need to carry out basic daily activities in FY 1997.<br />

Spearman, R.C. Shuler, M.S .Fair Housing Amendments to Idaho's Human Rights Act (1994) Conducted all research, prepared and disseminated all<br />

written materials to respective state affairs committee members, worked with key legislators, and provided testimony.<br />

Davidson, A. Murdock, T, Spearman, R.C. Concurrent Resolution- task force to review long term care and assisted living in Idaho (1994)<br />

Watts, J.C. Spearman, R.C., Sword, M.S. Amended Idaho Code to allow a Tax Credit (1994) of $100.00 for a person filing there own taxes or a<br />

$1,000 deduction or $100.00 credit for families of individuals with developmental disabilities<br />

Simpson, M, Reynolds, D, Spearman, R.C. Specialized Dogs in Public Settings (1993).<br />

PHS 398 (Rev. 4/98) (Form Page 6) Page _15__<br />

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RESEARCH FUNDING<br />

Current Support:<br />

Idaho Traumatic <strong>Brain</strong> Injury Implementation Partnership Grant No. H21MC07735 (Principal Investigator). <strong>The</strong><br />

Specific goals are to: establish a trust fund; solidify the statewide TBI advisory council ; provide a support system to<br />

families of returning soldiers, and monitor the aged/disabled waiver and trauma registry. Funding is through HHS-<br />

Health Resource and Services Administration, Maternal and Child Health Bureau. 4/2/09-3/31/2013<br />

Idaho Real Choices Person-Centered Hospital Discharge <strong>Plan</strong>ning Grant No. 1L0CMS030308/01. (Co-Principal<br />

Investigator w/Debra Larsen Ph.D). <strong>The</strong> goals of this project include developing a sustainable person-centered<br />

Hospital discharge model for rural and underserved areas and enhancing systems of information exchange statewide.<br />

Funding is through the Centers for Medicaid and Medicaid Services 9/30/08 -9/30/2011<br />

Previous Support:<br />

Idaho Traumatic <strong>Brain</strong> Injury Implementation Partnership Grant No. 1-H21-08-050 (<strong>Project</strong> Director, Beth Stamm Ph.D. - PI)<br />

<strong>The</strong> purpose of this project is to move forward Idaho’s community-based system of sustainable, comprehensive,<br />

coordinated support for individuals with a Traumatic <strong>Brain</strong> Injury (TBI) and their families through an annual<br />

needs/resource assessment, enhancing Idaho’s TBI virtual program center, moving the advisory council forward,<br />

advancing virtual grand rounds, and by monitoring implementation of the State’s Trauma registry and use of it’s<br />

Medicaid waiver.<br />

Idaho Traumatic <strong>Brain</strong> Injury Implementation Grant No. 1-H21-MC00068-01 (<strong>Project</strong> Director, Beth Stamm Ph.D- PI.)<br />

Develop a sustainable, comprehensive community-based system of support through a distributed, state-wide expert<br />

decision support Virtual Program Center. Funded by DHHS/HRSA Maternal and Child Health through the Idaho<br />

Department of Health and Welfare 4/1/03 – 3/31/06.<br />

Idaho Traumatic <strong>Brain</strong> Injury <strong>Plan</strong>ning Grant, (<strong>Project</strong> Director, Beth H. Stamm Ph.D-PI ) .Statewide needs assessment and<br />

implementation plan development for people with TBI’s and their family members. Funded by DHHS/HRSA Maternal<br />

and Child Health through Idaho Department of Health and Welfare 3/2000-3/2003.<br />

Systems Change Real Choices (Co-<strong>Project</strong> Manager). Combined anti-stigma, economic analysis, and effectiveness study to<br />

examine support community integration for people with disabilities (developmental, physical, mental, and age-related) in<br />

accord with the Olmstead decision. 12/2001-12/2003.<br />

Infrastructure Grant (Stamm B.H. Hern. M.H. Spearman, R.C) <strong>Brain</strong> Injury Association of Idaho, through Idaho Governors<br />

Council on Developmental Disabilities, 10/2000<br />

Robert Wood Johnson Foundation, University of New Hampshire, Self-Determination planning grant for persons with<br />

developmental disabilities in Idaho. 1998 fiscal year.<br />

U.S. Department of Education, State Systems for Transition Services for Youth with Disabilities Program; Idaho Transition<br />

Partnership <strong>Project</strong>, Five Year Systems Change Grant. 1989-1994<br />

U.S. Department of Education, State Systems for Transition Services for youth with Disabilities Program; Idaho<br />

Comprehensive School and Community Transition Services, Five Year Systems Change Grant. FY 94.<br />

U.S. Department of Health and Human Services, Administration on Developmental Disabilities, National Home of Your<br />

Own Alliance; Idaho's Home of Your Own Initiative, One Year Technical Assistance Grant. FY 95.<br />

Federal Home Loan Bank of Seattle, Affordable Housing Program, Down Payment Assistance For Persons with Developmental<br />

Disabilities FY 95-96. Technical editor in FY 98-99.<br />

State of Idaho HOME Program, Idaho Housing Agency; Down Payment/Closing Cost Assistance For Persons with Developmental<br />

Disabilities FY95-96. Technical editor in HOME in FY 98.<br />

Special <strong>Project</strong>s and Demonstrations for Providing Supported Employment Services, Five Year Statewide Systems Change Grant<br />

Applications to States; Division of Vocational Rehabilitation.<br />

Spearman, Russell, C<br />

Approximate<br />

Award<br />

$1,500,000<br />

$800,000<br />

$600,000<br />

$215,000<br />

$1,102,148<br />

$10,000<br />

$15,000<br />

$495,000<br />

$495,831<br />

$50,000<br />

$117,000<br />

$140, 400<br />

$520,000<br />

$453,300<br />

PHS 398 (Rev. 4/98) (Form Page 6) Page _16__<br />

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<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Illinois<br />

University of Illinois Chicago<br />

www.uic.edu<br />

REGION: Midcentral CATEGORY OF CARE: Rural/Tele‐health<br />

(National Lead)<br />

Program Director: Deborah Little, Ph.D. Position Title: Assistant Professor of Neurology<br />

and Rehabilitation<br />

Department: Center for Stroke Research<br />

Address: 1645 W. Jackson, suite 400, Chicago, IL 60612<br />

Phone: 312‐355‐5405<br />

Email: little@uic.edu<br />

Level 1 Center(s): Chicago (UIC and Comer Children's Hospital), Rockford (Rockford Memorial),<br />

Springfield (St. John's Hospital), Urbana (Carle Foundation Hospital), Oak Lawn (Advocate Christ<br />

Hospital), Maywood (Loyola University Medical Center)<br />

Level 2 Center(s): Chicago Public School District, Elgin School District, Rockford School District, Indian<br />

Prarie School District<br />

Level 3 Center(s): Chicago (La Rabita Childrens Hospital), Peoria (OSFT St. Francis), Park Ridge (Advocate<br />

Lutheran General Hospital), Evanston (Evanston Hospital), Chicago (Stroger Hospital of Cook County),<br />

Chicago (Sinai Hospital)<br />

Number of jobs <strong>PABI</strong> Grant creates in Illinois: 184<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 8,417,025<br />

Category of Care Management Sub‐total: $ 14,091,916<br />

Case Management Sub‐total: $ 15,789,201<br />

State Lead Center Sub‐total: $ 38,330,142<br />

Indirect Cost to Institution (20%): $ 7,666,028<br />

Administrative Cost to SJBF (2%): $ 766,603<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 46,762,774


University of Illinois Chicago Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 165,936<br />

Program Director Assistant: $ 134,350<br />

State Director: $ 447,834<br />

Associate State Director: $ 194,061<br />

State Epidemiologist: $ 298,556<br />

State Epidemiologist Assistant: $ 134,350<br />

State Scientific Investigation Research Coordinator: $ 253,773<br />

State Scientific Investigation Research Assistant: $ 253,773<br />

State Education/Training Coordinator (plus materials): $ 602,267<br />

State General Counsel: $ 358,267<br />

State IT Manager: $ 283,628<br />

State Family Support Coordinator: $ 223,917<br />

State Prevention/Awareness Coordinator: $ 223,917<br />

State Acute Care Coordinator: $ 223,917<br />

State Reintegration Coordinator: $ 223,917<br />

State Adult Transition Coordinator: $ 223,917<br />

State Mild TBI Coordinator: $ 223,917<br />

State Mental Health Coordinator: $ 194,061<br />

State Assistive/Emerging Technology Coordinator: $ 194,061<br />

State Correctional System Coordinator: $ 194,061<br />

State MISC Coordinator: $ 194,061<br />

State Veterans Coordinator: $ 194,061<br />

State Data Manager: $ 194,061<br />

State Public Policy Manager: $ 223,917<br />

State Community Relations Manager: $ 194,061<br />

State Administrative Support: $ 806,101<br />

Charity care: $ 431,814<br />

Human Resources Support: $ 184,000<br />

Training Support: $ 46,000<br />

State Lead Center Office Space Cost: $ 414,973<br />

State Lead Center Transportation/Travel: $ 129,600<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 133,862<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 107,953<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 8,417,025


University of Illinois Chicago Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Rural/Tele‐health (National Lead)<br />

National Category Director: $ 622,260<br />

National Category Epidemiologist: $ 414,840<br />

National Category Education/Training Coordinator: $ 331,872<br />

National Category Scientific Investigation Research: $ 331,872<br />

National Additional Tech: $10,000,000<br />

(strategic telemedicine and telecommunication technology to certain states)<br />

Regional Category Director: $ 447,834<br />

Regional Category Epidemiologist: $ 358,267<br />

Regional Category Education/Training Coordinator: $ 298,556<br />

Regional Category Scientific Investigation Research: $ 298,556<br />

Regional Category Administrative Support: $ 537,401<br />

Regional Category Office Space Cost: $ 174,021<br />

Regional Category Transportation/Travel: $ 180,000<br />

Regional Category Office Equipment/Communications: $ 40,300<br />

Regional Category Supplies: $ 56,136<br />

CATEGORY OF CARE SUB‐TOTAL: $ 14,091,916


University of Illinois Chicago Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 1,343,502<br />

Level 1 Center Field Specialist(s): $ 1,074,802<br />

Level 1 Center SJB Family Specialist(s): $ 7,859,487<br />

Level 1 Center Administrative Support: $ 1,209,152<br />

Level 1 Office Space Cost: $ 68,011<br />

Level 1 Transportation/Travel: $ 200,880<br />

Level 1 Office Equipment/Communications: $ 172,800<br />

Level 1 Supplies: $ 304,429<br />

Level 2 Center Field Specialist(s): $ 477,690<br />

Level 2 Center SJB Family Specialist(s): $ 1,746,553<br />

Level 2 Transportation/Travel: $ 42,240<br />

Level 2 Office Equipment/Communications: $ 53,200<br />

Level 2 Supplies: $ 60,454<br />

Level 3 Center SJB Family Specialist(s): $ 1,091,595<br />

Level 3 Transportation/Travel: $ 21,060<br />

Level 3 Office Equipment/Communications: $ 34,200<br />

Level 3 Supplies: $ 29,147<br />

CASE MANAGEMENT SUB‐TOTAL: $ 15,789,201<br />

STATE LEAD CENTER SUB‐TOTAL: $ 38,330,142<br />

INDIRECT COST TO INSTITUTION: $ 7,666,028<br />

ADMINISTRATIVE FEE TO SJBF: $ 766,603<br />

STATE LEAD CENTER SUB‐TOTAL: $ 46,762,774<br />

TOTAL JOBS CREATED IN Illinois: 184


BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

Deborah M. Little<br />

eRA COMMONS USER NAME<br />

LITTLEDEB<br />

POSITION TITLE<br />

Associate Professor of Neurology, Anatomy,<br />

Ophthalmology and Psychology<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Scripps College, Claremont, CA B.A. 1997 Psychology<br />

Brandeis University, Waltham, MA M.A. 1999 Psychology<br />

Brandeis University, Waltham, MA Ph.D. 2001 Psychology/Cognitive<br />

Neuroscience<br />

University of Illinois at Chicago, Chicago, IL Post-Doc<br />

2001-<br />

2004<br />

Magnetic Resonance<br />

Imaging<br />

A. Positions and Honors.<br />

Professional Positions:<br />

1993-1994 Research Assistant, Scripps College, Claremont, CA<br />

1994-1997 Laboratory Manager, Scripps College, Claremont, CA<br />

1997-2001 NIA Predoctoral Fellow, Brandeis University, Waltham, MA<br />

2001-2002 Post-doctoral Research Associate, Department of Ophthalmology,<br />

Univ. of Illinois, Chicago, IL<br />

2002-2004 Post-doctoral Research Associate, Center for MR Research, Univ. of Illinois at Chicago<br />

2004-2009 Assistant Professor, Dept of Neurology & Rehabilitation, Univ. of Illinois at Chicago<br />

2004-2009 Assistant Professor, Dept of Anatomy & Cell Biology, Univ. of Illinois at Chicago<br />

2006-2009 Assistant Professor, Honors College, Univ. of Illinois at Chicago<br />

2006-2009 Assistant Professor, Dept of Ophthalmology & Visual Sciences, Univ. of Illinois at Chicago<br />

2006-2009 Assistant Professor, Dept of Psychology, Univ. of Illinois at Chicago<br />

2009- Associate Professor, Dept of Neurology & Rehabilitation, Anatomy & Cellular Biology,<br />

Ophthalmology & Visual Sciences, and Psychology, Univ. of Illinois at Chicago<br />

Other Experience and Professional Memberships<br />

1996- Sigma Xi (Fellow, 2007-)<br />

2001- American Psychological Association, Gerontological Society of America<br />

2002- Society for Neuroscience<br />

2003- Organization for Human <strong>Brain</strong> Mapping, Society for Magnetic Resonance in Medicine<br />

2006- Ad Hoc Reviewer, <strong>The</strong> Netherlands Research Council<br />

2008 Ad Hoc Reviewer, NIH Center for Scientific Review, Neurological, Aging, and Musculoskeletal<br />

Epidemiology (NAME) Study Section<br />

2008 Ad Hoc Reviewer, Department of Defense Traumatic <strong>Brain</strong> Injury Research Program, New<br />

Investigator & Investigator Initiated Awards <strong>Project</strong><br />

2008 Ad Hoc Reviewer, Department of Defense Traumatic <strong>Brain</strong> Injury Research Program<br />

2008 Ad Hoc Reviewer, Department of Defense Post Traumatic Stress Disorder Research Program<br />

2009- Ad Hoc Reviewer, Ontario Neurotrauma Foundation<br />

Honors and Awards:<br />

1995 Esterly Award for Summer Research, Scripps College<br />

1996 Langland Psychology Award, Scripps College


1997 Margaret Faust <strong>The</strong>sis Award, Scripps College<br />

2000 Dissertation Research Award, American Psychological Association<br />

2000 Graduate Research Award, APA, Retirement Research Foundation<br />

2000 Sigma Xi, Grants in Aid of Research, National<br />

B. Selected peer-reviewed publications (in chronological order).<br />

Hartley AA, Little DM. (1999) Age-related differences and similarities in dual-task interference. J Exp Psychol<br />

Gen;128(4):416-49.<br />

Little DM, Hartley AA. (2000) Further evidence that negative priming in the Stroop color-word task is<br />

equivalent in older and younger adults. Psychol Aging; 15:9-17.<br />

Wingfield A, Prentice K, Koh CK, Little DM. (2000) Neural change, cognitive reserve and behavioral<br />

compensation in rapid encoding and memory for spoken language in adult aging. In L. T. Connor & L. K.<br />

Obler (Eds.) Neurobehavior of Language and Cognition: Studies of Normal Aging and <strong>Brain</strong> Damage.<br />

Little DM, Prentice KJ, Wingfield A. (2004) Adult age differences in judgments of semantic fit. Appl<br />

Psycholinguistics; 25: 135-143.<br />

Little DM, Klein R, Shobat DM, McClure E, Thulborn KR. (2004) Changing patterns of processing during<br />

category learning observed by functional MRI. Cognitive <strong>Brain</strong> Research; 22: 84-93.<br />

Laatsch L, Little DM, Thulborn KR. (2004) Changes in fMRI following cognitive rehabilitation therapy in<br />

severe traumatic brain injury: A case study. Rehabilitation Psychology; 49: 262-267.<br />

Little DM, Prentice KJ, Darrow AW, Wingfield A. (2005) Listening to spoken text: adult age differences as<br />

revealed by self-paced listening. Exp Aging Res; 31:313-30.<br />

Little DM, Thulborn KR. (2005) Correlations of cortical activation and behavior during the application of<br />

newly learned categories. Cognitive <strong>Brain</strong> Research 25: 33-47.<br />

Little DM, McGrath LM, Prentice KJ, Wingfield A. (2006) Semantic encoding of spoken sentences: Adult aging<br />

and the preservation of conceptual short term memory. Appl Psych; 27: 487-511.<br />

Gussin HA, Tomlinson ID, Little DM, Warnement MR, Qian H, Rosenthal SJ, Pepperberg DR. (2006) Binding<br />

of muscimol-conjugated quantum dots to GABAC receptors. Am Chem Soc; 128:15701-13.<br />

Kuhlman A, Little D, Sekuler R. (2006) An interactive test of serial behavior: age and practice alter executive<br />

function. J Clin Exp Neuropsychol; 28:126-44.<br />

Little DM, Shin SS, Sisco SM, Thulborn KR. (2006) Event-related fMRI of category learning: Differences in<br />

classification and feedback networks. <strong>Brain</strong> and Cognition 60: 244-252.<br />

Little DM, Thulborn KR. (2006) Prototype-distortion Category Learning: A Two-phase Learning Process<br />

across a Distributed Network. <strong>Brain</strong> and Cognition 2006; 60: 233-243.<br />

Tomlinson ID, Gussin HA, Little DM, Warnement MR, Qian H, Pepperberg DR, Rosenthal SJ. (2007) Imaging<br />

GABA(c) Receptors with Ligand-Conjugated Quantum Dots. J Biomed Biotechnol; 2007:76514.<br />

Kraus MF, Susmaras T, Caughlin BP, Walker CJ, Sweeney JA, Little DM. (2007) White matter integrity and<br />

cognition in chronic traumatic brain injury: a diffusion tensor imaging study. <strong>Brain</strong>; 130(Pt 10):2508-19.<br />

Kraus MF, Little DM, Donnell AS, Reilly J, Sisco S, Simonian N, Kay M, Khine T, Sweeney J. (2007)<br />

Oculomotor function in chronic traumatic brain injury. Cognitive and Behavioral Neurology; 20: 170-179.<br />

Kang Derwent JJ, Saszik SM, Maeda H, Little DM, Pardue MT, Frishman LJ,Pepperberg DR. (2007) Test of<br />

the paired-flash electroretinographic method in mice lacking b-waves. Vis Neurosci; 24:141-9.<br />

Little DM, Holloway R. (2007) Diffusion Tensor Imaging: Scientific advance, clinical tool, or just a pretty<br />

picture. Neurology 2007; 68: 9-10.<br />

Little DM, Thulborn KR, Szlyk JP. (2008) An fMRI study of saccadic and smooth pursuit eye movement<br />

control in Age-Related Macular Degeneration. Investigative Ophthalmology and Visual Sciences 49: 1728-<br />

1735.<br />

Pawar AS, Qtaishat NM, Little DM, Pepperberg DR. (2008) Recovery of rod photoresponses in ABCR-deficient<br />

mice. Invest Ophthalmol Vis Sci; 49:2743-55.<br />

Prodoehl J, Yu H, Little DM, Abraham I, Vaillancourt DE. (2008) Region of interest template for the human<br />

basal ganglia: Comparing EPI and Talairach approaches. NeuroImage 39(3): 956-965.


Maki PM, Cohen M, Weber K, Little DM, Fornelli D, Perschler P, Gould F, Martin E. (2009) Deficits in verbal<br />

memory and hippocampal function in HIV-positive women. Neurology; 72:1661-8.<br />

Vaillancourt DE, Spraker MB, Prodoehl J, Abraham I, Corcos DM, Zhou XJ, Comella CL, Little DM. (2009)<br />

High resolution diffusion tensor imaging in the substantia nigra of de novo Parkinson’s disease.<br />

Neurology, Jan 7 [Epub ahead of print]<br />

Szlyk JP, Little DM. (2009) An fMRI Study of Word-Level Recognition and Processing in Patients with Age-<br />

Related Macular Degeneration. Invest Ophthalmol Vis Sci; Apr 22 [Epub ahead of print].<br />

C. Research Support<br />

Ongoing Research Support:<br />

R21 AG028662 Little (PI). Anatomical correlates of executive function decline in normal aging, NIH/NIA,<br />

2007-2009.<br />

<strong>The</strong> goal of the project is to determine the relative roles of axonal versus neuronal loss in normal aging as they<br />

relate to behavioral declines in so-called executive functions. To do this we plan to use standard structural<br />

MRI, fMRI, and high-resolution DTI in super-healthy younger adults, middle-aged adults, and older adults.<br />

<strong>The</strong>re is no overlap with the current proposal. <strong>The</strong>re is no overlap with the proposed research.<br />

Role: Principle Investigator, 32% Effort<br />

High Resolution Diffusion Tensor Imaging of White Matter Integrity in Mild TBI, CINN Foundation, 2007-<br />

2009.<br />

<strong>The</strong> goal of the project is to examine the contributions of axonal injury and myelin damage to sustained<br />

cognitive deficits in patients who have sustained a single, closed-head, mild traumatic brain injury. To do this,<br />

we plan to use detailed neuropsychological testing, a neurobehavioral interview, as well as high resolution<br />

diffusion tensor imaging in groups of healthy controls and in patients with brain injuries. This grant provided<br />

pilot data for the current proposal. <strong>The</strong>re is no overlap with the proposed investigation.<br />

Role: Principle Investigator, No Salary Support<br />

High Resolution Diffusion Tensor Imaging of Cortical-Subcortical White Matter Tracts in TBI, Department of<br />

Defense 2008-2011<br />

<strong>The</strong> goal of the project is to examine the effects of TBI on white matter tracts which connect cortical to<br />

subcortical structures. To do this, we plan to use high resolution diffusion tensor imaging in groups of healthy<br />

controls and in patients with brain injuries.<br />

This grant has a focus on basic methodological development which supports the current investigation.<br />

Role: Principle Investigator, 25% Effort<br />

Scaling and sequencing motor output in humans: an fMRI and DTI study. Pending. 2009-2013<br />

National Institute of Neurological Disorders and Stroke<br />

This grant sets out to characterize structural integrity of the basal ganglia in patients with parkinson’s disease<br />

and relate changes in structural integrity to functional alteration in function. <strong>The</strong>re is no overlap with the<br />

proposed research.<br />

Role: Co-Investigator, 5% Salary


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Indiana<br />

James Whitcomb Riley Hospital for Children / Indiana University<br />

rileychildrenshospital.com<br />

REGION: Midcentral CATEGORY OF CARE: Acute Phase<br />

Program Director: Jodi Smith, MD Position Title: Director<br />

Department: Pediatric Neurosurgery<br />

Address: 702 Barnhill Drive, Indianapolis, IN 46202<br />

Phone: (317) 274‐8852<br />

Email: jodlsmit@iupui.edu<br />

Level 1 Center(s): Indianapolis, Fort Wayne<br />

Level 2 Center(s): Gary, Evansville<br />

Level 3 Center(s): South Bend, Terre Haute<br />

Number of jobs <strong>PABI</strong> Grant creates in Indiana: 98<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,705,741<br />

Category of Care Management Sub‐total: $ 1,611,317<br />

Case Management Sub‐total: $ 3,437,858<br />

State Lead Center Sub‐total: $ 10,786,915<br />

Indirect Cost to Institution (20%): $ 2,157,383<br />

Administrative Cost to SJBF (2%): $ 215,738<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 13,160,036


James Whitcomb Riley Hospital for Children / Indiana University Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 102,375<br />

Program Director Assistant: $ 90,788<br />

State Director: $ 302,627<br />

Associate State Director: $ 131,138<br />

State Epidemiologist: $ 201,751<br />

State Epidemiologist Assistant: $ 90,788<br />

State Scientific Investigation Research Coordinator: $ 171,489<br />

State Scientific Investigation Research Assistant: $ 171,489<br />

State Education/Training Coordinator (plus materials): $ 322,206<br />

State General Counsel: $ 242,101<br />

State IT Manager: $ 191,664<br />

State Family Support Coordinator: $ 151,313<br />

State Prevention/Awareness Coordinator: $ 151,313<br />

State Acute Care Coordinator: $ 151,313<br />

State Reintegration Coordinator: $ 151,313<br />

State Adult Transition Coordinator: $ 151,313<br />

State Mild TBI Coordinator: $ 151,313<br />

State Mental Health Coordinator: $ 131,138<br />

State Assistive/Emerging Technology Coordinator: $ 131,138<br />

State Correctional System Coordinator: $ 131,138<br />

State MISC Coordinator: $ 131,138<br />

State Veterans Coordinator: $ 131,138<br />

State Data Manager: $ 131,138<br />

State Public Policy Manager: $ 151,313<br />

State Community Relations Manager: $ 131,138<br />

State Administrative Support: $ 544,728<br />

Charity care: $ 310,387<br />

Human Resources Support: $ 98,000<br />

Training Support: $ 24,500<br />

State Lead Center Office Space Cost: $ 298,281<br />

State Lead Center Transportation/Travel: $ 100,565<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 96,220<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 88,682<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,705,741


James Whitcomb Riley Hospital for Children / Indiana University Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Acute Phase<br />

Regional Category Director: $ 302,627<br />

Regional Category Epidemiologist: $ 242,101<br />

Regional Category Education/Training Coordinator: $ 201,751<br />

Regional Category Scientific Investigation Research: $ 201,751<br />

Regional Category Administrative Support: $ 363,152<br />

Regional Category Office Space Cost: $ 86,598<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 27,935<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,611,317


James Whitcomb Riley Hospital for Children / Indiana University Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 288,216<br />

Level 1 Center Field Specialist(s): $ 230,573<br />

Level 1 Center SJB Family Specialist(s): $ 1,573,660<br />

Level 1 Center Administrative Support: $ 259,394<br />

Level 1 Office Space Cost: $ 46,558<br />

Level 1 Transportation/Travel: $ 54,781<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 84,248<br />

Level 2 Center Field Specialist(s): $ 138,344<br />

Level 2 Center SJB Family Specialist(s): $ 449,617<br />

Level 2 Transportation/Travel: $ 15,636<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 18,623<br />

Level 3 Center SJB Family Specialist(s): $ 168,606<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 5,321<br />

CASE MANAGEMENT SUB‐TOTAL: $ 3,437,858<br />

STATE LEAD CENTER SUB‐TOTAL: $ 10,786,915<br />

INDIRECT COST TO INSTITUTION: $ 2,157,383<br />

ADMINISTRATIVE FEE TO SJBF: $ 215,738<br />

STATE LEAD CENTER SUB‐TOTAL: $ 13,160,036<br />

TOTAL JOBS CREATED IN Indiana: 98


PROGRAM DIRECTOR: Jodi L. Smith, Ph.D., M.D.<br />

Neurological Surgery<br />

RI 1134<br />

O: 274‐8852 FAX: 274‐8895<br />

Assistant: Velda Green<br />

jodlsmit@iupui.edu<br />

vcgreen@iupui.edu<br />

Dr. Smith is the Director of Pediatric Neurosurgery at James Whitcomb Riley Hospital for<br />

Children and Associate Professor of Neurological Surgery in the Department of Neurosurgery at<br />

Indiana University School of Medicine in Indianapolis, Indiana. She received her Ph.D. in<br />

Anatomy at the University of Utah School of Medicine for her dissertation studies on<br />

“Neurulation.” She subsequently completed medical school and residency training in<br />

Neurological Surgery at the University of Utah, as well. Following residency, she completed the<br />

Shillito Fellowship in Pediatric Neurosurgery at Children’s Hospital, Harvard Medical School in<br />

Boston, Massachusetts. Clinical interests include pediatric epilepsy surgery, brain and spinal<br />

cord tumors, brain and spinal cord congenital malformations, traumatic brain and spinal cord<br />

injury, hydrocephalus, myelodsyplasia, craniofacial disorders, and Moyamoya syndrome. She is<br />

currently engaged in research studies on the Electrophysiological Analysis of Epileptogenic<br />

Tissue.<br />

NAME: Smith, Jodi L.<br />

EDUCATION:<br />

CURRICULUM VITAE ‐ Abbreviated<br />

UNDERGRADUATE: Weber State College – Ogden, UT<br />

B.S. (Summa cum Laude) – Zoology/Chemistry<br />

1979‐1983<br />

GRADUATE: University of Utah School of Medicine – Salt Lake City, UT<br />

Ph.D. – Department of Anatomy<br />

1983‐1988<br />

DOCTORAL DISSERTATION: “Role of Neuroepithelial Cell<br />

Wedging in Bending of the Chick Neural Plate”<br />

University of Utah School of Medicine – Salt Lake City, UT<br />

M.D. (A.O.A., 1992)<br />

1989‐1993 (graduated #1 in class of 108 students)<br />

POSTDOCTORAL: University of Utah School of Medicine ‐ Salt Lake City, UT<br />

Postdoctoral Fellowship – Department of Anatomy<br />

1988‐1989<br />

University of Utah School of Medicine ‐ Salt Lake City, UT<br />

Internship ‐ Department of Surgery<br />

1


ACADEMIC APPOINTMENTS:<br />

HOSPITAL APPOINTMENTS:<br />

1993‐1994<br />

University of Utah School of Medicine ‐ Salt Lake City, UT<br />

Residency ‐ Department of Neurosurgery<br />

1994‐1999<br />

Children’s Hospital/Harvard Medical School – Boston, MA<br />

Shillito Fellow ‐ Pediatric Neurosurgery<br />

1999‐2000<br />

Visiting Professor<br />

Department of Surgery – Division of Neurological Surgery<br />

Indiana University School of Medicine – Indianapolis, IN<br />

7/1/2000 to 11/15/2001<br />

Assistant Professor<br />

Department of Neurological Surgery<br />

Indiana University School of Medicine – Indianapolis, IN<br />

11/16/2001 to 6/30/2007<br />

Tenured Associate Professor<br />

Department of Neurological Surgery<br />

Indiana University School of Medicine – Indianapolis, IN<br />

7/1/2007 to present<br />

James Whitcomb Riley Hospital for Children – Indianapolis, IN<br />

7/1/2000 – present<br />

Indiana University Hospital – Indianapolis, IN<br />

7/1/2000 – present<br />

Wishard Memorial Hospital – Indianapolis, IN<br />

7/1/2000 – present<br />

SPECIALTY BOARD STATUS:<br />

Board Certified – American Board of Neurological Surgery: 5/20/2004 to 12/31/2014<br />

Board Certified – American Board of Pediatric Neurological Surgery: 4/21/2006 to<br />

12/31/2016<br />

PROFESSIONAL ORGANIZATIONS:<br />

2


American Association of Anatomists 1984‐present<br />

Society for Neuroscience 1984‐present<br />

British <strong>Brain</strong> Research Association 1984‐present<br />

International <strong>Brain</strong> Research Organization 1984‐present<br />

World Federation of Neuroscientists 1984‐present<br />

Alpha Omega Alpha Honor Medical Society 1992‐present<br />

American Medical Association 1993‐present<br />

Indianapolis Neurosurgical Society 2000‐present<br />

American Association of Neurological Surgeons (AANS) 2001‐present<br />

Congress of Neurological Surgeons (CNS) 2001‐present<br />

Indiana State Medical Association 2002‐present<br />

Indianapolis Medical Society 2002‐present<br />

Women in Neurosurgery 2002‐present<br />

AANS Pediatric Section 2003‐present<br />

Indiana State Neurosurgical Society 2005‐present<br />

American Society of Pediatric Neurological Surgery (ASPN) 2008‐present<br />

Collegium Aesculapium 2008‐present<br />

Spina Bifida Association of Central Indiana (SBACI) 2007‐present<br />

SERVICE TO THE HOSPITAL/COMMUNITY:<br />

<strong>Brain</strong> Death Guidelines Committee – 2009 to present<br />

Spina Bifida Association of Central Indiana (SBACI) – Question and Answer Session<br />

with moms of spina bifida children – Indianapolis, IN ‐ 5/2/09<br />

Young Women’s Advisor and Church Girl’s Camp Director, Indianapolis 2 nd Ward,<br />

Indianapolis North Stake, Church of Jesus Christ of Latter‐Day Saints – Indianapolis,<br />

IN ‐ 2005 to present<br />

IMRIS MRI Safety Team – 2/16/2009 to present<br />

Riley Medical Activation Team – 2008 to present<br />

Riley Surgical Executive Council ‐ 7/1/2006 to present<br />

Riley Medical Care Committee ‐ 7/1/2006 to present<br />

Riley OR Capital Subteam – 7/1/2006 to present<br />

Give depositions and testify as expert witness for patients who have sustained head<br />

injuries as a result of non‐accidental trauma (i.e., child abuse)<br />

State of Indiana Medical Review Panel Participant<br />

3


UNIVERSITY ADMINISTRATIVE SERVICE:<br />

Director, Pediatric Neurosurgery Section, Department of Neurological Surgery,<br />

Indiana University School of Medicine – 7/1/2006 ‐ present<br />

UNIVERSITY COMMITTEE SERVICE:<br />

Member, University Faculty Council ‐ 7/1/2009 to 6/30/2011<br />

Member, Faculty Development Coordinating Committee – 7/1/2009 to 6/30/2011<br />

Member, Faculty Learning Community (FLC) on the Scholarship of Teaching in the<br />

Health Professions ‐ One of the components of the IUSM Academy of Medical<br />

Education Scholars sponsored by the OFAPD – 3/1/2009 to present<br />

Member, Faculty Grievance Committee – 1/1/2009 to 3/12/2009<br />

Member, Family Medical Leave Policy for Academic Appointees ‐ Ad Hoc Committee<br />

– 9/21/08 to 3/11/2009<br />

Member, Pediatrics Chair Search Committee – 6/17/08 to 7/28/2009<br />

Organizer, 2008 IUSM Biannual Dean’s Grand Rounds and Scientific Poster Session<br />

IUSM Executive Committee – 6/2/2008 to 5/31/2009<br />

Vice‐Chair, 2008 LCME site visit self‐study team, section on Faculty – 9/1/2007 to<br />

11/20/08 (mock site visit – 9/08; official site visit – 11/16/08‐11/20/08)<br />

Chair, Faculty Steering Committee, Indiana University School of Medicine – 5/13/08<br />

to 5/30/09<br />

President of the Faculty of the Indiana University School of Medicine – 5/13/08 to<br />

5/30/09<br />

President‐Elect of the Faculty of the Indiana University School of Medicine –7/1/07<br />

to 6/30/08<br />

Secretary of the Faculty of the Indiana University School of Medicine – 7/1/06 to<br />

6/30/07<br />

Secretary‐Elect of the Faculty of the Indiana University School of Medicine –7/1/05<br />

to 6/30/06<br />

IU Faculty Steering Committee ‐ 7/1/08 to 6/30/09 (President), 7/1/07 to 6/30/08<br />

(President‐Elect)<br />

4


IU Faculty Steering Committee ‐ 7/1/06 to 6/30/07 (Secretary), 7/1/05 to 6/30/06<br />

(Secretary‐Elect)<br />

IUPUI Faculty Council, School of Medicine Unit Representative – 2004‐05, 2005‐06,<br />

2006‐07, 2007‐08, 2008‐09<br />

OTHER PROFESSIONAL ACTIVITIES:<br />

REVIEWER ‐ Journal of Pediatric Surgery<br />

Pediatrics<br />

Annals of Surgery<br />

Neurosurgical Focus<br />

Journal of Pediatric Neurology<br />

Neurosurgery<br />

PUBLICATIONS ‐ sample during past 3 years<br />

1. Smith JL. Understanding and treating moyamoya disease in children.<br />

Neurosurg Focus 2009; 26(4):E4.<br />

2. Smith JL, Ackerman LA. Management of cervical spine injuries in young<br />

children: Lessons learned. Neurosurg Pediatrics. J Neurosurg Pediatrics<br />

2009; 4:64‐73.<br />

3. Fulkerson DH, Luerssen TG, Hattab EM, Kim DL, Smith JL. Long‐ term<br />

follow‐up of solitary intracerebral juvenile xanthogranuloma: Case<br />

report and review of the literature. Pediatric Neurosurgery 2008;<br />

44:480‐485.<br />

4. Tang A, Jackson D, Hobbs J, Chen W, Smith JL, Patel H, Prieto A,<br />

Petrusca D, Grivich MI, Sher A, Hottowy P, Dabrowski W, Litke AM,<br />

Beggs JM. A maximum entropy model applied to spatial and temporal<br />

correlations from cortical networks in vitro. J. Neurosci 2008;<br />

28(2):505‐518.<br />

5. Smucker PS, Smith JL. Multifocal Desmoplastic Medulloblastoma in an<br />

African‐American Child with Nevoid Basal Cell Carcinoma (Gorlin)<br />

Syndrome. Case Report. J Neurosurg (4 Suppl Pediatrics) 2006; 105:315‐<br />

320.<br />

6. Patel H, Smith JL, Garg BP. Focal cerebral pathology presenting as tonic<br />

seizures. J Child Neurol 2006; 21:813‐816.<br />

5


7. Smith JL. Treatment of Severe Pediatric Head Injury: Evidence‐Based<br />

Practice. In: Wesson DE, editor. Pediatric Trauma: Pathophysiology,<br />

Diagnosis, and Treatment, 2006. Taylor & Francis Group, NY; pp. 211‐<br />

229.<br />

DATE: 8/17/2009 Signature: Jodi L. Smith, PhD, MD<br />

6


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Iowa<br />

University of Iowa Children's Hospital / Center for Disabilities and Development<br />

www.medicine.uiowa.edu<br />

REGION: Midcentral CATEGORY OF CARE: Adult Transition<br />

Program Director: Scott Lindgren, Ph.D. Position Title: Professor of Pediatrics<br />

Department: Department of Pediatrics<br />

Address: 200 Hawkins Drive, Iowa City, IA 52242<br />

Phone: 319‐353‐6142<br />

Email: scott‐lindgren@uiowa.edu<br />

Level 1 Center(s): Iowa City<br />

Level 2 Center(s): Des Moines, Davenport<br />

Level 3 Center(s): Waterloo, Sioux City, Ottumwa, Dubuque<br />

Number of jobs <strong>PABI</strong> Grant creates in Iowa: 90<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,375,086<br />

Category of Care Management Sub‐total: $ 1,641,676<br />

Case Management Sub‐total: $ 2,290,678<br />

State Lead Center Sub‐total: $ 9,339,440<br />

Indirect Cost to Institution (20%): $ 1,867,888<br />

Administrative Cost to SJBF (2%): $ 186,789<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 11,394,117


University of Iowa Children's Hospital / Center for Disabilities and Development Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 48,475<br />

Program Director Assistant: $ 88,017<br />

State Director: $ 293,390<br />

Associate State Director: $ 127,135<br />

State Epidemiologist: $ 195,593<br />

State Epidemiologist Assistant: $ 88,017<br />

State Scientific Investigation Research Coordinator: $ 166,254<br />

State Scientific Investigation Research Assistant: $ 166,254<br />

State Education/Training Coordinator (plus materials): $ 237,220<br />

State General Counsel: $ 234,712<br />

State IT Manager: $ 185,813<br />

State Family Support Coordinator: $ 146,695<br />

State Prevention/Awareness Coordinator: $ 146,695<br />

State Acute Care Coordinator: $ 146,695<br />

State Reintegration Coordinator: $ 146,695<br />

State Adult Transition Coordinator: $ 146,695<br />

State Mild TBI Coordinator: $ 146,695<br />

State Mental Health Coordinator: $ 127,135<br />

State Assistive/Emerging Technology Coordinator: $ 127,135<br />

State Correctional System Coordinator: $ 127,135<br />

State MISC Coordinator: $ 127,135<br />

State Veterans Coordinator: $ 127,135<br />

State Data Manager: $ 127,135<br />

State Public Policy Manager: $ 146,695<br />

State Community Relations Manager: $ 127,135<br />

State Administrative Support: $ 528,101<br />

Charity care: $ 282,445<br />

Human Resources Support: $ 90,000<br />

Training Support: $ 22,500<br />

State Lead Center Office Space Cost: $ 271,429<br />

State Lead Center Transportation/Travel: $ 113,400<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 87,558<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 80,699<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,375,086


University of Iowa Children's Hospital / Center for Disabilities and Development Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Adult Transition<br />

Regional Category Director: $ 293,390<br />

Regional Category Epidemiologist: $ 234,712<br />

Regional Category Education/Training Coordinator: $ 195,593<br />

Regional Category Scientific Investigation Research: $ 195,593<br />

Regional Additional (Regional Veteran Coordinator): $ 195,593<br />

Regional Additional Tech<br />

Regional Category Administrative Support: $ 352,067<br />

Regional Category Office Space Cost: $ 78,802<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 25,420<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,641,676


University of Iowa Children's Hospital / Center for Disabilities and Development Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 139,709<br />

Level 1 Center Field Specialist(s): $ 111,767<br />

Level 1 Center SJB Family Specialist(s): $ 762,813<br />

Level 1 Center Administrative Support: $ 125,738<br />

Level 1 Office Space Cost: $ 42,367<br />

Level 1 Transportation/Travel: $ 27,900<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 48,419<br />

Level 2 Center Field Specialist(s): $ 134,121<br />

Level 2 Center SJB Family Specialist(s): $ 435,893<br />

Level 2 Transportation/Travel: $ 15,840<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 16,947<br />

Level 3 Center SJB Family Specialist(s): $ 326,920<br />

Level 3 Transportation/Travel: $ 9,360<br />

Level 3 Office Equipment/Communications: $ 22,800<br />

Level 3 Supplies: $ 9,684<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,290,678<br />

STATE LEAD CENTER SUB‐TOTAL: $ 9,339,440<br />

INDIRECT COST TO INSTITUTION: $ 1,867,888<br />

ADMINISTRATIVE FEE TO SJBF: $ 186,789<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,394,117<br />

TOTAL JOBS CREATED IN Iowa: 90


NAME<br />

Lindgren, Scott D.<br />

eRA COMMONS USER NAME<br />

lindgrens<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

POSITION TITLE<br />

Professor of Pediatrics<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Yale University, New Haven, CT B.A. 1972 Psychology<br />

University of Iowa, Iowa City, IA M.A. 1975 Clinical Psychology<br />

University of Iowa, Iowa City, IA Ph.D. 1977 Clinical Psychology<br />

A. Positions and Honors<br />

Positions and Employment:<br />

1976-78 Psychology Intern, Pediatric Psychology and Developmental Disabilities, Department of<br />

Pediatrics, University of Iowa.<br />

1978-79 Associate, Department of Neurology, University of Iowa College of Medicine. (Engaged<br />

in cross-national research at the Department of Neurology, University of Modena,<br />

Modena, Italy.)<br />

1979-80 Postdoctoral Fellow in Psychology, Harvard Medical School, Department of Psychiatry,<br />

Children's Hospital Medical Center and Judge Baker Children's Center, Boston, MA.<br />

1980-86 Assistant Professor, Department of Pediatrics, University of Iowa Carver College of<br />

Medicine, University of Iowa Children’s Hospital.<br />

1986-97 Associate Professor, Department of Pediatrics, University of Iowa Carver College of<br />

Medicine, University of Iowa Children’s Hospital.<br />

1997-present Professor, Department of Pediatrics, University of Iowa Carver College of Medicine,<br />

University of Iowa Children’s Hospital.<br />

Other Experience and Professional Memberships:<br />

1991-2003 Psychology Supervisor, Center for Disabilities and Development, University of Iowa<br />

Children’s Hospital<br />

1992-1993 Member, Behavioral and Neuroscience Special Emphasis Panel, NICHD<br />

1994-1996 Reviewer, Behavioral Science Track Award, NIMH<br />

2003-present Associate Director, Iowa’s University Center for Excellence on Disabilities, Center for<br />

Disabilities and Development, University of Iowa Children’s Hospital<br />

2003-present Director, Iowa Consultation Service for Students with <strong>Brain</strong> Injury<br />

2004-2007 Member, Assuring Better Child Health and Development Board (ABCD-II), State of Iowa<br />

2004-present Director, Pediatric Neuropsychology Clinic, Center for Disabilities and Development,<br />

University of Iowa Children’s Hospital<br />

2004-present Member, Iowa Governor’s Prevention of Disabilities Policy Council<br />

2006-present Director, Iowa Health and Disability Resource Center, University of Iowa<br />

2008 Leader, Iowa Act Early Autism Team, CDC/AUCD Regional Autism Summit, Kansas<br />

City, MO.<br />

Honors/Awards:<br />

1979 – 1980 National Institute of Mental Health Postdoctoral Fellow, Department of Psychiatry,<br />

Harvard Medical School<br />

1981 Elected to Sigma Xi, the Scientific Research Society<br />

1999 – 2004 Consultant on Disability Policy, Social Security Administration and the Association of<br />

University Centers for Excellence on Disabilities<br />

2008 – present Elected Chair, Iowa Governor’s Prevention of Disabilities Policy Council


B. Selected Peer-Reviewed Publications (in chronological order):<br />

Lindgren, S.D. (1978). Finger localization and the prediction of reading disability. Cortex, 14, 87-101.<br />

Lindgren, S.D., & Benton, A.L. (1980). Developmental patterns of visuospatial judgment. Journal of Pediatric<br />

Psychology, 5, 217-225.<br />

Richman, L.C., & Lindgren, S.D. (1980). Patterns of intellectual ability in children with verbal deficits. Journal<br />

of Abnormal Child Psychology, 8, 65-81.<br />

Richman, L.C., & Lindgren, S.D. (1981). Verbal mediation deficits: Relation to behavior and achievement in<br />

children. Journal of Abnormal Psychology, 90, 99-104.<br />

Lindgren, S.D., & Richman, L.C. (1984). Immediate memory functions of verbally deficient reading disabled<br />

children. Journal of Learning Disabilities, 17, 222-225.<br />

Lindgren, S.D., De Renzi, E., & Richman, L.C. (1985). Cross-national comparisons of developmental dyslexia<br />

in Italy and the United States. Child Development, 56, 1404-1417.<br />

Lindgren, S.D., Richman, L.C., & Eliason, M.J. (1986). Memory processes in reading disability subtypes.<br />

Developmental Neuropsychology, 2, 173-181.<br />

Lindgren, S.D., Harper, D.C., & Blackman, J.A. (1986). Environmental influences and perinatal risk factors in<br />

high risk children. Journal of Pediatric Psychology, 11, 531-547.<br />

Lindgren, S.D., & Koeppl, G.G. (1987). Assessing child behavior problems in a medical setting: Development<br />

of the Pediatric Behavior Scale. In R.J. Prinz (Ed.), Advances in Behavioral Assessment of Children and<br />

Families (Vol. 3), pp. 57-90. Greenwich, CT: JAI Press.<br />

Blackman, J., Lindgren, S., Hein, H., & Harper, D. (1987). Long-term surveillance of high risk children.<br />

American Journal of Diseases of Children, 141, 1293-1299.<br />

Wolraich, M.L., Lindgren, S.D., Stromquist, A., Milich, R., Davis, C., & Watson, D. (1990). Stimulant<br />

medication use by primary care physicians in the treatment of attention deficit hyperactivity disorder.<br />

Pediatrics, 86, 95-101.<br />

Blackman, J.A., Lindgren, S.D., & Bretthauer, J. (1992). <strong>The</strong> validity of continuing developmental follow-up of<br />

high risk infants to age five. American Journal of Diseases of Children, 146, 70-75.<br />

Lindgren, S.D., Lokshin, B., Stromquist, A., Weinberger, M., Nassif, E., McCubbin, M., & Frasher, R. (1992).<br />

Does asthma or treatment with theophylline limit children's academic performance? New England<br />

Journal of Medicine, 327(13), 926-30.<br />

Selzer, S.C., Lindgren, S.D., & Blackman, J.A. (1992). Long-term neuropsychological outcome of high risk<br />

infants with intracranial hemorrhage. Journal of Pediatric Psychology, 17, 407-22.<br />

Wolraich, M., Lindgren, S., Stumbo, P., Stegink, L., Appelbaum, M., & Kiritsy, M. (1994). <strong>The</strong> effects of diets<br />

high in sucrose or aspartame on the behavior and cognitive performance of children. New England<br />

Journal of Medicine, 330(5), 301-7.<br />

Johnson, B., Kuperman, S., Arndt, S., Lindgren, S., & Wolraich, M. (1996). Quantitative EEG differences in a<br />

non-clinical sample of children with ADHD and Undifferentiated ADD. Journal of the American Academy<br />

of Child and Adolescent Psychiatry, 35, 1009-1017.<br />

Max, J.E., Robin, D.A., Lindgren, S.D., Smith, W.L., Sato, Y., Mattheis, P.J., Stierwalt, J.A.G., Castillo, C.S.<br />

(1997). Traumatic brain injury in children and adolescents: Psychiatric disorders at two years. Journal of<br />

the American Academy of Child and Adolescent Psychiatry, 36 (9), 1278-1285.<br />

Max, J.E., Lindgren, S.D., Knutson, C., Pearson, S., Ihrig, D., Welborn, A. (1997). Child and adolescent<br />

traumatic brain injury: Psychiatric findings from a pediatric outpatient specialty clinic. <strong>Brain</strong> Injury,<br />

11(10), 699-771.<br />

Max, J.E., Castillo, C.S., Robin, D.A., Lindgren, S.D., Smith, W.L., Sato, Y., Mattheis, P.J., Stierwalt, J.A.G.<br />

(1998). Predictors of family functioning following traumatic brain injury in children and adolescents.<br />

Journal of the American Academy of Child and Adolescent Psychiatry, 37(1), 83-90.<br />

Max, J.E., Koele, S.L., Lindgren, S.D., Robin, D.A., Smith, W.L., Sato, Y., Arndt, S.V. (1998) Adaptive<br />

functioning following traumatic brain injury and orthopedic injury: A controlled study. Archives of Physical<br />

Medicine and Rehabilitation, 79(8): 893-899.<br />

Max, J.E., Roberts, M.A., Koele, S.L., Lindgren, S.D., Robin, D.A., Arndt, S., Smith, W.L., Sato, Y. (1999)<br />

Cognitive outcome in children and adolescents following severe traumatic brain injury. Journal of the<br />

International Neuropsychological Society, 5: 58-68.<br />

Robin, D.A., Max, J.E., Stierwalt, J.A.G., Guenzer, L.C., Lindgren, S.D. (1999) Sustained attention in children<br />

and adolescents with traumatic brain injury. Aphasiology, 13: 701-708.


Arroyos-Jurado, E., Paulsen, J.S., Merrell, K.W., Lindgren, S.D., Max, J.E. (2000) Traumatic brain injury in<br />

school-age children: Academic and social outcome. Journal of School Psychology, 38: 571-587.<br />

McCarthy, A.M., Lindgren, S., Mengeling, M., Tsalikian, E., and Engvall, J. (2002) Effects of diabetes on<br />

learning in children. Pediatrics, 109(1): 135. URL: http://www.pediatrics.org/cgi/content/full/109/1/e9.<br />

McCarthy, A.M., Lindgren, S., Mengeling, M.A., Tsalikian, E., and Engvall, J. (2003) Factors associated with<br />

academic achievement in children with type 1 diabetes. Diabetes Care, 26: 112-117.<br />

Wassenberg, R., Max, J.E., Lindgren, S.D., Schatz, A. (2004). Sustained attention in children and<br />

adolescents after traumatic brain injury: Relation to severity of injury, adaptive functioning, ADHD and<br />

social background. <strong>Brain</strong> Injury, 18(8): 751-764.<br />

Ravesloot, C.H., Seekins, T., Cahill, A., Lindgren, S., Nary, D.E., & White, G. (2006) Health promotion for<br />

people with disabilities: Development and evaluation of the Living Well with a Disability program. Health<br />

Education Research, doi:10.1093/her/cyl114.<br />

Conrad, A.L., Richman, L., Lindgren, S., & Nopoulos, P. (In Press) Biological and environmental predictors of<br />

behavioral sequelae in children born prematurely, Pediatrics.<br />

C. Research Support<br />

Ongoing Support:<br />

2 P01 HL046925-11 Widness (PI) 7/1/06 – 6/30/2011<br />

National Institute of Heart, Lung, & Blood<br />

PPG Neonatal Anemia: Pathophysiology and Treatment:<br />

<strong>Project</strong> 2 – Preterm Transfusions: <strong>Brain</strong> Function/Structure Outcomes<br />

<strong>The</strong> goals of this subproject within the larger program project grant are to evaluate the long-term<br />

neurodevelopmental effects of liberal versus conservative blood transfusion practices in infants with<br />

anemia.<br />

Role: Co-Investigator<br />

1 R01 DD000107-01 Chrischilles & Lindgren (Co-PI) 9/30/06 – 9/29/2009<br />

Centers for Disease Control and Prevention<br />

Pharmaceutical Case Management and Living Well with a Disability<br />

<strong>The</strong> goals of this project are to evaluate improvements in health and reduction in secondary health<br />

conditions by combining a health promotion program with collaborative medication management for<br />

people with disabilities.<br />

Role: Co-PI<br />

Completed Support:<br />

5887DP06 Lindgren & Degarmo (Co-PI) 4/1/2002 – 6/30/2007<br />

Centers for Disease Control/Iowa Dept. of Public Health, Disability & Health Program<br />

Preventing Secondary Conditions in Persons with Disabilities<br />

<strong>The</strong> major goals of this project were to investigate methods for promoting health and preventing the<br />

development of secondary conditions in persons with disabilities.<br />

Role: Co-PI<br />

Prime CFDA No: 93.994 Lindgren (PI) 10/1/2005 – 9/30/2006<br />

Iowa Department of Human Services , with additional support from <strong>The</strong> Commonwealth Fund<br />

Early Periodic Screening, Diagnosis, & Treatment (EPSDT) Care for Kids<br />

<strong>The</strong> major goals of this project were to implement and evaluate strategies to improve the screening and<br />

treatment of developmental and behavioral problems in primary care settings.<br />

Role: PI


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Kansas<br />

Center for Child Health and Development / University of Kansas Medical Center<br />

www.kumc.edu/cchd/<br />

REGION: Southcentral CATEGORY OF CARE: Reintegration<br />

Program Director: <strong>Jane</strong>t Tyler, Ph.D. Position Title: Director<br />

Department: Neurological Disabilities Support <strong>Project</strong><br />

Address: 3901 Rainbow Blvd., Kansas City, KS 66160<br />

Phone: 913‐588‐5947<br />

Email: jtyler@kumc.edu<br />

Level 1 Center(s): Kansas City, Wichita<br />

Level 2 Center(s): Topeka, Emporia, Manhattan, Garden City<br />

Level 3 Center(s): 0<br />

Number of jobs <strong>PABI</strong> Grant creates in Kansas: 106<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,627,689<br />

Category of Care Management Sub‐total: $ 1,697,192<br />

Case Management Sub‐total: $ 3,645,232<br />

State Lead Center Sub‐total: $ 11,002,114<br />

Indirect Cost to Institution (20%): $ 2,200,423<br />

Administrative Cost to SJBF (2%): $ 220,042<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 13,422,579


Center for Child Health and Development / University of Kansas Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 100,800<br />

Program Director Assistant: $ 90,803<br />

State Director: $ 302,678<br />

Associate State Director: $ 131,160<br />

State Epidemiologist: $ 201,785<br />

State Epidemiologist Assistant: $ 90,803<br />

State Scientific Investigation Research Coordinator: $ 171,517<br />

State Scientific Investigation Research Assistant: $ 171,517<br />

State Education/Training Coordinator (plus materials): $ 237,747<br />

State General Counsel: $ 242,142<br />

State IT Manager: $ 191,696<br />

State Family Support Coordinator: $ 151,339<br />

State Prevention/Awareness Coordinator: $ 151,339<br />

State Acute Care Coordinator: $ 151,339<br />

State Reintegration Coordinator: $ 151,339<br />

State Adult Transition Coordinator: $ 151,339<br />

State Mild TBI Coordinator: $ 151,339<br />

State Mental Health Coordinator: $ 131,160<br />

State Assistive/Emerging Technology Coordinator: $ 131,160<br />

State Correctional System Coordinator: $ 131,160<br />

State MISC Coordinator: $ 131,160<br />

State Veterans Coordinator: $ 131,160<br />

State Data Manager: $ 131,160<br />

State Public Policy Manager: $ 151,339<br />

State Community Relations Manager: $ 131,160<br />

State Administrative Support: $ 544,820<br />

Charity care: $ 293,460<br />

Human Resources Support: $ 106,000<br />

Training Support: $ 26,500<br />

State Lead Center Office Space Cost: $ 302,993<br />

State Lead Center Transportation/Travel: $ 113,400<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 97,740<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 83,846<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,627,689


Center for Child Health and Development / University of Kansas Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Reintegration<br />

Regional Category Director: $ 302,678<br />

Regional Category Epidemiologist: $ 242,142<br />

Regional Category Education/Training Coordinator: $ 201,785<br />

Regional Category Scientific Investigation Research: $ 201,785<br />

Regional Assistive/Emerging Technology Coordinator: $ 187,814<br />

Regional Category Administrative Support: $ 363,213<br />

Regional Category Office Space Cost: $ 87,966<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 28,376<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,697,192


Center for Child Health and Development / University of Kansas Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 268,306<br />

Level 1 Center Field Specialist(s): $ 214,645<br />

Level 1 Center SJB Family Specialist(s): $ 1,464,950<br />

Level 1 Center Administrative Support: $ 241,475<br />

Level 1 Office Space Cost: $ 44,019<br />

Level 1 Transportation/Travel: $ 55,800<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 79,653<br />

Level 2 Center Field Specialist(s): $ 257,574<br />

Level 2 Center SJB Family Specialist(s): $ 837,115<br />

Level 2 Transportation/Travel: $ 31,680<br />

Level 2 Office Equipment/Communications: $ 53,200<br />

Level 2 Supplies: $ 35,215<br />

CASE MANAGEMENT SUB‐TOTAL: $ 3,645,232<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,002,114<br />

INDIRECT COST TO INSTITUTION: $ 2,200,423<br />

ADMINISTRATIVE FEE TO SJBF: $ 220,042<br />

STATE LEAD CENTER SUB‐TOTAL: $ 13,422,579<br />

TOTAL JOBS CREATED IN Kansas: 106


BIOGRAPHICAL SKETCH<br />

Name Position Title<br />

<strong>Jane</strong>t Siantz Tyler <strong>Project</strong> Director<br />

Education/Training<br />

Institution and Location Degree Year Field of Study<br />

University of Michigan, Ann Arbor, MI B.A. 1979 Education<br />

University of Kansas, Lawrence, KS M.S.Ed. 1980 Special Education<br />

University of Kansas, Lawrence, KS Ph.D. 1987 Special<br />

Education/Business<br />

Positions and Employment<br />

2005-present Co-Director, Kansas State Department of Education’s Kansas Instructional<br />

Support Network, University of Kansas Medical Center, Developmental<br />

Disabilities Center, Kansas City, Kansas<br />

1997-present Director, Kansas State Department of Education’s Neurologic Disabilities Support<br />

<strong>Project</strong>, University of Kansas Medical Center, Developmental Disabilities Center,<br />

Kansas City, Kansas<br />

1988-2005 Adjunct member of the Graduate Faculty, University of Kansas, Department of<br />

Special Education<br />

1991-1997 Director, Kansas State Board of Education’s Traumatic <strong>Brain</strong> Injury <strong>Project</strong>,<br />

University of Kansas Medical Center, Department of Special Education, Kansas<br />

City, Kansas<br />

1987-1991 Training Coordinator, Kansas State Board of Education’s Traumatic <strong>Brain</strong> Injury<br />

<strong>Project</strong>, University of Kansas Medical Center, Kansas City, Kansas<br />

1985-1987 Assistant Director, Clinical Classroom for Learning Problems, University of<br />

Kansas Medical Center, Kansas City, Kansas<br />

1982-1984 Learning Disabilities Resource Teacher, North Kansas City School District;<br />

Kansas City, Missouri<br />

1980-1982 Diagnostic Learning Specialist, North Kansas City School District; Kansas City,<br />

Missouri<br />

Peer-Reviewed Publications (in Chronological Order).<br />

Mira, M.P., Meck, N.E., & Tyler, J.S. (1988). School psychologist’s knowledge of traumatic head<br />

injury: Implications for training. Diagnostique, 13(2-4), 174-180.<br />

Tyler, J.S., Mira, M. P., & Hollowell, J.G. (1989). Head injury training for pediatric residents.<br />

American Journal of Diseases of Children, 143(8), 930-932.<br />

Tyler, J.S. (1990). Serving students with traumatic brain injuries in the learning disabilities<br />

classroom. LD Forum, 15(4), 28-29.<br />

Mira, M.P., & Tyler, J.S. (1991). Students with traumatic brain injury: Making the transition from<br />

hospital to school. Focus on Exceptional Children, 23(5), 1-12.<br />

Tyler, J.S., & Mira, M.P. (1993). Educational modifications for students with head injuries.<br />

Teaching Exceptional Children, 25(3), 24-27.<br />

Tyler, J.S., & Colson, S. (1994). Common pediatric disabilities: Medical aspects and educational<br />

implications. Focus on Exceptional Children, 27(4).<br />

Ylvisaker, M., Todis, B., Glang, A., Urbanczyk, B., Franklin, C., DePomei, R., Feeney, T.,<br />

Maxwell, N. M., Pearson, S., & Tyler, J. (2001). Educating students with TBI: <strong>The</strong>mes and<br />

recommendations. Journal of Head Trauma Rehabilitation, 16(1), 76-93.<br />

Glang, A., Tyler, J., Pearson, S., Todis, B., & Morvant, M. (2004). Improving educational services<br />

for students with TBI through statewide resource teams. NeuroRehabilitation, 19(3), 219-231.<br />

Savage, R., DePompei, R, Tyler, J., & Lash, M. (2005). Pediatric traumatic brain injury: A review<br />

of pertinent issues. Pediatric Rehabilitation, 8(2), 92-103.


Tyler 2<br />

Glang, A., Dise-Lewis, J., Tyler, J., & Denslow, P. (2006). Identification and Appropriate Service<br />

Delivery for Children who have TBI; Abstracts from the 2 nd Federal Interagency Conference<br />

on Traumatic <strong>Brain</strong> Injury. Journal of Head Trauma Rehabilitation, 21, 5, 408-436<br />

Glang, A., Ylvisaker, M., Stein, M., Ehlhardt, L., Todis, B., & Tyler, J. (2008). Validated<br />

Instructional Practices: Application to Students with TBI. Journal of Head Trauma<br />

Rehabilitation.<br />

Books<br />

Mira, M.P., Tucker, B.F., & Tyler, J.S. (1992). Traumatic brain injury in children and adolescents:<br />

A sourcebook for teachers and other school personnel (2 nd ed.). Austin, TX: PRO-ED.<br />

Tyler, J.S., & Mira, M.P. (1999). Traumatic brain injury in children and adolescents: A<br />

sourcebook for teachers and other school personnel (2nd ed.). Austin, TX: PRO-ED.<br />

Antionette, T., Braunling-McMorrow, D., Lash, M., Mackay, L., Reyst, H., & Tyler, J. (Eds.) (2007).<br />

<strong>The</strong> essential brain injury guide. McLean, VA: <strong>Brain</strong> Injury Association of America.<br />

Book Chapters<br />

Mira, M.P., & Tyler, J.S. (1993). Students with traumatic brain injury: Making the transition from<br />

hospital to school. In E. Meyen, G. Vergason, & R. Whelan (Eds.), Challenges facing<br />

special education (pp. 267-284). Denver: Love.<br />

Tyler, J.S. (1997). Preparing educators to serve children with traumatic brain injury. In A. Glang<br />

& G. Singer (Eds.) Children with acquired brain injury: <strong>The</strong> school’s response (pp. 323-344).<br />

Baltimore: Paul H. Brookes.<br />

Smith, S.M. & Tyler, J.S. (1997). Successful transition of students with traumatic brain injury. In<br />

A. Glang & G. Singer (Eds.) Children with acquired brain injury: <strong>The</strong> school’s response (pp.<br />

185- 200). Baltimore: Paul H. Brookes.<br />

Tyler, J.S. & Savage, R. C. (2003). Students with traumatic brain injury. In F. E. Obiakor, C. A.<br />

Utley, & A. F. Rotatori (Eds.), Advances in special education: Psychology of effective<br />

education for learners with exceptionalities. (pp. 299-323). Boston: JAI Press.<br />

Savage, R., & Tyler, J. (2004). Children and adolescents with brain injuries. In M. Lash., D. B.<br />

McMorrow, J. Tyler, & T. Antoinette (Eds.), Training manual for certified brain injury<br />

specialists (CBIS) (3 rd Ed) (pp. 123-141). McLean, VA: <strong>Brain</strong> Injury Association of America.<br />

DePompei, R., & Tyler, J. (2004). Children and adolescents: Practical strategies for school<br />

participation and transition. In M.J. Ashley (Ed.), Traumatic brain injury: Rehabilitative<br />

Treatment and Case Management (2 nd ed.) (pp. 559-580). Boca Raton, FL: CRC Press.<br />

Savage, R., & Tyler, J. (2007). Children and adolescents with brain injuries. In T. Antionette, D.<br />

Braunling-McMorrow, M. Lash, L., Mackay, H., Reyst, & J. Tyler. (Eds.), <strong>The</strong> essential brain<br />

injury guide (pp. 107-122). McLean, VA: <strong>Brain</strong> Injury Association of America.<br />

Curriculum and Training Materials<br />

Tyler, J.S., (1990). Traumatic brain injury technical assistance/consultation module. Kansas<br />

City, KS: University of Kansas Medical Center, Department of Special Education.<br />

Tyler, J.S., & Williams, J. (1993). Perspectives on traumatic brain injury. (Video). Kansas City,<br />

KS: University of Kansas Medical Center, Department of Special Education.<br />

Tyler, J.S., & Wilkerson, L. (1994). Never give up! (Video). Kansas City, KS: University of<br />

Kansas Medical Center, Department of Special Education.<br />

Tyler, J., Blosser, J., & DePompei, R. (1999). Teaching strategies for students with brain injuries.<br />

Wake Forest, NC: Lash & Associates Publishing/Training.<br />

Tyler, J.S. & Wilkerson, L.R. (1999). <strong>Plan</strong>ning school transitions for students with TBI. <strong>Brain</strong><br />

Injury Source, 3(3), 14-16, 54.<br />

Tyler, J., & Wilkerson, L. (2002). Section 504 plan checklist for a student with a brain injury.<br />

Wake Forest, NC: Lash & Associates Publishing/Training.<br />

Tyler, J., Wilkerson, L., DePompei, R. (2002). <strong>Plan</strong>ning in-school transition for a student with a<br />

brain injury. Wake Forest, NC: Lash & Associates Publishing/Training.<br />

Tyler, J., & Grandinette, S. (2003). Effective teaching strategies. <strong>Brain</strong> Injury Source, 6(3), 38-41,<br />

48.


Tyler 3<br />

Lash, M., McMorrow, D.B., Tyler, J., & Antoinette, T. (Eds.) (2004). Training manual for certified<br />

brain injury specialists (CBIS) (3 rd ed). McLean, VA: <strong>Brain</strong> Injury Association of America.<br />

DePompei, R., & Tyler, J. (2004). Learning and cognitive communicative challenges: Developing<br />

educational programs for students with brain injuries. Wake Forest, NC: Lash & Associates<br />

Publishing/Training.<br />

Tyler, J.S. (2006). Traumatic brain injury inservice training module (5 th ed.). Kansas City, KS:<br />

University of Kansas Medical Center, Center for Child Health and Development.<br />

Tyler, J. (2007). TBI training in Kansas. <strong>Brain</strong> Injury Professional, 4(2), 26.<br />

Selected Presentations<br />

Tyler, J., Pearson, S., Glang, A., & Todis, B. (1996, November). Training Educators to Serve<br />

Students with <strong>Brain</strong> Injury: Where are we and Where are we Going? <strong>Brain</strong> Injury<br />

Association, Dallas, TX.<br />

Glang, A., Todis, B., & Tyler, J. (1997, November). Long Term Perspectives on Pediatric<br />

Traumatic <strong>Brain</strong> Injury. <strong>Brain</strong> Injury Association, Philadelphia, PA.<br />

Tyler, J. (1998, May). Education Issues: Early education & Special Education for Children,<br />

Youth, & Adolescents with <strong>Brain</strong> Injury. Invited speaker. International <strong>Brain</strong> Injury<br />

Association, Prague, Czech Republic.<br />

Tyler, J. (1998, November). Teaching Strategies. Invited speaker. 17th Annual National <strong>Brain</strong><br />

Injury Symposium, New Orleans, LA.<br />

Tyler, J. (1998, November). Current Perspectives on Traumatic <strong>Brain</strong> injury. Invited speaker.<br />

20th International Conference of the Council for Learning Disabilities, Albuquerque, NM.<br />

Tyler, J., & Pearson, S. (1999, June). Preparing Educators to Serve Students with <strong>Brain</strong> Injury.<br />

3rd World Congress on <strong>Brain</strong> Injury, Quebec City, Quebec, Canada<br />

Glang, A., Tyler, J., Allen, B., & Wong, C. (2000, April). What's different?: Educating students<br />

with Traumatic <strong>Brain</strong> Injury. Council for Exceptional Children, Vancouver, British Columbia.<br />

Tyler, J. (2000, July). Proactive <strong>Plan</strong>ning for Students with Traumatic <strong>Brain</strong> Injury. Invited<br />

speaker. 18th Annual National <strong>Brain</strong> Injury Symposium, Chicago, IL.<br />

Tyler, J., & Glang, A. (2001, April). Developing Educational Support Teams: Building Capacity<br />

to Serve Students with <strong>Brain</strong> Injury. Council for Exceptional Children 2001 Annual<br />

Convention, Kansas City, MO.<br />

Tyler, J., (2001, May). Educating Students with Traumatic brain Injury: What We Know and What<br />

We Still Need to Learn. Invited keynote speaker. Minnesota State TBI Spring Conference,<br />

Minneapolis, MN.<br />

Tyler, J. (2001, July). How Shall We Help? Teaching Strategies That Work. Invited speaker.<br />

20th Annual National <strong>Brain</strong> Injury Symposium, Atlanta, GA.<br />

Tyler, J. (2001, October). Developing Educational Programs for Students with Traumatic <strong>Brain</strong><br />

Injury. Invited keynote speaker. Texas Association of School Psychologists 9th Annual<br />

Conference, Houston, TX.<br />

Tyler, J. (2001, December). Educational Services for Students with Traumatic <strong>Brain</strong> Injury in<br />

Kansas. Invited speaker. 12th Annual State of the States in Head Injury Conference,<br />

Kansas City, MO.<br />

Tyler, J. (2003, September). School Reintegration Following TBI: Challenges and Strategies.<br />

Invited speaker. Children's Hospital Rehabilitation Conference, Children's Hospital,<br />

Columbus, OH.<br />

Tyler, J. (2002, July). Traumatic <strong>Brain</strong> Injury in the School-Aged Child: Instructional Strategies for<br />

Addressing Long-Term Deficits. <strong>Brain</strong> Injury Association of America's 21st Annual<br />

Symposium, Minneapolis, MN.<br />

DePompei, R., & Tyler, J. (2003, April). Recognizing Interactions between Cognitive Processes<br />

and Classroom Behaviors. Council for Exceptional Children 2003 Annual Convention and<br />

Expo, Seattle, WA.<br />

Tyler, J. & Wilkerson, L. (2004, April). What Paraprofessional Need to Know When Serving<br />

Students with Traumatic <strong>Brain</strong> Injury. Council for Exceptional Children 2004 Annual<br />

Convention and Expo, New Orleans, LA.<br />

Tyler, J. & Glang, A. (2005, October). Identification and Appropriate Service Delivery for<br />

Children with TBI in the Schools. Maternal and Child Health, Washington, DC.


Tyler 4<br />

DePompei, R., Glang, A., & Tyler, J. (2005, August). Building Statewide Capacity to Serve<br />

Students with Traumatic brain Injury. Invited speaker. Webcast, TBI Technical Assistance<br />

Center.<br />

Glang, A., Dise-Lewis, J., Tyler, J., & Denslow, P. (2005). Identification and Appropriate Service<br />

Delivery for Children who have TBI. Invited speaker. Webcast, TBI Technical Assistance<br />

Center.<br />

Tyler, J. (2005, October) Meeting the Long Term Needs of Students with Traumatic <strong>Brain</strong> Injury.<br />

Invited speaker. 38 th Annual Midwest School Social Work Conference, Wichita, KS.<br />

Glang, A., Dise-Lewis, J., Tyler, J., & Denslow, P. (2006, March). Identification and Appropriate<br />

Service Delivery for Children who have TBI. Invited speaker. 2 nd Federal Inter-agency<br />

Conference on TBI, Bethesda, MD.<br />

Tyler, J. (2006, September). Managing Children with <strong>Brain</strong> Injuries through the School Years.<br />

Invited speaker. North American <strong>Brain</strong> Injury Society’s <strong>Brain</strong> Injury Conference, Miami, FL.<br />

Tyler, J. (2006, October) Evaluating, Programming for, and Monitoring Students with Traumatic<br />

<strong>Brain</strong> Injury. Invited keynote speaker. Kansas Association of School Psychologists’ 2006<br />

Convention, Hutchinson, KS.<br />

Tyler, J. (2007, June). Traumatic <strong>Brain</strong> Injury in the Classroom: What You Need to Know.<br />

Invited speaker. National School-Based Health Care Convention, Washington, DC.<br />

Ruoff, J., Glang, A., & Tyler, J. (2007, September). Education and Training of Professionals in<br />

<strong>Brain</strong> Injury. North American <strong>Brain</strong> Injury Society’s Annual Conference, San Antonio, TX.<br />

Tyler, J. (2008, June). School Issues for Children with <strong>Brain</strong> Injury. Invited speaker. <strong>Brain</strong> Injury<br />

Association of America’s National <strong>Brain</strong> Injury Caregiver’s Conference, Dallas, TX.<br />

Tyler, J., & Wilkerson, L. (2008, June). <strong>Plan</strong>ning for the Transition from School Services to<br />

Adulthood. Invited speaker. <strong>Brain</strong> Injury Association of America’s National <strong>Brain</strong> Injury<br />

Caregiver’s Conference, Dallas, TX.<br />

Tyler, J. (2009, March). TBI and the Educator. Invited speaker. <strong>Brain</strong> Injury Association of<br />

Iowa’s Best Practices in <strong>Brain</strong> Injury Service Deliver: XVII, Des Moines, IA.<br />

Ongoing Research Support<br />

Co-Director, Kansas Instructional Support Network. 2005-2010. Kansas State Department of<br />

Education, Grant #26001, $724,941. <strong>Project</strong> to provide professional development, technical<br />

assistance, and consultation to Kansas educators serving students with traumatic/acquired<br />

brain injury, autism, and other neurologic disabilities.<br />

Completed Research Support<br />

Training Coordinator, Re-Entry of Traumatic Head Injured Children. 1987-1991. Kansas State<br />

Department of Education. Grant #8805, $117,167. Development and implementation of a<br />

model school re-entry program for students with traumatic head injuries.<br />

<strong>Project</strong> Director, Preservice/Inservice Training Program in the Area of Traumatic <strong>Brain</strong> Injury.<br />

1991-1995, U.S. Department of Education, Grant #H029K10061, $151,208. Development<br />

and evaluation of model to train regional cadres of educators in traumatic brain injury to<br />

improve service delivery to students with TBI.<br />

<strong>Project</strong> Director, Traumatic <strong>Brain</strong> Injury <strong>Project</strong>. 1991-1997. Kansas State Department of<br />

Education, Grant #9125, $106,730-$231,963. Provision of inservice/preservice training,<br />

technical assistance, and consultation to educators serving students with TBI and their<br />

families.<br />

<strong>Project</strong> Director, Neurologic Disabilities Support <strong>Project</strong>. 1997-2005. Kansas State Department of<br />

Education, Grant #21003, $309,798-$412,302. Provision of inservice/preservice training,<br />

technical assistance, and consultation to educators serving students with neurologic<br />

disabilities (e.g., acquired brain injury, TBI, autism, ADHD, etc.) and their families.


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Kentucky<br />

University of Kentucky Hospital<br />

ukhealthcare.uky.edu<br />

REGION: Midcentral CATEGORY OF CARE: Rural/Tele‐health<br />

Program Director: Joseph Iocono, MD Position Title: Associate Professor<br />

Department: Departments of Surgery and Pediatrics Major Subdivision: Division of Pediatric Surgery<br />

Address: 800 Rose Street, MN 102, Lexington, KY 40536<br />

Phone: 859‐323‐5625<br />

Email: jiocono@uky.edu<br />

Level 1 Center(s): Louisville (Kosairs Children's Hospital), Lexington (Kentucky Children's Hospital)<br />

Level 2 Center(s): Bowling Green, Pikeville<br />

Level 3 Center(s): Somerset/Rockcastle, Paducah, Ashland<br />

Number of jobs <strong>PABI</strong> Grant creates in Kentucky: 101<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,934,238<br />

Category of Care Management Sub‐total: $ 3,709,124<br />

Case Management Sub‐total: $ 3,776,812<br />

State Lead Center Sub‐total: $ 13,452,174<br />

Indirect Cost to Institution (20%): $ 2,690,435<br />

Administrative Cost to SJBF (2%): $ 269,043<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 16,411,652


University of Kentucky Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 90,650<br />

Program Director Assistant: $ 97,973<br />

State Director: $ 326,575<br />

Associate State Director: $ 141,516<br />

State Epidemiologist: $ 217,717<br />

State Epidemiologist Assistant: $ 97,973<br />

State Scientific Investigation Research Coordinator: $ 185,059<br />

State Scientific Investigation Research Assistant: $ 185,059<br />

State Education/Training Coordinator (plus materials): $ 285,964<br />

State General Counsel: $ 261,260<br />

State IT Manager: $ 206,831<br />

State Family Support Coordinator: $ 163,288<br />

State Prevention/Awareness Coordinator: $ 163,288<br />

State Acute Care Coordinator: $ 163,288<br />

State Reintegration Coordinator: $ 163,288<br />

State Adult Transition Coordinator: $ 163,288<br />

State Mild TBI Coordinator: $ 163,288<br />

State Mental Health Coordinator: $ 141,516<br />

State Assistive/Emerging Technology Coordinator: $ 141,516<br />

State Correctional System Coordinator: $ 141,516<br />

State MISC Coordinator: $ 141,516<br />

State Veterans Coordinator: $ 141,516<br />

State Data Manager: $ 141,516<br />

State Public Policy Manager: $ 163,288<br />

State Community Relations Manager: $ 141,516<br />

State Administrative Support: $ 587,835<br />

Charity care: $ 294,212<br />

Human Resources Support: $ 101,000<br />

Training Support: $ 25,250<br />

State Lead Center Office Space Cost: $ 282,737<br />

State Lead Center Transportation/Travel: $ 95,325<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 91,206<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 84,060<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,934,238


University of Kentucky Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Rural/Tele‐health<br />

Regional Category Director: $ 326,575<br />

Regional Category Epidemiologist: $ 261,260<br />

Regional Category Education/Training Coordinator: $ 217,717<br />

Regional Category Scientific Investigation Research: $ 217,717<br />

Regional Category Administrative Support: $ 391,890<br />

Regional Category Office Space Cost: $ 82,085<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 26,479<br />

CATEGORY OF CARE SUB‐TOTAL: $ 3,709,124


University of Kentucky Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 311,024<br />

Level 1 Center Field Specialist(s): $ 248,819<br />

Level 1 Center SJB Family Specialist(s): $ 1,698,190<br />

Level 1 Center Administrative Support: $ 279,921<br />

Level 1 Office Space Cost: $ 44,132<br />

Level 1 Transportation/Travel: $ 54,365<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 79,857<br />

Level 2 Center Field Specialist(s): $ 149,291<br />

Level 2 Center SJB Family Specialist(s): $ 485,197<br />

Level 2 Transportation/Travel: $ 15,553<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 17,653<br />

Level 3 Center SJB Family Specialist(s): $ 272,923<br />

Level 3 Transportation/Travel: $ 7,020<br />

Level 3 Office Equipment/Communications: $ 17,100<br />

Level 3 Supplies: $ 7,565<br />

CASE MANAGEMENT SUB‐TOTAL: $ 3,776,812<br />

STATE LEAD CENTER SUB‐TOTAL: $ 13,452,174<br />

INDIRECT COST TO INSTITUTION: $ 2,690,435<br />

ADMINISTRATIVE FEE TO SJBF: $ 269,043<br />

STATE LEAD CENTER SUB‐TOTAL: $ 16,411,652<br />

TOTAL JOBS CREATED IN Kentucky: 101


Joseph Anthony Iocono, M.D.<br />

UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE<br />

DEPARTMENT OF SURGERY<br />

Curriculum Vitae<br />

PERSONAL DATA<br />

Office Address: Office Telephone and FAX:<br />

University of Kentucky Phone: (859) 323-5625<br />

Division of Pediatric Surgery FAX: (859) 323-5289<br />

800 Rose Street, MN 102<br />

Lexington, KY 40536-0084 Email: jiocono@uky.edu<br />

Date of Birth: Place of Birth:<br />

March 14, 1967 Philadelphia, PA<br />

Marital Status: Children:<br />

Married (Susan N. Iocono) Amanda (1995) and Lauren (1997)<br />

UNDERGRADUATE EDUCATION:<br />

09/1989 B.S., Boston College, Chestnut Hill, MA magna cum laude<br />

Majors: Chemistry and Mathematics<br />

MEDICAL EDUCATION:<br />

06/1993 M.D., Jefferson Medical College, Philadelphia, PA<br />

SURGICAL EDUCATION:<br />

06/1993-06/1994 Intern , General Surgery, <strong>The</strong> Milton S. Hershey Medical Center,<br />

Pennsylvania State University, Hershey, PA<br />

06/1994-06/1995 Resident General Surgery, <strong>The</strong> Milton S. Hershey Medical Center,<br />

Pennsylvania State University, Hershey, PA<br />

06/1995-07/1998 Pediatric Surgery Research Fellow, <strong>The</strong> Milton S. Hershey Medical Center,<br />

Pennsylvania State University, Hershey, PA (NIH-NRSA Fellow)<br />

07/1998-06/2000 Resident General Surgery, <strong>The</strong> Milton S. Hershey Medical Center,<br />

Pennsylvania State University, Hershey, PA<br />

06/2000-06/2001 Chief Resident General Surgery, <strong>The</strong> Milton S. Hershey Medical Center,<br />

Pennsylvania State University, Hershey, PA<br />

07/2001-11/2001 Fellow, (Rotating), Pediatric Surgery, Children’s Hospital of<br />

Philadelphia, University of Pennsylvania, Philadelphia, PA<br />

11/2001-06/2002 Fellow, Pediatric Surgery, St. Christopher’s Hospital for Children,<br />

Drexel University School of Medicine<br />

06/2002-06/2003 Chief Fellow, Pediatric Surgery, St. Christopher’s Hospital for Children,<br />

Drexel University School of Medicine


Joseph A. Iocono, M.D. Curriculum Vitae<br />

BOARD CERTIFICATION:<br />

National Board of Medical Examiners 1993<br />

Advanced Trauma Life Support, Provider 1993, 1997<br />

Advanced Trauma Life Support, Instructor 1998, 2002<br />

Advanced Burn Life Support, Provider 1998<br />

Advanced Burn Life Support, Instructor 1998<br />

Pediatric Advanced Life Support, Provider 1998, 2003, 2005<br />

Pediatric Advanced Life Support, Instructor 2006<br />

American Board of Surgery: Certified 2004 Certificate #49234<br />

American Board of Surgery: Certified<br />

Special Qualification in Pediatric Surgery 2006 Certificate # 941<br />

LICENSURE:<br />

Pennsylvania 1995 – present<br />

DEA 1995 – present<br />

Kentucky 2003 – present<br />

HOSPITAL PRIVILEGES:<br />

University of Kentucky 07/2003—present<br />

A.B. Chandler Medical Center<br />

Division of Pediatric Surgery<br />

Lexington, KY 40536-0293<br />

09/2003-07/2011<br />

Lexington Shriners Hospital for Children (Courtesy) 07/2003—present<br />

1900 Richmond Road<br />

Lexington, KY 40502<br />

02/2008-02/2011<br />

Central Baptist Hospital (Courtesy) 07/2003—present<br />

Consulting Surgeon, Pediatric Surgery<br />

1740 Nicholasville Road<br />

Lexington, KY 40503<br />

09/2003-07/2011<br />

PRESENT POSITIONS:<br />

Associate Professor 07/2009-Present<br />

Assistant Professor 07/2003-06/2009<br />

Special Title Series, Academic Medical Educator<br />

University of Kentucky College of Medicine<br />

Kentucky Children’s Hospital<br />

Departments of Surgery and Pediatrics<br />

Division of Pediatric Surgery<br />

Lexington, Kentucky<br />

Director, Surgery Pre-Doctoral Education (Third-year general surgery clerkship)<br />

Surgical Director, Pediatric Trauma Program<br />

Surgical Director, Pediatric ECMO Program<br />

Associate Director, Minimally Invasive Surgery Center


Joseph A. Iocono, M.D. Curriculum Vitae<br />

RESEARCH EXPERIENCE:<br />

1988-1989 Research Fellow<br />

American Chemical Society James Flack Norris<br />

Undergraduate Research Fellow<br />

Boston College, Chestnut Hill, MA<br />

Supervisor: Larry W. McLaughlin, Ph.D.<br />

<strong>Project</strong>: DNA Replication in the Presence of Apurinic Sites<br />

1998-1992 Research/Computer Technician<br />

Department of Dermatology<br />

Jefferson Medical College, Thomas Jefferson University<br />

Supervisor: Jouni Uitto, M.D., Ph.D.<br />

<strong>Project</strong>: RNA extraction from fibrosarcoma cell lines, computer graphics<br />

1992-1993 Senior Medical Student Surgical Research <strong>Project</strong><br />

Department of Surgery (Trauma Division)<br />

Jefferson Medical College, Thomas Jefferson University<br />

Supervisor: Reuven Rabinivici, M.D.<br />

<strong>Project</strong>: Effect of Liposome encapsulated Hemoglobins on Sepsis Response<br />

1995-1998 Surgical Research Fellow<br />

NIH- National Research Service Award (NRSA)<br />

<strong>The</strong> Pennsylvania State University<br />

Hershey Medical Center<br />

Supervisors: Thomas M. Krummel, M.D. and H. Paul Ehrlich, Ph.D.<br />

<strong>Project</strong>: <strong>The</strong> Role of Hyaluronic Acid in Fetal and Adult Wound Healing<br />

2004-2007 Ortho-Biotech Surgical Education Research Fellow<br />

Association for Surgical Education<br />

Supervisors: Don Risucci, Ph.D., Michael Donnelly, Ph.D.<br />

<strong>Project</strong>: <strong>The</strong> use of Middle-Fidelity Models to teach Minimally Invasive<br />

Surgical Techniques for Infants and Children<br />

1989<br />

HONORS/AWARDS:<br />

Scholar of the College, “DNA Synthesis in the<br />

Presence of Apurinic Sites”<br />

Boston College, Chestnut Hill, MA<br />

1989 Phi Beta Kappa<br />

Boston College, Chestnut Hill, MA<br />

1989 Francis J. Brick Award, “Character, leadership, loyalty and scholarship”<br />

Boston College, Chestnut Hill, MA<br />

1993 J. Woodrow Savacool Prize in Medical Ethics<br />

Jefferson Medical College of Thomas Jefferson University<br />

Philadelphia, Pennsylvania<br />

2000 Resident Humanitarian Award<br />

<strong>The</strong> Milton S Hershey Medical Center<br />

<strong>The</strong> Pennsylvania State University College of Medicine<br />

Hershey, Pennsylvania


Joseph A. Iocono, M.D. Curriculum Vitae<br />

HONORS/AWARDS (CONT….)<br />

2003 Chief of Staff Award, Outstanding Fellow<br />

St. Christopher’s Hospital for Children<br />

Drexel University College of Medicine<br />

Philadelphia, Pennsylvania<br />

2003 Employee of the Month Award (May)<br />

St. Christopher’s Hospital for Children<br />

Philadelphia, Pennsylvania<br />

TEACHING AWARDS:<br />

1995, 2000 Resident Teaching Award<br />

<strong>The</strong> Pennsylvania State University College of Medicine<br />

2006 Medical Student Teaching Award<br />

Department of Surgery<br />

University of Kentucky<br />

2007 Clinical Clerkship Teaching Award<br />

Excellence in Medical Student Education<br />

College of Medicine Dean’s Office<br />

University of Kentucky<br />

2007 Ben Eisenman Surgery Teaching Award<br />

Excellence in Resident Education<br />

Department of Surgery<br />

University of Kentucky<br />

PROFESSIONAL MEMBERSHIPS:<br />

American Chemical Society 1988-1993<br />

American Medical Association 1989-1998, 2003-present<br />

Pennsylvania Medical Society 1990-2001<br />

American College of Surgeons, Candidate 1994-2003<br />

Associate 2001-2005<br />

Fellow 2005-<br />

Association for Academic Surgery, Candidate 1994-present<br />

American Association for the Advancement of Science 1996-2001<br />

Children’s Oncology Group 2003-present<br />

Wound Healing Society 1996-2000<br />

American Society for Cell Biology 1998-2000<br />

American Pediatric Surgical Association, Candidate 2003-present<br />

Association for Surgical Education 2003-present<br />

International Pediatric Endosurgical Group 2003-present<br />

Kentucky Medical Association 2003-present<br />

Lexington Pediatric Society 2003-present<br />

Lexington Medical Society 2003-present<br />

American Academy of Pediatrics (KY chapter) 2004-present


Joseph A. Iocono, M.D. Curriculum Vitae<br />

COMMITTEES:<br />

National Committees<br />

2005—present Association for Surgical Education—Curriculum Committee<br />

2007—present Association for Surgical Education—Clerkship Directors Committee<br />

2006—present Association for Surgical Education—Power Point Teaching Modules Group<br />

2006—present International Pediatric Endosurgical Group—Endoscopic Curriculum Committee<br />

2008—present American Pediatric Surgery Association—Education Committee<br />

Statewide Committees<br />

2005—present Kentucky Pediatric Society—Outcomes and Reimbursements Committee<br />

2006—present Kentucky State Emergency Medical Services Board<br />

2008—present American College of Surgeons Kentucky Regional Committee on Trauma<br />

University of Kentucky Hospital/University of Kentucky College of Medicine Committees<br />

2008—present UK College of Medicine Curriculum Revision Committee<br />

2007—present Surgical Education Committee, Chairman<br />

2006—present Physician Marketing Advisory Group, UK Healthcare<br />

2005—present KY Children’s Hospital Admissions and Advisory Committee<br />

2004—present General Surgery Resident Council<br />

2004—present Operating Room Committee (at large elected member)<br />

2004—present Interventional Units and Technology Committee (formerly OR Products)<br />

2004—present Minimally Invasive Surgery Group (Education Director)<br />

2004—present Pediatric Trauma Committee, (Director)<br />

2003—2007 Surgical Education Committee (member)<br />

2003—present Interdisciplinary Trauma QA Committee<br />

2003—present Medical Student Interview Committee<br />

2003—present Physician Advisory Committee (Center for Advanced Surgery)<br />

2003—2004 Director, MIS Education<br />

2009 KY Children’s Hospital Quality and Safety Committee<br />

St. Christopher’s Hospital<br />

2001-2003 Graduate Fellowship Committee<br />

2001-2003 Pharmacy and <strong>The</strong>rapeutics Committee<br />

Hershey Medical Center<br />

1996 Adverse Drug Reaction/Medical Error Committee Member<br />

1995-1996 Penn State University Hospital, Resident Accreditation Self Evaluation Committee<br />

1995-1998 Hershey Medical Center Residents’ Association Department of Surgery Representative<br />

1996-1998 President, Hershey Medical Center Residents’ Association<br />

1996-1998 Computer Information Services, Direct Care Services Lab Results Reporting Committee<br />

1996-1998 Graduate Medical Education Committee, Resident Representative<br />

1997-1998 Residency Directors Committee Resident Representative<br />

1996-1998 Penn State College of Medicine Alumni Board Resident Representative


Joseph A. Iocono, M.D. Curriculum Vitae<br />

OTHER SIGNIFICANT SCHOLARLY, RESEARCH, OR ADMINISTRATIVE EXPERIENCE:<br />

Professional Development Courses and Seminars<br />

American College of Surgeons Surgery Leadership Course Chicago, March 2005<br />

Chosen by application to participate in 3-day seminar on improving corporate leadership skills in surgeons.<br />

Course organized by Sanjit Sachdeva, MD. and Wiley Souba, MD.<br />

Professional Medical Faculty Fundraising ---Advancement Resources, LLC Lexington, March 2007<br />

One-day seminar on improving skills for medical professionals with development and fundraising.<br />

Association for Surgery Education—Course on Statistics and Research Design Chicago, March 2008<br />

Weekend course on Surgery Education Research project design and implementation and review of<br />

statistical methods in education research.<br />

Association for Surgery Education—Course fore New Clerkship Directors Toronto, May, 2008<br />

One day course for new surgery clerkship directors on clerkship guidelines with new ACGME mandates<br />

and designing ED-2 requirements.<br />

Software Development<br />

Iocono, JA and Cash BA: (1998, 1999) Hershey Medical Center Surgical Patient Care Database., Fully<br />

customized patient care database designed in MS Access, used by all surgical services at HMC for patient<br />

care tracking and daily billing. Features include drop-down menus for customized attending, room and<br />

service options, list printed in “walking order” of hospital, and multiple pc access to same database via<br />

secure department network links.<br />

Process Improvements in Clinical Practice<br />

Iocono, JA, Cooney, RA, and Smith, JS (1994, 1998) <strong>The</strong> Penn State Trauma History and Physical Flow<br />

Sheet, A Medical Record form that replaced the History and Physical Form for trauma patients at Hershey<br />

Medical Center. Layout adapted from recommended ATLS evaluation of trauma patient.<br />

Pulito, AR, Beals, DA and Iocono, JA (2004) Pediatric Surgery Phone follow-up system. Developed and<br />

implemented process to eliminate post-operative office visits for routine pediatric surgery operations by<br />

replacing them with a phone follow-up and data collection system.<br />

Philanthropic Practices for Medical Professionals Workshop<br />

University of Kentucky, Hilary J. Boone Center February 6, 2009<br />

COMMUNITY SERVICE ACTIVITIES:<br />

Lexington Family Magazine<br />

Guest Columnist on Surgical Issues in Children<br />

“Pyloric Stenosis” – March, 2004<br />

“Laparoscopy in Children” – June, 2004<br />

“Seatbelt Safety” – December, 2004<br />

“What is a Pediatric Specialist?” – January, 2005<br />

“Helmet Safety for Children” – May, 2005<br />

“Traveling for the Holidays, safety tips for your child” November, 2005


Joseph A. Iocono, M.D. Curriculum Vitae<br />

COMMUNITY SERVICE ACTIVITIES (CONT…)<br />

<strong>The</strong> Makenna Foundation<br />

Member, Board of Directors October 2004—present<br />

--<strong>The</strong> Makenna foundation is a local Lexington organization dedicated to fundraising projects for<br />

the Kentucky Children’s Hospital. Group has raised money and awareness in the<br />

Lexington community in order to support issues related to Kentucky Childrens Hospital.<br />

Lexington Evening of Champions Derby Eve Ball<br />

Member, Board of Directors October 2006—present<br />

--Comprised of a group of citizens from Lexington, role of board is to organize, host and present<br />

black tie gala in downtown Lexington that raises money for Kentucky Children’s Hospital. Selected<br />

as a representative for both Kentucky Children’s Hospital and the Makenna Foundation Board,<br />

duties include meeting with potential sponsors, approving budget, and working at the event.<br />

March of Dimes, Bluegrass Division<br />

Member, Board of Directors March, 2006—present<br />

--Duties include attending board meetings, speaking at local events, and organizing annual<br />

March of Dimes Walk in Lexington.<br />

Campaign Chair, Lexington March of Dimes Walk 2007, 2008<br />

Biomacromolecules, 2004<br />

Contemporary Surgery, 2006<br />

JOURNAL REVIEWER:<br />

CONSULTANT TO INDUSTRY:<br />

Immersion Medical, Gaithersberg, MD—Content editor for Laparoscopic training modules<br />

Autosuture, Inc, Norwalk, CT—consultant for pediatric surgical product development<br />

Stryker, Inc, East Lansing, MI—consultant for pediatric surgical product development


Joseph A. Iocono, M.D. Curriculum Vitae<br />

RESEARCH SUPPORT:<br />

ACTIVE<br />

Autosuture Incorporated<br />

Minimally Invasive Surgery Fellowship Grant<br />

University of Kentucky Department of Surgery and MIS Center<br />

$150, 000 (TC) July 2007-2009<br />

Children’s Miracle Network<br />

Nissen Fundoplication in Extremely Premature Neonates: A Comparative study<br />

Kentucky Children’s Hospital<br />

Co-Investigator (Desai, Shashidar, Iocono)<br />

$8,500 (TC), July 2007-08<br />

Children’s Miracle Network<br />

Teaching Laparoscopic Pyloromyotomy using a Low Fidelity Model<br />

Kentucky Children’s Hospital<br />

Principal Investigator<br />

$10,000 (TC), July 2007-08<br />

COMPLETED<br />

Stryker Incorporated<br />

Development of MIS Education Curriculum<br />

University of Kentucky MIS Center<br />

$20,000 (TC) 2004-2006<br />

NIH National Research Fellowship Award<br />

at <strong>The</strong> Pennsylvania State University<br />

“Wound Contraction-Role of Myosin Light Chains”<br />

$ 28,600. (TC) October, 1995 – June, 1996<br />

$ 29,900. (TC) July, 1996 – June 1997<br />

$ 31,050. (TC) July, 1997 – June 1998<br />

4 Diamonds Foundation<br />

Principal Investigator<br />

Mentored Investigator Award<br />

“Role of Hyaluronic Acid In Wilm’s Tumor<br />

$ 5,000. (TC) 1997-98<br />

Genzyme, Inc.<br />

Principal Invesitgator<br />

Corporate Grants<br />

“<strong>The</strong> Safe Use of Seprafilm ® in Neonatal Rats”<br />

$ 5,250. (TC) 1997


Joseph A. Iocono, M.D. Curriculum Vitae<br />

RESEARCH SUPPORT:<br />

COMPLETED (CONT…)<br />

“Efficacy of Seprafilm ® and Seprafilm ® II in Neonatal Rat Adhesion Model”<br />

$ 7,500. (TC) 1998<br />

“Effects of Seprafilm ® and Seprafilm ® II on Dermal Healing in Rat Model”<br />

$ 5,000 (TC) 1998-99<br />

Dermasciences, Inc.<br />

Co-Invesitgator<br />

Corporate Grant<br />

“Effect of Zinc-based dressings on Wound Healing”<br />

$ 56,000. (TC) 1996-97, 1997-98 (2 grants)<br />

Childrens Miracle Network<br />

Co-Investigator<br />

Basic Science Research Grant<br />

“Gap Juntional Communications in Wound Healing”<br />

$ 10,000. (TC) 1997-98<br />

Childrens Miracle Network<br />

Co-Investigator<br />

Clinical <strong>Project</strong> Grant, “Open ARMS Network”<br />

$ 3,220. (TC) 1996-97, 1997-98<br />

Department of Surgery<br />

Milton S. Hershey Medical Center<br />

Surgery Feasibility Grants<br />

“Hyaluronic Acid and Wound Healing”<br />

$ 28,000. (TC) 1995-98 (3 grants)<br />

American Chemical Society- James Flack<br />

Norris Undergraduate Research Fellowship<br />

Boston College, 1988<br />

$ 2,000.<br />

GRANTS PENDING:


Joseph A. Iocono, M.D. Curriculum Vitae<br />

BIBLIOGRAPHY<br />

I ABSTRACTS, BOOK REVIEWS, AND PAPER DISCUSSIONS:<br />

ABSTRACTS PRESENTED<br />

1. Iocono, JA and McLaughlin, LW: DNA Replication in the Presence of Mutagenic Sites. <strong>The</strong> Nucleus<br />

Vol. 4(2): 7-10 1989. Abstract presented at the 1989 American Chemical Society New England<br />

Undergraduate Research Forum, Boston April, 1989.<br />

2. Gibson, E., Iocono, JA, Spitzer, S., and Spitzer, AR: SIDS in Philadelphia, 1987-89; Analysis of<br />

Risk and <strong>Plan</strong> of Action. Pediatric Pulmonology Vol. 9, No. 4: 273, 1990.<br />

3. Iocono, JA, Ehrlich, HP, Garner, WL, Colleran, K. and Krummel, TM: Interleukin-8 Inhibits Human<br />

Fibroblast Collagen Lattice Contraction. Abstract presented at the 1996 Society for University<br />

Surgeons Residents’ Conference, Washington, D.C. Feb 10, 1996.<br />

4. Iocono, JA, Ehrlich, HP, Garner, WL, Colleran, K. and Krummel, TM: Interleukin-8 Inhibits Human<br />

Fibroblast Collagen Lattice Contraction, Abstract presented at the 2 nd Joint Meeting of <strong>The</strong> Wound<br />

Healing Society and <strong>The</strong> European Tissue Repair Society, Boston, MA, May 15-19, 1996, Wound<br />

Repair and Regeneration 4(1):A158.<br />

5. Iocono, JA, Keefer, KA, Ehrlich, HP and Krummel, TM: Altering the Glycosaminoglycan Contents<br />

of Wound Implants Modulates Granulation Tissue, Abstract presented at the 2 nd Joint Meeting of <strong>The</strong><br />

Wound Healing Society and <strong>The</strong> European Tissue Repair Society, Boston, MA, May 15-19, 1996.<br />

Wound Repair and Regeneration 4(1):A158.<br />

6. Iocono, JA, Keefer, KA, Ehrlich, HP and Krummel, TM: Repeated Additions of Hyaluronic Acid<br />

Induces Fetal-Like Extracellular Matrix in Adult Wounds, Abstract presented at the 1996 Annual<br />

Meeting of the Central Pennsylvania Chapter of <strong>The</strong> American College of Surgeons, Hershey, PA<br />

April 12, 1996.<br />

7. Cooney, R.N., Iocono, JA, Maish, G., Ehrlich, HP, Cohen, A. and Smith, JS. Tumor Necrosis Factor<br />

Mediates Impaired Wound Healing in Chronic Abdominal Sepsis. Abstract presented at <strong>The</strong><br />

American Association for the Surgery of Trauma 56 th Annual Meeting, Houston, TX, September,<br />

1996. (presented by Dr. Cooney)<br />

8. Iocono, JA, Ehrlich, HP, Allison, GM, Keefer, KA and Krummel, TM. Hyaluronan (HA) Alters the<br />

Appearance of CD44 Isoforms in Granulation Tissue. Implications for Scarless Repair, Abstract<br />

presented at 1996 American College of Surgeons Annual Meeting, San Francisco, CA, October 1996.<br />

9. Iocono, JA, Ehrlich, HP, Allison, GM, and Krummel, TM. Hyaluronic Acid Decreases Fetal<br />

Fibroblast Expression of -Smooth Muscle Actin. Implications in Fetal Repair, Abstract presented at<br />

1996 American Academy of Pediatrics Section on Surgery, Boston, MA, October 1996. (POSTER)<br />

10. Iocono, JA, Ehrlich, HP, Keefer, KA, and Krummel, TM. Hyaluronic Acid and Fetal<br />

Fibroblast/Collagen Interaction. Implications in Fetal Repair, Abstract presented at <strong>The</strong> Association<br />

for Academic Surgery 30 th Annual Meeting, Chicago, IL November, 1996. (POSTER)<br />

11. Ehrlich, HP, Greco, R.M., Allison, GM, Iocono, JA, Krummel, TM. Hyaluronate Increases<br />

Proliferation and Tubulin Content in Human Fibroblasts Suspended in Collagen, Abstract presented at<br />

the 36 th Annual Society for Cell Biology Annual Meeting. San Francisco, December, 1996.<br />

(POSTER)<br />

12. Shields, JH, Iocono, JA Greecher, CP, Krummel, TM, Dillon, PW, and Cilley, RE. Open ARMS; A<br />

Multidisciplinary Approach to Treating Children with Ano-rectal Malformations. Abstract presented<br />

at the American Pediatric Nurses’ Association Annual Meeting, April 1997 (POSTER, presented by<br />

Ms. Shields)


Joseph A. Iocono, M.D Curriculum Vitae<br />

ABSTRACTS PRESENTED (CONT…)<br />

13. Iocono, JA, Ehrlich, HP, Keefer, KA, and Krummel, TM. Hyaluronan Induces Scarless Repair in<br />

Mouse Limb Organ Culture. Abstract presented at the American Pediatric Surgical Association<br />

Annual Meeting, Naples, FL May 1997. (POSTER)<br />

14. Keefer, KA, Iocono, JA, Enfiejian, HL, Clark, MG, and Ehrlich, HP. Zinc-Containing Wound<br />

Dressings Enhance Mechanical Debridement of Dermal Wounds. Abstract presented at the Wound<br />

Healing Society 7 th Annual Meeting, Nashville, TN, June 12-14, 1997.<br />

15. Iocono, JA, Ehrlich, HP, Allison, GM, and Krummel, TM. Hyaluronic Acid Degradation Increases<br />

Expression of RHAMM Receptor in Fibroblasts. Implications in Repair. Abstract presented at<br />

Association of Academic Surgery, Dallas, TX, November, 1997.<br />

16. Iocono, JA, Krummel, TM, Bisignanni, GJ and Ehrlich, HP Inhibition of Differentiation of Fetal<br />

Mouse Heart Cells by Hyaluronic Acid. Abstract presented at the Association of Academic Surgery<br />

Annual Meeting, Dallas, TX, November, 1997.<br />

17 Ghazartian, A., Iocono, JA, Garner, WL and Ehrlich HP, Memory of Past Exposure to the<br />

Inflammatory Cytokine IL-8 Alters Fibroblast Wound Healing Function. Abstract presented at the<br />

Annual American Burn Association Meeting, Chicago, IL, March 1998.<br />

18. Iocono, JA, Ehrlich, HP, Allison, GM, Keefer, KA, and Krummel, TM. Gestational Effects of<br />

Hyaluronic Acid (HA) Receptor Expression. Implications in Repair. Abstract presented at the Wound<br />

Healing Society Annual Meeting, Salt Lake City, UT, June 1998.<br />

19. Iocono, JA, Keefer, KA, Ehrlich, HP. A Zinc-based Dressing Enhances Grafting in Rats Compared to<br />

Xeroform and Petrolatum Dressings Presented at the Wound Healing Society Annual Meeting, Salt<br />

Lake City, UT, June 1998. (POSTER)<br />

20. Iocono, JA., Cilley, RE, Mauger, DT, Krummel, TM, and Dillon, PW. Post-Natal Pulmonary<br />

Hypertension after Congenital Diaphragmatic Hernia Repair. Predicting Risk and Outcome. Abstract<br />

presented at the British Association of Pediatric Surgeons Meeting, Edinborough, Scotland, July 1998.<br />

(Presented by Dr. Dillon).<br />

21. Iocono, JA, Ehrlich, HP, Garlick, D.S., Dethlefsen, S.M., and Skrabut, EM. Safety and Efficacy of<br />

Seprafilm ® and Seprafilm ® II Anti-adhesion barriers in Neonatal Rats. Abstract presented at the<br />

American Academy of Pediatrics—Section on Surgery San Francisco CA, October, 1998. (POSTER)<br />

22. Iocono, JA, Bass, TL, Cooney, RN, Cilley, RC, Mucha, P, and Smith, JS <strong>The</strong> Penn State Trauma<br />

History and Physical Flow sheet: An Indispensable Tool in the Evaluation of the Class I Trauma<br />

Patient. Abstract presented at the American College of Surgeons Annual Clinical Congress, Scientific<br />

Exhibits Orlando, FL October 1998. (POSTER)<br />

23. Iocono, JA, Bowman, NN, Ehrlich, HP, and Krummel, TM. Metastatic Wilm’s Tumor Cells Show<br />

Increased CD44 Expression Independent of Hyaluronic Acid Concentration. Abstract presented at the<br />

Association for Academic Surgery Annual Meting, Seattle, WA, November 1998.<br />

24. Iocono, JA, Ehrlich, HP, Allison, GM, and Krummel, TM. Hyaluronidase Increases the Expression of<br />

RHAMM Receptor in Granulation Tissue: Implications in Repair Abstract presented at the 49 th<br />

Surgical Forum, American College of Surgeons Clinical Congress, Orlando, FL October 1998.<br />

25. Iocono, JA, Cilley, RE, Mauger, DT, Krummel, TM, and Dillon, PW. Clinical Implications of<br />

Persistent Pulmonary Hypertension in CDH Survivors. Presented at annual Extracorporeal Life<br />

Support Organization, San Antonio, TX, September, 1998<br />

26. Burgess, L., Iocono, JA, Garlick, DV, Finneral, A, Ehrlich, HP and Skrabut, E. An Evaluation of the<br />

Effect on Wound Healing of a Hyaluronate/Carboxymethlcellulose Membrane. Presented at the 3 rd<br />

International Wound Healing Congress, Bordeaux, France, August 1999. (Presented by Dr. Skrabut)


Joseph A. Iocono, M.D Curriculum Vitae<br />

ABSTRACTS PRESENTED (CONT…)<br />

27. Iocono, JA, Hoskins, J., and Pulito, AR. <strong>The</strong> Use of a Low Fidelity Model to teach Laparoscopic<br />

Pyloric Stenosis. Presented at the Association for Surgical Education, New York, NY, March 2005.<br />

28. Noe, SD, Hoskins, J and Iocono, JA Laparoscopic repair of Incarcerated Small bowel Hernia caused<br />

by Meckel’s Diverticulum (Video Presentation). Presented at International Pediatric Endosurgical<br />

Group National Meeting, Dallas, TX, April 2006.<br />

29. McKenzie, S, Beals, DA, Pulito, AR and Iocono, JA, Eliminating Complications in Laparoscopic<br />

Pyloromyotomy. Presented at International Pediatric Endosurgical Group National Meeting, Dallas,<br />

TX, April 2006.<br />

30. Dhillon S, Kriss VM, Iocono JA. Zebras in the neonatal abdomen: a presentation of unusual neonatal<br />

abdominal masses. Southern Society for Pediatric Radiology. Chailkidiki, Greece. July 2006.<br />

31. Gagliardi, RJ., Li, Ji-Hui, Iocono, JA, Hoskins, JD, and Witzke, D Real Time Use of Computerized<br />

Volumetric Analysis System (CVAS) During a Live MIS Procedure at the University of Kentucky<br />

Presented at <strong>The</strong> Society of American Gastrointestinal and Endoscopic Surgeons National Meeting,<br />

Dallas, TX, April 2006. (POSTER)<br />

32. Donnelly, MB, Witzke, D, Hoskins, JD, Iocono, JA, and Gagliardi, RJ Uncertainty In Assessing the<br />

Competence of Residents’ Performance on Three Laparoscopic Simulations, Presented at <strong>The</strong> Society<br />

of American Gastrointestinal and Endoscopic Surgeons National Meeting, Dallas, TX, April 2006.<br />

(POSTER)<br />

33. Dhillom, S, Iocono, JA and Kriss, V, Ultrasonic Imaging of Newborn Solid Tumors: Diagnosis<br />

without CT or MRI, Radiologic and Operative Findings, Presented at the International Pediatric<br />

Radiology Association Meeting, Greece, April 2007 (Presented by Dr Dhillom)<br />

34. Dhillon S, Kriss VM, Iocono JA. Say no to CT in the neonatal belly: using US and MR to evaluate<br />

unusual neonatal abdominal masses. Scientific Exhibit: Society for Pediatric Radiology, Miami<br />

Florida, Apr 2007. (POSTER)<br />

35. Plymale, MA, Donnelly, MB, Iocono, J, Pulito, A. Variation is Faculty Evaluations of Clerkship<br />

Students Attributable to Surgical Service, Presented at the Annual Meeting of the Association for<br />

Surgical Education, Toronto, Canada, April 18, 2008.<br />

36. Pulito, A, Donnelly, MB, Plymale, MA, Iocono, J. Does a Change of Evaluation Form Alter Faculty<br />

Evaluations of Students? Presented at the Annual Meeting of the Association for Surgical Education,<br />

Toronto, Canada, April 18, 2008.<br />

37. Plaxico, JS, Kriss, VM, and Iocono, JA Pediatric Diaphragmatic Abnormalities; Use of Multi-modal<br />

Radiographic Modalities in their Work-up. Presented at the European Society of Pediatric Radiology,<br />

Edinborough Scotland, June 2008 (presented by Dr Plaxico).<br />

38. Kapoor, S, Shashidar, H, Iocono, JAI and Desai, NS Nissen Fundoplication: A Comparative Study in<br />

Extremely Low Birth Weight and Term Infants. Presented at the Society for Pediatric Research,<br />

Honolulu, HI, May 2008 (Presented by Dr Kapoor)<br />

39. Iocono, JA Inexpensive Model to Teach and Practice Simple Knot-tying and Suturing. Presented at<br />

the Annual Meeting of the Association for Surgical Education, Toronto, Canada, April 19, 2008.<br />

40. Reddy A and Iocono, JA Acquired Tracheoesophageal Fistula in Infancy. Presented at <strong>The</strong> Kentucky<br />

Anesthesia Association Meeting, June, 2008 (Presented by Dr Reddy)<br />

41. McDonald M, Karabakhtsian, R, Iocono, JA, Ueland F. Small Cell Carcinoma of the Ovary,<br />

Hypercalcemic Type: Is it Inheritable? Presented at <strong>The</strong> University of Kentucky Markey Cancer<br />

Research Day, October 2008, (Presented by Dr Karabakhtsian)


II. MANUSCRIPTS:<br />

JOURNAL PUBLICATIONS<br />

1. Iocono, JA, Gildea, B. and McLaughlin, L.W. (1990) Mild Hydrolysis of 2-Pyrimidinone-containing<br />

DNA Fragments Generate Apurinic/Apyrimidinic Sites. Tetrahedron Letters Vol. 31, No. 2. 175-178.<br />

2. Iocono, JA, Ehrlich, HP, Allison, GM, Keefer, KA and Krummel, TM. (1996) Hyaluronan (HA)<br />

Alters the Appearance of CD44 Isoforms in Granulation Tissue. Implications for Scarless Repair.<br />

Surgical Forum, Vol. 47, pp.341-344.<br />

3. Cooney, R.N., Iocono, JA, Maish, G., Cohen, A., Smith, J.S. and Ehrlich, HP (1997) Tumor Necrosis<br />

Factor Mediates Impaired Wound Healing in Chronic Abdominal Sepsis J Trauma 42(3) 415-420.<br />

4. Garner, W. L., Remick, D., Iocono, J., Ehrlich, P. (1997) TNF[alpha] Concentration in Chronic<br />

Wounds and Its Effect on Wound Healing. J Invest Derm 108(4):638.<br />

5. Iocono, JA, Ehrlich, HP, Keefer, KA and Krummel, T.M (1998) Hyaluronan Induces Scarless Repair<br />

In Mouse Limb Organ Culture. J Pediatr Surg 33(4), 564-567.<br />

6. Keefer, KA, Iocono, JA, Ehrlich, HP. (1998) Zinc-Containing Wound Dressings Encourage Autolytic<br />

Debridement of Dermal Burns. Wounds 10(2), 54-58.<br />

7. Iocono, JA, Bisignanni, GJ, Krummel, TM, and Ehrlich, HP (1998) Inhibition of Differentiation of<br />

Fetal Mouse Heart Cells into Fibroblasts by Hyaluronic Acid. J Surg Res 76, 111-116..<br />

8. Iocono, JA, Ehrlich, HP, Allison, GM, and Krummel, TM. (1998) Hyaluronidase Increases <strong>The</strong><br />

Expression of RHAMM Receptor in Granulation Tissue: Implications in Repair Surgical Forum, Vol<br />

49, 655-656.<br />

9. Iocono, JA, Keefer, KA, Allison, GM, Krummel, TM, and Ehrlich, HP. (1998) Repeated Additions of<br />

Hyaluronan Alters the Granulation Tissue Deposition in Sponge Implants in Mice. Wound Rep Reg<br />

6;442-448..<br />

10. Greco, RM, Iocono, JA, Ehrlich, HP (1998) Hyaluronic Acid Stimulates Human Fibroblast<br />

Proliferation within a Collagen Matrix. J Cell Physiol 177; 465-473.<br />

11. Iocono, JA., Cilley, RE, Mauger, DT, Krummel, TM, and Dillon, PW. (1999) Post-Natal Pulmonary<br />

Hypertension after Congenital Diaphragmatic Hernia Repair. Predicting Risk and Outcome. J Pediatr<br />

Surg 34(2); 349-353<br />

12. Iocono JA., Colleran KR, Remick DG, Gillespie BW, Ehrlich HP and Garner WL. (2000) Interleukin-<br />

8 levels and activity in delayed-healing human thermal wounds. Wound Repair Regeneration<br />

8(3):216-25.<br />

13. Piatt, JH and Iocono, JA A Late Result of an Early Operation for Unilateral Coronal Synostosis<br />

Pediatr Neurosurg 2003 Jun; 38(6): 334-7.<br />

14. deChadarevian, J.P., Pascasio, J.M., Halligan, G.E., Katz, D.A., Iocono, JA, Kimmel, S.P. and<br />

Katsetos, C.D. Malignant Peripheral Nerve Sheath Tumor Arising from an Adrenal Ganglioneuroma<br />

in a 6-year-old boy. Pediatr Devel Path 2004 Dec; 7: 277-284.<br />

15. Iocono, JA, Keefer, KA, Ehrlich, HP. A Zinc-based Dressing Enhances Grafting in Rats Compared to<br />

Xeroform and Petrolatum Dressings J Burn Care & Rehabilitation 2005, July 14-16.<br />

16. Li JH, Zheng CZ, Gagliardi RJ, Iocono JA, Hua JD. Review of the changes of laparoscopic surgery<br />

education in China in the last fifteen years. Journal of Laparoscopic Surgery 2006; 11(4): 355-356.<br />

17. Kiessling SG., Wadhwa N., Kriss VM., Iocono JA. and Desai NS An unusual case of severe therapyresistant<br />

hypertension in a newborn. Pediatrics 2007 Jan; 119(1):e301-4.<br />

18. Rasner, JN, Parrott, K, Tekulve, R, Leavell, JK, Iocono, J. Management of Abdominal Compartment<br />

Syndrome in a Very Low birth Weight Neonate Using Penrose Drains and Subsequent Management<br />

of Abdominal-Wall Defects. J Laparo & Adv Surg Tech 2008 Aug; 18(4); 657-660<br />

19. OKeefe, S, Rasner, JN, Parrott, K and Iocono, JA Intrathoracic Accessory Liver Lobe: An Incidental<br />

Finding in the Workup of a Child with a Respiratory Infection and Thoracoscopic Resection J Laparo<br />

& Adv Surg Tech (Submitted)


Joseph A. Iocono, M.D. Curriculum Vitae<br />

JOURNAL PUBLICATIONS (CONT…)<br />

20. Flomenhoft, D, Mardini, SH, Shashidhar, H, Iocono, JA, and de Villiers, WJS: Rectal EUS is a<br />

Useful Imaging Modality in Children Amer Journ Gastro (Under Revision)<br />

21. Ballard, HO, Shook, LA, Iocono, JA, Turner, MD, Marino, S, and Bernard, P Novel Animal Model<br />

for Teaching Chest Tube Placement, Critical Care Medicine. (Submitted)<br />

22. McDonald M, Karabakhtsian, R, Iocono, JA, Ueland F. Small Cell Carcinoma of the Ovary,<br />

Hypercalcemic Type: Is it Inheritable? J Amer Coll Surg (Submitted)<br />

23. Reddy, A, Iocono, JA and Brown, RE Emergency Management of Acquired Tracheoesophageal<br />

Fistula in Infancy. Anesthesia Online (Submitted)<br />

24. Ballard, HO, Shook, LA, Iocono, JA, Turner, D, Marino, S, Bernard, PA; Novel animal model for<br />

teaching chest tube placement. Journal of the Kentucky Medical Association Feb. 12, 2009<br />

25.<br />

BOOKS AND BOOK CHAPTERS:<br />

1. Iocono, JA and Ehrlich, H.P, “<strong>The</strong> Biology of Healing” in Leaper, D.J., and Harding, K.G. eds.<br />

Wounds: Biology and Management, Oxford University Press, 1998.<br />

2. Iocono, JA and Krummel, TM “Surgical Infectious Disease” in Ashcraft, et al Pediatric Surgery, third<br />

edition. W.B Saunders, 1999.<br />

3. Iocono JA and Krummel TM, “<strong>The</strong> role of hyaluronan in fetal repair: a review”. In: Abatangelo G,<br />

Weigel P.H., (ed) New Frontiers in Medical Sciences: Redefining Hyaluronan. Amsterdam: Elsevier<br />

Science B.V, 2000.<br />

4. Iocono, JA, “Umbilical Hernia” In: Greenberg et al, (Ed). Text-Atlas of Emergency Medicine<br />

Lippincott, Williams and Wilkins 2005<br />

5. Iocono, JA, “Pyloric Stenosis” In: Greenberg et al, (Ed). Text-Atlas of Emergency Medicine<br />

Lippincott, Williams and Wilkins 2005<br />

6. Iocono, JA, Pulito, AR and Cole, K “Surgical Diseases of the Newborn” In: Gommella, T et al, (Ed)<br />

Neonatology, 6 th edition, McGraw-Hill, 2008<br />

7. Perry, J, Hoskins, J and Iocono, JA “ Minimally Invasive Nuss Repair of Pectus Excavatum” in<br />

Zwischenberger, J Atlas of Thoracic Procedures, 1 st edition, Elsevier, 2009


Joseph A. Iocono, M.D Curriculum Vitae<br />

INTERNET BASED PEER REVIEWED EDUCATION MATERIALS<br />

Association for Surgical Education Peer Reviewed PowerPoint Teaching Modules<br />

Internet based medical student Teaching case data bank developed by the curriculum committee for<br />

the Association for Surgical Education. Participated as both author and editor for modules.<br />

http://www.surgicaleducation.com/mc/page.do?sitePageId=62550&orgId=ase<br />

Modules Authored Modules Edited<br />

Upper GI Bleeding Adrenal Mass Inguinal Hernia<br />

Malrotation Intussusception Appendicitis<br />

Pyloric Stenosis Pneumonthorax<br />

University of Kentucky – General Surgery Minimally Invasive Resident Surgery Curriculum<br />

Hoskins, J, Plymale, M and Iocono, JA<br />

Four year curriculum, starting the first day of internship, that outlines basic and advanced skills sets and<br />

knowledge base in minimally invasive surgery for general surgery residents. Designed to start with basic<br />

skills, internet based didactics and testing are coupled with dry lab practice of surgical skills. Procedural<br />

knowledge is supplemented by DVD library of edited narrated teaching cases (see below) that cover<br />

general, pediatric, thoracic and urologic minimally invasive procedures. Curriculum website is password<br />

protected and available to our residents. http://www.mc.uky.edu/mis/MIS_Page/MISCur2004.asp<br />

University of Kentucky – General Surgery Clinical Clerkship in General Surgery Curriculum<br />

Kates, M Plymale, M and Iocono, JA<br />

Extensive re-organization and rewriting of curriculum, requirements, goals and objectives of curriculum.<br />

LCME-ED2 requirements, evaluations from the students and faculty and changes in the timing of the<br />

clerkship required extensive changes to be made in the clerkship in 2007 and again in 2008. Broad<br />

changes in grading scales, on-line availability of lectures and required workshops, and test upgrades were<br />

included. Additional meeting times with students throughout the clerkship also was added.<br />

University of Kentucky-Minimally Invasive Surgical Center<br />

Narrated Teaching Cases in Pediatric Surgery-Authored and Edited Cases for DVD Library<br />

Laparoscopic Pyloromyotomy<br />

Laparoscopic Nissen Fundoplication<br />

Laparoscopic Ovarian cystectomy<br />

Laparoscopic Appendectomy<br />

Laparoscopic Ovarian Mass Removal<br />

Laparoscopic Right Hemi-colectomy<br />

Laparoscopic Reduction of Internal hernia and removal of Meckel’s Diverticulum<br />

Thoracoscopic Decortication of Empyema<br />

Thoracoscopic Lung Biopsy<br />

Thoracoscopic Removal of Ectopic Liver Lobe<br />

Open Posterior Sagittal Ano-Rectoplasty


Joseph A. Iocono, M.D Curriculum Vitae<br />

PRESENTATIONS:<br />

NATIONAL<br />

Interleukin-8 Inhibits Human Fibroblast Collagen Lattice Contraction, 38 th Annual Society for University<br />

Surgeons Residents Conference, Uniformed Services Univ. of the Health Sciences, Washington, D.C.,<br />

February 10, 1996<br />

Use of a Multidose Model of Glycosaminoglycan Administration Alters Granulation Tissue in Mice, 2 nd<br />

International Joint Meeting of the Wound, Healing Society & the European Tissue Repair Soc., Boston,<br />

MA, May 16, 1996<br />

Interleukin-8 Inhibits Collagen Organization in Fibroblast-Populated Collagen Lattice Contraction, 2 nd<br />

International Joint Meeting of the Wound, Healing Society & the European Tissue Repair Soc., Boston,<br />

MA, May 16, 1996<br />

Hyaluronan (HA) Alters the Appearance of CD44 Isoforms in Granulation Tissue: Implications for<br />

Scarless Repair, 47 th Annual Wagensteen Surgical Forum, American College of Surgeons Annual<br />

Meeting, San Francisco, CA, October 7, 1996<br />

<strong>The</strong> Effect of Hyaluronan on Adult Murine Healing, 17 th Annual Pediatric Surgical Residents’<br />

Conference, St Christopher’s Hospital for Children, Philadelphia, PA, October 19, 1996<br />

Hyaluronic Acid Degradation Increases Expression of RHAMM Receptor. Implications in Repair,<br />

Association of Academic Surgery,Dallas, TX, November 7, 1997<br />

Inhibition of Differentiation of Fetal Mouse Heart Cells by Hyaluronic Acid, Association of Academic<br />

Surgery, Dallas, TX, November 8, 1997<br />

Hyaluronic Acid in Wound Healing and Cancer<br />

Biopolymers Seminar, Genzyme Corporation, Cambridge, MA, February, 1998<br />

<strong>The</strong> Role of Hyaluronic Acid and Wound Healing: Fact or Fiction,<br />

5 th Reunion Speaker, 1998 Clinic Program, Jefferson Medical College, Philadelphia, PA, June, 1998<br />

Gestational Effects of Hyaluronic Acid Receptors: Implications in Repair Wound Healing Society,<br />

Salt Lake City, UT, June 20, 1998<br />

<strong>The</strong> Role of Hyaluronic Acid in Fetal Wound Healing,<br />

<strong>The</strong> Biology of Hyaluronan, Padua, Italy, July, 1998<br />

Safety and Efficacy of Anti-adhesion Barriers Seprafilm ® and Seprafilm ® II in a Neonatal Rat Model<br />

Invited Speaker, Biopolymers Seminar, Genzyme Corporation, Cambridge, MA, May, 1999<br />

Hyaluronidase Increases the Expression of RHAMM Receptor in Granulation Tissue, American College<br />

of Surgeons Surgical Forum, Orlando, FL, October, 1998<br />

Metastatic Wilm’s Tumor Cells Show Increased CD44 Expression Independent of Hyaluronic<br />

Acid Concentration, Association for Academic Surgery Annual Meeting, Seattle, WA, November, 1998


Joseph A. Iocono, M.D Curriculum Vitae<br />

PRESENTATIONS:<br />

NATIONAL (CONT…)<br />

<strong>The</strong> Safety and Efficacy of Seprafilm in Neonatal Rat Model,<br />

International Biopolymers Seminar, Poster Session, Manchester, Wales, October, 2000<br />

<strong>The</strong> Use of a Low Fidelity Model to teach Laparoscopic Pyloric Stenosis Repair. Presented at the<br />

Association for Surgical Education, New York, NY, March 2005<br />

Trialing a Low-Fidelity Pyloric Stenosis Model. Presented at American Pediatric Surgical Association,<br />

May, 2005, Phoenix AZ<br />

Eliminating Complications in Laparoscopic Pyloromyotomy, Presented at International Pediatric<br />

Endosurgical Group, Dallas TX, April 2006.<br />

Laparoscopic Repair of Incarcerated Small Bowel Hernia caused by Meckel’s Diverticulum (Video<br />

Presentation). Presented at International Pediatric Endosurgical Group, Dallas TX, April 2006 (presented<br />

by Dr Steve Noe).<br />

Phone Follow-up for Outpatient Pediatric Surgery: Design, Implementation and Critique<br />

Presented at <strong>The</strong> American Pediatric Surgical Nurses Association Annual Meeting, Hilton Head, SC, May<br />

2007.<br />

Update on Minimally Invasive Surgery in Infants & Children”, Lehigh Valley Hospital Grand Rounds,<br />

Allentown, PA, May, 2007.<br />

Anecdotes of Surgical Problems in Neonates<br />

March of Dimes Lexington, Annual Luncheon Guest Speaker, Lexington, KY, March 2007<br />

Inexpensive Home Knot Tying and Suture Teaching Module: Presented at the Association for Surgical<br />

Education, “Thinking Out of the Box” Session, Toronto, Canada, April 17, 2008.<br />

Does a Change of Evaluation Form Alter Faculty Evaluations of Students? Presented at the Annual<br />

Meeting of the Association for Surgical Education, Toronto, Canada, April 18, 2008.<br />

LOCAL/REGIONAL<br />

DNA Replication in the Presence of Apurinc Sites<br />

Biochemistry Seminar Boston College, Department of Chemistry, April, 1989<br />

Surgical Management of Biliary Stricture<br />

Gastroenterology Grand Rounds, Penn State University Hershey Medical Center, November, 1994<br />

Hyaluronic Acid and Wound Healing<br />

Department of Surgery Research Conference, Penn State University, November, 1995<br />

Interleukin-8, Fibroblasts and Collagen: Implications for Wound Healing,


Joseph A. Iocono, M.D Curriculum Vitae<br />

Department of Surgery Grand Rounds, Penn State University, January, 1996<br />

LOCAL/REGIONAL (CONT…)<br />

Repeated Additions Hyaluronic Acid Alter Granulation Tissue in Adult Mice,<br />

Central Pennsylvania Chapter, ACS 12 th Annual Residents’ Conference, Hershey, PA, April, 1996<br />

Hyaluronic Acid and Wound Healing—An Update,<br />

Department of Surgery Research Conference, Penn State University, November, 1996<br />

Hyaluronic Acid Induces Scarless Repair In Mouse Organ Culture,<br />

Central Pennsylvania Chapter, ACS 13 th Annual Residents’ Conference, Hershey, PA, April, 1997<br />

Hyaluronic Acid and Wound Healing: Lessons from the Mouse,<br />

Department of Surgery Research Conference, Penn State University, December, 1997<br />

Pediatric Surgical Emergencies<br />

Department of Pediatrics Noon Lecture Series, St Christopher’s Hospital for Children, August, 2002<br />

Update on Advanced MIS Techniques in Pediatric Surgery,<br />

Contemporary Pediatrics for the Healthcare Professional, Lexington, KY, May 2004<br />

What’s New in Pediatric Surgery?<br />

Central Baptist Hospital Pediatric Grand Rounds, Lexington, KY, June 2004<br />

Surgical Treatment of GERD in Infants and Children<br />

Central KY GI Nurses Association, Lexington Kentucky, August 2005<br />

Caring for a child with Complicated Hirschsprung’s Disease: A true rollercoaster ride<br />

Central Kentucky March of Dimes Annual Luncheon, Monticello, KY, October, 2005<br />

Minimally Invasive Surgery in Infants, Large Operations with Small Incisions<br />

GI at the Extremes of Life Symposium, Lexington, Kentucky, November 2005<br />

Pediatric Trauma Transport<br />

Lifenet Quarterly Education Update, Versailles, Kentucky, November, 2005<br />

Improving outcomes in Treating Empyema with VATS and a Critical Pathway<br />

Southern Society of Clinical Surgeons, Lexington, Kentucky, April, 2006<br />

What’s New in Pediatric Surgery?<br />

Corbin Pediatrics Group CME Lecture, October 2006<br />

New Concepts in Pharmacology of Coagulants<br />

Contemporary Pediatrics for the Healthcare Professional, Lexington, KY, April, 2007


Joseph A. Iocono, M.D Curriculum Vitae<br />

So, You want to be a Doctor? <strong>The</strong> Game to get into Medical School and Beyond?<br />

Transylvania University Premedical Group Lecture Series, October, 2007<br />

LOCAL/REGIONAL (CONT…)<br />

Pediatric Cervical Spine Injury, Injuries, Field Immobilization, Assessment and Treatment<br />

Kentucky State Trauma Symposium, Louisville, KY, November, 2007<br />

Pediatric Trauma Resuscitation; Airway, Breathing, CT Scan?<br />

Scott County EMS Quarterly Education Day, Georgetown, KY, May 2008<br />

Pediatric Trauma Resuscitation; Airway, Breathing, CT Scan?<br />

Danville Pediatrics and Hospital Group CME Conference, November, 2008<br />

Taking Care of Pediatric Trauma Patients: ABCs and the Golden Hour<br />

Lake Cumberland Regional Hospital Group CME Conference, January 2009<br />

Horses not Zebras: Common Reasons to Refer to Pediatric Surgery<br />

University of Kentucky Family & Community Medicine Conference, January 21, 2009<br />

Pediatric Surgical Scenarios: Horses not Zebras<br />

Pikeville Medical Center, February 2009<br />

Pediatric Surgical Scenarios: Horses not Zebras<br />

ARH South Williamson, KY, February 2009<br />

INTERNAL UNIVERSITY OF KENTUCKY<br />

Update on Pediatric Minimally Invasive Surgery<br />

Department of Surgery Grand Rounds, University of Kentucky, December 2003<br />

<strong>The</strong> Surgical Care of Empyema in the Era of Advanced MIS<br />

Department of Pediatrics Grand Rounds, University of Kentucky, May 2004<br />

Newborn Surgical Emergencies<br />

Neonatal/Pediatric Transport Nurses Education Conference, University of Kentucky, October, 2004<br />

Perioperative Care of the Neonate<br />

NICU Teaching conference, University of Kentucky, February, 2005<br />

Biology of Wound Healing<br />

General Surgery Resident Teaching Conference, February 2005<br />

Pediatric Trauma, “What about the Little Ones?”<br />

University of Kentucky Trauma Symposium, February 2005<br />

Empyema; Optimal Care of the Pediatric Patient


Joseph A. Iocono, M.D Curriculum Vitae<br />

Department of Surgery Grand Rounds, University of Kentucky, April, 2005<br />

INTERNAL UNIVERSITY OF KENTUCKY (CONT…)<br />

<strong>The</strong> use of Ultrasound in Pediatric Abdominal Trauma, what is the current evidence based medicine?<br />

University of Kentucky Trauma Multidisciplinary Rounds April, 2005,<br />

Review of Pediatric Surgery<br />

General Surgery Resident Teaching Conference, June 2005<br />

Implementing the Core Competencies into a General Surgery Curriculum:<br />

Where are we now and where do we need to go?<br />

Department of Surgery Grand Rounds, University of Kentucky, November, 2005<br />

Pediatric Trauma Core Lectures, University of Kentucky Emergency Room Staff<br />

ABC’s of Pediatric Trauma: Unique aspects of infants and children, July, August, 2006<br />

What does it mean to be a Minimally Invasive Surgeon?<br />

Fayette County High School pre-professional program seminar, September, 2006<br />

Pediatric Trauma Resuscitation, Beyond ATLA and APLS<br />

Emergency Medicine Resident Conference, January, 2007<br />

Review of Pediatric Surgery<br />

General Surgery Resident Teaching Conference,, February, 2007<br />

Pediatric Trauma Core Lectures, University of Kentucky Emergency Room Staff<br />

ABC’s of Pediatric Trauma: Unique aspects of infants and children, March, April 2007<br />

Game plan for Matching in Surgery, Jan, March, May 2007<br />

Talks to third and fourth year students on Matching and application strategies in surgery Minimally Invasive<br />

Repair Techniques for Hirschsprung’s Disease<br />

Department of Pediatrics Grand Rounds, University of Kentucky April, 2007.<br />

Pediatric Surgery and Pediatric Anesthesia, Observations from the Blood Side of the Barrier<br />

Department of Anesthesia Resident Conference, January, 2008<br />

Pediatric Surgery and Emergency Room Medicine, Basics of Diagnosis<br />

Emergency Medicine Resident Conference, April, 2008<br />

Fluids and Electrolytes, Basics of Resuscitation<br />

General Surgery Resident Teaching Conference, July, 2008


Joseph A. Iocono, M.D Curriculum Vitae<br />

INTERNAL UNIVERSITY OF KENTUCKY (CONTINUED)<br />

Department of Pediatrics Noon Conference, University of Kentucky, Pediatric Surgery Lectures<br />

Pediatric Surgery – Horses, not Zebras May 2004<br />

<strong>The</strong> Pediatric Acute Abdomen, July 2004.<br />

Bilious Vomiting in the Newborn February, 2005.<br />

Care of Neonatal Emergencies, Chest and upper GI tract August, 2005.<br />

When to refer to the pediatric surgeon, common problems and solutions June, 2005<br />

Congenital Diaphragmatic hernia and ECMO, its not the same September, 2005<br />

Bilious Vomiting in the neonate November, 2005<br />

Pediatric Trauma—Abuse: pattern recognition and work-up January, 2006<br />

Pediatric Surgery Review for Pediatric Boards, Part I March, 2006<br />

Pediatric Surgery Review for Pediatric Boards, Part II May, 2006<br />

Common Referral Patterns for Pediatric Surgery inpatient consults July, 2006<br />

Pyloric Stenosis and malrotation September, 2006<br />

Surgical Treatment of GERD November, 2006<br />

<strong>The</strong> balance between clinical medicine and fundraising January, 2007<br />

Post operative care of the NICU patient March, 2007<br />

Uncommon problems with pediatric hernias May, 2007<br />

Gastroschisis and Omphalocele July, 2007<br />

Ulcerative colitis and FAP: Surgical treatment August, 2007<br />

Benign Cystic Lung masses in Newborn January, 2008<br />

Anorectal Malformations March, 2008<br />

Pediatric Surgery Review for Pediatric Boards, Part I May, 2008<br />

Evaluation of Abdominal Pain in the ER, To CT or Not CT July, 2008<br />

Fluids and Electrolytes from A Surgery Perspective September, 2008<br />

Department of Pediatrics Morning Report – monthly starting August 2005<br />

“Weird-omas”, a week on the Pediatric Surgery Service August, 2005<br />

Disaster <strong>Plan</strong>ning, where are we in UK Pediatrics? September, 2005<br />

Blunt Head Trauma, Interfacing ER and PICU Care October, 2005<br />

4 Different 10 year old children with abdominal pain November, 2005<br />

Newborn Sacrococcygeal teratoma December, 2005<br />

Newborn with Excessive drooling (TEF) January, 2006<br />

Complications of GERD February, 2006<br />

Complicated pneumonia in a 4yo (empyema) March, 2006<br />

Rectal Bleeding in 4yo male (Meckel’s) April, 2006<br />

Presentation of common hernias in pediatric practice May, 2006<br />

Neck mass in 6yo girl June, 2006<br />

Primer on Referring to Pediatric Surgery July, 2006


Joseph A. Iocono, M.D Curriculum Vitae<br />

Indications, insertion and Care of long term IV access August, 2006<br />

Pneumatosis in a 3 week old baby in NICU October, 2006<br />

Disaster Prep at KCH, are we ready? September, 2006<br />

Handlebar bike injury in 9yo boy November, 2006<br />

INTERNAL UNIVERSITY OF KENTUCKY (CONTINUED)<br />

Department of Pediatrics Morning Report – monthly starting August 2005<br />

Vomiting in a 3 day old, a 3 week old, a 3 month old and a 3 you December, 2006<br />

Surgical Abdominal Pain in Children January, 2007<br />

Chest Mass in 8yo female February, 2007<br />

Recurrent pneumonias in a 9m old female March, 2007<br />

Rectal Bleeding in 14yo male (Crohn’s) April, 2007<br />

Neonatal Bowel obstruction May, 2007<br />

9yo male hypotensive after MVC (lap belt injury) June, 2007<br />

MRSA soft tissue infections (where are they coming from?) July, 2007<br />

Consulting Pediatric Surgery, How and When August, 2007<br />

GERD, when is it surgical? September, 2007<br />

Vomiting in 3 hr old, 3 week old, a 3 month old and a 3 yo. November, 2007<br />

Neck Masses in Infants and Children December, 2007<br />

Lumps and Bumps in Pediatric Practice January, 2008<br />

Gastroschisis and Omphalocele February, 2008<br />

Central venous access, ports, broviacs, CVP monitors March, 2008<br />

Perforated NEC in 700gm neonate, what’s this drain thing about? April, 2008<br />

Incarcerated hernia and Testicular Torsion July, 2008<br />

Tracheoesophageal Fistula August, 2008<br />

Respiratory Failure in NICU, Is ECMO always the answer? September, 2008


Joseph A. Iocono, M.D Curriculum Vitae<br />

UPDATED March 26, 2009


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Louisiana<br />

Louisiana Health Care Quality Forum<br />

www.lhcqf.org<br />

REGION: Southcentral CATEGORY OF CARE: Rural/Tele‐health<br />

Program Director: Shannon Robshaw, MSW Position Title: Executive Director<br />

Address: 10305 Oakline Drive, Baton Rouge, LA 70809<br />

Phone: 225‐907‐8172<br />

Email: srobshaw@gmail.com<br />

Level 1 Center(s): New Orleans<br />

Level 2 Center(s): Shreveport, Lafayette, Baton Rouge<br />

Level 3 Center(s): Alexandria, Lake Charles, Monroe<br />

Number of jobs <strong>PABI</strong> Grant creates in Louisiana: 94<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,111,239<br />

Category of Care Management Sub‐total: $ 3,465,231<br />

Case Management Sub‐total: $ 2,342,265<br />

State Lead Center Sub‐total: $ 10,950,734<br />

Indirect Cost to Institution (20%): $ 2,190,147<br />

Administrative Cost to SJBF (2%): $ 219,015<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 13,359,896


Louisiana Health Care Quality Forum Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 68,135<br />

Program Director Assistant: $ 81,280<br />

State Director: $ 270,932<br />

Associate State Director: $ 117,404<br />

State Epidemiologist: $ 180,621<br />

State Epidemiologist Assistant: $ 81,280<br />

State Scientific Investigation Research Coordinator: $ 153,528<br />

State Scientific Investigation Research Assistant: $ 153,528<br />

State Education/Training Coordinator (plus materials): $ 257,779<br />

State General Counsel: $ 216,745<br />

State IT Manager: $ 171,590<br />

State Family Support Coordinator: $ 135,466<br />

State Prevention/Awareness Coordinator: $ 135,466<br />

State Acute Care Coordinator: $ 135,466<br />

State Reintegration Coordinator: $ 135,466<br />

State Adult Transition Coordinator: $ 135,466<br />

State Mild TBI Coordinator: $ 135,466<br />

State Mental Health Coordinator: $ 117,404<br />

State Assistive/Emerging Technology Coordinator: $ 117,404<br />

State Correctional System Coordinator: $ 117,404<br />

State MISC Coordinator: $ 117,404<br />

State Veterans Coordinator: $ 117,404<br />

State Data Manager: $ 117,404<br />

State Public Policy Manager: $ 135,466<br />

State Community Relations Manager: $ 117,404<br />

State Administrative Support: $ 487,677<br />

Charity care: $ 286,700<br />

Human Resources Support: $ 94,000<br />

Training Support: $ 23,500<br />

State Lead Center Office Space Cost: $ 275,519<br />

State Lead Center Transportation/Travel: $ 92,891<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 88,877<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 81,914<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,111,239


Louisiana Health Care Quality Forum Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Rural/Tele‐health<br />

Regional Category Director: $ 270,932<br />

Regional Category Epidemiologist: $ 216,745<br />

Regional Category Education/Training Coordinator: $ 180,621<br />

Regional Category Scientific Investigation Research: $ 180,621<br />

Regional Category Administrative Support: $ 325,118<br />

Regional Category Office Space Cost: $ 79,989<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 25,803<br />

CATEGORY OF CARE SUB‐TOTAL: $ 3,465,231


Louisiana Health Care Quality Forum Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 129,015<br />

Level 1 Center Field Specialist(s): $ 103,212<br />

Level 1 Center SJB Family Specialist(s): $ 704,423<br />

Level 1 Center Administrative Support: $ 116,114<br />

Level 1 Office Space Cost: $ 43,005<br />

Level 1 Transportation/Travel: $ 27,086<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 49,149<br />

Level 2 Center Field Specialist(s): $ 185,782<br />

Level 2 Center SJB Family Specialist(s): $ 603,791<br />

Level 2 Transportation/Travel: $ 23,272<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 25,803<br />

Level 3 Center SJB Family Specialist(s): $ 226,422<br />

Level 3 Transportation/Travel: $ 7,020<br />

Level 3 Office Equipment/Communications: $ 17,100<br />

Level 3 Supplies: $ 7,372<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,342,265<br />

STATE LEAD CENTER SUB‐TOTAL: $ 10,950,734<br />

INDIRECT COST TO INSTITUTION: $ 2,190,147<br />

ADMINISTRATIVE FEE TO SJBF: $ 219,015<br />

STATE LEAD CENTER SUB‐TOTAL: $ 13,359,896<br />

TOTAL JOBS CREATED IN Louisiana: 94


Shannon Robshaw, MSW is the Executive Director of the Louisiana Health Care Quality<br />

Forum, a private non-profit multi-stakeholder organization whose mission is to lead evidencebased<br />

collaborative initiatives to improve the health of the citizens of Louisiana. She is<br />

responsible all aspects of the organization’s daily operations and works with the Board of<br />

Directors to plan and implement the Forum’s strategic priorities. Ms. Robshaw is a member of<br />

the national Quality Alliance Steering Committee (QASC), and serves as co-chair of the QASC<br />

National Regional Implementation workgroup. She formerly served as an Executive<br />

Management Officer in the Office of the Secretary of the Louisiana Department of Health and<br />

Hospitals (DHH), where she led the work with public and private stakeholders to develop the<br />

Louisiana Health Care Quality Forum (LHCQF). During her time at DHH, Ms. Robshaw<br />

provided staff support to the Louisiana Health Care Redesign Collaborative, and served as lead<br />

staff for the Living with Illness and Disability workgroup. She also led other departmental and<br />

cross-agency transformation initiatives, such as the development of Louisiana’s <strong>Plan</strong> for Access<br />

to Mental Health Care and the Louisiana Integrated Treatment Services infrastructure initiative.<br />

Prior to her assignment to the Office of the Secretary, she served as the Director of Strategic<br />

Management and Fund Development for DHH’s Office of Mental Health. Before joining DHH,<br />

Ms Robshaw served for 10 years as the Executive Director of the Mental Health Association in<br />

Louisiana, where she established the organization as the prominent leader for mental health<br />

issues, building a multi-stakeholder advocacy coalition focused on legislation and policy.


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Maine<br />

Maine Institute of Human Genetics and Health<br />

www.mainegenetics.org<br />

REGION: Northeast CATEGORY OF CARE: Rural/Tele‐health<br />

Program Director: Marie Hayes, Ph.D. Position Title: Allied Senior Research Scientist<br />

Department: Department of Psychology<br />

Address: 43 Whiting Hill Road, suite 150, Brewer, ME 04412<br />

Phone: 207‐973‐4963<br />

Email: mjhayes@emh.org<br />

Level 1 Center(s): Bangor, Portland<br />

Level 2 Center(s): Muchias, Lewiston, Millinnocket<br />

Level 3 Center(s): Lubec, Pittsfield, Houlton<br />

Number of jobs <strong>PABI</strong> Grant creates in Maine: 108<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,520,415<br />

Category of Care Management Sub‐total: $ 3,587,132<br />

Case Management Sub‐total: $ 3,804,174<br />

State Lead Center Sub‐total: $ 12,943,720<br />

Indirect Cost to Institution (20%): $ 2,588,744<br />

Administrative Cost to SJBF (2%): $ 258,874<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 15,791,339


Maine Institute of Human Genetics and Health Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 148,050<br />

Program Director Assistant: $ 89,811<br />

State Director: $ 299,370<br />

Associate State Director: $ 129,727<br />

State Epidemiologist: $ 199,580<br />

State Epidemiologist Assistant: $ 89,811<br />

State Scientific Investigation Research Coordinator: $ 169,643<br />

State Scientific Investigation Research Assistant: $ 169,643<br />

State Education/Training Coordinator (plus materials): $ 200,758<br />

State General Counsel: $ 239,496<br />

State IT Manager: $ 189,601<br />

State Family Support Coordinator: $ 149,685<br />

State Prevention/Awareness Coordinator: $ 149,685<br />

State Acute Care Coordinator: $ 149,685<br />

State Reintegration Coordinator: $ 149,685<br />

State Adult Transition Coordinator: $ 149,685<br />

State Mild TBI Coordinator: $ 149,685<br />

State Mental Health Coordinator: $ 129,727<br />

State Assistive/Emerging Technology Coordinator: $ 129,727<br />

State Correctional System Coordinator: $ 129,727<br />

State MISC Coordinator: $ 129,727<br />

State Veterans Coordinator: $ 129,727<br />

State Data Manager: $ 129,727<br />

State Public Policy Manager: $ 149,685<br />

State Community Relations Manager: $ 129,727<br />

State Administrative Support: $ 538,866<br />

Charity care: $ 283,092<br />

Human Resources Support: $ 108,000<br />

Training Support: $ 27,000<br />

State Lead Center Office Space Cost: $ 272,052<br />

State Lead Center Transportation/Travel: $ 91,722<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 87,759<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 80,883<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,520,415


Maine Institute of Human Genetics and Health Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Rural/Tele‐health<br />

Regional Category Director: $ 299,370<br />

Regional Category Epidemiologist: $ 239,496<br />

Regional Category Education/Training Coordinator: $ 199,580<br />

Regional Category Scientific Investigation Research: $ 199,580<br />

Regional Category Administrative Support: $ 359,244<br />

Regional Category Office Space Cost: $ 78,983<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 25,478<br />

CATEGORY OF CARE SUB‐TOTAL: $ 3,587,132


Maine Institute of Human Genetics and Health Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 285,114<br />

Level 1 Center Field Specialist(s): $ 228,091<br />

Level 1 Center SJB Family Specialist(s): $ 1,556,724<br />

Level 1 Center Administrative Support: $ 256,603<br />

Level 1 Office Space Cost: $ 42,464<br />

Level 1 Transportation/Travel: $ 54,080<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 76,839<br />

Level 2 Center Field Specialist(s): $ 205,282<br />

Level 2 Center SJB Family Specialist(s): $ 667,167<br />

Level 2 Transportation/Travel: $ 23,244<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 25,478<br />

Level 3 Center SJB Family Specialist(s): $ 250,188<br />

Level 3 Transportation/Travel: $ 7,020<br />

Level 3 Office Equipment/Communications: $ 17,100<br />

Level 3 Supplies: $ 7,280<br />

CASE MANAGEMENT SUB‐TOTAL: $ 3,804,174<br />

STATE LEAD CENTER SUB‐TOTAL: $ 12,943,720<br />

INDIRECT COST TO INSTITUTION: $ 2,588,744<br />

ADMINISTRATIVE FEE TO SJBF: $ 258,874<br />

STATE LEAD CENTER SUB‐TOTAL: $ 15,791,339<br />

TOTAL JOBS CREATED IN Maine: 108


Principal Investigator/Program Director (Last, First, Middle):<br />

NAME<br />

Hayes, Marie J.<br />

Hayes, Marie, J<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

eRA COMMONS USER NAME<br />

marieh<br />

POSITION TITLE<br />

Professor<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Boston College, Chestnut Hill, MA B.A. 1973 Magna cum Laude<br />

Northeastern University, Boston, MA M.A. 1975 Exp. Psychology<br />

Northeastern University, Boston, MA Ph.D. 1979 Exp. Psychology<br />

Boston University School of Medicine, MA Postdoctoral 1979-1980 Neuropharmacology<br />

A. Positions and Honors.<br />

University of Maine System Trustee Professorship Award, 7/1/07-7/1/08<br />

Positions and Employment<br />

1978-1979 Principal Psychologist, Massachusetts Department of Mental Health<br />

1983-1985 Instructor, Psychology, Pennsylvania State University<br />

1983-1986 Instructor, Psychology & Program in Biological Basis of Behavior, University of Pennsylvania<br />

1986-1987 Research Scientist, Hospital of the University of Pennsylvania, Division of Neonatology<br />

1987-1989 Instructor, Psychology, Husson College<br />

1987-1990 Instructor, Psychology, University of Maine<br />

1991-1997 Assistant Professor in Psychology, University of Maine<br />

1993-present Allied Scientist, Eastern Maine Medical Center<br />

1997-2005 Associate Professor, Psychology, University of Maine<br />

2005-present Professor, Psychology, University of Maine<br />

2006-present Research Scientist, Maine Institute of Human Genetics & Health<br />

2007-present Senior Scientist, Maine Institute of Human Genetics & Health<br />

Other Experience and Professional Memberships<br />

Ad hoc reviewer for:<br />

Pediatrics<br />

Neuroscience Letters<br />

Physiology & Behavior<br />

Infant & Child Development<br />

Journal of Pediatric Psychology<br />

Sleep<br />

Journal of Sleep Medicine<br />

European Journal of Pediatrics<br />

Behavioral and <strong>Brain</strong> Sciences<br />

Behavioral and <strong>Brain</strong> Functions<br />

Developmental Psychobiology<br />

Developmental Psychology<br />

International Journal of Behavioral Development<br />

Child: Care, Health & Development<br />

PHS 398/2590 (Rev. 09/04) Page 7 Biographical Sketch Format Page


Principal Investigator/Program Director (Last, First, Middle):<br />

Journal of Family Psychology<br />

Journal of Mind and Behavior<br />

Journal of Aging Research<br />

Memberships:<br />

Society for Neuroscience<br />

Research Society on Alcoholism<br />

Sleep Research Society, Association of Professional Sleep Societies<br />

International Society of Developmental Psychobiology<br />

Society for Research in Child Development<br />

International Pediatric Sleep Association<br />

B. Selected Peer Reviewed Publications<br />

Block, M. L., Volpe, L.C., & Hayes, M. J. (1981). Saliva as a chemical cue in the ontogeny of social behavior.<br />

Science, 211, 1062-1064.<br />

Miller, L. H., Kastin, A. J., Hayes, M. J., Sterste, A., Garcia, J., & Coy, D. H. (1981). Inverse relationship<br />

between onset and duration of EEG effects of six peripherally administered peptides. Pharmacology,<br />

Biochemistry, and Behavior, 15, 845-848.<br />

Hayes, M. J., <strong>Plan</strong>te, L., Kumar, S., & Delivoria-Papadopoulos, M. (1993). Spontaneous motility in premature<br />

infants: Features of behavioral activity and rhythmic organization. Developmental Psychobiology. 26,<br />

279-291.<br />

Hayes, M. J. et al. (1994). Functional analysis of spontaneous movement in preterm infants. Developmental<br />

Psychobiology, 27, 271-287.<br />

Rosenwasser, A. M., & Hayes, M. J. (1994). Neonatal desipramine treatment alters free-running circadian<br />

drinking rhythms in rats. Psychopharmacology, 115, 237-244.<br />

Hayes, M. J., Roberts, S. M., & Stowe, R. (1996). Early childhood co-sleeping: Parent-child and parent-infant<br />

night-time interactions. Infant Mental Health Journal, 17(4), 348-357.<br />

Hayes, M. J., Smith, B. A., Herrick, S. E., Roberts, S. M., & Swanson, E. (1997). Motoric responses to sucrose<br />

differ in postmature and term infants. Physiology & Behavior, 61, 101-106.<br />

Hayes, M. J., & Mitchell, D. (1998). Spontaneous movements during sleep: Temporal organization and<br />

changes with age. Developmental Psychobiology, 32, 13-21.<br />

Hayes, M. J., Roberts, S., & Davare, A. A. (2000). Transactional conflict between psychobiology and culture in<br />

the etiology of postpartum depression. Medical Hypothesis, 54, 7-17.<br />

Hayes, M. J., Parker, K. G., Sallinen, B., & Davare, A. (2001). Bedsharing, temperament and sleep<br />

disturbance in early childhood. Sleep, 24, 657-662<br />

Giganti, F., Hayes, M. J., Akilesh, M. R., & Salzarulo, P. (2002). Yawning and behavioral status in preterm<br />

infants. Developmental Psychobiology, 41, 289-296.<br />

Hayes, M. J., Brown, E., Hofmaster, P., Davare, A., Parker, K. G., & Raczek, J. A. (2002). Prenatal alcohol<br />

intake in a rural, Caucasian clinic. Family Medicine, 34(2), 120-125.<br />

Symanski, M.E., Hayes, M.J., & Akilesh, M.K. (2002). Patterns of premature newborns’ sleep-wake states<br />

before and after nursing interventions on the night shift. Journal of Obstetrics and Gynecological<br />

Neonatal Nursing, 31, 305-313.<br />

Fukumizu, M., Kaga, M., Kohyama, J. & Hayes, M.J. (2005). Sleep-related night-time crying (“yonaki”) in<br />

Japan: A community study, Pediatrics. 115, 217-224<br />

Giganti, F., Hayes, M.J., Cioni, G. & Salzarulo, P. (2007) Yawning frequency and distribution in preterm and<br />

nearterm infants assessed through 24 hour recordings. Infant Behavior & Development, 30, 641-647.<br />

Hayes, M.J., Fukumizu, M., Troese, M., Sallinen, B.J. & Gilles, A.A. (2007). Social experiences in infancy and<br />

early childhood co-sleeping. Infant & Child Development, 16, 403-416.<br />

Hayes, M. J., Akilesh, M. R., Gilles, A. A., Fukumizu, M., Sallinen, B.J., & Troese, M. (2007). Apneic preterms<br />

and Methylxanthines: Arousal deficits, sleep fragmentation and suppressed spontaneous movement.<br />

Journal of Perinatology, 27, 782–789.<br />

Troese, M., Sallinen, B.J., Gilles, A.A., Troese, M., Fukumizu, M., Brown, E. & Hayes, M.J. (2008). Sleep<br />

fragmentation and evidence for sleep debt in alcohol-exposed infants. Early Human<br />

Development.DOI:10.1016/j.earthumdev.2008.02.001<br />

PHS 398/2590 (Rev. 09/04) Page 8 Continuation Format Page


Principal Investigator/Program Director (Last, First, Middle):<br />

Matano, B.A., Hayes, M.J., Brown, M., Tisher, P., Krishnan R. and Paul, J.A. (in press). Modeling early<br />

intervention in the high risk infant in the first year. Maine Policy Review: Special Issue on Early Childcare.<br />

Hayes, M.J., DiPietro, J.A., Atella, L., Fukumizu, M., Wellman, J.D. McCoy, S.K., & Cobo-Lewis, A.B. (under<br />

review). Pathways to state regulation from infancy to 2 years: Temperament and sleep-wake behavior.<br />

Sallinen, B.J., Wellman, J., Fukimizu, M., Gilles, A.A., Troese, M. & Hayes, M.J. (under review). Parent-child<br />

dyadic interactions in clinically anxious children.during play and mild stress.<br />

Recent Book Chapters<br />

Hayes, M.J. (2002). Methodological issues in the study of arousal and awakening in infants. Advances in<br />

Consciousness Research, Vol. 38. In Salzarulo, P. & Ficca, G. (Eds.), Awakening and Sleep-Wake<br />

Cycle across Development, pp. 23-45.<br />

Sallinen, B.J., Gilles, A.A. & Hayes, M.J. (2007). Psychobiological and cultural factors in the development of<br />

postpartum depression. In A.Rosenfeld (Ed.), New Research in Postpartum Depression (pp. 3-17).<br />

New York, NY: Nova Science Publishers.<br />

Hayes, M.J., & Fukumizu, M. (2006). <strong>The</strong> human neonate. In N. J. Salkind (Ed.), Encyclopedia of Human<br />

Development (pp. 902-903). Thousand Oaks, CA: SAGE Publications.<br />

Recent Peer-Reviewed Symposia & Invited Talks<br />

Hayes, M.J. (organizer and chair). (2000). Prenatal to Postnatal Continuities and Discontinuities in Motor<br />

Behavior in the Neonate .International Society for Infant Studies, Atlanta, GA.<br />

Hayes, M.J. (organizer and chair). (2003). New Developments in Infant Nightwaking. Association of<br />

Professional Sleep Societies, Chicago, IL.<br />

Hayes M.J. et al. (2004). Continuity and Discontinuity of Sleep-Wake Behavior: Neonatal Period to the<br />

Second Year. Association for Professional Sleep Societies, Philadelphia, PA.<br />

Hayes, M.J. Etiology of Sleep Disturbance in Infancy and Toddlerhood: Importance of Sleep Site Instability in<br />

Infancy. (2006). Pediatric Sleep Medicine Conference, Amelia Island, FL<br />

Hayes, M.J. Cross-Cultural Differences in Parental Responses to Sleep-Related Crying in Infancy. (2007).<br />

Society for Research in Child Development, Boston, MA.<br />

C. Research Support<br />

Active Research Support<br />

MJ Hayes (PI)<br />

1 R21 DA024806-01, National Institutes of Health, “Sleep, Arousal, and Spontaneous Movement in Opioid<br />

Exposed Infants” (07/01/09 – 06/01/11).<br />

MJ Hayes (PI)<br />

Department of Defense, “Posttraumatic Stress Disorder in Siblings of Pediatric Cancer Patients” (12/01/2007-<br />

10/01/2010).<br />

MJ Hayes (Co-PI)<br />

NASA, “Improving the Signal to Noise Ratio of Event-Related EEG Signals in High Risk Newborns” (5/1/09-<br />

9/01/09)<br />

MJ Hayes (PI)<br />

Maine Economic Improvement Fund, “Developmental Neuroscience Initiative at Maine Institute of Human<br />

Genetics & Health” (12/01/06-4-01-09)<br />

MJ Hayes (Co-PI)<br />

Maine Academic Prominence Initiative, University of Maine<br />

“Technological Innovation in Developmental Science” (06/01/04-present)<br />

PHS 398/2590 (Rev. 09/04) Page 9 Continuation Format Page


Principal Investigator/Program Director (Last, First, Middle):<br />

Pending Research Support<br />

MJHayes (PI)<br />

Department of Defense. Phase I, SBIR. “Device to Detect <strong>Brain</strong> Injury using Spontaneous Movements During<br />

Sleep.” Phase 1 accepted priority topic. (10/1/09-4/01/09). Phase II in development.<br />

Completed Research Support<br />

MJ Hayes (PI)<br />

Respironics Corporation, “Sudden Infant Death Syndrome Risk, Sleep Deprivation and Spontaneous<br />

Movements During Sleep in a High Risk Newborn Infants” (09/1/07-09/01/08)<br />

K Oller (PI)<br />

Health Research Services Award DIA RH 00004-01-03<br />

“Prenatal Alcohol Effects: Infant Followup <strong>Project</strong>” Children at Risk, (01/01/03-01/01/04)<br />

Study of prenatal exposure to alcohol, risk of SIDS and arousal regulation in neonates.<br />

MJ Hayes (PI)<br />

Biomedical Research Grant, University of Maine<br />

“Neurobehavioral Indices of CNS Infarct in the Premature Infant” 01/01/98-12/31/99<br />

This grant provided an equipment upgrade for EEG, actigraphy for infant sleep studies, PI<br />

MJ Hayes (PI)<br />

Research Grant, Eastern Maine Medical Center<br />

“<strong>The</strong>ophylline and Caffeine Pharmacotherapy Affects Sleep and Waking States in Premature Infants” 01/01/98-<br />

12/31/00,<br />

This funding supported the ways to examine the neurobehavioral effects of methylxanthine treatment on sleep<br />

and arousal in neonates.<br />

MJ Hayes (PI)<br />

Faculty Research Fund Award, University of Maine<br />

“Electrophysiological and Actigraphic Measurement of Infant Sleep” 01/01/99-12/31/00,<br />

This funding allowed for an upgrade of laboratory equipment for sleep measurement<br />

MJ Hayes (PI)<br />

Faculty Research Fund Award, University of Maine<br />

“Movement and Apnea in the Premature Infant: A SIDS model” 01/01/03-12/31/03<br />

This funding supported the development of new ways to measure sleep and arousal in neonates<br />

Other Ongoing or Completed Research<br />

<strong>Brain</strong> Injury and prenatal opiate exposure, neonatal sleep, movement and arousal organization<br />

<strong>Brain</strong> Injury and Prenatal alcohol exposure, neonatal sleep, movement and arousal organization<br />

<strong>Brain</strong> Injury and infant neurocognition using ERP and the auditory oddball paradigm<br />

<strong>Brain</strong> Injury and maternal health and wellbeing in rural, disadvantaged cohorts<br />

<strong>Brain</strong> Injury in adolescents with prodromal schizophrenia assessed through sleep movements (in collaboration<br />

with Harvard University)<br />

Neurological dysfunction in pediatric patients and co-morbid sleep disorders<br />

Infant irritability and poor alertness as a marker of chronic sleep deprivation and risk of SIDS<br />

Temporal rhythms of spontaneous movements in preterm neonates<br />

Stress, anxiety and sleep in infants and children: Relationship to sleep disorder and daytime temperament<br />

Parent-child relationships in brain-injured children<br />

Parenting and development of anxiety disorder in middle childhood<br />

PHS 398/2590 (Rev. 09/04) Page 10 Continuation Format Page


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Maryland<br />

Kennedy Krieger Institute<br />

www.kennedykrieger.org<br />

REGION: Mid‐Atlantic CATEGORY OF CARE: Reintegration<br />

Program Director: James Christensen, MD Position Title: Associate Professor<br />

Department: Physical Medicine<br />

Address: 707 North Broadway, Baltimore, MD 21205<br />

Phone: 443‐923‐9200<br />

Email: christensenj@kennedykrieger.org<br />

Program Director: Beth Slomine Position Title: Director<br />

Department: Neuropsychological Rehabilitation Services<br />

Address: 707 North Broadway, Baltimore, MD 21205<br />

Phone: 443‐923‐9200<br />

Email: Slomine@Kennedykrieger.org<br />

Level 1 Center(s): Baltimore<br />

Level 2 Center(s): Baltimore suburb, Washington suburb<br />

Level 3 Center(s): rural regions<br />

Number of jobs <strong>PABI</strong> Grant creates in Maryland: 84<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 6,870,923<br />

Category of Care Management Sub‐total: $ 2,063,662<br />

Case Management Sub‐total: $ 2,675,781<br />

State Lead Center Sub‐total: $ 1,1642,367<br />

Indirect Cost to Institution (20%): $ 2,328,473<br />

Administrative Cost to SJBF (2%): $ 232,847<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 14,203,688


Kennedy Krieger Institute Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 93,800<br />

Program Director Assistant: $ 113,040<br />

State Director: $ 376,798<br />

Associate State Director: $ 163,279<br />

State Epidemiologist: $ 251,199<br />

State Epidemiologist Assistant: $ 113,040<br />

State Scientific Investigation Research Coordinator: $ 213,519<br />

State Scientific Investigation Research Assistant: $ 213,519<br />

State Education/Training Coordinator (plus materials): $ 346,671<br />

State General Counsel: $ 301,439<br />

State IT Manager: $ 238,639<br />

State Family Support Coordinator: $ 188,399<br />

State Prevention/Awareness Coordinator: $ 188,399<br />

State Acute Care Coordinator: $ 188,399<br />

State Reintegration Coordinator: $ 188,399<br />

State Adult Transition Coordinator: $ 188,399<br />

State Mild TBI Coordinator: $ 188,399<br />

State Mental Health Coordinator: $ 163,279<br />

State Assistive/Emerging Technology Coordinator: $ 163,279<br />

State Correctional System Coordinator: $ 163,279<br />

State MISC Coordinator: $ 163,279<br />

State Veterans Coordinator: $ 163,279<br />

State Data Manager: $ 163,279<br />

State Public Policy Manager: $ 188,399<br />

State Community Relations Manager: $ 163,279<br />

State Administrative Support: $ 678,237<br />

Charity care: $ 374,924<br />

Human Resources Support: $ 84,000<br />

Training Support: $ 21,000<br />

State Lead Center Office Space Cost: $ 360,302<br />

State Lead Center Transportation/Travel: $ 113,400<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 116,226<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 107,121<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 6,870,923


Kennedy Krieger Institute Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Reintegration<br />

Regional Category Director: $ 376,798<br />

Regional Category Epidemiologist: $ 301,439<br />

Regional Category Education/Training Coordinator: $ 251,199<br />

Regional Category Scientific Investigation Research: $ 251,199<br />

Regional Assistive/Emerging Technology Coordinator: $ 251,199<br />

Regional Category Administrative Support: $ 452,158<br />

Regional Category Office Space Cost: $ 104,604<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 33,743<br />

CATEGORY OF CARE SUB‐TOTAL: $ 2,063,662


Kennedy Krieger Institute Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 179,428<br />

Level 1 Center Field Specialist(s): $ 143,542<br />

Level 1 Center SJB Family Specialist(s): $ 979,676<br />

Level 1 Center Administrative Support: $ 161,485<br />

Level 1 Office Space Cost: $ 56,239<br />

Level 1 Transportation/Travel: $ 27,900<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 64,273<br />

Level 2 Center Field Specialist(s): $ 172,251<br />

Level 2 Center SJB Family Specialist(s): $ 559,815<br />

Level 2 Transportation/Travel: $ 15,840<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 22,495<br />

Level 3 Center SJB Family Specialist(s): $ 209,931<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 6,427<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,675,781<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,642,367<br />

INDIRECT COST TO INSTITUTION: $ 2,328,473<br />

ADMINISTRATIVE FEE TO SJBF: $ 232,847<br />

STATE LEAD CENTER SUB‐TOTAL: $ 14,203,688<br />

TOTAL JOBS CREATED IN Maryland: 84


Principal Investigator/Program Director (Last, First, Middle):<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

James R. Christensen, M.D.<br />

eRA COMMONS USER NAME<br />

ChristensenJR<br />

POSITION TITLE<br />

Associate Professor of Physical Medicine &<br />

Rehabilitation, and Pediatrics<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Nebraska Wesleyan University, Lincoln, Nebraska B.S. 1972 Science<br />

Univ. of Nebraska Medical School, Omaha, Nebraska M.D. 1975 Medicine<br />

Johns Hopkins Hospital, Baltimore, Maryland Residency 1975-77 Pediatrics<br />

Kennedy Institute for Handicapped Children & Johns<br />

Hopkins University SOM<br />

Fellowship 1984-86 Developmental Pediatrics<br />

Sinai-Johns Hopkins University SOM Residency 1989-92 Physical Med. & Rehab<br />

A. POSITIONS AND HONORS<br />

Positions and Employment<br />

1978-1980 Staff Physician, Lafene Student Health Center, Kansas State University, Manhattan, Kansas<br />

1982-1983 Medical Director and Staff Pediatrician, Indian Health Service Clinic, Holton, Kansas<br />

1986-1989 Instructor, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland<br />

1992-2002 Assistant Professor, Departments of Physical Medicine and Rehabilitation and Pediatrics, Johns<br />

Hopkins School of Medicine, Baltimore Maryland<br />

1992- Vice President of Rehabilitation, Kennedy Krieger Institute, Baltimore, Maryland<br />

2002- Associate Professor, Departments of Physical Medicine and Rehabilitation and Pediatrics,<br />

Johns Hopkins School of Medicine, Baltimore Maryland<br />

2005- Director of the Division of Pediatric Rehabilitation Medicine, Johns Hopkins University School of<br />

Medicine<br />

Other Experience and Professional Memberships<br />

1989 Clinical and programmatic consultations for the Ministry of Health, United Arab Emirates<br />

1987-1989 <strong>The</strong> Johns Hopkins University Injury Prevention Center Advisory Board<br />

1994-1995 Task Force of the Maternal and Child Health Bureaus, focusing on pediatric rehabilitation and<br />

children with special health needs<br />

1995 Programmatic consultations and education of professionals on the Habilitation of the Child with<br />

Cerebral Palsy for the Ministry of Health, Vietnam.<br />

1996 National Steering Committee for the Traumatic <strong>Brain</strong> Injury State Demonstration Grant Program,<br />

Department of Health and Human Services<br />

1999 Programmatic consultation for the Ministry of Health of Qatar, August 1999.<br />

2000 Pediatric Injury and Trauma Data Meeting for HRSA/Maternal and Child Health Bureau’s EMSC<br />

Program<br />

2002-present Professional Advisory Board, Chesapeake Applied Research Network (PECARN)<br />

2006-present President, Medical Staff, Kennedy Krieger Institute<br />

2007 EMSC/AHRQ NASCOT for Kids Meeting: Pediatric Trauma Care: A workshop to develop a<br />

national study on costs and outcome from pediatric trauma. Washington DC.<br />

Honors<br />

1974 Alpha Omega Alpha<br />

1988 & 1997 <strong>The</strong> “Golden Goniometer: Award, 1988 and 1997.<br />

(Outstanding Teacher Award from the Physical Medicine and Rehabilitation Residents)<br />

2001 “Parents’ Choice Award” for <strong>The</strong> Special-Needs Collection: Children with Traumatic <strong>Brain</strong><br />

Injury.<br />

PHS 398/2590 (Rev. 09/04) Page Biographical Sketch Format Page


Principal Investigator/Program Director (Last, First, Middle):<br />

B. SELECTED PEER-REVIEW PUBLICATIONS (in chronological order)<br />

1. Greenspan AI, MacKenzie EJ, Christensen JR, Robel C: Use of Health and Rehabilitation Services<br />

Following Head Injury. Maryland Medical Journal, 1989; 38(3):239-45.<br />

2. Christensen JR: Developmental Approach to Pediatric Neurogenic Dysphagia. Dysphagia 1989;<br />

3:131-134<br />

3. Christensen, JR: Pediatric Traumatic <strong>Brain</strong> Injury Rehabilitation: Challenges in Care Delivery.<br />

NeuroRehabilitation 1997; 9:105-112.<br />

4. Cabana MD, Crawford TO, Winkelstein JA, Christensen JR, Lederman HM: Consequences of the<br />

Delayed Diagnosis of Ataxia-Telangiectasia. Pediatrics 1998;102(1):98-100.<br />

5. Pace GM, Schlund MW, Hazard-Haupt T, Christensen JR, Lashno M, McIver J, Peterson K, Morgan<br />

KA: Characteristics and Outcomes of a Home and Community-Based NeuroRehabilitation<br />

Program. <strong>Brain</strong> Injury 1999; 13(7):535-546.<br />

6. Mostofsky SH, Green JT, Meginley M, Christensen JR, Woodruff-Pak DS: Conditioning in Identical<br />

Twins with Ataxia-Telangiectasia. Neurocase 1999; 5:425-433.<br />

7. White JRM, Farukhi Z, Bull C, Christensen J, Gordon T, Paidas C, Nichols D. Predictors of outcome in<br />

severely head-injured children. Critical Care Medicine 2001; 29:534-540.<br />

8. Pidcock FS, Wise JM, Christensen JR. Treatment of severe post-traumatic bruxism with Botulinum<br />

Toxin-A. Journal of Oral and Maxillofacial Surgery 2002; 60:115-117.<br />

9. Gerring JP, Slomine B, Vasa RA, Grados M, Chen A, Rising W, Christensen JR, Denckla MB, Ernst M.<br />

Clinical predictors of posttraumatic stress disorder after closed head injury in children. Journal of<br />

the American Academy of Child and Adolescent Psychiatry 2002;41:157-65.<br />

10. Vasa RA, Gerring JP, Grados M, Slomine B, Christensen JR, Rising W, Denckla MB, Riddle MA.<br />

Anxiety after severe pediatric closed head injury. Journal of the American Academy of Child and<br />

Adolescent Psychiatry 2002;41:148-56.<br />

11. Slomine BS, Gerring JP, Grados MA, Vasa R, Brady KD, Christensen J, Denckla MB. Performance on<br />

measures of “executive function” following pediatric traumatic brain injury. <strong>Brain</strong> Injury<br />

2002;16:759-72.<br />

12. Vasa RA, Grados M, Slomine B, Herskovits EH, Thompson RE, Salorio C, Christensen J, Wursta C,<br />

Riddle MA, Gerring JP. Neuroimaging correlates of anxiety after pediatric traumatic brain injury.<br />

Biol Psychiatry 2004;55:208-16.<br />

13. Slomine BS, Brintzenhofeszoc K, Salorio CF, Warren L, Wieczorek BH, Carney J, Moore DA,<br />

Christensen JR. A method for performance evaluation using WeeFIM data collected for the Joint<br />

Commission on Accreditation of Healthcare Organizations' ORYX initiative: <strong>The</strong> 0.5 band control<br />

chart analysis. Arch Phys Med Rehabil 2004; 85:512-6.<br />

14. Hattiangadi N, Pillion JP, Slomine B, Christensen JR, Trovato M, Speedie LJ, Characteristics of<br />

Auditory Agnosia in a Child with Severe Traumatic <strong>Brain</strong> Injury: A Case Report. <strong>Brain</strong> and<br />

Language 2005; 92:12-25.<br />

15. Slomine, B.S., Salorio, C., Grados, M., Vasa, R., Christensen, J., & Gerring, J. Differences in attention,<br />

executive functioning, and memory in children with and without ADHD after severe traumatic brain<br />

injury. Journal of the International Neuropsychological Society. 2005; 11: 645-53.<br />

16. McCarthy ML, Mackenzie EJ, Durbin DR, Aitken ME, Jaffe KM, Paidas CN, Slomine BS, Dorsch AM,<br />

Berk RA, Christensen JR, Ding R; CHAT Study Group. <strong>The</strong> Pediatric Quality of Life Inventory: An<br />

Evaluation of Its Reliability and Validity for Children With Traumatic <strong>Brain</strong> Injury. Arch Phys Med<br />

Rehabil. 2005; 86(10): 1901-1909.<br />

17. Salorio, C. F., Slomine, B.S., Grados, M.A, Vasa, R.A., Christensen, J.R., & Gerring, J.P.<br />

Neuroanatomic correlates of CVLT-C performance following pediatric TBI. Journal of the<br />

International Neuropsychological Society. 2005; 11(6):686-96.<br />

18. Zabel T.A., Slomine B.S., Brady K., Christensen J. (2005) Neuropsychological profile following suicide<br />

attempt by hanging: two adolescent case reports. Child Neuropsychology, 11, 373-88.<br />

19. McCarthy M.L., MacKenzie EJ, Durbin DR, Aitken ME, Jaffe KM, Paidas DN, Slomine BS, Dorsch AM,<br />

Christensen JR, Ding R. Health-Related Quality of Life During the First Year Post Traumatic <strong>Brain</strong><br />

Injury. Archives of Pediatrics and Adolescent Medicine. 2006;160:252-260<br />

PHS 398/2590 (Rev. 09/04) Page Continuation Format Page


Principal Investigator/Program Director (Last, First, Middle):<br />

20. Trovato M., Slomine B., Pidcock F., Christensen J. <strong>The</strong> efficacy of Donepezil Hydrochloride on<br />

memory functioning in three adolescents with severe traumatic brain injury. <strong>Brain</strong> Injury<br />

2006;20(3):339-43.<br />

21. Slomine B.S., McCarthy, M.L. Ding R, MacKenzie EJ, Jaffe KM, Aitken ME, Durbin DR, Christensen<br />

JR, Dorsch AM, Paidas CN, and the CHAT Study Group. Health Care Utilization and Needs<br />

Following Pediatric Traumatic <strong>Brain</strong> Injury. Pediatrics Electronic Pages, 2006;117:c663-75.<br />

22. Natale JE, Guerguerian AM, Joseph JG, McCarter R, Shao C, Slomine B, Christensen J, Johnston MV,<br />

Shaffner, DH. Pilot study to determine the hemodynamic safety and feasibility of magnesium<br />

sulfate infusion in children with severe traumatic brain injury. Pediatric Critical Care Medicine.<br />

2007;8:1-9.<br />

23. Grados, M.A., Vasa, R.A., Riddle, M.A., Slomine, B.S., Salorio, C., Christensen, J., & Gerring, J. New<br />

onset obsessive-compulsive symptoms in children and adolescents with severe traumatic brain<br />

injury. Depression and Anxiety 2007 Oct 23; [Epub ahead of print]<br />

24. Salorio, C.F., Slomine, B.S., Guerguerian, A.M., Christensen, J.R., White, J.R.M., Natale, J.E.,<br />

Shaffner, D., Grados, M., Vasa, R.A., & Gerring, J.P. Intensive care unit variables and outcome<br />

after pediatric traumatic brain injury: A retrospective study of survivors. Pediatric Critical Care<br />

Medicine. 2008, 9, 47-53.<br />

25. Sesma, H.W., Slomine, B.S., Ding, R., McCarthy, M.L, & the CHAT Study Group (in press). Executive<br />

Functioning in the First Year after Pediatric Traumatic <strong>Brain</strong> Injury. Pediatrics. 2008; 121:e1686-<br />

1695.<br />

26. Aitken ME, McCarthy ML, Slomine BS, Ding R, Durbin DR, Jaffe KM, Paidas CN, Dorsch AM,<br />

Christensen JR, MacKenzie EJ and the CHAT study Group. Family Burden Following Traumatic<br />

<strong>Brain</strong> Injury in Children. Pediatrics. 2009;123:199-206.<br />

27. Slomine B, Eikenberg J, Salorio C, Suskauer S, Trovato M, Christensen J. Preliminary Evaluation of<br />

the Cognitive and Linguistic Scale: A measure to assess recovery in inpatient rehabilitation<br />

following pediatric brain injury. Journal of Head Trauma Rehabilitation. 2008;23:286-293.<br />

28. Cole, W.R., Gerring, J.P., Gray, R.M., Vasa, R.A., Salorio, C.F., Grados, M., Christensen, J.R., &<br />

Slomine, B.S. Prevalence of aggressive behaviour after severe paediatric traumatic brain injury.<br />

<strong>Brain</strong> Injury. 2008;22(12):932-9.<br />

29. Maynard CS, Amari A, Slifer KJ, Wieczorek B, Christensen JR. An Interdisciplinary Behavioral<br />

Rehabilitation Approach to Treating Pediatric Pain-Associated Disability: Clinical Outcomes of an<br />

Inpatient Treatment Protocol. Journal of Pediatric Psychology. 2009 May 22 [Epub ahead of print].<br />

C. RESEARCH SUPPORT<br />

Ongoing Research Support<br />

U01HL094345 Moler (PI) 3/2009 – 8/2010<br />

NIH/NHLBI: <strong>The</strong>rapeutic Hypothermia After Pediatric Cardiac Arrest<br />

Goal: Randomized control trial, so see if this intervention improved neurobehavioral outcomes.<br />

Role: Co-Investigator. (PI for Kennedy Krieger subcontract, responsible for design and collection of primary<br />

outcome measures for multi-center trials.)<br />

Completed Research Support<br />

Christensen (PI) 2001–2009<br />

NIH/NCRR: <strong>Project</strong> support through the Johns Hopkins/Kennedy Krieger Institute Neurobehavioral Research<br />

Unit of the General Clinical Research Center<br />

Structural, spectroscopic and functional imaging during coma recovery in children and adolescents after<br />

traumatic or anoxic brain injury<br />

Goal: Identify changes in brain activation and spectroscopy during coma recovery.<br />

PHS 398/2590 (Rev. 09/04) Page Continuation Format Page


Principal Investigator/Program Director (Last, First, Middle):<br />

Role: Principal Investigator<br />

R34 IR34HD050531 Moler (PI) 8/1/2006 - 7/31/2008<br />

NIH<br />

<strong>Plan</strong>ning Hypothermia Trial for Pediatric Cardiac Arrest<br />

Goal: Develop grant proposal for a randomized clinical trial.<br />

Role: Co-Investigator<br />

R49/CCR319701-01 McCarthy (PI) 09/30/01-09/29/04<br />

Centers for Disease Control<br />

Assessing Children’s Health following Traumatic <strong>Brain</strong> Injury<br />

Goal: Evaluate the utility of outcome measures to detect impairments and needs following traumatic injuries.<br />

Role: Co-Investigator<br />

Slomine (PI) 04/22/02-12/31/04<br />

NIH/NCRR: <strong>Project</strong> support through the Johns Hopkins/Kennedy Krieger Institute Neurobehavioral Research<br />

Unit of the General Clinical Research Center<br />

Assessing Children’s Health following Traumatic <strong>Brain</strong> Injury<br />

Goal: Evaluate the utility of neuropsychological outcome measures to detect impairments and needs, following<br />

traumatic injuries.<br />

Role: Co-Investigator<br />

PHS 398/2590 (Rev. 09/04) Page Continuation Format Page


Program Director/Principal Investigator (Last, First, Middle): Shapiro, Bruce<br />

NAME<br />

Beth S. Slomine<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

eRA COMMONS USER NAME (credential, e.g., agency login)<br />

SLOMINEBS<br />

POSITION TITLE<br />

Director, Neuropsychological Rehabilitation<br />

Services<br />

Assistant Professor of Psychiatry<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

University of Delaware B.S. 1989 Psychology<br />

University of Florida M.S. 1992 Clinical Psychology<br />

Brockton/West Roxbury VAMC 1994-1995 Psychology<br />

University of Florida Ph.D. 1995 Clinical Psychology<br />

Philadelphia Geriatric Center 1995-1996 Clinical Geropsychology<br />

and Neuropsychology<br />

Please refer to the application instructions in order to complete sections A, B, and C of the Biographical<br />

Sketch.<br />

A. Positions and Honors. List in chronological order previous positions, concluding with your present<br />

position. List any honors. Include present membership on any Federal Government public advisory<br />

committee.<br />

Positions and Employment<br />

1994-1995 Psychology Intern, Brockton/West Roxbury VAMC/Harvard Medical School, Brockton, MA<br />

1995-1996 Postdoctoral Fellow, Philadelphia Geriatric Center, Philadelphia, PA<br />

1996-1997 Psychology Associate, Kennedy Krieger Institute, Baltimore, MD<br />

1997-1999 Instructor, Psychiatry, School of Medicine, Johns Hopkins University, Baltimore, MD<br />

1997- Clinical Neuropsychologist, Kennedy Krieger Institute, Baltimore, MD<br />

1999- Assistant Professor, Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD<br />

2006- Director, Neuropsychological Rehabilitation Services, Kennedy Krieger Institute, Baltimore,<br />

MD<br />

Other Experience and Professional Memberships<br />

1995- American Psychological Association (1995-present)<br />

Division 22 (Rehabilitation Psychology)<br />

Division 40 (Clinical Neuropsychology)<br />

1997- Licensed Psychologist, MD License # 03377<br />

2000- Performance Evaluation/Performance Improvement Committee, Kennedy Krieger Institute<br />

2000- International Neuropsychological Society<br />

2002- Diplomate in Clinical Neuropsychology, American Board of Professional Psychology<br />

2002- American Academy of Clinical Neuropsychology<br />

Honors<br />

1988 Phi Beta Kappa<br />

1989 National Science Foundation Undergraduate Research Fellowship<br />

1989 Magna Cum Laude, University of Delaware<br />

1989 Psychology Department Faculty Award (Research promise in psychology)<br />

1989-1990 College of Health Related Professions Dean's Scholar (Training in Research)<br />

PHS 398/2590 (Rev. 11/07) Page Biographical Sketch Format Page


Program Director/Principal Investigator (Last, First, Middle): Shapiro, Bruce<br />

1990-1992 National Institute for Dental Research Traineeship<br />

1991 American Psychological Association Student Travel Award<br />

1992 Bryan Robinson Neurological Foundation Research Fellowship<br />

1993 American Psychological Association Dissertation Research Award<br />

1994 Florence Shafer Memorial Award for excellence in psychotherapeutic counseling<br />

2002 Commendation for Excellence in Internship Training<br />

2003 Faculty Award for Excellence in Internship Training<br />

B. Peer-reviewed publications (in chronological order). Do not include publications submitted or in<br />

preparation.<br />

1. Slomine, B.S. and Greene, A.F.(1993). Anger imagery and corrugator electromyography. Journal of<br />

Psychosomatic Research, 37, 671-676<br />

2. Slomine, B.S., Bowers, D., & Heilman, K.M. (1999). Dissociation between autonomic responding and<br />

verbal report in right and left hemisphere brain damage during anticipatory anxiety. Neuropsychiatry,<br />

Neuropsychology, and Behavioral Neurology, 12, 143-148.<br />

3. Grados M.A., Slomine B.S., Gerring J.P., Vasa R., Bryan R.N., Denckla M.B. (2001). A depth of lesion<br />

model in children and adolescents with moderate-to-severe traumatic brain injury: Use of SPGR MRI to<br />

predict severity and outcome. Journal of Neurology, Neurosurgery and Psychiatry, 70, 350-358.<br />

4. Gerring JP, Slomine BS, Vasa R, Grados M, Chen A, Rising W, Christensen, J, Denckla M., Ernst, M.<br />

(2002). Clinical predictors of Posttraumatic Stress Disorder after severe closed head injury in children<br />

and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry , 41(2): 157-<br />

165.<br />

5. Slomine B, Gerring J, Grados M, Vasa R, Brady K, Christensen J, Denckla MB. (2002). Performance<br />

on measures of “Executive Function” following pediatric traumatic brain injury. <strong>Brain</strong> Injury, 16(9), 759-<br />

772.<br />

6. Vasa R, Gerring J, Grados M, Slomine B, Christensen J.R., Rising, W., Denckla M.B., Riddle M.A.<br />

(2002). Anxiety following severe pediatric traumatic brain injury. Journal of the American Academy of<br />

Child and Adolescent Psychiatry, 41(2), 148-156.<br />

7. Slomine, B., BrintzenhofeSzoc, K, Salorio, C, Warren, L, Wieczorek, B., Carney, J, Moore, D,<br />

Christensen, J. (2004) Archives of Physical Medicine and Rehabilitation. A method for performance<br />

evaluation using WeeFIM data collected for the Joint Commission on Accreditation of Healthcare<br />

Organizations ORYX Initiative: <strong>The</strong> 0.5 band control chart analysis, 85(3):512-6.<br />

8. Vasa, R.A., Grados, M., Slomine, B, Herkovitz, EH, Thompson, RE, Salorio, C, Christensen, J., Wurste,<br />

C., Riddle, M.A., Gerring, J.P. (2004). Neuroimaging correlates of anxiety after pediatric traumatic<br />

brain injury. Biological Psychiatry, 55, 208-216.<br />

9. Hattiangadi N, Pillion JP, Slomine B, Christensen J, Trovato MK, Speedie LJ. (2005). Characteristics<br />

of auditory agnosia in a child with severe traumatic brain injury: A case report. <strong>Brain</strong> and Language,<br />

92(1), 12-25.<br />

10. Zabel T.A., Slomine B.S., Brady K., Christensen J. (2005) Neuropsychological profile following suicide<br />

attempt by hanging: two adolescent case reports. Child Neuropsychology, 11, 373-88.<br />

11. Slomine B.S., Salorio C.F., Grados M.A., Vasa R.A., Christensen J.R., Gerring J.P. (2005) Differences<br />

in attention, executive functioning, and memory in children with and without ADHD after severe<br />

traumatic brain injury. Journal of the International Neuropsychological Society, 11, 645-653.<br />

12. Salorio C.F., Slomine B.S., Grados M.A, Vasa R.A., Christensen J.R., & Gerring J.P. (2005).<br />

Neuroanatomic correlates of CVLT-C performance following pediatric TBI. Journal of the International<br />

Neuropsychological Society, 11, 686-696.<br />

13. McCarthy M, MacKenzie E.J., Durbin D.R., Aitken M.E., Jaffe K.M., Paidas C.N., Slomine B.S., Dorsch<br />

A.M., Berk R.A., Christensen J.R., Ding R. (2005) <strong>The</strong> Pediatric Quality of Life Inventory (PedsQL TM4.0 ):<br />

An evaluation of its psychometric characteristics for children with traumatic brain injury. Archives of<br />

Physical Medicine and Rehabilitation, 86, 1901-1909.<br />

PHS 398/2590 (Rev. 11/07) Page Continuation Format Page


Program Director/Principal Investigator (Last, First, Middle): Shapiro, Bruce<br />

14. McCarthy, M., MacKenzie, E.J., Durbin, D.R., Aitken, M.E., Jaffe K.M., Paidas, C.N., Slomine, B.S.,<br />

Dorsch, A.M., Christensen, J., Ding, R., & Chat Study Group (2006) Health-related quality of life during<br />

the frst year post traumatic brain injury. Archives of Pediatrics, 160, 252-260.<br />

15. Slomine, B.S., McCarthy, M.F., Ding, R., MacKenzie, E., Jaffe, K., Durbin, D. Aitken, M.E., Dorsch,<br />

A.M., Christensen, J., Paidas, C. & Chat Study Group (2006). Healthcare utilization and need for<br />

services following pediatric traumatic brain Injury. Pediatrics Electronic Pages, 117, e663-74.<br />

16. Trovato, M., Slomine, B., Pidcock, F. & Christensen, J. (2006). <strong>The</strong> efficacy of donepezil hydrochloride<br />

on memory functioning in three adolescents with severe traumatic brain injury. <strong>Brain</strong> Injury, 20, 339-<br />

343.<br />

17. Natale, J.E., Guerguerian, A.M., Josephe, J.G., McCarter, R., Shao, C., Slomine, B., Christensen, J.,<br />

Johnston, M.V., & Shaffner, D.H. (2007). Pilot study to determine the hemodynamic safety and<br />

feasibility of magnesium sulfate infusion in children with severe traumatic brain injury. Pediatric Critical<br />

Care Medicine, 8,1-9.<br />

18. Grados, M.A., Vasa, R.A., Riddle, M.A., Slomine, B.S., Salorio, C., Christensen, J., & Gerring, J. (in<br />

press). New onset obsessive-compulsive symptoms in children and adolescents with severe traumatic<br />

brain injury. Depression and Anxiety. 2007; 25 (5): 398-407.<br />

19. Salorio, C.F., Slomine, B.S., Guerguerian, A.M., Christensen, J.R., White, J.R.M., Natale, J.E.,<br />

Shaffner, D., Grados, M., Vasa, R.A., & Gerring, J.P. Intensive care unit variables and outcome after<br />

pediatric traumatic brain injury: A retrospective study of survivors. Pediatric Critical Care Medicine,<br />

2008; 9, 47-53.<br />

20. Sesma, H.W., Slomine, B.S., Ding, R., McCarthy, M.L, & the CHAT Study Group. Executive<br />

functioning in the first year after pediatric traumatic brain injury. Pediatrics. 2008; 121: e1686-1695.<br />

21. Slomine, B.S., Eikenberg, J., Salorio, C.F., Suskauer, S., Trovato, M., Christensen, J.R. Preliminary<br />

Evaluation of the Cognitive Linguistic Scale: A Measure to Assess Recovery in Inpatient Rehabilitation<br />

following Pediatric <strong>Brain</strong> Injury. Journal of Head Trauma Rehabilitation, 2008, 23, 286-293.<br />

22. Conklin, H. M., Salorio, C.F., Slomine, B.S. Working memory performance following pediatric traumatic<br />

brain injury. <strong>Brain</strong> Injury. 2008: 22, 847-857.<br />

23. Cole, W.R., Gerring, J.P., Gray, R.M., Vasa, R.A., Grados, M., Christensen, J.R., Slomine, B.S.<br />

Prevalence of Aggressive Behaviour after Severe Paediatric Traumatic <strong>Brain</strong> Injury. <strong>Brain</strong> Injury. 2008:<br />

12, 932-939.<br />

24. Aitken, M.E., McCarthy, M.L., Slomine, B.S., Ding, R., Durbin, D., Jaffe, K.M., Paidas, C.N., Dorsch,<br />

A.M., Christensen, J.R., MacKenzie, E.J., & Chat Study Group. Family burden following traumatic brain<br />

injury in children. Pediatrics Electronic Pages. 2009: 123, 199-206.<br />

C. Research Support. List selected ongoing or completed (during the last three years) research projects<br />

(federal and non-federal support). Begin with the projects that are most relevant to the research<br />

proposed in this application. Briefly indicate the overall goals of the projects and your role (e.g. PI, Co-<br />

Investigator, Consultant) in the research project. Do not list award amounts or percent effort in projects.<br />

Pending <strong>The</strong>rapeutic Hypothermia After Pediatric Cardiac Arrest: A Randomized Controlled Trial<br />

(THAPCA). National Heart, Lung, and Blood Institute. Total Proposed Directs Costs:<br />

$12,262,963. Funding is pending for first 18 months. Funding for subsequent 3 ½ years<br />

dependent on enrollment in first 18 months. 10-20% effort for supervising administration<br />

and data collect at the central outcome center at KKI for the 15 participating sites. (F.<br />

Moler, PI)<br />

PHS 398/2590 (Rev. 11/07) Page Continuation Format Page


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Massachusetts<br />

Children's Hospital of Boston and Harvard Medical School<br />

www.childrenshospital.org<br />

REGION: Northeast CATEGORY OF CARE: Prevention (National Lead)<br />

Program Director: David Mooney, MD, MPH Position Title: Assistant Professor of Surgery<br />

Department: Department of Pediatrics<br />

Address: Fegan 340 300 Longwood Avenue, Boston, MA 02115<br />

Phone: 617‐355‐0535<br />

Email: david.mooney@childrens.harvard.edu<br />

Program Director: Mark Proctor, MD Position Title: Director<br />

Department: <strong>Brain</strong> Injury Program<br />

Address: 300 Longwood Avenue, Boston, MA 02115<br />

Phone: 617‐355‐2403<br />

Email: mark.proctor@childrens.harvard.edu<br />

Level 1 Center(s): Boston, Worcester, Springfield, Lowell<br />

Level 2 Center(s): Cambridge, Lawrence, Dedham<br />

Level 3 Center(s): Brockton, New Bedford<br />

Number of jobs <strong>PABI</strong> Grant creates in Massachusetts: 138<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 8,945,262<br />

Category of Care Management Sub‐total: $ 4,315,115<br />

Case Management Sub‐total: $ 11,438,008<br />

State Lead Center Sub‐total: $ 24,730,384<br />

Indirect Cost to Institution (20%): $ 4,946,077<br />

Administrative Cost to SJBF (2%): $ 494,608<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 30,171,069


Children's Hospital of Boston and Harvard Medical School Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 121,500<br />

Program Director Assistant: $ 148,567<br />

State Director: $ 495,223<br />

Associate State Director: $ 214,597<br />

State Epidemiologist: $ 330,149<br />

State Epidemiologist Assistant: $ 148,567<br />

State Scientific Investigation Research Coordinator: $ 280,626<br />

State Scientific Investigation Research Assistant: $ 280,626<br />

State Education/Training Coordinator (plus materials): $ 456,148<br />

State General Counsel: $ 396,178<br />

State IT Manager: $ 313,641<br />

State Family Support Coordinator: $ 247,611<br />

State Prevention/Awareness Coordinator: $ 247,611<br />

State Acute Care Coordinator: $ 247,611<br />

State Reintegration Coordinator: $ 247,611<br />

State Adult Transition Coordinator: $ 247,611<br />

State Mild TBI Coordinator: $ 247,611<br />

State Mental Health Coordinator: $ 214,597<br />

State Assistive/Emerging Technology Coordinator: $ 214,597<br />

State Correctional System Coordinator: $ 214,597<br />

State MISC Coordinator: $ 214,597<br />

State Veterans Coordinator: $ 214,597<br />

State Data Manager: $ 214,597<br />

State Public Policy Manager: $ 247,611<br />

State Community Relations Manager: $ 214,597<br />

State Administrative Support: $ 891,401<br />

Charity care: $ 489,109<br />

Human Resources Support: $ 138,000<br />

Training Support: $ 34,500<br />

State Lead Center Office Space Cost: $ 470,034<br />

State Lead Center Transportation/Travel: $ 129,600<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 151,624<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 122,277<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 8,945,262


Children's Hospital of Boston and Harvard Medical School Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Prevention (National Lead)<br />

National Category Director: $ 486,000<br />

National Category Epidemiologist: $ 405,000<br />

National Category Education/Training Coordinator: $ 324,000<br />

National Category Scientific Investigation Research: $ 324,000<br />

National Category Additional (National Intentional Head Injury Prevention Coordinator; National<br />

Unintentional Head Injury Prevention Coordinator; National non‐Traumatic Acquired <strong>Brain</strong> Injury<br />

Prevention Coordinator): $ 972,000<br />

Regional Category Director: $ 495,223<br />

Regional Category Epidemiologist: $ 396,178<br />

Regional Category Education/Training Coordinator: $ 330,149<br />

Regional Category Scientific Investigation Research: $ 330,149<br />

Regional Category Administrative Support: $ 594,267<br />

Regional Category Office Space Cost: $ 212,273<br />

Regional Category Transportation/Travel: $ 180,000<br />

Regional Category Office Equipment/Communications: $ 43,400<br />

Regional Category Supplies: $ 68,475<br />

CATEGORY OF CARE SUB‐TOTAL: $ 4,315,115


Children's Hospital of Boston and Harvard Medical School Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 990,446<br />

Level 1 Center Field Specialist(s): $ 792,356<br />

Level 1 Center SJB Family Specialist(s): $ 579,4106<br />

Level 1 Center Administrative Support: $ 891,401<br />

Level 1 Office Space Cost: $ 77,035<br />

Level 1 Transportation/Travel: $ 133,920<br />

Level 1 Office Equipment/Communications: $ 117,200<br />

Level 1 Supplies: $ 242,109<br />

Level 2 Center Field Specialist(s): $ 396,178<br />

Level 2 Center SJB Family Specialist(s): $ 1,448,527<br />

Level 2 Transportation/Travel: $ 31,680<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 51,356<br />

Level 3 Center SJB Family Specialist(s): $ 402,369<br />

Level 3 Transportation/Travel: $ 7,020<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 11,005<br />

CASE MANAGEMENT SUB‐TOTAL: $ 11,438,008<br />

STATE LEAD CENTER SUB‐TOTAL: $ 24,730,384<br />

INDIRECT COST TO INSTITUTION: $ 4,946,077<br />

ADMINISTRATIVE FEE TO SJBF: $ 494,608<br />

STATE LEAD CENTER SUB‐TOTAL: $ 30,171,069<br />

TOTAL JOBS CREATED IN Massachusetts: 138


Date Updated: November 5, 2008<br />

CURRICULUM VITAE<br />

Name: David Patrick Mooney, M.D., M.P.H.<br />

Office Address: Fegan 340<br />

300 Longwood Avenue<br />

Boston, MA 02115<br />

617/ 355- 0535<br />

Home Address: 135 Glen Road<br />

Wellesley, MA 02481<br />

781/237-2338<br />

Email: david.mooney@childrens.harvard.edu<br />

Education:<br />

2006 M.P.H. Harvard University School of Public Health<br />

1981- 1985 M.D. St. Louis University School of Medicine<br />

1977- 1980 A.B. St. Louis University<br />

Postdoctoral Training:<br />

1991- 1993 Resident Pediatric Surgery Children's Mercy Hospital<br />

Kansas City, Missouri<br />

1987- 1988 Fellow Surgical Immunology University of Vermont<br />

Burlington, Vermont<br />

1988- 1991 Resident General Surgery Medical Center Hospital of<br />

Vermont, Burlington, Vermont<br />

1986- 1987 Resident General Surgery Medical Center Hospital of<br />

Vermont, Burlington, Vermont<br />

1985- 1986 Intern General Surgery Medical Center Hospital of<br />

Vermont, Burlington, Vermont<br />

Licensure and Certification:<br />

1990 Vermont Medical License<br />

1993 New Hampshire Medical License<br />

1995 Massachusetts Medical License<br />

1993, 2002 American Board of Surgery, General Surgery<br />

1996, 2003 American Board of Surgery<br />

Special Qualifications in Pediatric Surgery<br />

1994- Advanced Cardiac Life Support, Provider<br />

1993- Advanced Trauma Life Support, Instructor<br />

1996-1999 Course Director<br />

1995-1999 Advanced Pediatric Life Support Course Director<br />

1993- Pediatric Advanced Life Support-Instructor<br />

1997-1999 New England Regional Faculty<br />

1


Academic Appointment:<br />

1999- Assistant Professor of Surgery Harvard Medical School<br />

Administrative Responsibilities:<br />

1995-1999 Coordinator, Surgical Grand Rounds Dartmouth Medical School<br />

1999- Director, Trauma Program Children’s Hospital Boston<br />

Committee Assignments at Children’s Hospital Boston:<br />

1999- Chair Trauma Performance Improvement<br />

1999-03 Co-Chair Code Triage Committee<br />

2000- Member Surgical Clinical Practice Committee<br />

2000- Member Committee on Clinical Investigation (IRB)<br />

2002- Member Pharmacy and <strong>The</strong>rapeutics Committee<br />

2003- Member Emergency Management Steering Committee<br />

2004- Member Community Advisory Board<br />

2005- Member Resuscitation Review Committee<br />

2005- Member CHAMPS Computerized Medical Record<br />

2006- Member Consult Policy Committee<br />

2006- Member Informed Consent Process Review<br />

2007- Member Residency Orientation Committee<br />

2007- Member SBAR Committee<br />

2008- Member PPSQ: Information Technology Committee<br />

Strategic Mapping Committee<br />

OR/PACU Admissions Forum<br />

ICU Admission Forum<br />

Regional:<br />

1997-99 Advisory Board, New Hampshire Crash Emer. Medical Services Bureau<br />

Outcome Data Evaluation System Grant New Hampshire State Gov.<br />

1996-1999 New Hampshire Medical Control Board Health and Human Services<br />

New Hampshire State Gov.<br />

1996-1999 Chair, Committee on Trauma New Hampshire Chapter<br />

American College of Surgeons<br />

1998-1999 State Trauma System Site Visitor Emer. Medical Services Bureau<br />

New Hampshire State Gov.<br />

2000- Pediatric Resources Group Office of Emer. Med. Services<br />

Emer. Medical Services for Children Massachusetts State Gov.<br />

2000-4 Member Massachusetts State Trauma<br />

Committee<br />

2000-2006 Board of Directors Metropolitan Boston<br />

Emerg. Medical Services, Inc.<br />

2001- Committee on Trauma Massachusetts Chapter<br />

American College of Surgeons<br />

Regional Committees (continued):<br />

2


2001- Member, Advisory Committee Harvard Injury Control Center<br />

2006- Member Massachusetts Injury Community<br />

<strong>Plan</strong>ning Group<br />

2005-7 Member Scientific Steering Committee<br />

Seat Belt Use Investigation<br />

Boston University<br />

2006- Member, Advisory Board Fire Safe Massachusetts<br />

2007- Member New Massachusetts State<br />

Trauma Committee<br />

National:<br />

1997- Pediatric Site Visitor Verification Review Committee<br />

American College of Surgeons<br />

1998 Grant Reviewer Maternal Child Health Bureau<br />

Em. Med. Services for Children<br />

2000 Pelvic Fracture Outcome Study APSA Trauma Committee<br />

2000- Pediatric Site Reviewer PA Trauma Systems Foundation<br />

2000 Invited Discussant National Pedi Trauma Registry<br />

Maternal Child Health Bureau<br />

2000- Active Member Committee on Trauma<br />

American College of Surgeons<br />

2001- Pediatric Subcommittee Committee on Trauma<br />

American College of Surgeons<br />

2001-03 Resources ad hoc Subcommittee Committee on Trauma<br />

American College of Surgeons<br />

2003- Pediatric Trauma Systems Consultant National Resource Center<br />

Emer Med Services for Children<br />

2004- Member Verification Review Committee<br />

Committee on Trauma<br />

American College of Surgeons<br />

2004 American College of Surgeons’ Liaison Committee on Pedi Emerg. Med.<br />

American Academy of Pediatrics<br />

2004-6 Vice Chair Trauma Committee<br />

Amer. Pediatric Surgical Assoc.<br />

2005- Member, PFC Stakeholders Group Emergency Medical Services for<br />

Children<br />

2006-8 Scientific Reviewer EMSC Pediatric Sedation Panel<br />

2006- Advisory Board Member Kiwanis Pediatric Trauma<br />

Registry<br />

2006-8 Chair Trauma Committee<br />

Amer. Pediatric Surgical Assoc.<br />

2007 Member, Pediatric Trauma Systems Emergency Medical Services for<br />

Outcomes Study Design Panel Children<br />

Professional Societies:<br />

1993- American Academy of Pediatrics<br />

3


Section on Surgery Member<br />

1994- American College of Surgeons Fellow<br />

1996- American Pediatric Surgical Assoc. Member<br />

1998- Eastern Assoc. for the Surgery of Trauma Member<br />

1999- Massachusetts Medical Society Member<br />

1999- American College of Surgeons<br />

Massachusetts Chapter Member<br />

1999- Boston Surgical Society Member<br />

2004- American Academy of Pediatrics<br />

Section on Epidemiology Member<br />

2005- New England Surgical Society Member<br />

2008- American Academy of Pediatrics<br />

Section on Injury, Violence Member<br />

and Poison Prevention<br />

Narrative Report:<br />

I am a full time pediatric surgeon with a particular research and clinical interest in the field<br />

of childhood injury. Injury remains the number one health problem facing children in our<br />

nation, each year responsible for more deaths and disabilities than all other causes<br />

combined. <strong>The</strong> components of my practice, which deal with pediatric injury, include<br />

clinical care, research, teaching and injury prevention.<br />

As the Director of the Trauma Program at Children’s Hospital Boston, I oversee the<br />

activities of one of the nation’s busiest pediatric trauma clinical services. I am responsible<br />

for the clinical care provided to trauma patients in every area in the institution and regularly<br />

analyze each element of their care to disclose areas of potential improvement. Records on<br />

nearly 1,000 injured children per year are reviewed. I provide the direct care to patients<br />

with multiple injuries or those with injuries typically cared for by general surgeons.<br />

I conduct a number of research projects, all directed toward finding the best ways to care for<br />

injured children. I have developed a unique population-based childhood injury dataset, the<br />

New England Pediatric Dataset. Analysis of this resource has disclosed variation in the<br />

management of children with splenic injuries in northern New England, depending upon the<br />

training of the treating physician. Further analysis of this dataset has demonstrated marked<br />

changes in the management of injured children over the past decade, and its contents will be<br />

used to direct future pediatric trauma system development.<br />

I have served as the Chair of the Trauma Committee of the American Pediatric Surgical<br />

Association for the past 2 years and have directed the metamorphosis of that group into a<br />

multi-center study group focused on pediatric injuries and their management. In the first<br />

study, data from 20 Children’s hospitals is being accrued and a second study is currently in<br />

the design phase.<br />

I participate in teaching on a daily basis. All of my patient care is done in conjunction with<br />

pediatric surgical fellows, housestaff and medical students. This is done in the Emergency<br />

Department, patient bedside and in the operating room. In addition, I actively participate in<br />

educational programs for community physicians, nurses, and paramedics. I conduct a series<br />

of multidisciplinary trauma simulation sessions to provide crisis resource management<br />

education to our hospital’s trauma care providers.<br />

Injury prevention efforts are done in cooperation with the Community Benefits Department<br />

of the Children’s Hospital Boston and the development and dissemination of injury<br />

prevention materials to the public. A study of childhood injury in the city of Boston is<br />

4


underway to best direct prevention efforts. Also, I routinely provide public information<br />

concerning childhood injury and its prevention to the media.<br />

Central nervous system injury is the primary etiology of death in injured children and<br />

current management techniques have little effect. I have spearheaded the development of a<br />

<strong>Brain</strong> Trauma Program at Children’s Hospital Boston to optimize the management of these<br />

children though an evidence-based plan of care, translational research into new<br />

management strategies, education concerning their care and a directed prevention program.<br />

In addition, participate in several local, regional and national committees related to<br />

childhood injury. Local committees include the Board of Directors of the Boston<br />

Metropolitan Emergency Medical Services and its Trauma Subcommittee. Regional<br />

committees include the Massachusetts State Trauma Committee and the Committee on<br />

Trauma of the Massachusetts chapter of the American College of Surgeons. National<br />

committees include the Committee on Trauma of the American College of Surgeons.<br />

Other Duties:<br />

1987-2002 U.S. Army Medical Reserves Major (ret.)<br />

2002- National Disaster Medical System<br />

International Med/Surg Response Team Member<br />

Pediatric Surgical Team-1 Member<br />

2008 Operation Smile/Partners in Health Surgeon<br />

Henche, Haiti<br />

Editorial Boards:<br />

1995 Reviewer Current Surgery<br />

2000- Reviewer Journal of Pediatric Surgery<br />

2000- Reviewer Annals of Emergency Medicine<br />

2003- Reviewer Pediatric Emergency Care<br />

2004- Reviewer Journal of Trauma<br />

2004- Reviewer Pediatrics<br />

2005- Reviewer Journal of the Am. Med. Assoc.<br />

2005- Reviewer Journal of the Am. Coll. Surg.<br />

2005- Reviewer New England Journal of Med.<br />

2007- Section Editor Up to Date<br />

Research Funding:<br />

1994-1996 Maternal Child Health Bureau Co-PI Special Kids Emergency<br />

$150,000/year for 2 years Information <strong>Project</strong><br />

1995-1997 Quechee Lakes Landowners Assoc. PI Effect of Ketorolac on<br />

$1,000 Pediatric Postoperative Pain<br />

1996-1998 Maternal Child Health Bureau Co-PI Pediatric Traumatic<br />

$150,000/year for 2 years <strong>Brain</strong> Injury Toolkit for<br />

Families<br />

1996-1997 Hitchcock Foundation Co-PI An Assessment Protocol<br />

$6,460 for Predicting Pedi PTSD<br />

1997-1999 Maternal Child Health Bureau PI Implementation of <strong>The</strong> N.H.<br />

5


$75,400/yr. Pediatric Trauma <strong>Plan</strong><br />

1997-1998 Department of Surgery PI <strong>The</strong> New England Pediatric<br />

Dartmouth Medical School Trauma Dataset<br />

$1,100<br />

1998-1999 Hitchcock Foundation PI <strong>The</strong> New England Pediatric<br />

$1,000 Trauma Dataset<br />

1999 Harmes’ Surgical Scholar Award PI <strong>The</strong> New England Pediatric<br />

$17,400/year for 3 years Trauma Dataset<br />

2002-7 Robert Wood Johnson Foundation PI Injury Free Coalition Boston<br />

$150,000/year<br />

2002 Massachusetts Charitable Society PI Injury Free Coalition Boston<br />

$15,000<br />

2003 Mass. Charitable Fire Society PI Injury Free Coalition Boston<br />

$24,500<br />

2004 American Trauma Society PI Safer Homes Program<br />

$10,000<br />

2006-8 Private Fundraising PI Children’s CNS Injury Center<br />

$125,000<br />

2007-8 Private Fundraising PI Children’s CNS Injury Center<br />

$62,500<br />

2007-8 Corporate Fundraising PI Children’s <strong>Brain</strong> Injury Program<br />

$~84,000<br />

2008-2009 Corporate Fundraising PI Children’s <strong>Brain</strong> Injury Program<br />

$~111,000<br />

Book Chapters:<br />

1. Garcia V. and Mooney DP, Thoracic Injury. In "Operative Pediatric Surgery", Azizkjan<br />

R, Weber T and Ziegler M (eds), McGraw-Hill, New York, NY.<br />

2. Eichelberger M and Mooney DP, Abdominal Injury. In "Operative Pediatric Surgery",<br />

Azizkjan R, Weber T and Ziegler M (eds), McGraw-Hill, New York, NY.<br />

3. Vitale M and Mooney DP. Long-term Outcome in Injured Children. In "Pediatric<br />

Trauma: Pathophysiology, Diagnosis, and Treatment" Wesson D, Cooper A, Scherer T,<br />

Tuggle D and Stylianos S, (eds), Marcel Dekker, (in press).<br />

4. Mooney DP. Multiple Trauma-Solid Spleen and Liver Injury, In: Current Opinion in<br />

Pediatrics. M. Ziegler (ed), 2002.<br />

5. Waltzman ML and Mooney DP. Major Trauma. In: Emergency Medicine. Fleisher G<br />

etal, Lippincott Williams and Williams, Philadelphia, PA, 2006.<br />

6. Mooney DP. Approach to the Pediatric Trauma Patient, In: Pediatric Surgery. Oldham K<br />

etal, Lippincott Williams and Williams, Philadelphia, PA, 2005.<br />

Journal Articles:<br />

1. Weber TR, Lewis JE, Mooney DP, Connors RH. Duodenal atresia: a comparison<br />

of techniques of repair. J Pediatric Surgery 1986;21:1133-6.<br />

6


2. Mooney DP, Lewis JE, Connors RH, Weber TR. Newborn duodenal atresia: an<br />

improving outlook. American J Surgery 1987;153:347-9.<br />

3. Mooney DP, Gamelli RL, O'Reilly M, Hebert JC. Recombinant human<br />

granulocyte colony-stimulating factor and Pseudomonas burn wound sepsis.<br />

Archives of Surgery 1988;123:1353-7.<br />

4. Mooney DP, O'Reilly M, Gamelli RL. Tumor necrosis factor and wound healing.<br />

Annals of Surgery 1990;211:124-9.<br />

5. Mooney DP, Gamelli RL. Sepsis following thermal injury. Comprehensive<br />

<strong>The</strong>rapy 1989;15:22-9.<br />

6. Bailey PV, Tracy TF Jr, Connors RH, Mooney DP, Lewis JE, Weber TR.<br />

Congenital duodenal obstruction: a 32-year review. J Pediatr Surgery 1993;28:92-95.<br />

7. Mooney DP, Snyder CL, Holder TL. An absent left superior vena cava and<br />

persistent right superior vena cava in an infant requiring extracorporeal membrane<br />

oxygenation. J Pediatr Surgery 1993;28:1633-1634.<br />

8. Dowd MD, Fitzmaurice L, Knapp JF, Mooney DP. <strong>The</strong> Interpretation of<br />

Urogenital Findings in Children with Straddle Injuries. J Pediatr Surgery<br />

1994;29:7-10.<br />

9. Malcynski JT, Shorter NA, Mooney DP. <strong>The</strong> Proximal Mesenteric Flap: A method<br />

for closing large mesenteric defects in jejunal atresia. J Pediatr Surgery<br />

1994;29:1607-1608.<br />

10. Shorter NA, Mooney DP. At 18 weeks gestation an otherwise normal boy was<br />

found, through routine ultrasonography, to have an abdominal cystic mass<br />

(letter). J Pediatr Surgery 1995;31:1632-1633.<br />

11. Mooney DP, Sargent SK, Pluta D, Mazurek P. Spiral CT: use in the evaluation of<br />

chest masses in the critically ill neonate. Pediatric Radiology 1996;26:15-18.<br />

12. Mooney DP, Malcynski J, Gupta R, Shorter NA. An unusual case of penetrating<br />

cardiac injury in a child. J Pediatric Surgery 1996;31:707-708.<br />

13. Mooney DP, Steinthorrson G, Shorter NA. Perinatal Intussusception in<br />

Premature Infants. J Pediatric Surgery 1996;31:695-697.<br />

14. Curtis M, Mooney DP, Vaccaro T, Williams JC, Cendron M, Shorter NA,<br />

Sargent SK. Prenatal Ultrasound Characterization of the Suprarenal Mass: <strong>The</strong><br />

Distinction between Neuroblastoma and Subdiaphragmatic Extralobar<br />

Pulmonary Sequestration. J Ultrasound in Medicine 1997;16:75-83.<br />

15. Shorter NA, Jensen PE, Harmon BJ, Mooney DP. Skiing Injuries in Children and<br />

Adolescents. J Trauma 1996;40:997-1001.<br />

16. Shorter NA, Weninghaus K, Mooney DP, Harmon BJ, Graham A. Furuncular<br />

Ceterebrid Myiasis. J Pediatr Surgery 1997;32:1511.<br />

17. Shorter NA, Mooney DP, Harmon BJ. Modifications of Bishop's Method for<br />

Pediatric Gastrostomy Closure. American Surgeon 1997;63:559-560.<br />

18. Shorter NA, Thompson MD, Mooney DP, Modlin JF. Surgical Aspects of an<br />

Outbreak of Yersinia Enterocolitis. Pediatric Surgery International 1998;13:2-5.<br />

19. Mooney DP, Shorter NA. Slipping Rib Syndrome in Childhood J Pediatric<br />

Surgery 1998;32:1081-1082.<br />

Journal Articles (continued):<br />

20. Mooney DP, Birkmeyer NJO, Udell JV, Shorter NA. Variation in the<br />

Management of Pediatric Splenic Injuries in New Hampshire. J Pediatric Surgery<br />

1998;33:1076-1080.<br />

7


21. Liu J, Shorter NA, Mooney DP. Teenage Driving Fatalities. J Pediatric Surgery<br />

1998; 33:1088-9.<br />

22. Shorter NA, Mooney DP, Harmon BJ. Snowboarding Injuries in Children and<br />

Adolescents. American Journal of Emergency Medicine 1999;117:261-3.<br />

23. Henderson EL, Mooney DP, Birkmeyer NJO, Udell JV, Shorter NA. Variation in<br />

the Management of Pediatric Splenic Injuries in Northern New England. J<br />

Surgical Outcomes 1999;1:41-44.<br />

24. Shorter NA, Liu J, Mooney DP, Harmon BJ. Indomethacin-Associated Bowel<br />

Perforations A Study of Risk Factors. J Pediatric Surgery 1999; 34:442-4.<br />

25. Shorter NA, Mooney DP, Harmon BJ. Childhood Sledding Injuries. American<br />

Journal of Emergency Medicine 1999; 17:32-4.<br />

26. Deans K, Mooney DP, Meyer MM, Shorter NA. Prolonged Prenatal Exposure to<br />

Amniotic Fluid Does Not Result in Intestinal Peel Formation in Gastroschisis. J<br />

Pediatr Surg 1999: 34:975-6.<br />

27. Daviss WB, Mooney DP, Racusin R, Ford J, Fleischer A, McHugo GJ.<br />

Predicting post-traumatic stress after hospitalization for pediatric injury,<br />

J Amer Acad Child and Adol Psychiatry 2000; 39:5, 569-75.<br />

28. Daviss WB, Racusin R, Fleischman A, Mooney DP, Ford J, McHugo. Acute<br />

stress disorder symptomatology during hospitalization for pediatric injury,<br />

J Amer Acad Child and Adol Psychiatry 2000; 39:576-83.<br />

29. Sargent SK, Foote SL, Mooney DP, Shorter NA. <strong>The</strong> Posterior Approach to<br />

Pyloric Sonography, Pediatric Radiology 2000; 30:256-7.<br />

30. Shorter NA, Mooney DP, Vaccaro TJ, Sargent SK. Hydrostatic Balloon Dilation of<br />

Congenital Esophageal Stenoses Associated with Esophageal Atresia. J Pediatr Surg<br />

2000; 12:1742-1745.<br />

31. Puder M, Mooney DP. Hepatic Exstrophy. J Pediatric Surg 2002; 37:1203-1204.<br />

32. Walsh BM, Mooney DP, Bailey MC. Severe Penetrating Trauma in the First Year of<br />

Life. Pediatrics (in press).<br />

33. McDonald J, Mooney DP. Hypokalemia in Pediatric Trauma Patients, a Benign<br />

Laboratory Abnormality, J Trauma 54(1):197, 2003.<br />

34. Mooney DP. Kids and Complications – What You Need to Know. PanAmerican<br />

Journal of Trauma 2004; 11(1):17-19.<br />

35. Mooney DP, Forbes P. Trends in Pediatric Trauma Care in New England J Trauma<br />

2004; 57(6):1241-1245.<br />

36. Mooney DP, Forbes P. Variation in the Management of Pediatric Splenic Injuries in<br />

New England, J Trauma 2004; 56(2):328-333.<br />

37. Leinwand M, Atkinson C, Mooney DP. Application of the APSA Evidence based<br />

Guidelines for Isolated Liver or Splenic Injury: A Single Institution Experience, J Ped<br />

Surg 2004; 39(3): 487-490.<br />

38. Zahir US, Ward VL, Mooney DP etal. Congenital Adrenocortical Adenoma. Ped<br />

Radiology 2004; 34(12)991-4.<br />

Journal Articles (continued):<br />

39. Mooney DP, Downard CD, Johnson S, Atkinson C, Forbes P, Taylor GW.<br />

Physiologic Status following isolated Pediatric Splenic Injury Correlates with<br />

Computerized Tomographic Injury Grading J Trauma 2005; 58(1):108-111.<br />

8


40. Waltzman M, Baskin M, Wypij D, Mooney DP etal. Randomized Trial of the<br />

Management of Esophageal Coins in Children. Pediatrics 2005; 116 614-619.<br />

41. Holmes JH, Wiebe DJ, Tataria M, Mattix KD, Mooney DP etal. <strong>The</strong> Failure of<br />

Nonoperative Management in Pediatric Solid Organ Injury: A Multi-institutional<br />

Experience. J Trauma 2005; 59, 1309-1313.<br />

42. Capraro AJ, Mooney DP, Waltzman ML. <strong>The</strong> Use of Routine Laboratory Studies as<br />

Screening Tools in Pediatric Abdominal Trauma. Ped Emerg Care 2006; 22(7), 1-5.<br />

43. Mooney DP, Rothstein DH, Forbes PW. Variation in the Management of Pediatric<br />

Splenic Injuries in the United States. J Trauma 2006; 61(2):330-333.<br />

44. Flood RG and Mooney DP. Rate and Prediction of Traumatic Injuries Detected by<br />

Abdominal Computed Tomography Scan in Intubated Children. J Trauma 2006;<br />

61(2):340-345.<br />

45. Ban KM, Mannelli F, Messineo A, Frassineti M, Barkin R, Mooney DP, et al.<br />

Building a trauma center and system in Tuscany, Italy. Intern Emerg Med 2006; 1(4):<br />

302-4.<br />

46. Mattix KD, Tataria M, Holmes J, Kristoffersen K, Brown R, Groner J, Scaife E,<br />

Mooney D etal. Pediatric pancreatic trauma: Predictors of nonoperative management<br />

failure and associated outcomes. J Ped Surg 2007; 42(2): 340-344.<br />

47. Gutweiler JR and Mooney DP. Pediatric trauma care: a profitable enterprise? J Ped<br />

Surg 2007; 42(6): 1043-5.<br />

48. Kristoffersen KW and Mooney DP. Long-term outcome of nonoperative pediatric<br />

splenic injury management. J Ped Surg 2007; 42(6): 1038-41.<br />

49. Tataria M, Nance ML, Holmes JH, Miller CC, Mattix KD, Brown RL, Scherer LR,<br />

Mooney DP etal. Pediatric blunt abdominal injury: age is irrelevant and delayed<br />

operation is not detrimental. J Trauma 2007; 63(3): 608-614.<br />

50. Mace SE, Brown LA, Francis L, Godwin SA, Hahn SA, Howard PK, Kennedy RM,<br />

Mooney DP, etal. EMSC Panel on Critical Issues in the Sedation of Pediatric Patients<br />

in the Emergency Department. J Emerg Nurs 2008; 34(3): e33-107.<br />

51. Mace SE, Brown LA, Francis L, Godwin SA, Hahn SA, Howard PK, Kennedy RM,<br />

Mooney DP, etal. EMSC Panel on Critical Issues in the Sedation of Pediatric Patients<br />

in the Emergency Department. Ann Emerg Med 20008; 51(4): 378-99.<br />

Abstracts:<br />

1. Silver GM, O'Reilly M, Mooney DP, Gamelli RL: <strong>The</strong> beneficial effect of<br />

Granulocyte Colony-Stimulating Factor (G-CSF) in combination with Gentamicin<br />

upon survival following Pseudomonas burn wound infection. Society of University<br />

Surgeons, Baltimore, MD, Feb, 1989.<br />

2. Bailey P, Mooney DP, Lewis E, Connors R, Tracy A., Weber T: Congenital duodenal<br />

obstruction: a 32 year review. World Pediatric Surgical Society, Toronto, Ontario,<br />

1989.<br />

Abstracts (continued):<br />

3. Shorter NA, Jensen PE, Harmon BJ, Mooney DP: Pediatric Skiing Injuries. British<br />

Association of Pediatric Surgeons, Sheffield, England, 1995.<br />

4. Mooney DP, Shorter NA: Slipping Rib Syndrome in Childhood. American Academy<br />

of Pediatrics Surgical Section, Boston, MA, October, 1996.<br />

9


5. Mooney DP, Udell JV, Shorter NA: Variation in Management of Pediatric Splenic<br />

Injuries, American Academy of Pediatrics Surgical Section, New Orleans, LA,<br />

October, 1997.<br />

6 Liu J, Shorter NA, Mooney DP: Fatal Adolescent Motor Vehicle Accidents in a<br />

Rural State, American Academy of Pediatrics Surgical Section, New Orleans, LA,<br />

October, 1997.<br />

7. Henderson EL, Mooney DP, Birkmeyer NJO, etal: Variation in the Management of<br />

Pediatric Splenic Injuries in Northern New England. Winner, Clinical Section,<br />

American College of Surgeons Comm. on Trauma Region I, Resident Trauma<br />

Research Competition, Boston, MA, Dec. 1997.<br />

8. Henderson EL, Mooney DP, Birkmeyer NJO, etal: Variation in the Management of<br />

Pediatric Splenic Injuries in Northern New England. National Winner, Clinical<br />

Section, American College of Surgeons Comm. on Trauma, Resident Trauma<br />

Research Competition, Chicago, IL, Mar. 1998.<br />

9. Mooney DP, Daviss WB, Racusin WR, etal: <strong>The</strong> Development of a Screening Tool<br />

for Post-Traumatic Stress Disorder among Children, American Academy of Pediatrics<br />

Surgical Section, San Francisco, CA, October, 1998.<br />

10. Johnson S, Mooney DP. Coagulopathy following brain injury. Presented at the<br />

Massachusetts Chapter of the American College of Surgeons Committee on Trauma<br />

Resident Research Competition, Boston, MA, 1999.<br />

11. Walsh B, Mooney DP, DiScala C, Bailey MC. Significant penetrating injuries in<br />

infants. American Academy of Pediatrics, Emergency Medicine Section, Boston, MA,<br />

May, 2000.<br />

12. Bailey MC, DiScala C, Mooney DP. Injuries in children under 1 year of age.<br />

American Academy of Pediatrics, Emergency Med. Section, Boston, MA, May, 2000.<br />

13. Walsh B, Atkinson C, Mooney DP. Utility of coagulation profiles in pediatric trauma.<br />

American Academy of Pediatrics, Emergency Medicine Section, Boston, MA, May,<br />

2000.<br />

14. Johnson S, Atkinson C, Mooney DP. <strong>The</strong> value of prothrombin and activated<br />

thromboplastin time assay in brain injured children. 5 th International Conference on<br />

Pediatric Trauma, Vail, CO, June, 2000.<br />

15. Johnson S, Atkinson C, Bailey MC, DiScala C, Mooney DP. Trauma in infancy. 5 th<br />

International Conference on Pediatric Trauma, Vail, CO, June, 2000.<br />

16. Johnson S, Atkinson C, Mooney DP. Trends in pediatric trauma care in New England.<br />

5 th International Conference on Pediatric Trauma, Vail, CO, June, 2000.<br />

17. Mooney DP and Johnson S. Changing inpatient pediatric trauma care in New<br />

England. Surgical Section, American Academy of Pediatrics, Chicago, IL, October,<br />

2000.<br />

Abstracts (continued):<br />

18. Johnson S, Atkinson C, Taylor GA, Mooney DP. Hemodynamic status following<br />

isolated pediatric splenic injury correlates with computerized tomographic injury<br />

grade. Surgical Section, American Academy of Pediatrics, Chicago, IL, October,<br />

2000.<br />

10


19. Downard C and Mooney DP. Pediatric surgeons provide the majority of pediatric<br />

injury care in New England. American Pediatric Surgical Association, Naples, FL,<br />

May, 2001.<br />

20. Downard C and Mooney DP. Prospectively determining the impact of proposed<br />

volume and severity criteria upon pediatric trauma centers. Residents' Trauma<br />

Research Competition, Committee on Trauma, American College of Surgeons, MA<br />

State Competition, November, 2001.<br />

21. Downard C and Mooney DP. Prospectively determining the impact of proposed<br />

volume and severity criteria upon pediatric trauma centers. Residents' Trauma<br />

Research Competition, Committee on Trauma, American College of Surgeons, MA<br />

Region I Competition, December, 2001.<br />

22. Downard C and Mooney DP. Prospectively determining the impact of proposed<br />

volume and severity criteria upon pediatric trauma centers. American Pediatric<br />

Surgical Association, Phoenix, AZ, May 2002.<br />

23. Leinwand MJ, Atkinson CC, and Mooney DP. Application of the APSA evidencebased<br />

guidelines for isolated liver or spleen injuries. Residents' Trauma Research<br />

Competition, Committee on Trauma, American College of Surgeons, MA State<br />

Competition Clinical Science winner, November, 2002.<br />

24. Leinwand MJ, Atkinson CC, and Mooney DP. Application of the APSA evidencebased<br />

guidelines for isolated liver or spleen injuries. Residents' Trauma Research<br />

Competition, Committee on Trauma, American College of Surgeons, Region I<br />

Competition, December, 2002.<br />

25. Fuchs, JR, Kaehler N, and Mooney DP. <strong>The</strong> Impact of Surgical Approach on<br />

Pyloromyotomy. American Pediatric Surgical Association, Fort Lauderdale, FL, May<br />

2003.<br />

26. Leinwand MJ, Atkinson CC, and Mooney DP. Application of the APSA evidencebased<br />

guidelines for isolated liver or spleen injuries. American Pediatric Surgical<br />

Association, Fort Lauderdale, FL, May, 2003.<br />

27. Rothstein D, Forbes P, and Mooney DP. Variation in the management of pediatric<br />

splenic injuries in the United States. Residents' Trauma Research Competition,<br />

Committee on Trauma, American College of Surgeons, MA State Competition<br />

Clinical Science Winner, November, 2003.<br />

28. Rothstein D, Forbes P, and Mooney DP. Variation in the management of pediatric<br />

splenic injuries in the United States. Residents' Trauma Research Competition,<br />

Committee on Trauma, American College of Surgeons, Region 1 Competition,<br />

November, 2003.<br />

29. Waltzman ML, Baskin M, Wypij D, Mooney DP, etal. Randomized Trial of Two<br />

Strategies for the Management of Esophageal Coins in Children, Society for<br />

Pediatric Research, San Francisco, CA, May, 2004.<br />

Abstracts (continued):<br />

30. Capraro M, Waltzman ML, Taylor GA, Mooney DP, Shannon M. Utility of routine<br />

trauma labs in the evaluation of pediatric abdominal trauma in the age of CT, Society<br />

for Pediatric Research, San Francisco, CA, May, 2004.<br />

31. Mooney DP and Forbes P. <strong>The</strong> Use of Administrative Data to Determine Injury<br />

Prevention Priorities, World Health Organization, Vienna, June, 04.<br />

11


32. Djakovic A and Mooney DP. Five hundred consecutive solid organ injuries in<br />

children. Residents’ Trauma Research Competition, Committee on Trauma, American<br />

College of Surgeons, MA State Competition Clinical Science winner, Nov, 2004.<br />

33. Djakovic A and Mooney DP. Five hundred consecutive solid organ injuries in<br />

children. Residents’ Trauma Research Competition, Committee on Trauma, American<br />

College of Surgeons, Region 1 Competition, November, 2004.<br />

34. Ross J, Forbes P, Mooney DP. Establishing a new baseline: National pediatric trauma<br />

epidemiology. American Public Health Association, Washington, D.C., December,<br />

2004.<br />

35. Rothstein D, Forbes P, Mooney DP. Variation in the Management of Pediatric<br />

Splenic Injuries in the United States. American Public Health Association,<br />

Washington, D.C., December, 2004.<br />

36. Djakovic A and Mooney DP. Five hundred consecutive solid organ injuries in<br />

children. 24 th International Pediatric Surgical Symposium, Obergurgl, Austria,<br />

January, 2005.<br />

37. Tataria M, Nance ML, Holmes JH, Miller CC, Mattix KD, Brown RL, Scherer LR,<br />

38. Mooney DP etal. Pediatric blunt abdominal injury: age is irrelevant and delayed<br />

operation is not detrimental. American Association for the Surgery of Trauma,<br />

Atlanta, GA, September, 2005.<br />

39. Gutweiler J and Mooney DP. Pediatric trauma care, a profitable enterprise?<br />

Residents’ Trauma Research Competition, Committee on Trauma, American College<br />

of Surgeons, MA State Competition, November, 2005.<br />

40. Fleegler EW, Lee LK, Forbes PW, Mooney DP. Million Dollar Zip Codes: A Spatial<br />

Analysis of Pediatric Injury Care. Pediatric Academic Society, San Francisco, CA,<br />

May, 2006.<br />

41. Lee LK, Forbes PW, Fleeger EW, Olson K, and Mooney DP. <strong>The</strong> New Pediatric<br />

Pyramid of Injury. Pediatric Academic Society, San Francisco, CA, May, 2006.<br />

42. Gutweiler JR and Mooney DP. Pediatric Trauma Care: A Profitable Enterprise?<br />

Surgical Section of the American Academy of Pediatrics, Atlanta, GA, October, 2006.<br />

43. Mattix KD, Tataria M, Holmes J, Kristoffersen K, Brown R, Groner J, Scaife E,<br />

Mooney D etal. Pediatric pancreatic trauma: Predictors of nonoperative management<br />

failure and associated outcomes. British Association of Pediatric Surgery, Stockholm,<br />

Sweden, July, 2006.<br />

44. Kristoffersen K and Mooney DP. Long term outcome of nonoperative management of<br />

pediatric splenic injuries. Surgical Section of the American Academy of Pediatrics,<br />

Atlanta, GA, October, 2006.<br />

45. Gutweiler J and Mooney DP. Pediatric trauma care, a profitable enterprise? Mass.<br />

Chapter American College of Surgeons. Burlington, MA, November, 2006.<br />

Abstracts (continued):<br />

46. Gutweiler J, Kristoffersen K and Mooney DP. Long term outcome of nonoperative<br />

management of pediatric splenic injuries. Resident trauma research competition,<br />

Committee on Trauma, American College of Surgeons, MA State Competition,<br />

November, 2006.<br />

12


47. Kangas KK, Lee LK, Forbes P, Osganian SK, and Mooney DP. A home visitor<br />

program for improving home safety in a low-income community. Injury Free<br />

Coalition for Kids Annual Meeting, Ft. Lauderdale, FL, December 2006.<br />

48. Gutweiler J, Mooney DP. <strong>The</strong> impact of trauma system development of pediatric<br />

trauma care in New England. American College of Surgeons, MA State Competition,<br />

November, 2007.<br />

49. Gutweiler J, Mooney DP. A single institution series of 800 children with solid organ<br />

injuries. American College of Surgeons, MA State Competition, November, 2008.<br />

50. Gutweiler J, Mooney DP. A single institution series of 800 children with solid organ<br />

injuries. Accepted for podium presentation, American Pediatric Surgical Association,<br />

Puerto Rico, May, 2009.<br />

Invited Presentations:<br />

National Meetings:<br />

1. American College of Surgeons Committee on Trauma Resident’s Research<br />

Competition, Vermont Chapter, Burlington, VT, November, 1987.<br />

2. American College of Surgeons Committee on Trauma Resident’s Research<br />

Competition, Vermont Chapter, Burlington, VT, November, 1988.<br />

3. Pediatric Surgery Resident’s Conference, Boston, MA, November, 1988.American<br />

College of Surgeons Committee on Trauma Resident’s Research<br />

Competition, Region 1 Finals, Boston, MA, January 1988.<br />

4. American College of Surgeons Committee on Trauma Resident’s Research<br />

Competition, National Finals, Nashville, TN, February 1988.<br />

5. Seminar and Round Table Discussion, Genentech Corp., San Francisco, CA,<br />

February 1988.<br />

6. Seminar, Ethicon Corp., Somerville, NJ, May, 1988.<br />

7. Surgical Infection Society, San Francisco, CA, May, 1988.<br />

8. John H. Davis Society Scientific Session, Williston, VT, June 1989.<br />

9. Scientific Session, American College of Surgeons Clinical Congress, Chicago, IL,<br />

October, 1988.<br />

11. Emergency Medical Services for Children <strong>Project</strong> Meeting, Washington, D.C.,<br />

February 1995.<br />

12. Emergency Medical Services for Children <strong>Project</strong> Meeting, Washington, D.C.<br />

February 1996.<br />

13. Surgical Section, American Academy of Pediatrics, Boston, MA, October, 1996<br />

14. Surgical Section, American Academy of Pediatrics, New Orleans, LA, October,<br />

1997.<br />

15. Panel Discussant, American College of Surgeons Clinical Congress, Orlando, FL,<br />

October, 1998.<br />

Invited Presentations:<br />

National Meetings (continued):<br />

16. Surgical Section, American Academy of Pediatrics, San, Francisco, CA, October<br />

1998.<br />

17. National Congress on Childhood Emergencies, Washington, D.C. March, 2000.<br />

18. Emergency Care of Children, Urgent to Emergent, Cambridge, MA, April, 2000.<br />

13


19. Falmouth Regional Trauma Conference, Falmouth, MA, March, 2000.<br />

20. Christiana Trauma Conference, Dover, DE, May, 2000.<br />

21. Caritas Health Emergency Care Conference, Brighton, MA, May, 2000.<br />

22. Pediatric Critical Care Colliqium, San Diego, CA, October 5, 2002.<br />

23. World Congress on Pediatric Critical Care, Boston, MA, April, 2003.<br />

24. Senior Author, APSA, Fort Lauderdale, FL, May 2003<br />

25. Senior Author, APSA, Fort Lauderdale, FL, May 2003<br />

26. Trauma Critical Care Point Counterpoint, Atlantic City, NJ, June, 2003.<br />

27. Injury Free Coalition for Kids, Fort Lauderdale, FL, December, 2003.<br />

28. American Trauma Society, Roslynn, VA, May, 2004.<br />

29. Advances in Trauma Care, Kansas City, MO, December, 2007.<br />

30. Society of Trauma Nurses, Las Vegas, NV, March, 2007.<br />

31. American Academy of Pediatrics, Boston, MA, October, 2008.<br />

Regional Conferences:<br />

1. Southern N.H. Chapter, American Assoc. of Critical Care Nurses, November 1, 1993.<br />

2. Challenges in Critical Care, Nashua, N.H., March 2, 1994.<br />

3. Yours, Mine and Ours Conference, Cook Center, Dartmouth College, March 10, 1994.<br />

4. North Country Consortium, Lincoln, NH, April 21, 1994.<br />

5. Keynote address, Vermont School Nurses' Assoc., Manchester, V.T., May 6,1994.<br />

6. Emergency Care Conference, Cook Center, Dartmouth College, September 9, 1994.<br />

7. North Country Consortium, Plymouth, NH, September 21, 1994.<br />

8. Challenges in Critical Care, Nashua, NH, March 1, 1995.<br />

9. North Country Chapter, American Association of Critical Care Nurses, April 29, 1995.<br />

10. Surgical Grand Rounds, Lahey-Hitchcock Clinic, Burlington, MA, September 6, 1995.<br />

11. Issues in Trauma Care, Dartmouth-Hitchcock Medical Center, October 1995.<br />

12. Current Trends in Pediatrics Conference, Waterville Valley, N.H., February 29, 1996<br />

13. Yours, Mine and Ours Conference, Woodstock Inn, Woodstock, VT, March 7, 1996.<br />

14. Vermont EMS Conference, Burlington, VT, April 13, 1996.<br />

15. Pediatrics Conference, Eastern Maine Medical Center, Bangor, ME, January 15, 1997.<br />

16. New England Regional Trauma Conference, Burlington, MA, November 7, 1997.<br />

17. Concord Hospital Trauma Conference, Concord, NH, November 13, 1997.<br />

18. New England Regional Trauma Conference, Burlington, MA, December, 1998.<br />

19. New England Regional Trauma Conference. Panel Member, Burlington, MA Dec.,<br />

1999.<br />

20. Falmouth Trauma Conference, Falmouth, MA, March, 2000.<br />

21. Emergency Medical Services for Children 2000, Baltimore, M.D., March, 2000.<br />

22. Injuries to Children: From minor to major trauma, Boston, M.A., April, 2000.<br />

Regional Conferences (continued):<br />

23. Trauma Symposium 2000, Newark, DE, May, 2000.<br />

24. Point/Counterpoint, Atlantic City, N.J., May, 2000.<br />

25. New England Regional Trauma Conference, Burlington, MA, December, 2001.<br />

26. Rhode Island Society for Resp. Care Annual Conference, Newport, RI, April 3, 2002.<br />

27. Falmouth Trauma Conference, Falmouth, MA, March, 2002.<br />

28. New England Spinal Cord Conference, Boston, MA, November, 2002<br />

14


29. Kansas Trauma Conference, Wichita, KS, June, 2003.<br />

30. Dartmouth Trauma Conference, Lebanon, NH, October, 2003.<br />

31. New England EMS for Children Meeting, Newport, RI, November, 2003.<br />

32. New England Regional Trauma Conference, Burlington, MA, November, 2003<br />

33. New England Regional Trauma Conference, Burlington, MA, November, 2004.<br />

34. Long Island Pediatric Trauma Conference, Long Island, NY, November, 2004.<br />

35. New Hampshire Trauma Conference, Concord, NH, April, 2005.<br />

36. Delaware Trauma Conference, Dover, DE, May, 2005.<br />

37. VT Emergency Nurses’ Conference, Mt. Ascutney, VT, November, 2005.<br />

38. Massachusetts General Hospital Trauma Conference, Boston, MA November, 2006.<br />

39. Meyer Children’s Hospital, Florence, Italy, May, 2007.<br />

40. Frontiers in Pediatrics, Waltham, MA, March, 2008.<br />

41. Surgical Grand Rounds, Lawrence, MA, March, 2008.<br />

42. Berkshire Trauma Conference, Pittsfield, MA, March, 2008<br />

43. New Hampshire Trauma Conference, Manchester, NH, October, 2008.<br />

44. New England Regional Trauma Conference, Worcester, MA, October, 2008.<br />

45. Denver Trauma Conference, Aurora, CO, November, 2008.<br />

46. Boston Med Flight Prehospital Conference, Burlington, MA, November, 2008<br />

Media Interviews:<br />

1. WMUR Television Interview, <strong>The</strong> NH Pediatric Trauma <strong>Plan</strong>, June 1997.<br />

2. XL92 Radio Interview, Childhood Injury, December 1997.<br />

3. WMUR Television Interview, Pediatric Trauma in NH, September 1998.<br />

4. WCVB Television Interview regarding Post-Traumatic Stress Disorder October 1999.<br />

5. Boston Herald Newspaper Interview regarding Scooter Injuries, October 2000.<br />

6. Parent Magazine regarding Sledding Injuries, December 2000.<br />

7. Television interview regarding scooter injuries, March 2002.<br />

8. Television interview regarding driveway injuries, May 2003.<br />

9. Television interview regarding mini-motorcycles, July 2004.<br />

10. Television interview regarding school bus safety, CNN, April 2005.<br />

11. Interview with Boston Globe regarding early childhood injuries, November, 2005.<br />

12. Interview with Parent Magazine regarding car safety, November, 2005.<br />

13. Interview with Child Magazine regarding ski safety, July, 2006.<br />

14. Interview with Wall Street Journal regarding experimental therapies, August, 2006.<br />

15. Parent magazine regarding the care of minor injuries, June, 2007.<br />

16. Live interview with NESN at Red Sox game about brain injuries, July, 2007.<br />

17. Interview with WBZN about sledding injuries, December, 2007.<br />

Invited Paper Discussant:<br />

Association for Academic Surgery, Philadelphia, PA, November, 1999.<br />

Miscellaneous Pediatric Trauma Materials:<br />

1995 CHaD Pediatric/Neonatal Resuscitation Card<br />

1998 New Hampshire Pediatric Trauma <strong>Plan</strong><br />

15


1998 New Hampshire Pediatric Prehospital Emergency Care Guidelines<br />

Posters for the Committee on Trauma of the American College of Surgeons<br />

1998 Recognition of Physical Child Abuse<br />

1999 Emergency Intravenous Access in Children<br />

2002 Pocket pediatric resuscitation card<br />

2002 Prehospital provider pediatric reference card<br />

2002 Directed development of Cervical Spine Clearance Algorithm<br />

Revised 2007<br />

2002 Directed development of ECMO for Hypothermia Algorithm<br />

2003 Directed development of Increased ICP Management Algorithm<br />

2004-7 Assisted with re-writing the pediatric trauma chapter of the Resources for the<br />

Optimal Care of the Injured Patient for the American College of Surgeons<br />

16


Date Prepared: January 5, 2009<br />

Name: Mark R. Proctor<br />

Harvard Medical School/Harvard School of Dental Medicine<br />

Format for the Curriculum Vitae<br />

Office Address: 300 Longwood Avenue<br />

Boston, MA 02115<br />

Home Address: 470 Commonwealth Avenue<br />

Newton, MA 02459<br />

Work Phone: (617) 355-2403<br />

Work E-Mail: mark.proctor@childrens.harvard.edu<br />

Work FAX: (617) 730-0906<br />

Place of Birth: New York, New York<br />

Education<br />

Year Degree Field of Study Institution<br />

1986 BA French Dartmouth College<br />

1990 MD Medicine Columbia University<br />

College of Physicians and Surgeons<br />

Postdoctoral Training<br />

Year(s) Title Specialty/Discipline Institution<br />

1990-1991 Intern General Surgery Columbia Presbyterian<br />

Medical Center<br />

1991-1996 Resident Neurosurgery Georgetown University<br />

Medical Center<br />

1992-1993 Resident Pediatric Neurosurgery Children’s National<br />

Medical Center<br />

1993 Resident Neurotrauma Shock Trauma Hospital,<br />

University of Maryland<br />

1995-1996 Research Pharmacology Fellow Georgetown University<br />

School of Medicine<br />

1996-1997 Chief Resident Neurosurgery Georgetown University<br />

Medical Center<br />

1997-1998 Fellow Pediatric Neurosurgery Children's Hospital<br />

Boston<br />

1


Faculty Academic Appointments<br />

Year(s) Academic Title Department Academic Institution<br />

1995-1997 Instructor Surgery Georgetown University<br />

Medical Center<br />

1998-2003 Instructor Surgery Harvard Medical School<br />

2003- Assistant Professor Surgery Harvard Medical School<br />

Appointments at Hospitals/Affiliated Institutions<br />

Year(s) Position Title Department Institution<br />

1997- Staff Physician Neurosurgery Children's Hospital Boston<br />

1997- Staff Physician Neurosurgery Brigham and Women’s Hospital<br />

1998- Staff Physician Neurosurgery Dana Farber Cancer Institute<br />

Major Administrative Leadership Positions<br />

• Group positions according to the following categories: Local, Regional, National and International<br />

Year(s) Position Title Institution (note if specific department)<br />

Local<br />

2000- Associate Director of Children's Hospital Boston, Neurosurgery<br />

Neurosurgery Resident Education<br />

2000- Associate Director of Brigham and Women’s Hospital, Neurosurgery<br />

Neurosurgery Resident Education<br />

2001-2004 Admissions Committee Harvard Medical School<br />

2002 Founder and Director Boston Chapter of ThinkFirst National Injury<br />

Prevention Program<br />

2004-2008 Course Director Sports-related Concussion and Spine Injury<br />

Harvard Medical School<br />

2004- Course Director 3 rd and 4 th year HMS Neurosurgery Rotation<br />

2006- Co-founder and Co-director <strong>Brain</strong> Injury Program, Children’s Hospital Boston<br />

2008- Founder and Faculty Advisor Cushing Neurosurgical Society Student Interest<br />

Group<br />

Harvard Medical School<br />

2


Regional<br />

2006- Vice President of Massachusetts Massachusetts Medical Society, Waltham, MA<br />

Neurosurgical Society<br />

National<br />

2004-2007 Chairman of Efficacy Committee ThinkFirst National Injury Prevention Foundation<br />

2005 Course Director for PC-06 Role of CNS Meeting Annual Meeting<br />

Intraoperative MR in Neurosurgery<br />

2007- Chairman-elect ThinkFirst National Injury Prevention Foundation<br />

2007 Membership Chair Pediatric Section of the AANS/CNS<br />

Committee Service<br />

• Group positions according to the following categories: Local, Regional, National and International<br />

Year(s) of Membership Name of Committee Institution/Organization<br />

Dates of Role #1 Title of Role #1<br />

Local<br />

1998- Trauma Executive Committee Children's Hospital Boston<br />

2005 Co-founder, <strong>Brain</strong> Injury Program and Clinic<br />

2001- Co-Founder, CUB Clinic for the Children's Hospital Boston<br />

multidisciplinary treatment<br />

of bowel and bladder disorders<br />

2002- Boston Chapter ThinkFirst National Injury<br />

Prevention Foundation<br />

2002- Sponsoring Surgeon<br />

2006- Laser Safety Committee Children's Hospital Boston<br />

2006- Chairman<br />

2006- Boston Pediatric Neurosurgery Foundation<br />

2006- Treasurer<br />

2007- Graduate Medical Education Children's Hospital Boston<br />

Committee<br />

National<br />

2002- Board of Directors ThinkFirst National Injury<br />

Prevention Foundation<br />

2004 Chair of Efficacy Committee<br />

2007 Chairman-Elect of the Board<br />

2002- Executive Committee CNS<br />

2004-2007 Annual Meeting Scientific CNS<br />

Committee<br />

3


2005- Executive Committee Pediatric Section of the<br />

AANS/CNS<br />

2008- Steering Committee CDC Best Practice Guidelines<br />

for diagnosis, treatment and<br />

Management of<br />

Craniosynostosis<br />

Professional Societies<br />

Year(s) of Membership Society Name<br />

Dates of Role #1 Title of Role #1<br />

1986- American Medical Association (AMA)<br />

1993- Congress of Neurological Surgeons (CNS)<br />

2002- Member, Executive Committee<br />

2002- Liaison, ThinkFirst National Injury Prevention Foundation<br />

2004-2007 Member, Scientific Program Committee, Annual Meeting<br />

1993- American Association of Neurological Surgeons (AANS)<br />

1998-2004 Member, Young Neurosurgeons Committee<br />

2001-2004 Member, Education and Practice Management Committee<br />

1995-2000 American Epilepsy Society<br />

1996-2000 Society for Neuroscience<br />

1998- Joint Section on Pediatrics of the AANS/CNS<br />

2004- Member, Devices and Technology Committee<br />

2007- Chairman, Membership Committee<br />

1998- Joint Section of Trauma of the AANS/CNS<br />

2000- American College of Sports Medicine<br />

2000- Fellow<br />

2003- American Society of Pediatric Neurosurgeons<br />

2003- American Academy of Pediatrics<br />

2003- Fellow<br />

Editorial Activities<br />

• Ad hoc Reviewer<br />

o Journal of Neurosurgery<br />

o Neurosurgery<br />

o Spine<br />

o British Journal of Sports Medicine<br />

o New England Journal of Medicine<br />

4


Honors and Prizes<br />

Year Name of Honor/Prize Awarding Organization Achievement for which<br />

awarded<br />

1981 Summer Research Training Grant National Science Foundation/<br />

Indiana University<br />

1982 Scientific Scholarship Bausch & Lomb<br />

1982 Regents Scholarship New York State<br />

1982-1986 Daniel Webster Scholar Dartmouth College<br />

1989-1990 Research Training Grant NIH<br />

1990 Clinical Teaching Grant Faculte� de Me�decine<br />

1995 Finalist, Clinical Research Georgetown University<br />

Compensation<br />

1995-1996 Dixon Woodbury Clinical/Research Epilepsy Foundation of America<br />

Fellow<br />

1997-1998 Shillito Fellow in Pediatric Children's Hospital Boston<br />

Neurosurgery<br />

2002 Community Child Health Fund Grant Children's Hospital Boston<br />

to Institute Boston Chapter of ThinkFirst<br />

2008 Elected to Teaching Academy Children's Hospital Boston<br />

2008 $5000 Award for extraordinary Children's Hospital, Boston<br />

Contribution<br />

Report of Funded and Unfunded <strong>Project</strong>s<br />

Funding Information<br />

Past<br />

2002-2003 PI Children's Community Health Fund<br />

Founding of Boston Chapter of ThinkFirst National Injury Prevention Program.<br />

Startup funds to initiate a Boston Chapter of ThinkFirst National Injury Prevention Program. We go to<br />

local area schools to teach injury prevention.<br />

Current<br />

2007- PI Medtronic $1000 per enrolled patient<br />

Prospective, non-randomized pediatric clinical study using the durepair dura regeneration matrix device<br />

for the repair of dura mater defects.<br />

Report of Local Teaching and Training<br />

Teaching of Students in Courses<br />

Georgetown University<br />

1994-1996 Neuroanatomy<br />

2 nd year medical students Lecturer 3-hr sessions per week for 8 weeks<br />

Lab instructor<br />

1995-1997 Diagnosis and Management of Neurotrauma<br />

3 rd year medical students Lecturer 1 hr biweekly throughout year<br />

5


1995-1997 Problem Based Learning<br />

2 nd year medical students Facilitator 3-hr sessions per week for 6 weeks<br />

Harvard Medical School<br />

1999- Objective Structural Clinical Examinations<br />

4 th year medical students Examiner 20-30 hours per year<br />

2002-2005 Neuroscience course Lecturer 2 hours per week for 2 weeks<br />

PhD students<br />

Formal Teaching of Residents, Clinical Fellows and Research Fellows (post-docs)<br />

2005- Lecturer/facilitator 3 hours per week<br />

Run a weekly neurosurgery curriculum conference for all residents in program<br />

Clinical Supervisory and Training Responsibilities<br />

Georgetown University<br />

1996-1997 Chief Resident 10-hrs per week for 1 year<br />

Harvard Medical School<br />

1997-1998 Ambulatory Neurosurgery Clinic 3 hours per week for 1 year<br />

1998- Resident and Medical Student 20-hrs per week (surgery) & 4-8 hrs per week<br />

Teaching, Academic Attending (clinic)<br />

2000- Resident Education for 5 hours per week<br />

Neurosurgery, Associate Director<br />

2004- Medical Student Neurosurgery 3-4 hours per week<br />

Rotations, Director<br />

Formally Supervised Trainees<br />

Year(s) Name and degrees Current position<br />

Describe the type of supervision and the specific accomplishments of your trainee that occurred as a<br />

direct result of your supervision (maximum one sentence)<br />

Formal Teaching of Peers (e.g., CME and other continuing education courses)<br />

Year(s) Title(s) or topic(s) of talk(s) Number of talks in single course<br />

Course Name Location(s) (city or country) Sponsor/Source of Compensation<br />

2000 <strong>The</strong> Changing Management of Single Presentation<br />

Pediatric Trauma Severe Head Injury in Children None<br />

Course Children’s<br />

Hospital<br />

6


2000 Pediatric Spine Injuries Single Presentation<br />

Pediatric Trauma None<br />

Course Children’s<br />

Hospital<br />

2002 Pediatric Head Injury Single Presentation<br />

Pediatric Trauma None<br />

Course, Childrens<br />

Hospital<br />

2003 <strong>The</strong> Silent Danger in Sports Single Presentation<br />

Sports Concussion None<br />

Conference, Boston<br />

2004 Craniosynostosis Single Presentation<br />

Childrens Hospital None<br />

Frontiers in Surgery,<br />

Bedford<br />

2004 Sports-related spine injuries Single Presentation<br />

HMS Sports None<br />

Concussion and<br />

Spine Injury Conference,<br />

Boston<br />

2005 Sports-related spine injuries Single Presentation<br />

Harvard Medical None<br />

School Sports-related<br />

Concussion and<br />

Spine Injury Conference,<br />

Foxboro<br />

2006-2008 Sports-related spine injuries Single Presentation<br />

Harvard Medical Boston None<br />

School Sports-related<br />

Conference on<br />

Concussion and<br />

Spine Injury<br />

Local Invited Presentations<br />

Year(s) Title of presentation Type of presentation<br />

Department and Institution where presented Sponsor/Source of compensation<br />

1998 Management of Severe Head Injury Surgical Grand Rounds<br />

in Children<br />

Children's Hospital None<br />

Boston<br />

7


1999 Pediatric Tethered Cord Syndrome Grand Rounds<br />

South Shore Hospital None<br />

2000 Management of Severe Head Injury Surgical Grand Rounds<br />

in Children's<br />

Children's Hospital None<br />

Boston<br />

2001 Craniofacial Abnormalities in Grand Rounds<br />

Children<br />

Beverly Hospital None<br />

2001 Management of Hydrocephalus Grand Rounds<br />

and shunts<br />

Department of None<br />

Emergency Medicine,<br />

Children's Hospital Boston<br />

2002 Intracranial Hemorrhage Grand Rounds<br />

Department of None<br />

Emergency Medicine,<br />

Children's Hospital Boston<br />

2002 Pediatric Minor Traumatic <strong>Brain</strong> Community Lecture to School Nurses<br />

Injuries<br />

South Shore School None<br />

Partnership for Health<br />

2005 Mild Traumatic <strong>Brain</strong> Injury Community Education Initiative<br />

Childrens Hospital in Children Lecture Series<br />

Boston, MA None<br />

2005 Comprehensive Surgical and Non- Keynote Lecture<br />

surgical Techniques in the Treatment<br />

of Deformational Plagiocephaly and<br />

Craniosyntosis<br />

Hanger Orthotics None<br />

<strong>Brain</strong>tree, MA<br />

2005 Diagnosis and Treatment of Infant Pediatric Grand Rounds<br />

Skull Deformities<br />

Children's Hospital None<br />

Boston<br />

8


2006 Infant Skull Deformities Pediatric Grand Rounds<br />

Caritas St. Elizabeth’s None<br />

Medical Center<br />

2006 Craniosynostosis Pediatric Grand Rounds<br />

Lowell General Hospital None<br />

2007 Contemporary Management of Anesthesia Grand Rounds<br />

Pediatric Skull Deformity<br />

Children's Hospital None<br />

Boston<br />

2007 Head Injury in Young Athletes- Marino Sports Medicine Symposium<br />

Return to Play Criteria<br />

Children's Hospital None<br />

Boston<br />

2008 Pediatric Minor Head Injury Pediatrics Grand Rounds<br />

Children’s Hospital None<br />

Boston<br />

Report of Regional, National and International Invited Teaching and<br />

Presentations<br />

Regional, National and International Invited Presentations and Courses<br />

• Group presentations according to the following categories: Regional, National and International:<br />

Year Title of presentation or name of course Type of presentation/role(s) (note if abstract)<br />

Location Sponsor/Source of compensation<br />

Regional<br />

1999 Prominent Basilar Emissary Veins in Single Presentation<br />

Syndromic Craniosyntosis<br />

CNS, Boston None<br />

1999 <strong>The</strong> Role of Anthropometry in the Single Presentation<br />

Treatment of Craniosyntosis<br />

CNS, Boston None<br />

2000 Sports-related Head Injuries Single Presentation<br />

American College of Sports Medicine, Providence None<br />

2000 Sports-related Cervical Spine Injuries Single Presentation<br />

Providence None<br />

2001 Pathophysiology of Concussion Single Presentation<br />

American College of Sports Medicine, Providence None<br />

9


2002 Invited faculty for the AANS Oral Two day course<br />

Boards Review Course<br />

Hartford None<br />

2005 Neurotrauma Single Presentation<br />

American Association of Operating Room None<br />

Nurses Advances in Clinical Practice<br />

2005 Craniosynostosis and Plagiocephaly Single Presentation<br />

Easter Seals Pediatric Symposium, Portland None<br />

2008 Pediatric Neurosurgery: State of the Art Single Presentation<br />

Company Headquarters, Integra Neuroscience Integra Neuroscience<br />

National<br />

1998 <strong>The</strong> Effect of Surgery for Single Presentation<br />

Diastermatomyelia on Neurologic and<br />

Urologic Function<br />

Neurological Surgery of the AANS, Indiana None<br />

2000 <strong>The</strong> Effect of New Technologies on Single Presentation<br />

Craniofacial Anomalies<br />

CNS, San Antonio None<br />

2000 Return to Play Criteria after Concussion Single Presentation<br />

CNS, San Antonio None<br />

2000 Management of Raised Intracranial Visiting Professor<br />

Pressure after Trauma<br />

North Shore University Hospital, New York None<br />

2001 Pediatric Cervical Spine Injuries Single Presentation<br />

CNS, San Diego None<br />

2001 Biomechanics of Child Abuse Single Presentation<br />

CNS, San Diego None<br />

2001 Use of Intra-operative Magnetic Single Presentation<br />

Resonance Imaging for Pediatric <strong>Brain</strong><br />

Tumors<br />

Join Section on Pediatric Neurosurgery of None<br />

AANS/CNS New York<br />

2002 Catastrophic Cervical Spine Injury Single Presentation<br />

American College of Sports Medicine, New Orleans None<br />

10


2002 Management of Sports-related Concussion Single Presentation<br />

American College of Sports Medicine, New Orleans None<br />

2002 Pediatric Severe Head Injuries Single Presentation<br />

Course on Pediatric Critical Care at CNS, None<br />

Philadelphia<br />

2002 Management of Craniofacial Disorders Single Presentation<br />

CNS, Philadelphia None<br />

2002 Craniofacial Reconstruction Single Presentation<br />

Philadelphia None<br />

2003 Invited faculty for the AANS Oral Two day course<br />

Boards Review Course<br />

Cincinnati None<br />

2004 Course Moderator for Section of Single Presentation<br />

Pediatric Neurosurgery, CNS Meeting, None<br />

San Francisco<br />

2004 Chair of Craniosynostosis Seminar Single Presentation<br />

CNS Meeting, San Francisco None<br />

2005 Pediatric Spinal Cord Tumors Single Presentation<br />

AANS, New Orleans None<br />

2006 Craniosynostosis Single Presentation<br />

CNS Annual Meeting, Chicago None<br />

2006 Course moderator Complex Pediatric Single Presentation<br />

Spinal<br />

Cord Anomalies, AANS Annual Meeting None<br />

2007 Infant Skull Deformities Single (Keynote) Presentation<br />

Hanger Orthotic and Prosthetic Annual Meeting, Hanger Orthotics<br />

Reno, NV<br />

2007 Development of the Pediatric Cervical Single Presentation<br />

Spine<br />

CNS Annual Meeting, San Diego None<br />

2007 Craniosynostosis Single Presentation<br />

CNS Annual Meeting, San Diego None<br />

11


2007 MROR: <strong>The</strong> integration of Imaging and Single Presentation<br />

Surgery Annual Meeting of the National<br />

Association of Children’s<br />

Hospitals and Related Institutions, San Antonio None<br />

2008 Role of Endoscopy in the treatment of Single Presentation<br />

Craniosynostosis<br />

Controversies in the treatment of Craniofacial ImproMed<br />

disorders, Phoenix, AZ<br />

2008 Repair of Growing Skull fractures Single Presentation<br />

Controversies in the treatment of Craniofacial ImproMed<br />

disorders, Phoenix, AZ<br />

International<br />

2006 Lecturer on Head and spine injuries: Multiple Presentations<br />

A Course in Pediatric Emergency<br />

Medicine<br />

Dubai, United Arab Emirates Dubai Ministry of Health<br />

2008 <strong>The</strong> Role of Cranial Orthoses in the Single Presentation<br />

Treatment of Deformational Plagiocephaly<br />

American Society of Pediatric Neurosurgery, None<br />

Cabo, Mexico<br />

Report of Clinical Activities and Innovations<br />

Current Licensure and Certification<br />

Year Type of License or Certification<br />

1991 National Board of Medical Examiners (Diplomate)<br />

1992 District of Columbia (Medical License)<br />

1993 Maryland (Medical License)<br />

1997 Massachusetts (Medical License)<br />

2001 American Board of Neurological Surgery (Diplomate)<br />

2002 American Board of Pediatric Neurological Surgery (Diplomate)<br />

Practice Activities<br />

• List all clinical activities, both those at Harvard and its affiliates and those outside Harvard, and for<br />

each indicate:<br />

Type of activity Setting of practice Name and location of practice<br />

Pediatric Neurosurgeon Children’s Hospital Boston Boston, MA<br />

12


Clinical Innovations<br />

I have been able to take advantage of Children’s tremendous resources to develop an active and complex<br />

pediatric neurosurgery practice, and to become a leader in multi-disciplinary, collaborative clinical fields<br />

linking neurosurgery with subspecialities throughout the hospital. <strong>The</strong> cross-functional clinical teams I<br />

participate on have led to many clinical innovations which are changing care locally and nationally.<br />

For Craniofacial surgery, we have developed and described multiple novel approaches:<br />

• We have pioneered the use of particulate skull autograph to fill in cranial defects. This has been<br />

published both for primary and secondary skull defects.<br />

• I am one of the leading surgeons internationally on the minimally invasive endoscopic correction<br />

of craniosynostosis, currently with over 100 patients. Aspects of this have been published,<br />

including the marked effect endoscopic surgery has on ocular disorders in coronal synostosis, and<br />

the major manuscripts describing the series are in preparation.<br />

• We have also described a novel approach to dermoid tumors at the skull base, involving removal<br />

of the nasal bones to achieve complete resection.<br />

In spinal surgery, the orthopedic surgeons and I have described several clinical advances.<br />

• We have published the largest series of modern spinal instrumentation in the cervical spine in<br />

children, opening this field up to surgeons across the country. I am senior author on this<br />

publication.<br />

• We have a manuscript in submission describing a posterior lateral trans-pedicular approach to<br />

correction of congenital spinal deformity in children with hemivertebrae, simplifying the<br />

correction from two surgeries to a single procedure. We are the countries leader in this field and<br />

have patients and surgeons coming to us from around the country to undergo and learn the<br />

technique.<br />

• I am senior author on a manuscript in submission describing the use of intraoperative bone scan<br />

for the resection of spinal osteoid osteoma. We described the technique and currently have over 20<br />

patients in the series. This will revolutionize the surgery for this disorder.<br />

Report of Education of Patients and Service to the Community<br />

Activities<br />

2002- Sponsoring Physician ThinkFirst National Injury Prevention<br />

Foundation<br />

Started local chapter of ThinkFirst. With a local network of nurses and educators from Children’s<br />

Hospital, we go out to schools to teach free end efficacy proven injury prevention programs to 1-3 rd<br />

graders.<br />

2002- Board of Directors ThinkFirst National Injury Prevention<br />

Foundation<br />

I was appointed to the board of directors of ThinkFirst as a liason from the Congress of Neurological<br />

Surgeons in 2002. I have risen from liason Board member to full board member, Chair of Efficacy,<br />

and currently Chairman-elect of the Board of Directors. ThinkFirst is the leading national brain and<br />

spinal cord injury prevention foundation. We serve over 275 national chapters and are represented in<br />

over 13 other countries, impacting over a million children per year.<br />

13


Recognition<br />

Year Name of award/recognition Organization conferring recognition<br />

2005- Awarded Best Doctor in Neurosurgery Best Doctors<br />

2004- Top Physicians in Neurosurgery Guide to America’s Top Physicians<br />

Report of Scholarship<br />

Publications<br />

• Peer Reviewed Publications in print or other media<br />

Research Investigations<br />

1. Lustgarten J, Proctor M, Haroun R, Avellino A, Pindzola A, Kliot, M. Semipermeable polymer<br />

tubes provide microenvironment for in vivo analysis of dorsal root regeneration, Journal of<br />

Biomechanical Engineering, 1991; 113: 184-188.<br />

2. Fornai F, Dybdal D, Proctor M, Gale K. Focal intracerebral elevation of L-lactate is anticonvulsant.<br />

European Journal of Pharmacology, 1994; 254.<br />

3. Proctor M, Fornai R, Afshar KJ, Gale, K. <strong>The</strong> role of nitric oxide in the propagation of limbic<br />

seizures. Neuroscience, 1997; 76:4:1231-1236.<br />

4. Robson CD, Mulliken JB, Robertson RL, Proctor M, Steinberger D, Barnes PD, McFarren A,<br />

Muller U, Zurakowski D. Prominent basal emissary foramina in syndromic craniosynostosis:<br />

correlation with phenotypic and molecular diagnosis. AJNR, 2000: 21(9): 1707-17.<br />

5. Soriano SG, Cowan DB, Proctor M, Scott RM. Levels of soluble adhesion molecules are elevated<br />

in the cerebrospinal fluid of children with Moyamoya syndrome. Neurosurg, 2002 50(3): 544-549.<br />

Other Peer-reviewed publications<br />

1. Nikas DC, Proctor M, Scott RM. Spontaneous thrombosis of vein of galen aneurysmal<br />

malformation. Pediatric Neurosurgery, 1999;31:33-39.<br />

2. Proctor M, Bauer SB, Scott RM. <strong>The</strong> effect of surgery for split spinal cord malformation on<br />

neurologic and urologic function. Pediatric Neurosurgery, 2000; 32: 13-19.<br />

3. Proctor M, Scott RM. Long term outcome for patients with split spinal cord malformation.<br />

Neurosurgical Focus, 2000:10(1).<br />

4. Rogers, GF, Proctor M, Mulliken JB. Unilateral fusion of the frontosphenoidal suture: a rare cause<br />

of synostotic frontal plagiocephaly. Plastic and Reconstructive Surgery, 2002; 110(4): 1011-21.<br />

5. Proctor, M. Spinal Cord Injury. Critical Care Medicine, 2002, 30(11), 489-499.<br />

6. Rahbar, R, Shah, P, Mulliken JB, Robson CD, Perz-Atayde AR, Proctor MR, Kenna MA, Scott<br />

RM, McGill TJ, Healy GB. <strong>The</strong> presentation and management of nasal dermoid. Arch<br />

Otolarygolog, Head Neck Surg, 2003:129:464-471.<br />

7. Ohaegbulam CO, Woodard E, Proctor M, Occipitocondylar hyperplasia: an unusual craniocervical<br />

junction abnormality causing myelopathy. J. Neurosurgery, 2005, 104(4): 379-381.<br />

8. Rogers GF, Proctor MR, Greene AK, Mulliken JB. Frontonasal osteotomy to facilitate removal of<br />

an intracranial nasal dermoid. J Craniofac Surg. 2005 Jul;16(4):731-6.<br />

9. Zimmerman MA, Goumnerova LC, Proctor M, Scott RM, Marcus K, Pomeroy SL, Turner CD,<br />

Chi SN, Chordas C, Kieran MW. Continuous remission of newly diagnosed and relapsed central<br />

nervous system atypical teratoid/rhabdoid tumor. J Neurooncol. 2005 Mar;72(1):77-84.<br />

14


10. Dunn IF, Proctor MR, Day AL. Lumbar Spine Injuries in athletes. Neurosurg Focus, 2006, 21 (4):<br />

1-5.<br />

11. Ullrich NJ, Robertson, R, Kinnamon DD, Scott RM, Kieran MW, Turner CD, Chi SN,<br />

Goumnerova L, Proctor M, Tarbell NJ, Marcus KJ, Pomeroy SL. Moyamoya following cranial<br />

irradiation for primary brain tumors in children. Neurology, 2007. 68 (12): 932-8.<br />

12. Saad AG, Sachs J, Turner CD, Proctor M, Marcus KJ, Wang L, Lidov H, Ullrich NJ. Extracranial<br />

metastases of glioblastoma in a child: case report and review of the literature. J Pediatr Hematol<br />

Oncol. 2007; 29(3): 190-194.<br />

13. Mislow JMK, Proctor MR, McNeely PD, Greene AK, Rogers GF. Calvarial defects associated<br />

with neurofibromatosis Type I. J Neurosurg (6 Suppl Pediatrics) 2007; 106: 484-489.<br />

14. Maher CO, Goumnerova L, Madsen JR, Proctor M, Scott RM. Outcome following multiple<br />

repeated spinal cord untethering operations. J Neurosurg (6 Suppl Pediatrics) 2007; 106:434-438.<br />

15. Levy RL, Rogers GF, Mulliken JB, Proctor MR, Dagi LR. Astigmatism in unilateral coronal<br />

synostosis: Incidence and laterality. J AAPOS, 2007 Aug;11(4):367-372.<br />

16. Greene AK, Mulliken JB, Proctor MR, Rogers GF. Primary grafting with autologous cranial<br />

particulate bone prevents osseous defects following fronto-orbital advancement. Plast Reconstr<br />

Surg. 2007 Nov;120(6):1603-11.<br />

17. Hedequist D, Hresko T, Proctor M. Modern Cervical Spine Instrumentation in Children. Spine.<br />

2008;33(4): 379-383.<br />

18. Ohaegbulam CO, Dunn IF, D’Hemecourt P, Proctor MR Lumbar epidural hematoma associated<br />

with spondylolyses: a report of three cases. J Neurosurg Spine, 2008; 8(2): 174-180.<br />

19. Greene AK, Mulliken JB, Proctor MR, Rogers GF. Pediatric cranioplasty using particulate<br />

calvarial bone graft. Plast Reconstr Surg. 2008 Aug;122(2):563-71.<br />

20. Greene AK, Mulliken JB, Proctor MR, Meara JG, Rogers GF. Phenotypically unusual combined<br />

craniosynostoses: presentation and management. Plast Reconstr Surg. 2008 Sep;122(3):853-62.<br />

21. Hedequist D, Proctor M. Screw fixation to C2 in children: a case series and technical report. J<br />

Pediatr Orthop. 2009 Jan-Feb; 29(1): 21-5<br />

22. Robinson, S, Proctor, MR. Diagnosis and Management of Deformational Plagiocephaly: A<br />

Review. J. Neurosurg Peds. Accepted for publication.<br />

23. MacKinnon, S, Rogers, GF, Gregas, M, Proctor MR, Mulliken JB, Dagi LTreatment of unilateral<br />

coronal synostosis by endoscopic strip craniectomy or fronto-orbital advancement:<br />

Ophthalmologic findings. JAAPOS. Accepted for publication.<br />

• Non-peer reviewed scientific or medical publications/materials in print or other media<br />

Reviews, chapters, monographs and editorials<br />

1. Proctor M, Martuza R. Trauma. In: Samuel, editor. Manual of Neurology, Fifth Edition, Little<br />

Brown and Company; 1994, p. 250-276.<br />

2. Proctor M, Gale K. Basal Ganglia and <strong>Brain</strong> Stem Anatomy and Physiology, In: Engel and Pedley,<br />

editors. Epilepsy: A Comprehensive Textbook, New York: Lippicott-Raven; 1998. p. 353-368.<br />

3. Proctor M, Scott RM Special Considerations for Children in Neurosurgery, In: Black and Kaye,<br />

editors. Operative Neurosurgery, London: Harcourt Brace; 2000, p.33-44.<br />

4. Proctor M, Cantu RC. Head and neck injuries in young athletes, Clinics in Sports Medicine, 2000;<br />

19(4): 693-715.<br />

5. Proctor M, Barrow M. Neurosurgical Aspects of Non-accidental Trauma in Children, In: Batjer<br />

and Loftus, editors. Textbook of Neurological Surgery, Lippincott, Williams and Wilkins; 2003, p<br />

1065-1072.<br />

15


6. Proctor M, Cantu RC. Neck Injuries, In: Frontera, Micheli, Herring, Silver editors: Clinical Sports<br />

Medicine: Medical Management and Rehabilitation., Elsevier Press, 2006, p 331-342.<br />

7. Gale K, Proctor M, Veliskova J, Nehlig A. Basal Ganglia and <strong>Brain</strong>stem Anatomy and<br />

Physiology, In: Engel and Pedley, editors. Epilepsy: A Comprehensive Textbook, 2 nd Edition,<br />

Philadelphia: Wolters Kluwer/Lippincott Williams and Wilkins; 2007. p. 367-384.<br />

8. Slotkin JR, Mislow JMK, Day AL, Proctor MR. Pediatric Disk Disease. Neurosurg Clin N Am,<br />

2007, 18 (4), 659-667.<br />

9. Maher, CO, Smith E, Proctor M, Scott RM: Spinal Vascular Malformations, In: Kim DH, Betz<br />

RR, Huhn SL, Newton PO, eds., Surgery of the Pediatric Spine. Thieme, New York, in press.<br />

10. Ghia A, Proctor MR. Infections of the Spinal Axis, In Albright L, Pollack A, Adelson D eds.<br />

Pediatric Neurosurgery. Thieme. New York. In press.<br />

11. Proctor MR. Intracranial subdural hematoma in children: Epidemiology, anatomy, and<br />

pathophysiology. In: UpToDate, Basow, DS (Ed), UpToDate, Waltham, MA, 2008.<br />

12. Proctor MR. Intracranial subdural hematoma in children: Clinical manifestations, evaluation, and<br />

management. In: UpToDate, Basow, DS (Ed), UpToDate, Waltham, MA, 2008.<br />

13. Ahn ES, Proctor, MR. Intracranial epidural hematoma in children: Clinical features, evaluation,<br />

and management. In: UpToDate, Basow, DS (Ed), UpToDate, Waltham, MA, 2008.<br />

14. Ahn ES, Proctor, MR. Intracranial epidural hematoma in children: Epidemiology, anatomy and<br />

pathophysiology. In: UpToDate, Basow, DS (Ed), UpToDate, Waltham, MA, 2008.<br />

Books<br />

1. Proctor M, Black P, Editors, Minimally Invasive Neurosurgery. Humana Press, Totowa, NJ, 2005.<br />

2. Proctor MR, Associate Editor, Yearbook of Neurology and Neurosurgery, Elsevier Mosby,<br />

Philadelphia, PA, 2007.<br />

3. Proctor MR, Associate Editor Yearbook of Neurology and Neurosurgery, Elsevier Mosby,<br />

Philadelphia, PA, 2008.<br />

Letters to the Editor<br />

1. Proctor M, Scott RM. Letter to the Editor. Redefining the magnetic resonance imaging reference<br />

level for the cerebellar tonsil: a study of 170 adolescents with normal versus idiopathic scoliosis.<br />

Spine 29(1): 105. 2004.<br />

Narrative Report<br />

Since the completion of my training in 1998, I have worked at Harvard Medical School to enhance the<br />

world-class pediatric neurosurgical service at Children’s Hospital by strengthening clinical and academic<br />

collaborations. My leadership and initiative has been instrumental in forging and strengthening<br />

relationships between Neurosurgery and multiple other departments to improve patient care and advance<br />

the national reputation of our clinical teams. My clinical practice has focused on three areas: craniofacial<br />

abnormalities, spinal disorders, and trauma to the pediatric brain and spine. Approximately seventy<br />

percent of my time is clinical, twenty percent teaching and 10 percent research.<br />

Our Craniofacial Team is a recognized leader in the treatment of craniosynostosis and attracts patients<br />

from around the world; I have brought to this team a unique expertise in endoscopic surgery, and the care<br />

of craniofacial patients encompasses 15-20 hours per week. <strong>The</strong> orthopedic/neurosurgical spinal team<br />

treats children with complex disorders of the spine and is one of the leaders in the field in the use of<br />

instrumentation for the pediatric cervical spine. I co-founded, along with Gastroenterology, Urology and<br />

General Surgery, a clinic for the treatment of incontinence of spinal cord etiology, a unique collaborative<br />

clinic available only at Children’s Hospital. I am part of a joint collaboration among Neurosurgery,<br />

16


Trauma Surgery, Neurology, Neuropsychology, and Physiatry that established a unique <strong>Brain</strong> Injury<br />

Program that offers much-needed and previously-unavailable care to pediatric brain trauma patients. This<br />

effort has resulted in major philanthropic support, a full-time nurse practitioner, and as we are starting to<br />

accrue large numbers of patients will lead to major research developments and firmly place Children’s<br />

Hospital as the national leader in pediatric minor and severe head injury. I work with Sports Medicine to<br />

maintain an active clinical practice in sports-related injuries, where we see 20-30 concussion patients each<br />

week, and I am presenting the largest series ever of herniated lumbar disks in children at our annual<br />

meeting in March, 2009. I co-direct the annual HMS Neurological Sports Injuries conference, which is<br />

now considered the premier national concussion meeting, this year being endorsed by the American<br />

Association of Neurological Surgeons. We have sold out the conference for the past three years with<br />

almost 300 attendees including coaches, trainers and physicians and physicians from school and<br />

professional teams.<br />

One of the most extensive collaborative efforts I have been participated in has been the development of<br />

the unique intra-operative MRI at Children's Hospital, establishing our department as leaders in the field<br />

of operative MRI technology. I was involved in this project from its inception, working with many<br />

departments including hospital administration, Anesthesia, Radiology, and Engineering, This effort has<br />

resulted in a great clinical success, has been presented at many national meetings, and was highlighted in<br />

a live brain surgery webcast which I moderated and which received a national “Webby” award.<br />

Teaching of residents and students has remained of paramount importance in all of these venues. I have<br />

been Associate Residency Program Director since 2000. In addition, I am the course director for the HMS<br />

neurosurgery rotations, which includes approximately 10-20 students taking a fourth year elective and 20<br />

students who do a one week elective during their third year surgery rotation. In 2008 I was the founder of<br />

the Cushing Neurosurgical Student Interest Group at the medical school. I brought together a group of<br />

students with expressed neurosurgical interest to form this as an official student organization, and I serve<br />

as faculty advisior. In addition to clinical teaching I direct a 2 hour formal education conference every<br />

week for the neurosurgery residents. I was recently selected to join the Children’s Hospital Teaching<br />

Academy, with the focus of my project being the more formal integration of neurosurgery into medical<br />

school training.<br />

I have been able to take advantage of Children’s tremendous resources to develop an active and complex<br />

pediatric neurosurgery practice, and to become a leader in multi-disciplinary, collaborative clinical fields<br />

linking neurosurgery with subspecialities throughout the hospital. <strong>The</strong> clinical teams I participate on have<br />

brought out my complementary strengths as a surgeon and team player, and I will continue to strive<br />

towards clinical excellence by working with others to offer superb care and cutting-edge technology to<br />

our patients. My clinical activities continue on the community service front where I am the founder of the<br />

Boston chapter, and Chairman-elect of the national Board of Directors, for ThinkFirst National Injury<br />

Prevention Program. This passion for clinical excellence and community service has culminated in my<br />

role as educator, and I remain passionate about training our clinical and academic leaders of the future.<br />

17


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Michigan<br />

Michigan Public Health Institute and <strong>Brain</strong> Injury Association of Michigan<br />

www.mphi.org<br />

REGION: Midcentral CATEGORY OF CARE: Virtual SJB Center<br />

Program Director: Clare Tanner Position Title: Program Director<br />

Department: Center for Data Management and Transitional Research<br />

Address: 2436 Woodlake Circle #380, Okemos, MI 48864<br />

Phone: 517‐324‐8374<br />

Email: ctanner@mphi.org<br />

Level 1 Center(s): Detroit, Lansing, Grand Rapids, Sault Ste. Marie<br />

Level 2 Center(s): Warren, Ann Arbor, Flint, Sterling Heights<br />

Level 3 Center(s): Detroit, Kalamazoo, Marquette, Saginaw<br />

Number of jobs <strong>PABI</strong> Grant creates in Michigan: 146<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 6,689,944<br />

Category of Care Management Sub‐total: $ 1,956,992<br />

Case Management Sub‐total: $ 7,899,140<br />

State Lead Center Sub‐total: $ 16,578,076<br />

Indirect Cost to Institution (20%): $ 3,315,615<br />

Administrative Cost to SJBF (2%): $ 331,562<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 20,225,253


Michigan Public Health Institute and <strong>Brain</strong> Injury Association of Michigan Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 79,625<br />

Program Director Assistant: $ 106,193<br />

State Director: $ 353,976<br />

Associate State Director: $ 153,390<br />

State Epidemiologist: $ 235,984<br />

State Epidemiologist Assistant: $ 106,193<br />

State Scientific Investigation Research Coordinator: $ 200,586<br />

State Scientific Investigation Research Assistant: $ 200,586<br />

State Education/Training Coordinator (plus materials): $ 437,020<br />

State General Counsel: $ 283,181<br />

State IT Manager: $ 224,185<br />

State Family Support Coordinator: $ 176,988<br />

State Prevention/Awareness Coordinator: $ 176,988<br />

State Acute Care Coordinator: $ 176,988<br />

State Reintegration Coordinator: $ 176,988<br />

State Adult Transition Coordinator: $ 176,988<br />

State Mild TBI Coordinator: $ 176,988<br />

State Mental Health Coordinator: $ 153,390<br />

State Assistive/Emerging Technology Coordinator: $ 153,390<br />

State Correctional System Coordinator: $ 153,390<br />

State MISC Coordinator: $ 153,390<br />

State Veterans Coordinator: $ 153,390<br />

State Data Manager: $ 153,390<br />

State Public Policy Manager: $ 176,988<br />

State Community Relations Manager: $ 153,390<br />

State Administrative Support: $ 637,157<br />

Charity care: $ 363,052<br />

Human Resources Support: $ 146,000<br />

Training Support: $ 36,500<br />

State Lead Center Office Space Cost: $ 348,893<br />

State Lead Center Transportation/Travel: $ 113,400<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 112,546<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 103,729<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 6,689,944


Michigan Public Health Institute and <strong>Brain</strong> Injury Association of Michigan Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Virtual SJB Center<br />

Regional Category Director: $ 353,976<br />

Regional Category Epidemiologist: $ 283,181<br />

Regional Category Education/Training Coordinator: $ 235,984<br />

Regional Category Scientific Investigation Research: $ 235,984<br />

Regional Business Development Manager: $ 235,984<br />

Regional Category Administrative Support: $ 424,771<br />

Regional Category Office Space Cost: $ 101,292<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 32,675<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,956,992


Michigan Public Health Institute and <strong>Brain</strong> Injury Association of Michigan Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 674,240<br />

Level 1 Center Field Specialist(s): $ 539,392<br />

Level 1 Center SJB Family Specialist(s): $ 3,681,349<br />

Level 1 Center Administrative Support: $ 606,816<br />

Level 1 Office Space Cost: $ 54,458<br />

Level 1 Transportation/Travel: $ 111,600<br />

Level 1 Office Equipment/Communications: $ 117,200<br />

Level 1 Supplies: $ 171,153<br />

Level 2 Center Field Specialist(s): $ 323,635<br />

Level 2 Center SJB Family Specialist(s): $ 1,051,814<br />

Level 2 Transportation/Travel: $ 31,680<br />

Level 2 Office Equipment/Communications: $ 53,200<br />

Level 2 Supplies: $ 43,566<br />

Level 3 Center SJB Family Specialist(s): $ 394,430<br />

Level 3 Transportation/Travel: $ 9,360<br />

Level 3 Office Equipment/Communications: $ 22,800<br />

Level 3 Supplies: $ 12,448<br />

CASE MANAGEMENT SUB‐TOTAL: $ 7,899,140<br />

STATE LEAD CENTER SUB‐TOTAL: $ 16,578,076<br />

INDIRECT COST TO INSTITUTION: $ 3,315,615<br />

ADMINISTRATIVE FEE TO SJBF: $ 331,562<br />

STATE LEAD CENTER SUB‐TOTAL: $ 20,225,253<br />

TOTAL JOBS CREATED IN Michigan: 146


BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

Clare Leah Tanner<br />

eRA COMMONS USER NAME (credential, e.g., agency login)<br />

MPHI-CTANNER<br />

POSITION TITLE<br />

Program Director<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

University of Wisconsin-Madison B.S. (with distinction) 1989 Anthropology<br />

University of Wisconsin-Madison M.S. 1993 Sociology<br />

University of Wisconsin-Madison Ph.D. 1999 Sociology<br />

A: Positions and Honors<br />

Positions and Employment<br />

08/1997 – 08/1998 Research Assistant, Department of Rural Sociology, University of Wisconsin-Madison,<br />

August 1997 - August 1998<br />

08/1998 – 10/1998 Consultant and Qualitative Analyst for Cancer Prevention Outreach and Cancer Control<br />

<strong>Project</strong> (Funded by the Michigan Department of Community Health)<br />

02/1999 – 01/2001 Research Associate, Michigan Public Health Institute, Okemos, Michigan<br />

01/2001 – 12/2007 Research Scientist and <strong>Project</strong> Coordinator, Michigan Public Health Institute, Okemos,<br />

Michigan<br />

01/2008 – Present Program Director, Center for Data Management and Translational Research at the<br />

Michigan Public Health Institute, Okemos, Michigan<br />

Honors<br />

08/1990 – 06/1991 University of Wisconsin-Madison Graduate Fellowship<br />

07/1991 – 06/1992 Social Science Research Council International Predissertation Fellowship, July 1991 -<br />

June 1992<br />

08/1992 – 07/1995 National Science Foundation Graduate Research Fellowship<br />

08/1995 – 06/1996 Global Studies Fellowship funded by the John D. and Catherine T. MacArthur Foundation<br />

B: Selected peer-reviewed publications (in chronological order).<br />

Benkert, R., Barkauskas, V., Pohl, J., Corser, W., Tanner, C., Wells, M., and Nagelkirk, J. (2002), “Patient<br />

Satisfaction Outcomes in Nurse Managed Centers,” Outcomes Management, 6,4 (Fall):174-181.<br />

Tanner, C., Pohl, J., Ward, S., and Dontje, K. (2003), “Education of Nurse Practitioners in Academic Nurse<br />

Managed Centers: Student Perspectives,” Journal of Professional Nursing, 19,6(November-December):354-<br />

363.<br />

Barkauskas, Violet, Pohl, J., Breer, M.L., Tanner, C., Benkert, R., and Vonderheid, S. (2004), “Academic<br />

Nurse-managed Centers: Approaches to Evaluation,” Outcomes Management, 8,1(January/March): 57-66.<br />

Benkert, R., Tanner, C., Guthrie, B., Oakley, D., and Pohl, J. (2005), “Cultural Competence in Nurse<br />

Practitioner Students: A Consortium’s Experience”, Journal of Nursing Education, 44,5(May):1-10.<br />

Barkauskas, V., Pohl, J., Benkert, R., Vonderheid, S., Nagelkerk, J., Schafer, P., Sebastian, J., Stanhope, M.,<br />

Tanner, C. (2006), “Clients Served and Services Provided by Academic Nurse-Managed Center: Client<br />

Demographics nursing and medical diagnoses, services provided,” Journal of Professional Nursing 22(6),<br />

331-338.<br />

Benkert, R., George, N., Tanner, C., Barkauskas, V., Pohl, J., Marszalek, A. (2007), “Satisfaction with School-<br />

Based Teen Health Center: A Report Card on Care,” Journal of Pediatric Nursing 33(2) 103-109.<br />

Zheng K, McGrath D, Hamilton A, Tanner C, White M, Pohl, JM. (2009) “Assessing organizational readiness<br />

for adopting electronic health record systems: A case study in ambulatory practices”, Journal of Decision<br />

Systems, 18(1):117--40.


Vonderheid, S.C., Pohl, J. M., Tanner, C., Newland, J.A., Gans, D.N., (In press), “CPT Coding Patterns at<br />

Nurse Managed Health Centers: Data from a National Survey,” Nursing Economics.<br />

Pohl, J., Breer, M.L., Tanner, C., Barkauskas, V., Bleich, M., Bomar, P., Fiandt, K., Jenkins, M., Lundeen, S.,<br />

Mackey, T., Nagelkerk, J., Werner, K. (In press), “National consensus on data elements for nurse managed<br />

health centers,” Nursing Outlook 54(2), 81-84.<br />

C. Research Support<br />

Current<br />

5R18HS017191-02 Joanne M. Pohl (PI) 9/1/2008 – 8/31/2009<br />

AHRQ - A Partnership for Clinician EHR Use and Quality of Care - Year 2<br />

This project is a collaborative effort that studies the effectiveness of a partnership that shares resources, and<br />

utilizes a data-driven approach to promote full clinician use of an EHR in three nurse managed health centers<br />

and three community health centers in order to improve the quality of care in areas of preventive care, chronic<br />

disease management, and medication management for vulnerable populations.<br />

Role: Research Manager<br />

20080592 Michael Daeschline (Program Director) 10/01/2007 – 09/30/2013<br />

Michigan Department of Community Health Traumatic <strong>Brain</strong> Injury <strong>Project</strong><br />

This project supports the Michigan Department of Community Health (MDCH) in their efforts to improve access<br />

to public services to persons with a traumatic brain injury (TBI) in Michigan.<br />

Role: Program Director<br />

PO431N8201816 Jeanette Scroggins (Program Director) 10/01/2008 – 09/30/2009<br />

Department of Human Services<br />

Juvenile Justice and Delinquency Prevention Evaluation and Program Development for Grantees<br />

This project provides support to community grantees with performance reporting and evaluation tools.<br />

Role: Program Director<br />

Richard Lowell Dunlap (<strong>Project</strong> Manager) 10/01/2008 – 06/30/2011<br />

Kresge Foundation Getting the Lead Out: Keeping Kids and Communities Safe Evaluation<br />

This project provides evaluation of lead poisoning prevention programming in the State of Michigan.<br />

Role: Program Director<br />

WSU07032 Stephen Cavanaugh (Program Director) 12/01/2006 – 06/30/2009<br />

Wayne State University Nurse Education Practice & Retention<br />

MPHI is conducting an evaluation of the Wayne State University Campus Health Center. <strong>The</strong> center, funded in<br />

part by a HRSA grant, provides primary care to WSU students. As part of the evaluation, staff are examining<br />

outcome variables such as client satisfaction, health care quality indicators, and the value of the center as a<br />

clinical learning site.<br />

Role: Program Director<br />

Completed<br />

P0093479 Joanne M. Pohl (PI) 09/01/2003 – 08/31/2008<br />

W.K. Kellogg Foundation Institute for Nursing Centers<br />

<strong>The</strong> Institute for Nursing Centers (INC) is a national organization of key stakeholders promoting direct access<br />

to high quality, affordable and cost-effective health care services to the nation’s communities via nurse<br />

managed health centers (NMHCs).<br />

Role: <strong>Project</strong> Coordinator<br />

HHSH232200534005C 09/01/2005 – 09/30/2008<br />

BPHC / HRSA Sentinel Centers Network<br />

<strong>The</strong> primary goal of the Sentinel Centers Network (SCN) is to measure and improve the quality of care<br />

provided to patients of community health centers.<br />

Role: Research Scientist


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Minnesota<br />

Mayo Clinic<br />

www.mayoclinic.com<br />

REGION: Midcentral CATEGORY OF CARE: Mild TBI<br />

Program Director: Sherilyn Driscoll, MD Position Title: Assistant Professor<br />

Department: Physical Medicine & Rehabilitation<br />

Address: 200 First Street SW, Rochester, MN 55905<br />

Phone: 507‐266‐8913<br />

Email: driscoll.sherilyn@mayo.edu<br />

Program Director: Tanya Brown, Ph.D. Position Title: Senior Associate Consultant<br />

Department: Department of Psychiatry & Psychology Major Subdivision: Division of Child &<br />

Adolescent Psychiatry & Psychology<br />

Address: 200 First Street SW, Rochester, MN 55905<br />

Phone: 507‐266‐8913<br />

Email: brown.tanya@mayo.edu<br />

Level 1 Center(s): Mayo Clinic (SE), HCMC (Metro), St. Mary's Duluth (NE), St. Cloud (Central)<br />

Level 2 Center(s): Gillette Children's Hospital (Metro), St. Joseph's Mankato (SE), Fairview/U of M<br />

(Central)<br />

Level 3 Center(s): Fairmont (SW), Riverview Healthcare Crookston (NW)<br />

Number of jobs <strong>PABI</strong> Grant creates in Minnesota: 133<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 6,932,707<br />

Category of Care Management Sub‐total: $ 2,239,551<br />

Case Management Sub‐total: $ 7,688,013<br />

State Lead Center Sub‐total: $ 16,892,271<br />

Indirect Cost to Institution (20%): $ 3,378,454<br />

Administrative Cost to SJBF (2%): $ 337,845<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 20,608,570


Mayo Clinic Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 183,750<br />

Program Director Assistant: $ 112,331<br />

State Director: $ 374,437<br />

Associate State Director: $ 162,256<br />

State Epidemiologist: $ 249,625<br />

State Epidemiologist Assistant: $ 112,331<br />

State Scientific Investigation Research Coordinator: $ 212,181<br />

State Scientific Investigation Research Assistant: $ 212,181<br />

State Education/Training Coordinator (plus materials): $ 335,567<br />

State General Counsel: $ 299,550<br />

State IT Manager: $ 237,144<br />

State Family Support Coordinator: $ 187,219<br />

State Prevention/Awareness Coordinator: $ 187,219<br />

State Acute Care Coordinator: $ 187,219<br />

State Reintegration Coordinator: $ 187,219<br />

State Adult Transition Coordinator: $ 187,219<br />

State Mild TBI Coordinator: $ 187,219<br />

State Mental Health Coordinator: $ 162,256<br />

State Assistive/Emerging Technology Coordinator: $ 162,256<br />

State Correctional System Coordinator: $ 162,256<br />

State MISC Coordinator: $ 162,256<br />

State Veterans Coordinator: $ 162,256<br />

State Data Manager: $ 162,256<br />

State Public Policy Manager: $ 187,219<br />

State Community Relations Manager: $ 162,256<br />

State Administrative Support: $ 673,987<br />

Charity care: $ 356,607<br />

Human Resources Support: $ 133,000<br />

Training Support: $ 33,250<br />

State Lead Center Office Space Cost: $ 342,699<br />

State Lead Center Transportation/Travel: $ 113,400<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 110,548<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 101,888<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 6,932,707


Mayo Clinic Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Mild TBI<br />

Regional Category Director: $ 374,437<br />

Regional Category Epidemiologist: $ 299,550<br />

Regional Category Education/Training Coordinator: $ 249,625<br />

Regional Category Scientific Investigation Research: $ 249,625<br />

Regional Category Administrative Support: $ 449,325<br />

Regional Category Office Space Cost: $ 99,493<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 32,095<br />

CATEGORY OF CARE SUB‐TOTAL: $ 2,239,551


Mayo Clinic Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 713,214<br />

Level 1 Center Field Specialist(s): $ 570,571<br />

Level 1 Center SJB Family Specialist(s): $ 3,894,149<br />

Level 1 Center Administrative Support: $ 641,893<br />

Level 1 Office Space Cost: $ 53,491<br />

Level 1 Transportation/Travel: $ 111,600<br />

Level 1 Office Equipment/Communications: $ 117,200<br />

Level 1 Supplies: $ 168,115<br />

Level 2 Center Field Specialist(s): $ 256,757<br />

Level 2 Center SJB Family Specialist(s): $ 834,460<br />

Level 2 Transportation/Travel: $ 23,760<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 32,095<br />

Level 3 Center SJB Family Specialist(s): $ 208,615<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 6,113<br />

CASE MANAGEMENT SUB‐TOTAL: $ 7,688,013<br />

STATE LEAD CENTER SUB‐TOTAL: $ 16,892,271<br />

INDIRECT COST TO INSTITUTION: $ 3,378,454<br />

ADMINISTRATIVE FEE TO SJBF: $ 337,845<br />

STATE LEAD CENTER SUB‐TOTAL: $ 20,608,570<br />

TOTAL JOBS CREATED IN Minnesota: 133


PERSONAL INFORMATION<br />

Place of Birth:<br />

Citizenship:<br />

Work Address:<br />

email Address:<br />

Curriculum Vitae and Bibliography<br />

Sherilyn W. Driscoll, MD<br />

Roswell, NM<br />

United States<br />

Mayo Clinic<br />

200 First Street SW<br />

Rochester, MN 55905<br />

507-266-8913<br />

driscoll.sherilyn@mayo.edu<br />

PRESENT ACADEMIC RANK AND POSITION<br />

Consultant - Department of Physical Medicine & Rehabilitation, Mayo<br />

Clinic, Rochester, Minnesota<br />

Director of Pediatric Rehabilitation - Department of Physical<br />

Medicine & Rehabilitation, Mayo Clinic, Rochester, Minnesota<br />

Program Director - Pediatric Rehabilitation Medicine Fellowship, Mayo<br />

School of Graduate Medical Education, College of Medicine, Mayo<br />

Clinic, Department of Education Services, Rochester, Minnesota<br />

Assistant Professor of Physical Medicine & Rehabilitation -<br />

College of Medicine, Mayo Clinic<br />

EDUCATION<br />

Pomona College<br />

BA, Biology<br />

University of New Mexico<br />

MD<br />

University of New Mexico<br />

Internship, Internal Medicine<br />

Mayo Medical School<br />

Residency, Physical Medicine and Rehabilitation<br />

BOARD CERTIFICATION(S)<br />

American Board of Physical Medicine & Rehabilitation<br />

Physical Medicine & Rehabilitation<br />

Physical Medicine & Rehabilitation/Pediatric Rehabilitation Medicine<br />

National Board of Medical Examiners<br />

National Board of Medical Examiners<br />

2000 - Present<br />

2003 - Present<br />

2007 - Present<br />

02/01/2007 - Present<br />

1981 - 1985<br />

1985 - 1990<br />

1990 - 1991<br />

1991 - 1994<br />

1996, recertified in 2003<br />

2003<br />

1991


LICENSURE<br />

Minnesota<br />

HONORS/AWARDS<br />

Sherilyn W. Driscoll, MD Page 2 of 10<br />

34785<br />

Pomona College Scholar - Pomona College<br />

Magna Cum Laude - Pomona College<br />

James Oxnard Scholarship - University of New Mexico School of<br />

Medicine<br />

Van Atta Scholarship - University of New Mexico School of Medicine<br />

Chief Resident - Mayo Graduate School<br />

1982 - 1983<br />

1985<br />

1988 - 1989<br />

1989 - 1990<br />

1993 - 1994<br />

PREVIOUS PROFESSIONAL POSITIONS AND MAJOR APPOINTMENTS<br />

Senior Associate Consultant - Department of Physical Medicine &<br />

Rehabilitation, Mayo Clinic, Rochester, Minnesota<br />

Instructor of Physical Medicine & Rehabilitation - College of<br />

Medicine, Mayo Clinic<br />

Contract Physician - Department of Physical Medicine &<br />

Rehabilitation, Mayo Clinic, Rochester, Minnesota<br />

Senior Associate Consultant - Department of Physical Medicine &<br />

Rehabilitation, Mayo Clinic, Rochester, Minnesota<br />

Director of PM&R Residency Recruitment - Department of Physical<br />

Medicine & Rehabilitation, Mayo Clinic, Rochester, Minnesota<br />

1994 - 1997<br />

10/01/1994 - 01/31/2007<br />

1997 - 1999<br />

1999 - 2000<br />

2000 - 2007<br />

PROFESSIONAL & COMMUNITY MEMBERSHIPS, SOCIETIES AND SERVICES<br />

(*indicates office held)<br />

Professional Memberships & Services<br />

Minnesota Medical Association<br />

Phi Beta Kappa Honor Society<br />

American Academy of Physical Medicine & Rehabilitation<br />

Resident Physician Council<br />

Resident Review Committee<br />

*Chair<br />

Pediatric Special Interest Group<br />

Minnesota Women's Medical Association<br />

Community Memberships & Services<br />

American Academy of Cerebral Palsy and Developmental Medicine<br />

1994 - Present<br />

1992 - 1993<br />

1992 - 1993<br />

1992 - 1993<br />

1994 - Present<br />

2000 - Present


Interagency Early Intervention Committee<br />

EDUCATIONAL ACTIVITIES<br />

Curriculum/Course Development<br />

Pediatric Rehabilitation Medicine Fellowship Curriculum<br />

2 year ACGME-approved fellowship established 2007<br />

Mayo School of Graduate Medical Education<br />

Rochester, Minnesota<br />

Pediatric Wheelchair Seating<br />

regional course<br />

Mayo School of Continuing Medical Education<br />

Rochester, Minnesota<br />

Teaching<br />

Sherilyn W. Driscoll, MD Page 3 of 10<br />

Preceptor for trainees at multiple levels in the clinical setting: Mayo and<br />

visiting medical students; PM& R residents; rotating residents/fellows<br />

from other departments including Rheumatology, Neurology,<br />

Pediatrics, Internal Medicine, Pain Clinic; visiting international<br />

clinicians; physical and occupational therapists.<br />

Mayo Clinic<br />

Rochester, Minnesota<br />

Advisor to one to three PM&R residents per year<br />

Mayo School of Graduate Medical Education<br />

Rochester, Minnesota<br />

Practice oral examiner for PM&R residents<br />

Mayo School of Graduate Medical Education<br />

Rochester, Minnesota<br />

Facilitator for formal pediatric rehabilitation instruction when on<br />

inpatient service<br />

Mayo School of Graduate Medical Education<br />

Rochester, Minnesota<br />

Organizer of bimonthly formal pediatric rehabilitation lecture series<br />

Mayo School of Graduate Medical Education<br />

Rochester, Minnesota<br />

Adolescent POTS<br />

Physical Medicine Grand Grounds<br />

Mayo School of Continuing Medical Education<br />

Rochester, Minnesota<br />

Spina Bifida<br />

Physical Medicine Grand Rounds<br />

Mayo School of Continuing Medicine<br />

Rochester, Minnesota<br />

Stance Control Orthotic Knee Joint<br />

Physical Medicine Grand Rounds<br />

Mayo School of Continuing Medical Education<br />

Rochester, Minnesota<br />

2001 - 2005<br />

2007 - Present<br />

11/2008<br />

06/2001<br />

04/2002<br />

06/2002


Spina Bifida in Adulthood<br />

Physical Medicine Grand Rounds<br />

Mayo School of Continuing Medical Education<br />

Rochester, Minnesota<br />

Spasticity Management in Children<br />

Pediatric Resident Lecture Series<br />

Mayo School of Graduate Medical Education<br />

Rochester, Minnesota<br />

Muscular Dystrophy<br />

Physical Medicine Grand Rounds<br />

Mayo School of Continuing Medical Education<br />

Rochester, Minnesota<br />

Evaluation of the Pediatric Rehab Patient<br />

Resident Introductory Lecture Series<br />

Mayo School of Graduate Medical Education<br />

Rochester, Minnesota<br />

Spina Bifida/Meningomyelocele<br />

CART Lecture<br />

Mayo School of Graduate Medical Education<br />

Rochester, Minnesota<br />

Scoliosis in Children and Adolescents<br />

Physical Medicine Grand Rounds<br />

Mayo School of Continuing Medical Education<br />

Rochester, Minnesota<br />

Neuromuscular Disorders in Children<br />

CART Lecture<br />

Mayo School of Graduate Medical Education<br />

Rochester, Minnesota<br />

Intrathecal Baclofen in Children<br />

Physical Medicine Resident Evening Course<br />

Mayo School of Graduate Medical Education<br />

Rochester, Minnesota<br />

Pediatric PM&R History Taking<br />

Resident Introductory Lecture Series<br />

Mayo School of Graduate Medical Education<br />

Rochester, Minnesota<br />

Pediatric Seating <strong>The</strong>n and Now<br />

Career and Leadership Development Program<br />

Rochester, Minnesota<br />

Honors and Awards for Education<br />

Excellence in Teaching - Mayo Medical Students<br />

Teacher of the Year Award, Physical Medicine and Rehabilitation -<br />

Mayo Clinic College of Medicine<br />

Sherilyn W. Driscoll, MD Page 4 of 10<br />

09/2003<br />

05/2004<br />

06/2004<br />

07/2004<br />

01/2007<br />

02/2007<br />

02/2008<br />

07/2008<br />

07/2008<br />

11/2008<br />

1999 - 2000<br />

2007


Sherilyn W. Driscoll, MD Page 5 of 10<br />

INSTITUTIONAL/DEPARTMENTAL ADMINISTRATIVE RESPONSIBILITIES,<br />

COMMITTEE MEMBERSHIPS AND OTHER ACTIVITIES (* indicates office held)<br />

Mayo Clinic<br />

Mayo Foundation Committees<br />

Mayo Clinic Rochester<br />

Department of Pediatric and Adolescent Medicine<br />

Child and Adolescent Committee<br />

*Member<br />

Department of Physical Medicine & Rehabilitation<br />

3 Mary Brigh Rehabilitation Unit<br />

Remodeling Committee<br />

Clinical Practice Committee<br />

Executive Committee<br />

Pediatric Seating Task Force<br />

*Chair<br />

Arthritis Rehabilitation Committee<br />

*Rheumatology Liaison<br />

*Rheumatology Fellow Rotation Coordinator<br />

Arthritis Rehabilitation Committee<br />

Pediatric Rehabilitation Committee<br />

Pediatric Rehabilitation Committee<br />

*Director<br />

Resident Selection Committee<br />

*Chair<br />

<strong>The</strong>rapy Orders Task Force<br />

Education Committee<br />

Resident Education Committee<br />

E-10 Practice Committee<br />

Mayo Clinic Rochester Committees<br />

Interdisciplinary Pain Committee<br />

Learning Disorder Assessment Program<br />

Women's Advisory Council<br />

Mayo Clinic Pediatric Council<br />

Mayo 16 Design Committee<br />

Mayo 16 Director Interview Committee<br />

Rochester Career and Leadership Development Council<br />

PRESENTATIONS<br />

International<br />

2007 - Present<br />

2006 - Present<br />

2002 - 2005<br />

2007 - 2008<br />

1994 - 1997<br />

1994 - 1997<br />

1994 - 1997<br />

1999 - 2001<br />

1995 - 1997<br />

1999 - Present<br />

2003 - Present<br />

1999 - Present<br />

2000 - 2007<br />

1999 - 2001<br />

1999 - 2003<br />

2003 - Present<br />

2003 - 2005<br />

1995 - 1997<br />

1999 - Present<br />

1999 - 2003<br />

2004 - 2005<br />

2005 - 2007<br />

2006<br />

2007 - Present


Sherilyn W. Driscoll, MD Page 6 of 10<br />

Outcomes of Treatment in Adolescent Autonomic Dysfunction<br />

Lai CCH, Graner KK, Risher JL, Driscoll SW, Brands CK, Porter CJ,<br />

Fischer PR<br />

17th International Symposium on the Autonomic Nervous System<br />

Puerto Rico<br />

Normal reference ranges for orthostatic changes in heart rate and<br />

blood pressure in adolescents<br />

Skinner J, Driscoll S, Fischerr P, Brands C, Kuntz N, Pianosi P, Nelson<br />

D, Porter C, Burkhardt B<br />

18th International Symposium on the Autonomic Nerrvous System and<br />

2nd Joint Meeting of the ERAS ans AAS<br />

Vienna, Austria<br />

National<br />

Carotid-Cavernous Fistulas in the Head Injured: Two Case Reports<br />

American Academy of Physical Medicine and Rehabilitation<br />

Osteomalacia in High Quadriplegia: A Case Report<br />

American Spinal Injury Association<br />

Dizziness in a pediatric and adolescent referral population.<br />

Marsh AM, Fischer PR, Brands CK, Billings ML, Mack KJ, Porter CJ,<br />

Driscoll SW, Fisher JL, Grothe RM, Kuntz NL<br />

Pediatric Academic Societies<br />

Washington, District of Columbia<br />

Regional<br />

Female Urinary Incontinence<br />

Minnesota Physiatric Society Scientific Session<br />

Adolescent autonomic dysfunction and chronic fatigue, pain, dizziness<br />

and nausea<br />

Fischer PR, Brands CK, Porterr CJ, Pittock ST, Mack KJ, Kuntz NL,<br />

Fisherr JL, Grothe RM, Driscoll SW, Lai DD, Whiteside SP, Graner KK,<br />

Wilder RT, Harbeck-Weber CS, marsh AM, Risma JM, Antiel RM,<br />

Nelson DE, Yim PJ<br />

Mayo Clinic Clinical Research Appreciation Month Poster Presentation<br />

Events and Clinical Research Conference<br />

Rochester and Minneapolis, Minnesota<br />

Standing Up Together for Patient Safety for Pediatric Patients in<br />

Wheelchairs<br />

McKeeman R, Driscoll SW, McGarry K<br />

One Voice Leadership Forum<br />

Rochester, Minnesota<br />

INVITED PRESENTATIONS AND VISITING PROFESSORSHIPS<br />

Invited Presentations<br />

Chronic Pain Management in Adolescents<br />

Pediatric Days<br />

Rochester, Minnesota<br />

Spina Bifida<br />

Pediatric Grand Rounds<br />

Mayo School of Graduate Medical Education<br />

Rochester, Minnesota<br />

11/2006<br />

10/2007<br />

11/1992<br />

05/1993<br />

05/2005<br />

10/1992<br />

08/2006<br />

11/2008<br />

09/2002<br />

03/2004


Sherilyn W. Driscoll, MD Page 7 of 10<br />

Pediatric Rehab-Who, What, When, Where, and Why?<br />

Pediatric Grand Rounds<br />

Mayo School of Graduate Medical Education<br />

Cerebral Palsy in Adulthood: Special Children Grow Up<br />

Mayo Clinic Alumni Meeting<br />

Ponte Vedra, Florida<br />

Wee FIM<br />

Pediatric Multiple Sclerosis Meeting in Department of Pediatric<br />

Neurology<br />

Rochester, Minnesota<br />

Postural Orthostatic Tachycardia in Adolescents.<br />

American Academy of Physical Medicine and Rehabilitation Annual<br />

Assembly<br />

Honolulu, Hawaii<br />

Spina Bifida/Cerebral Palsy<br />

Pediatric Days<br />

Washington DC<br />

Pediatric PM&R<br />

Rehab Unit Advisory Council<br />

Rochester, Minnesota<br />

CLINICAL PRACTICE, INTERESTS, AND ACCOMPLISHMENTS<br />

Clinical practice accomplishments since 2003:<br />

05/2005<br />

10/2005<br />

11/2006<br />

11/2006<br />

08/2007<br />

03/2008<br />

-Consolidation of disparate pediatric therapy practices into single unified inpatient and single unified<br />

outpatient practices<br />

-Development of annual pediatric rehabilitation strategic plan<br />

-Initiation of a monthly pediatric rehabilitation "practice committee" to address the needs of our<br />

patients and practice<br />

-Obtained the "STARscanner" 3-D laser data acquisition system to bring our plagiocephaly<br />

evaluations and treatment plan to state of the art level<br />

-CARF accreditation for Pediatric Family Centered Rehabilitation Program (first ever)<br />

-Advancement of pediatric rehabilitation research projects and including collaboration with other<br />

pediataric departments<br />

-Participation in the design and practice planning related to the Mayo 16 multispeciality pediatric<br />

project<br />

-Development of marketing strategy, particularly related to plagiocephaly evaluations and treatment<br />

-Facilitation of patient population growth<br />

-Development of pediatric rehabilitation website<br />

-Development and/or review of dozens of patient education pieces relevant to pediatric PM&R<br />

-Development and initiation of Pediatric Rehabilitation Medicine Fellowship


-Implementation of new pediatric wheelchiar seating program<br />

-Implementation of pediatric chronic pain management program<br />

Sherilyn W. Driscoll, MD Page 8 of 10<br />

-Development of clinical pathways for pediatric intrathecal baclofen trials and pump implantation,<br />

selective dorsal rhizotomy, constraint induced movement therapy and others<br />

RESEARCH GRANTS AWARDED<br />

Completed Grants<br />

Mayo Clinic<br />

OTHER<br />

Principal<br />

Investigator<br />

Pediatric Orthostatic Normative Values. Funded by<br />

Mayo Clinic.<br />

About Spina Bifida<br />

Patient Education Material (MC 6052)<br />

Coma After the Heart Stops<br />

Patient Education Material (MC 6168)<br />

Pediatric <strong>Brain</strong> Injury (DVD)<br />

Patient Education Material (MC 1298-03)<br />

Hydrocephalus and Shunt Treatment<br />

Patient Education Materials (MC5791)<br />

Spasticity Management in Children<br />

Patient Education Materials (MC 5676)<br />

Beating Chronic Pain: A Guide for Teens<br />

PAtient Education Material (MC 2923-06<br />

Skin Care for the Child with Special Needs<br />

Patient Education Material (MC 6090)<br />

Special Care Nurseries: A Handbook for Parents<br />

Patient Education Material (MC5637)<br />

Effects of Spinal Cord Injury: A Guide for Grade-Schoolers<br />

Patient Education Material (MC2151-47)<br />

When Someone You Love Has a Spinal Cord Injury: A Guide for Kids<br />

Patient Education Material (MC 2151-48<br />

Understanding Pediatric <strong>Brain</strong> Injury-A Guide for Parents and Teachers<br />

Patient Education Material (MC 1298-02)<br />

Malone Antegrade Continence Enema (MACE) Procedure for Fecal<br />

Incontinence in Children<br />

Patient Education Material (MC5649)<br />

09/2006 - 09/2007


Sherilyn W. Driscoll, MD Page 9 of 10<br />

CONTRIBUTOR<br />

item writer<br />

American Board of Physical Medicine and Rehabilitation Recertification<br />

Examination Question Pool<br />

CONTRIBUTOR<br />

item writer<br />

American Board of Physical Medicine and Rehabilitation Pediatric<br />

Rehabilitation Medicine Subspecialty Board test question pool<br />

ORAL BOARD EXAMINER<br />

American Board of Physical Medicine and Rehabilitation<br />

SURVEYOR<br />

national pediatric program surveyor<br />

CARF<br />

1996 - 2001<br />

2000 - Present<br />

2004 - Present<br />

2008 - Present


BIBLIOGRAPHY<br />

Peer-reviewed Articles<br />

Sherilyn W. Driscoll, MD Page 10 of 10<br />

1. Driscoll SW, Noll SF, Koch BM. Juvenile rheumatoid arthritis. Phys Med Rehabil Clin N Am 1994<br />

Nov; 5:763-783.<br />

2. Driscoll SW, Skinner J. Musculoskeletal complications of neuromuscular disease in children.<br />

Phys Med Rehabil Clin N Am 2008 Feb; 19(1):163-94, viii. PMID:18194756.<br />

DOI:10.1016/j.pmr.2007.10.003.<br />

3. Lai CC, Fischer PR, Brands CK, Fisher JL, Porter CJ, Driscoll SW, Graner KK. Outcomes in<br />

adolescents with postural orthostatic tachycardia syndrome treated with Midodrine and bblockers.<br />

PACE 2009 Feb; 32:234-8.<br />

Book Chapters<br />

1. Driscoll SW. Burns in Children. In: M Alexander. Pediatric Rehabilitation 4 ed. in process:<br />

Elsevier Health Sciences; 2009. (Book chapter)<br />

Abstracts and Letters<br />

1. Lai CCH, Graner KK, Fisher JL, Driscoll SW, Brands CK, Porter CJ, Fischer PR. Outcomes of<br />

treatment in adolescent autonomic dysfunction. Clinical Autonomic Research 2006; 16:351.<br />

(Abstract)<br />

2. *Skinner J, Driscoll S, Fischer P, Brands C, Kuntz N, Pianosi P, Nelson DE, Porter C, Burkhardt<br />

B. Normal reference ranges for orthostatic changes in heart rate and blood pressure in<br />

adolescents. Clinical Autonomic Research 2007; 17:307-308. (Abstract)<br />

* Indicates that the primary author was a mentee of this author.


Program Director/Principal Investigator (Last, First, Middle): Brown, Tanya M.<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

Tanya Maines Brown, Ph.D.<br />

eRA COMMONS USER NAME (credential, e.g., agency login)<br />

POSITION TITLE<br />

Senior Associate Consultant<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Otterbein College, Westerville, OH B.A. 1992-1996 Psychology<br />

University of Cincinnati, Cincinnati, OH M.A. 1996-1999 Psychology<br />

Children’s Memorial Hospital/Northwestern<br />

University, Chicago, IL<br />

Predoctoral<br />

Internship<br />

2003-2004 Pediatric Psychology<br />

University of Cincinnati, Cincinnati, OH Ph.D. 1999-2004 Clinical Psychology<br />

Medical College of Wisconsin, Milwaukee, WI<br />

Postdoctoral<br />

Fellowship<br />

2004-2006 Pediatric<br />

Neuropsychology<br />

Please refer to the application instructions in order to complete sections A, B, and C of the Biographical<br />

Sketch.<br />

A. Positions and Honors<br />

Positions and Employment<br />

Senior Associate Consultant - Division of Child and Adolescent<br />

Psychiatry and Psychology, Department of Psychiatry &<br />

Psychology, Mayo Clinic, Rochester, Minnesota<br />

Other Experience and Professional Memberships<br />

Honors<br />

Professional Memberships & Services<br />

American Psychological Association<br />

Division 40 - Clinical Neuropsychology<br />

International Neuropsychological Society<br />

Ohio Psychological Association<br />

Journal Review & Editorial Activities<br />

Journal of the International Neuropsychological Society<br />

Ad Hoc Reviewer<br />

Neuropsychology Review<br />

Reviewer<br />

09/04/2007 -<br />

Present<br />

PHS 398/2590 (Rev. 11/07) Page Biographical Sketch Format Page


Program Director/Principal Investigator (Last, First, Middle): Brown, Tanya M.<br />

Alpha Lambda Delta - Otterbein College<br />

Endowed Scholarship - Otterbein College<br />

Departmental Scholarship - Otterbein College<br />

Psi Chi - Otterbein College<br />

Torch and Key Honor Society - Otterbein College<br />

Steven Karsko Memorial Award of Leadership - Otterbein College<br />

Mortar Board - Otterbein College<br />

Summa Cum Laude - Otterbein College<br />

PHS 398/2590 (Rev. 11/07) Page Continuation Format Page<br />

1992<br />

1992 - 1996<br />

1994 - 1995<br />

B. Selected Peer-reviewed Publications (in chronological order)<br />

1. Beebe DW, Ris MD, Brown TM, Dietrich KN. Executive functioning and memory for the Rey-<br />

Osterreith complex figure task among community adolescents. Appl Neuropsychol 2004; 11(2):91-8.<br />

2. Wade SL, Wolfe C, Brown TM, Pestian JP. Putting the pieces together: Preliminary efficacy of a webbased<br />

family intervention for children with traumatic brain injury. J Pediatr Psychol 2005; 30:437-42.<br />

3. Wade SL, Wolfe C, Brown TM, Pestian JP. Can a web-based problem solving intervention work for<br />

children with traumatic brain injury? Rehabil Psychol 2006; 50:337-45.<br />

4. Wade SL, Michaud L, Brown TM. Putting the pieces together: preliminary efficacy of a family<br />

problem-solving intervention for children with traumatic brain injury. J Head Trauma Rehabil 2006<br />

Jan-Feb; 21(1):57-67.<br />

5. Ris MD, Ammerman RT, Waller N, Walz N, Oppenheimer S, Brown TM, Enrile BG, Yeates KO.<br />

Taxonicity of nonverbal learning disabilities in spina bifida. J Int Neuropsychol Soc 2007 Jan; 13(1):50-<br />

8.<br />

6. Brown TM, Ris MD, Beebe D, Ammerman RT, Oppenheimer SG, Yeates KO, Enrile BG. Factors of<br />

biological risk and reserve associated with executive behaviors in children and adolescents with spina<br />

bifida myelomeningocele. Child Neuropsychology 2008 Mar; 14(2):118-34.<br />

1995<br />

1995<br />

1995<br />

1995<br />

1996


Program Director/Principal Investigator (Last, First, Middle): Brown, Tanya M.<br />

C. Research Support<br />

Ongoing Research Support<br />

Improving Mental Health Outcomes of Child <strong>Brain</strong><br />

Injury<br />

Role: Site Principal Investigator<br />

Role:<br />

Completed Research Support<br />

Uninsured Evaluations - Pediatric MS Center of<br />

Excellence Award. Funded by National Multiple<br />

Sclerosis Society.<br />

Role: Neuropsychologist<br />

Role:<br />

11/1/08 –<br />

10/31/10<br />

01/2006 –<br />

02/2009<br />

PHS 398/2590 (Rev. 11/07) Page Continuation Format Page


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Mississippi<br />

Children's Rehabilitation Services / Blair E. Batson Hospital for Children<br />

www.umhc.com<br />

REGION: Southeast CATEGORY OF CARE: Rural/Tele‐health<br />

Program Director: Shannon Smith, MD, FAAPMR Position Title: Assistant Professor<br />

Department: Orthopedic Surgery & Rehabilitation<br />

Address: 2500 N. State Street, Jackson, MS 39216<br />

Phone: 601‐984‐2940<br />

Email: sjsmith2@ped.umsmed.edu<br />

Level 1 Center(s): Jackson<br />

Level 2 Center(s): Meridian, Greenville<br />

Level 3 Center(s): Gulport/Biloxi, Tupelo<br />

Number of jobs <strong>PABI</strong> Grant creates in Mississippi: 84<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 4,853,936<br />

Category of Care Management Sub‐total: $ 3,425,867<br />

Case Management Sub‐total: $ 1,909,613<br />

State Lead Center Sub‐total: $ 10,221,416<br />

Indirect Cost to Institution (20%): $ 2,044,283<br />

Administrative Cost to SJBF (2%): $ 204,428<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 12,470,128


Children's Rehabilitation Services / Blair E. Batson Hospital for Children Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 40,136<br />

Program Director Assistant: $ 79,393<br />

State Director: $ 264,645<br />

Associate State Director: $ 114,679<br />

State Epidemiologist: $ 176,430<br />

State Epidemiologist Assistant: $ 79,393<br />

State Scientific Investigation Research Coordinator: $ 149,965<br />

State Scientific Investigation Research Assistant: $ 149,965<br />

State Education/Training Coordinator (plus materials): $ 219,420<br />

State General Counsel: $ 211,716<br />

State IT Manager: $ 167,608<br />

State Family Support Coordinator: $ 132,322<br />

State Prevention/Awareness Coordinator: $ 132,322<br />

State Acute Care Coordinator: $ 132,322<br />

State Reintegration Coordinator: $ 132,322<br />

State Adult Transition Coordinator: $ 132,322<br />

State Mild TBI Coordinator: $ 132,322<br />

State Mental Health Coordinator: $ 114,679<br />

State Assistive/Emerging Technology Coordinator: $ 114,679<br />

State Correctional System Coordinator: $ 114,679<br />

State MISC Coordinator: $ 114,679<br />

State Veterans Coordinator: $ 114,679<br />

State Data Manager: $ 114,679<br />

State Public Policy Manager: $ 132,322<br />

State Community Relations Manager: $ 114,679<br />

State Administrative Support: $ 476,360<br />

Charity care: $ 253,856<br />

Human Resources Support: $ 84,000<br />

Training Support: $ 21,000<br />

State Lead Center Office Space Cost: $ 243,955<br />

State Lead Center Transportation/Travel: $ 82,249<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 78,695<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 72,530<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 4,853,936


Children's Rehabilitation Services / Blair E. Batson Hospital for Children Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Rural/Tele‐health<br />

Regional Category Director: $ 264,645<br />

Regional Category Epidemiologist: $ 211,716<br />

Regional Category Education/Training Coordinator: $ 176,430<br />

Regional Category Scientific Investigation Research: $ 176,430<br />

Regional Category Administrative Support: $ 317,573<br />

Regional Category Office Space Cost: $ 70,826<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 22,847<br />

CATEGORY OF CARE SUB‐TOTAL: $ 3,425,867


Children's Rehabilitation Services / Blair E. Batson Hospital for Children Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 126,021<br />

Level 1 Center Field Specialist(s): $ 100,817<br />

Level 1 Center SJB Family Specialist(s): $ 688,076<br />

Level 1 Center Administrative Support: $ 113,419<br />

Level 1 Office Space Cost: $ 38,078<br />

Level 1 Transportation/Travel: $ 26,664<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 43,518<br />

Level 2 Center Field Specialist(s): $ 120,980<br />

Level 2 Center SJB Family Specialist(s): $ 393,186<br />

Level 2 Transportation/Travel: $ 15,346<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 15,231<br />

Level 3 Center SJB Family Specialist(s): $ 147,445<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 4,352<br />

CASE MANAGEMENT SUB‐TOTAL: $ 1,909,613<br />

STATE LEAD CENTER SUB‐TOTAL: $ 10,221,416<br />

INDIRECT COST TO INSTITUTION: $ 2,044,283<br />

ADMINISTRATIVE FEE TO SJBF: $ 204,428<br />

STATE LEAD CENTER SUB‐TOTAL: $ 12,470,128<br />

TOTAL JOBS CREATED IN Mississippi: 84


Curriculum Vitae<br />

Shannon Janine Smith, MD, FAAPMR<br />

Assistant Professor<br />

Department of Orthopedic Surgery & Rehabilitation<br />

Department of Pediatrics<br />

University of Mississippi Medical Center<br />

Jackson, Mississippi<br />

EMAIL ADDRESS: sjsmith2@ped.umsmed.edu<br />

PHONE# 601-984-2940


CURRICULUM VITAE<br />

Name: Shannon Janine Smith Date of Appointment to UMC: October 2007<br />

Title: Assistant Professor<br />

Date and Place of Birth: May 19, 1978<br />

Philadelphia, PA<br />

Language Proficiency: English<br />

Educational Background:<br />

College: Spelman College<br />

Atlanta, GA<br />

BA Degree 1999- cum laude<br />

Professional School: Temple University School of Medicine,<br />

Philadelphia, PA<br />

Doctorate of Medicine 2003<br />

Postgraduate Training: Physical Medicine and Rehabilitation Residency<br />

Emory University School of Medicine, Atlanta, GA<br />

Department of Rehabilitation Medicine<br />

July 2004 – September 2007<br />

Military Service: None<br />

Transitional Medicine Internship<br />

University of Tennessee, Memphis TN<br />

Methodist University Hospital<br />

June 2003- June 2004


Shannon Janine Smith, MD<br />

Page 2<br />

Honors and Awards: Outstanding Community Service Award Recipient / Temple<br />

University School of Medicine, Philadelphia, PA May 2003<br />

Academic Scholarship Recipient / Spelman College, Atlanta, GA. August 1995<br />

Specialty Certification: American Board of Physical Medicine and Rehabilitation -Fellow–<br />

2008<br />

American Board of Physical Medicine and Rehabilitation –<br />

Diplomate - 2008<br />

Licensure: American Board of Physical Medicine and Rehabilitation -Fellow–<br />

July 1, 2008<br />

American Board of Physical Medicine and Rehabilitation –<br />

Diplomate - 2008<br />

Mississippi State Board of Medical Licensure – September 10, 2007- present<br />

Georgia Medical Training Permit 2004-2007<br />

Professional Memberships: American Academy of Physical Medicine and Rehabilitation<br />

Association of Academic Physiatrists<br />

American Medical Association<br />

National Medical Association<br />

Mississippi State Medical Association<br />

Central Medical Society<br />

Southern Society of Physical Medicine and Rehabilitation<br />

American Academy of Pediatrics<br />

Academic Appointments: Assistant Professor<br />

Department of Orthopedic Surgery & Rehabilitation<br />

Assistant Professor<br />

Department of Pediatrics<br />

University of Mississippi Medical Center<br />

Jackson, MS<br />

October 2007 - Present<br />

Other Activities and Appointments:<br />

2008 Search Committee Member, for Chairman for Department of Neurology,<br />

University of Mississippi Medical Center<br />

2007-Present Assistant Professor<br />

University Physician Associates, University of Mississippi Medical Center-<br />

Consultant for University Rehabilitation Center<br />

2007-Present Physician<br />

Children’s Rehabilitation Services, Blair E. Batson Hospital for Children


Shannon Janine Smith, MD<br />

Page 3<br />

2006 Gross Anatomy Tutor; Musculoskeletal Section<br />

Emory University School of Medicine<br />

2005- 2007 Emory University School of Medicine<br />

Member, Clinical Quality Committee- Designed to review patients’ records in an<br />

inpatient rehabilitation facility<br />

2005- Present Resident Mentor<br />

American Academy of Physical Medicine and Rehabilitation<br />

2004-2007 Contributing Editor<br />

Rehab in Review<br />

Spaulding Rehabilitation Hospital<br />

Harvard University<br />

2000-2002 Gross Anatomy and Histology Tutor<br />

Temple University School of Medicine<br />

Presentations: RESIDENCY LECTURES/EMORY UNIVERSITY:<br />

Outcomes of Patient Transfers in an Inpatient Rehab Setting<br />

Middle Cerebral Artery Strokes<br />

Incidence of Vertebral Artery Rupture in Spinal Cord Injuries<br />

Brachial Plexus and Clinical Correlations<br />

Lumbosacral Plexopathy and Electrodiagnostics<br />

Traumatic <strong>Brain</strong> Injury Overview<br />

Spinal Cord Injury Overview<br />

Prosthetics and Orthotics Overview<br />

Neurogenic Bladder and Bowel<br />

EMG Sources of Error<br />

Median Neuropathy<br />

Physical Exam of the Hand and Wrist<br />

Physical Exam of the Hip and Lumbosacral Spine<br />

Physical Exam of the Ankle and Foot<br />

Physical Exam of the Cervical Spine and Shoulder<br />

Athletic Pubalgia<br />

Gait- Normal and Pathological<br />

Transfemoral, Transtibial and Upper Extremity Prosthetics<br />

Professional Presentations:<br />

June, 2009 Spasticity Management; University of Mississippi Medical Center,<br />

Rehabilitation Conference<br />

March, 2009 Pediatric Traumatic <strong>Brain</strong> Injury; University of Mississippi Medical


Center, Pediatric Grand Rounds<br />

Shannon Janine Smith, MD<br />

Page 4<br />

January, 2009 Update on Advances in Pediatric Rehabilitation; Lunch and Learn,<br />

Children’s Rehabilitation Services<br />

November, 2008 Stroke Rehabilitation; University of Mississippi Medical Center, Greater<br />

Mississippi Chapter of the American Association of Neuroscience<br />

Nurses<br />

October, 2008 Pediatric Spinal Cord Injuries; University of Mississippi Medical Center,<br />

Pediatric Grand Rounds<br />

August 2008 Graduated Driver’s License; Mississippi House of Representatives,<br />

Transportation Committee<br />

May, 2008 Pediatric Rehabilitation; Spring Conference, American Academy of<br />

Pediatrics, Mississippi Chapter<br />

January, 2008 Introduction to Spinal Cord Injury; Quarterly Lunch and Learn,<br />

Children’s Rehabilitation Services


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Missouri<br />

Saint Louis Children's Hospital<br />

www.stlouischildrens.org<br />

REGION: Southcentral CATEGORY OF CARE: Mild TBI<br />

Program Director: Jose Pineda, MD Position Title: Director<br />

Department: Pediatric Neurocritical Care Program<br />

Address: One Children's Place, suite 5S20, St. Louis, MO 63110<br />

Phone: 314‐454‐2545<br />

Email: Pineda_j@kids.wustl.edu<br />

Level 1 Center(s): St. Louis (St. Louis Children's Hospital), Kansas City (Children's Mercy Hospital)<br />

Level 2 Center(s): St. Louis (SSM Cardinal Glennon Children's Hospital), Springfield (St. John's Regional<br />

Health Center), Columbia (University of Missouri Hospital and Clinics)<br />

Level 3 Center(s): Cape Girardeau (St. Francis Medical Center), Rolla (Phelps County Regional Medical<br />

Center), Washington (St. John's Mercy Hospital), Kirksville (Northeast Regional Medical Center)<br />

Number of jobs <strong>PABI</strong> Grant creates in Missouri: 111<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,746,653<br />

Category of Care Management Sub‐total: $ 1,913,347<br />

Case Management Sub‐total: $ 3,955,716<br />

State Lead Center Sub‐total: $ 11,647,716<br />

Indirect Cost to Institution (20%): $ 2,329,543<br />

Administrative Cost to SJBF (2%): $ 232,954<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 14,210,214


Saint Louis Children's Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 123,200<br />

Program Director Assistant: $ 90,803<br />

State Director: $ 302,678<br />

Associate State Director: $ 131,160<br />

State Epidemiologist: $ 201,785<br />

State Epidemiologist Assistant: $ 90,803<br />

State Scientific Investigation Research Coordinator: $ 171,517<br />

State Scientific Investigation Research Assistant: $ 171,517<br />

State Education/Training Coordinator (plus materials): $ 311,240<br />

State General Counsel: $ 242,142<br />

State IT Manager: $ 191,696<br />

State Family Support Coordinator: $ 151,339<br />

State Prevention/Awareness Coordinator: $ 151,339<br />

State Acute Care Coordinator: $ 151,339<br />

State Reintegration Coordinator: $ 151,339<br />

State Adult Transition Coordinator: $ 151,339<br />

State Mild TBI Coordinator: $ 151,339<br />

State Mental Health Coordinator: $ 131,160<br />

State Assistive/Emerging Technology Coordinator: $ 131,160<br />

State Correctional System Coordinator: $ 131,160<br />

State MISC Coordinator: $ 131,160<br />

State Veterans Coordinator: $ 131,160<br />

State Data Manager: $ 131,160<br />

State Public Policy Manager: $ 151,339<br />

State Community Relations Manager: $ 131,160<br />

State Administrative Support: $ 544,820<br />

Charity care: $ 315,289<br />

Human Resources Support: $ 111,000<br />

Training Support: $ 27,750<br />

State Lead Center Office Space Cost: $ 302,993<br />

State Lead Center Transportation/Travel: $ 102,154<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 97,740<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 90,083<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,746,653


Saint Louis Children's Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Mild TBI<br />

Regional Category Director: $ 302,678<br />

Regional Category Epidemiologist: $ 242,142<br />

Regional Category Education/Training Coordinator: $ 201,785<br />

Regional Category Scientific Investigation Research: $ 201,785<br />

Regional Category Administrative Support: $ 363,213<br />

Regional Category Office Space Cost: $ 87,966<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 28,376<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,913,347


Saint Louis Children's Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 288,265<br />

Level 1 Center Field Specialist(s): $ 230,612<br />

Level 1 Center SJB Family Specialist(s): $ 1,573,925<br />

Level 1 Center Administrative Support: $ 259,438<br />

Level 1 Office Space Cost: $ 47,293<br />

Level 1 Transportation/Travel: $ 54,907<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 85,579<br />

Level 2 Center Field Specialist(s): $ 207,551<br />

Level 2 Center SJB Family Specialist(s): $ 674,539<br />

Level 2 Transportation/Travel: $ 23,492<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 28,376<br />

Level 3 Center SJB Family Specialist(s): $ 337,270<br />

Level 3 Transportation/Travel: $ 9,360<br />

Level 3 Office Equipment/Communications: $ 22,800<br />

Level 3 Supplies: $ 10,810<br />

CASE MANAGEMENT SUB‐TOTAL: $ 3,955,716<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,647,716<br />

INDIRECT COST TO INSTITUTION: $ 2,329,543<br />

ADMINISTRATIVE FEE TO SJBF: $ 232,954<br />

STATE LEAD CENTER SUB‐TOTAL: $ 14,210,214<br />

TOTAL JOBS CREATED IN Missouri: 111


Principal Investigator/Program Director (Last, First, Middle): Pineda, Jose A.<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

Jose A. Pineda<br />

eRA COMMONS USER NAME<br />

PINEDAJ<br />

POSITION TITLE<br />

Assistant Professor in Pediatrics and Neurology<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Universidad Francisco Marroquin, Guatemala BS 1985-1988 Biology<br />

Universidad Francisco Marroquin, Guatemala MD 1989-1993 Medicine<br />

University of South Florida, Tampa, Florida 1994-1997 Pediatrics<br />

Duke University, Durham, North Carolina 1997-2001 Pediatric Critical Care<br />

A. Positions and Honors:<br />

Positions:<br />

1999-2001 Medical Advisory Panel, Infrared Imaging for Medicine Program,<br />

U.S. Army CECOM Night Vision & Electronics Sensors Directorate<br />

2001-2005 Assistant Professor, University of Florida Dept. of Pediatrics, Division of Critical Care,<br />

Gainesville, FL<br />

2002-2005 Associate Director, Center for Traumatic <strong>Brain</strong> Injury Studies, Evelyn F. & William L. McKnight<br />

<strong>Brain</strong> Institute of the University of Florida, Gainesville, FL<br />

2005-Present Assistant Professor of Pediatrics and Neurology, Division of Critical Care Medicine<br />

Washington University School of Medicine, St. Louis, MO<br />

2007-Present Director, Pediatric Neurocritical Care Program, St. Louis Children’s Hospital and Washington<br />

University School of Medicine, St. Louis, MO<br />

Other Experience and Professional Memberships<br />

1999-2001 Medical Advisory Panel, Infrared Imaging for Medicine Program,<br />

U.S. Army CECOM Night Vision & Electronics Sensors Directorate<br />

2004-2005 Advisory Board, Safe Kids Coalition, Gainesville, FL<br />

2004-2005 Scientific Advisory Board, Banyan Diagnostics<br />

Memberships: Guatemalan Society of Bioethics<br />

Guatemalan College of Physicians<br />

American Academy of Pediatrics<br />

National Neurotrauma Society<br />

Society for Neuroscience<br />

Neuro-Critical Care Society<br />

Selected Honors:<br />

1984 Honor Roll, Liceo Javier<br />

1994 Top ten in the Class of 94, UFM School of Medicine<br />

1999 Service Excellence Award, All Children's Hospital<br />

1999 Outstanding Medical Student Teaching, Department of Pediatrics, University of South Florida<br />

1999 1 st Place Physician Research Award, 17 th Annual Scientific Symposium, Society of Critical Care<br />

Medicine, Carolina/Virginia Chapter, Williamsburg, VA<br />

2000 Research Award -Finalist, Department of Anesthesiology Academic Evening, DUMC, Durham, NC<br />

2000 1 st Place Physician Research Award, 18 th Annual Scientific Symposium, Society of Critical Care<br />

Medicine, Carolina/Virginia Chapter, Williamsburg, VA<br />

2001 Children’s Miracle Network Fall Award<br />

PHS 398/2590 (Rev. 11/07) Page Biographical Sketch Format Page


Principal Investigator/Program Director: Pineda, Jose A.<br />

(Last, first, middle)<br />

2001 Howard Hughes Medical Institute Biomedical Research Support Program- New Faculty Start Up Award<br />

2004 Clinical Science Poster Presentation Award, UF College of Medicine Research Day, April 27 2004<br />

Mentored Awards:<br />

2002 Top Abstract Student Poster Competition Award, Joint Symposium of <strong>The</strong> National and International<br />

Neurotrauma Societies, Tampa, FL(Student: Erik Johnson)<br />

2003 University Scholars Program, University of Florida College of Medicine (Student: Jada Aikman)<br />

2004 Finalist, Best Paper Student Competition, University of Florida Scholars Program (Student: Jada<br />

Aikman)<br />

B. Selected peer-reviewed publications (in chronological order).<br />

1. Nellgard B, Mackensen GB, Pineda J, Wellons JC, Pearlstein RD, Warner DS: Anesthetic Effects on<br />

Cerebral Metabolic Rate Predict Histologic Outcome from Near-complete Forebrain Ischemia in the<br />

Rat. Anesthesiology. 93(2):431-436, August 2000.<br />

2. Pineda JA, Aono M, Sheng H, Lynch J, Wellons JC, Laskowitz DT, Pearlstein RD, Bowler R, Crapo J,<br />

Warner DS: Extracellular superoxide dismutase overexpression improves behavioral outcome from<br />

closed head injury in the mouse. J Neurotrauma. 2001 Jun;18(6):625-34.<br />

3. Lynch JR, Pineda JA, Morgan D, Zhang L, Warner DS, Benveniste H, Laskowitz DT: Apolipoprotein E<br />

affects the central nervous system response to injury and the development of cerebral edema.<br />

Ann Neurol. 2002 Jan;51(1):113-7.<br />

4. Mackensen GB, Sato Y, Nellgard B, Pineda J, Newman MF, Warner DS, Grocott HP: Cardiopulmonary<br />

bypass induces neurologic and neurocognitive dysfunction in the rat. Anesthesiology. 2001<br />

Dec;95(6):1485-91.<br />

5. Modell JH, Idris AH, Pineda JA, Silverstein JH: Survival after prolonged submersion in freshwater in<br />

Florida. Chest; 125(5): 1948-51, May 2004<br />

6. Wainwright MS, Craft JM, Griffin WS, Marks A, Pineda J, Padgett K, Van Eldik L: Increased<br />

Susceptibility of S100B Transgenic Mice to Perinatal Hypoxia-Ischemia. Ann Neurol. 2004 Jul;56(1):61-<br />

7.<br />

7. Johnson E, Pike BR, Tolentino P, Shaw G, Kampfl A, Wang KWW, Hayes RL, Pineda JA: Upregulation<br />

of the Cell Cycle Protein, Survivin, in Astrocytes and Neurons After Experimental Traumatic<br />

<strong>Brain</strong> Injury in Rats. J Neurotrauma. 2004 Sep; 21(9):1183-95.<br />

8. Ringger NC, O'Steen BE, Brabham JG, Silver X, Pineda J, Wang KKW, Hayes RL, Papa L: A Novel<br />

Marker for Traumatic <strong>Brain</strong> Injury: CSF II-Spectrin Breakdown Product Levels. J Neurotrauma. 2004<br />

Oct; 21(10): 1443-56.<br />

9. WE. Haskins, FH. Kobeissy, RA. Wolper, AK Ottens, JW Kitlen, MC Liu, SH McClung, AG Lundberg,<br />

Barbara E. O'Steen, Marjorie M. Chow, JA Pineda, Nancy D. Denslow, Ronald L. Hayes, Kevin K.W.<br />

Wang. Rapid Discovery of Putative Protein Biomarkers of Traumatic <strong>Brain</strong> Injury by SDS-PAGE-<br />

Capillary Liquid Chromatography-Tandem Mass Spectrometry. J Neurotrauma. 2005 Jun;22(6):629-44.<br />

10. Erik A. Johnson, Stanislav I. Svetlov, Kevin K.W. Wang, Ronald L. Hayes, JA Pineda: Cell-specific<br />

DNA Fragmentation May Be Attenuated by a Survivin-dependent Mechanism Following Traumatic<br />

<strong>Brain</strong> Injury in Rats. Exp <strong>Brain</strong> Res. 2005 Nov;167(1):17-26.<br />

11. Aikman JM, Osteen BE, Silver X, Torres R, Boslaugh S, Blackband S, Padgett K, Wang KKW, Hayes<br />

RL, Pineda J: Alpha-II-Spectrin After Controlled Cortical Impact In <strong>The</strong> Immature Rat <strong>Brain</strong>: Dev<br />

Neurosci. 2006;28(4-5):457-65.<br />

12. Pineda JA, Lewis SB, Valadka AB, Papa L, Hannay HJ, Heaton SC, Demery JA, Liu MC, Aikman JM,<br />

Akle V, Brophy GM, Tepas JJ, Wang KK, Robertson CS, Hayes RL: Clinical significance of Alpha-II-<br />

Spectrin Breakdown Products in CSF after Severe Traumatic <strong>Brain</strong> Injury. J Neurotrauma. 2007<br />

Feb;24(2):354-66.<br />

13. Germanò A, Caffo M, Angileri FF, Arcadi F, Newcomb-Fernandez J, Caruso G, Meli F, Pineda JA,<br />

Lewis SB, Wang KK, Bramanti P, Costa C, Hayes RL. NMDA receptor antagonist felbamate reduces<br />

behavioral deficits and blood-brain barrier permeability changes after experimental subarachnoid<br />

hemorrhage in the rat. J Neurotrauma. 2007 Apr; 24(4):732-44<br />

PHS 398/2590 (Rev. 11/07) Page ___ Other Support Format Page


Principal Investigator/Program Director: Pineda, Jose A.<br />

(Last, first, middle)<br />

14. Lewis SB, Velat GJ, Miralia L, Papa L, Aikman JM, Wolper RA, Firment CS, Liu MC, Pineda JA, Wang<br />

KK, Hayes RL.Alpha-II spectrin breakdown products in aneurysmal subarachnoid hemorrhage: a novel<br />

biomarker of proteolytic injury. J Neurosurg. 2007 Oct;107(4):792-6<br />

15. Dean NP, Boslaugh S, Adelson PD, Pineda JA, Leonard JR. Physician agreement with evidencebased<br />

recommendations for the treatment of severe traumatic brain injury in children. J Neurosurg.<br />

2007 Nov;107(5):387-391<br />

16. Leonard J, Leonard J, Ray WZ, Pineda JA. Traumatic brain injury in children. Mo Med. 2008 Sep-<br />

Oct;105(5):404-11; quiz 411-2.<br />

17. Brophy GM, Pineda JA, Papa L, Lewis SB, Valadka AB, Hannay HJ, Heaton SC, Demery JA, Liu MC,<br />

Tepas JJ, Gabrielli A, Robicsek S, Wang KK, Robertson CS, Hayes RL. AlphaII-Spectrin Breakdown<br />

Product Cerebrospinal Fluid Exposure Metrics Suggest Differences in Cellular Injury Mechanisms after<br />

Severe Traumatic <strong>Brain</strong> Injury. J Neurotrauma. 2009 Apr;26(4):471-9.<br />

Invited Publications:<br />

1. Pineda, JA, Book Review: Traumatic Head Injury in Children. Archives of Pediatrics & Adolescent<br />

Medicine. 1997; 151(12):1271<br />

2. Pineda JA: <strong>The</strong> Future of Traumatic <strong>Brain</strong> Injury: How Will It Fit Children. <strong>Brain</strong> Injury Source. Winter<br />

2002; 6(1): 28-30<br />

3. Pineda JA, Zaritsky AL: <strong>The</strong> relationship of oxygen consumption to cerebral functional activity. <strong>The</strong><br />

Journal of Pediatrics 2004; 144(1): 29<br />

4. Pineda JA, Wang KWW, Hayes RL: Biomarkers Of Proteolytic Damage Following Traumatic <strong>Brain</strong><br />

Injury. <strong>Brain</strong> Pathology 2004; 14(2): 202-9<br />

5. Pineda JA, Tepas JJ: Caring for the child with severe traumatic brain injury: Old lessons learned and<br />

new concepts (Editorial). Pediatr Crit Care Med. 2006 Sep;7(5):496-7.<br />

C. Research Support<br />

Ongoing Research Support<br />

Harold Amos Medical Faculty Role: PI 7/1/2009- 6/30/2013<br />

Development Program,<br />

Robert Wood Johnson Foundation<br />

Title: Imaging mitochondrial dysfunction in pediatric brain injury: Impact on outcomes<br />

<strong>Project</strong> Goals: to use MRI spectroscopy techniques in children with TBI to 1) more accurately evaluate acute<br />

and sub-acute prognosis; and 2) delineate potential therapies addressing mitochondrial dysfunction.<br />

National Institutes of Health Role: Site PI 5/1/2008-4/30/2013<br />

Title: Pediatric TBI Consortium: Hypothermia<br />

<strong>Project</strong> Goals: multicenter Phase III RCT to test the hypothesis that moderate hypothermia after severe TBI in<br />

children will improve mortality and functional outcome.<br />

Principal Investigator: P. David Adelson, MD University of Pittsburgh<br />

National Institutes of Health Role: Scholar 7/1/2007-7/1/2010<br />

Title: K12 Multidisciplinary Clinical Research Career Development Program<br />

<strong>Project</strong> Goals: to explore mechanisms of brain metabolic dysfunction and related cell death in children with<br />

severe TBI. Coursework and mentored activities for conferral of a MsC degree in Clinical Investigation.<br />

Principal Investigator: Victoria Fraser, M.D.<br />

National Institutes of Health/ CDC Role: Site PI<br />

Title: Critical Pertussis in U.S. Children: Severe Morbidity, Sequelae, and Mortality: A Prospective Cohort<br />

Study<br />

<strong>Project</strong> Goals: multicenter prospective cohort study is to describe the societal burden of severe pertussis in the<br />

US pediatric population from clinical and health outcome perspectives.<br />

PHS 398/2590 (Rev. 11/07) Page ___ Other Support Format Page


Completed Research Support<br />

Principal Investigator/Program Director: Pineda, Jose A.<br />

(Last, first, middle)<br />

ANP Technologies, Inc. Role: PI 8/30/2005- 2/28/2006<br />

Phase I STTR contract<br />

Title: Identification of Biomarkers in Traumatic <strong>Brain</strong> Injury<br />

<strong>Project</strong> Goals: pilot study for the development of a rapid, user friendly brain injury biomarker assay using a<br />

rapid multiplexed lateral flow immunoassay format.<br />

State of Florida <strong>Brain</strong> and Spinal Role: Co-Investigator 7/1/2004-7/01/2005<br />

Cord Injury Rehabilitation Trust Fund<br />

Title: Biomarkers of <strong>Brain</strong> Pathology in Patients with Traumatic <strong>Brain</strong> Injury (TBI)<br />

<strong>Project</strong> Goals: To identify markers of apoptotic and necrotic cell death in patients with severe TBI.<br />

Banyan Diagnostics Role: Co-PI 09/01/2004-08/31/2005<br />

Title: Biomarkers of <strong>Brain</strong> Pathology in Adult Patients with Traumatic <strong>Brain</strong> Injury<br />

<strong>Project</strong> Goals: to conduct translational research aimed at validating novel biomarkers of cell death and axonal<br />

injury in adult patients with traumatic brain injury<br />

National Institute of Child Health Role: Co-Investigator 7/01/2003–6/30/2005<br />

and Human Development<br />

Title: Outcome of therapeutic hypothermia in pediatric arrest<br />

<strong>Project</strong> Goals: to conduct preparatory work for a multicenter clinical trial testing the use of hypothermia after<br />

cardiac arrest in pediatric patients.<br />

Principal Investigator: Arno Zaritsky, M.D.<br />

National Institute of Neurological Role: Site Co-PI 9/1/2001-6/30/2005<br />

Disorders and Stroke<br />

Title: Mitochondria Related Events in TBI: A randomized, Placebo Controlled Study, To Evaluate the Safety,<br />

Tolerability, and Pharmacokinetics of a Single Intravenous Infusion of Cyclosporine A in Patients with Severe<br />

Head Injury<br />

<strong>Project</strong> Goals: Phase I clinical trial testing the use of Cyclosporine A in adult patients diagnosed with severe<br />

traumatic brain injury.<br />

Principal Investigator: Ross Bullock, M.D. Ph.D. (Medical College of Virginia)<br />

PHS 398/2590 (Rev. 11/07) Page ___ Other Support Format Page


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Montana<br />

Montana State University Billings / Montana Center on Disabilities<br />

www.msubillings.edu<br />

REGION: Rocky Mountain CATEGORY OF CARE: Rural/Tele‐health<br />

Program Director: Marsha Sampson Position Title: Interim Director<br />

Address: 1500 University Drive, Billings, MT 59101<br />

Phone: (406) 657‐2085<br />

Email: msampson@msubillings.edu<br />

Level 1 Center(s): Billings/Yellowstone/southern<br />

Level 2 Center(s): Great Falls/Cascade/northern, Missoula/western<br />

Level 3 Center(s): Billings (mobile), Great Falls (mobile)<br />

Number of jobs <strong>PABI</strong> Grant creates in Montana: 84<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 4,859,154<br />

Category of Care Management Sub‐total: $ 3,382,186<br />

Case Management Sub‐total: $ 1,896,313<br />

State Lead Center Sub‐total: $ 10,169,652<br />

Indirect Cost to Institution (20%): $ 2,033,930<br />

Administrative Cost to SJBF (2%): $ 203,393<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 12,406,976


Montana State University Billings / Montana Center on Disabilities Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 96,187<br />

Program Director Assistant: $ 76,531<br />

State Director: $ 255,103<br />

Associate State Director: $ 110,544<br />

State Epidemiologist: $ 170,068<br />

State Epidemiologist Assistant: $ 76,531<br />

State Scientific Investigation Research Coordinator: $ 144,558<br />

State Scientific Investigation Research Assistant: $ 144,558<br />

State Education/Training Coordinator (plus materials): $ 167,424<br />

State General Counsel: $ 204,082<br />

State IT Manager: $ 161,565<br />

State Family Support Coordinator: $ 127,551<br />

State Prevention/Awareness Coordinator: $ 127,551<br />

State Acute Care Coordinator: $ 127,551<br />

State Reintegration Coordinator: $ 127,551<br />

State Adult Transition Coordinator: $ 127,551<br />

State Mild TBI Coordinator: $ 127,551<br />

State Mental Health Coordinator: $ 110,544<br />

State Assistive/Emerging Technology Coordinator: $ 110,544<br />

State Correctional System Coordinator: $ 110,544<br />

State MISC Coordinator: $ 110,544<br />

State Veterans Coordinator: $ 110,544<br />

State Data Manager: $ 110,544<br />

State Public Policy Manager: $ 127,551<br />

State Community Relations Manager: $ 110,544<br />

State Administrative Support: $ 459,185<br />

Charity care: $ 247,534<br />

Human Resources Support: $ 84,000<br />

Training Support: $ 21,000<br />

State Lead Center Office Space Cost: $ 237,880<br />

State Lead Center Transportation/Travel: $ 226,800<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 76,736<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 70,724<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 4,859,154


Montana State University Billings / Montana Center on Disabilities Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Rural/Tele‐health<br />

Regional Category Director: $ 255,103<br />

Regional Category Epidemiologist: $ 204,082<br />

Regional Category Education/Training Coordinator: $ 170,068<br />

Regional Category Scientific Investigation Research: $ 170,068<br />

Regional Category Administrative Support: $ 306,123<br />

Regional Category Office Space Cost: $ 69,062<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 22,278<br />

CATEGORY OF CARE SUB‐TOTAL: $ 3,382,186


Montana State University Billings / Montana Center on Disabilities Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 121,477<br />

Level 1 Center Field Specialist(s): $ 97,182<br />

Level 1 Center SJB Family Specialist(s): $ 663,267<br />

Level 1 Center Administrative Support: $ 109,330<br />

Level 1 Office Space Cost: $ 37,130<br />

Level 1 Transportation/Travel: $ 55,800<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 42,434<br />

Level 2 Center Field Specialist(s): $ 116,618<br />

Level 2 Center SJB Family Specialist(s): $ 379,010<br />

Level 2 Transportation/Travel: $ 31,680<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 14,852<br />

Level 3 Center SJB Family Specialist(s): $ 142,129<br />

Level 3 Transportation/Travel: $ 9,360<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 4,243<br />

CASE MANAGEMENT SUB‐TOTAL: $ 1,896,313<br />

STATE LEAD CENTER SUB‐TOTAL: $ 10,169,652<br />

INDIRECT COST TO INSTITUTION: $ 2,033,930<br />

ADMINISTRATIVE FEE TO SJBF: $ 203,393<br />

STATE LEAD CENTER SUB‐TOTAL: $ 12,406,976<br />

TOTAL JOBS CREATED IN Montana: 84


NAME: Marsha Sampson<br />

TITLE: Interim Director<br />

Montana Center on Disabilities, Montana State University-Billings<br />

1. ACADEMIC DEGREES<br />

DEGREE INSTITUTION AREA<br />

BA Carroll College - Helena, MT Sociology/Social Work<br />

Master of Education MSU-Billings – Billings, MT Multidisciplinary Studies Option<br />

2. PROFESSIONAL EXPERIENCE<br />

DATES ORGANIZATION POSITION<br />

2005 to Present Montana Center on Interim Director<br />

Disabilities (MCD)<br />

American Indian Big Sky<br />

<strong>Project</strong>s (AIBSP) Interim Director<br />

2003 to 2005 Montana Center on Interim Director<br />

Disabilities (MCD)<br />

2001 to 2003 Montana Center on Coordinator of Service Programs<br />

Disabilities (MCD)<br />

2000 to 2001 Montana Center on Interim Coordinator<br />

Disabilities (MCD) of Service Programs<br />

1999 to 2000 Equity for Young Women <strong>Project</strong> Director<br />

with Disabilities <strong>Project</strong><br />

MT Outreach for Social<br />

Security <strong>Project</strong>, and CSPD<br />

/MCD<br />

1998 to 1999 Montana Systems Change <strong>Project</strong> Director<br />

1996 to 1998 Transition Grant/MCD Training Coordinator<br />

1995-1996 COR Enterprises Job Development/<br />

Rural Field Coordinator<br />

1991-1995 MSU-Billings Employment Specialist<br />

1987-1991 Billings Public Schools Special Education Paraeducator<br />

3. REPRESENTATIVE PRESENTATIONS<br />

• Utilizing Paraeducators as Community Links, NISBA Conference, Grand Rapids, MI, 7/03.<br />

• Utilizing Paraeducators as Community Links, 22 nd Annual National Conference for Paraprofessionals,<br />

Los Angeles, CA, 5/03.<br />

• Utilizing Paraeducators as Community Links, 2003 OSEP Joint Personnel Preparation/State<br />

Improvement/CSPD Conference, Washington DC, 2/03.<br />

• Paraeducators as Community Links, NISBA Conference, Phoenix, AZ, 7/00.


• Region IV Paraeducator Summer Institute, Belgrade, MT, 8/00.<br />

• Transition, MT Association for Rehabilitation Conference, West Yellowstone, MT, 10/99.<br />

• Transition Resources and Partnerships, MT CEC Special Education Conference, Missoula, MT, 4/98.<br />

• Performing Functional Community-Based Vocational Assessments, MT Conference on Developmental<br />

Disabilities, Billings, MT, 10/97.<br />

• Methods for Coordinating Education and Employment <strong>Plan</strong>s Workshop on Welfare Reform, HRDC,<br />

Billings, MT, 6/97.<br />

• Functional Vocational Evaluation Presentation MT Council for Exceptional Children Statewide<br />

Conference, Billings, MT, 4/97.<br />

• Providing Work Experiences for Students with Disabilities Workshop at Lewistown, MT, 3/97.<br />

• Collaboration Strategies Presentation at MT Association of Rehabilitation Statewide Conference, Polson,<br />

MT, 10/96.<br />

4. REPRESENTATIVE CONSULTATIONS<br />

• Crow Tribal Disabilities Services, Crow Agency, MT, 6/94-6/95.<br />

• Training in job development and job coaching, Big Horn Industries, Hardin, MT, 6/94-6/95.<br />

• Training in job development and job training, COR Enterprises, Billings, MT, 1/94-9/94.<br />

• Transition from school to work, Columbus High School, Columbus, MT, 10/94.<br />

• Transition from school to work, Sweetgrass County High School, Big Timber, MT, 9/93-1/94.<br />

• Transition from school to work, Absarokee High School, Absarokee, MT, 5/93-7/93.<br />

5. PROFESSIONAL ORGANIZATIONS<br />

• American Council on Rural Special Education<br />

• Montana Association of Rehabilitation<br />

• Region III Comprehensive System of Personnel Development<br />

• State Comprehensive System of Personnel Development Council<br />

• State Traumatic <strong>Brain</strong> Injury Advisory Council<br />

• TRIC/PLUK Advisory Board<br />

• Yellowstone County Resource Advisory Committee<br />

6. PUBLICATIONS<br />

• Sampson M., Hermanson J., & Griffin, C. (2000). Connecting with the Community. In M. S.<br />

Fishbaugh (ED.), <strong>The</strong> Collaboration Guide for Early Career Educators (pp. 79-99). Baltimore,<br />

Maryland: Paul H. Brooks Publishing Co.


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Nebraska<br />

Madonna Rehabilitation Hospital<br />

www.madonna.org<br />

REGION: Rocky Mountain CATEGORY OF CARE: Reintegration<br />

Program Director: Holly Schifsky Position Title: Pediatric Program Manager<br />

Department: Adolescent & Children's Rehabilitation Program<br />

Address: 3640 San Mateo Lane, Lincoln, NE 68516<br />

Phone: 402‐483‐9697<br />

Email: hschifsky@madonna.org<br />

Level 1 Center(s): Lincoln<br />

Level 2 Center(s): Omaha, Kearney, Scottsbluff<br />

Level 3 Center(s): North Platte, Valentine, Norfolk<br />

Number of jobs <strong>PABI</strong> Grant creates in Nebraska: 94<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,485,691<br />

Category of Care Management Sub‐total: $ 1,644,544<br />

Case Management Sub‐total: $ 2,578,422<br />

State Lead Center Sub‐total: $ 9,740,657<br />

Indirect Cost to Institution (20%): $ 1,948,131<br />

Administrative Cost to SJBF (2%): $ 194,813<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 11,883,602


Madonna Rehabilitation Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 61,250<br />

Program Director Assistant: $ 88,310<br />

State Director: $ 294,368<br />

Associate State Director: $ 127,559<br />

State Epidemiologist: $ 196,245<br />

State Epidemiologist Assistant: $ 88,310<br />

State Scientific Investigation Research Coordinator: $ 166,808<br />

State Scientific Investigation Research Assistant: $ 166,808<br />

State Education/Training Coordinator (plus materials): $ 208,960<br />

State General Counsel: $ 235,494<br />

State IT Manager: $ 186,433<br />

State Family Support Coordinator: $ 147,184<br />

State Prevention/Awareness Coordinator: $ 147,184<br />

State Acute Care Coordinator: $ 147,184<br />

State Reintegration Coordinator: $ 147,184<br />

State Adult Transition Coordinator: $ 147,184<br />

State Mild TBI Coordinator: $ 147,184<br />

State Mental Health Coordinator: $ 127,559<br />

State Assistive/Emerging Technology Coordinator: $ 127,559<br />

State Correctional System Coordinator: $ 127,559<br />

State MISC Coordinator: $ 127,559<br />

State Veterans Coordinator: $ 127,559<br />

State Data Manager: $ 127,559<br />

State Public Policy Manager: $ 147,184<br />

State Community Relations Manager: $ 127,559<br />

State Administrative Support: $ 529,862<br />

Charity care: $ 280,350<br />

Human Resources Support: $ 94,000<br />

Training Support: $ 23,500<br />

State Lead Center Office Space Cost: $ 269,417<br />

State Lead Center Transportation/Travel: $ 226,800<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 86,909<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 80,100<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,485,691


Madonna Rehabilitation Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Reintegration<br />

Regional Category Director: $ 294,368<br />

Regional Category Epidemiologist: $ 235,494<br />

Regional Category Education/Training Coordinator: $ 196,245<br />

Regional Category Scientific Investigation Research: $ 196,245<br />

Regional Assistive/Emerging Technology Coordinator: $ 196,245<br />

Regional Category Administrative Support: $ 353,241<br />

Regional Category Office Space Cost: $ 78,218<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 25,232<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,644,544


Madonna Rehabilitation Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 140,175<br />

Level 1 Center Field Specialist(s): $ 112,140<br />

Level 1 Center SJB Family Specialist(s): $ 765,356<br />

Level 1 Center Administrative Support: $ 126,158<br />

Level 1 Office Space Cost: $ 42,053<br />

Level 1 Transportation/Travel: $ 55,800<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 48,060<br />

Level 2 Center Field Specialist(s): $ 201,852<br />

Level 2 Center SJB Family Specialist(s): $ 656,020<br />

Level 2 Transportation/Travel: $ 47,520<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 25,232<br />

Level 3 Center SJB Family Specialist(s): $ 246,007<br />

Level 3 Transportation/Travel: $ 14,040<br />

Level 3 Office Equipment/Communications: $ 17,100<br />

Level 3 Supplies: $ 7,209<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,578,422<br />

STATE LEAD CENTER SUB‐TOTAL: $ 9,740,657<br />

INDIRECT COST TO INSTITUTION: $ 1,948,131<br />

ADMINISTRATIVE FEE TO SJBF: $ 194,813<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,883,602<br />

TOTAL JOBS CREATED IN Nebraska: 94


Holly M. Schifsky<br />

3640 San Mateo Lane<br />

Lincoln, NE 68516<br />

Phone: (402) 483-9697<br />

e-mail: hschifsky@madonna.org<br />

An experienced occupational therapist, now specializing in pediatric rehabilitation and<br />

program management for a large free-standing rehabilitation hospital. I have extensive<br />

knowledge and training in pediatric recovery from brain injury, spinal cord injury, burn<br />

injuries, major multiple trauma, orthopedics, and pulmonary insufficiency. I provide<br />

clinical education on all areas of pediatrics and am responsible for the overall quality of<br />

the pediatric program at my facility. In addition to staff training; I ensure program<br />

compliance with regulatory agencies, lead quality improvement initiatives, implement<br />

marketing plans, and complete data analysis for future growth.<br />

Professional and Teaching Opportunities<br />

March 2009: In-house Education “Tone Management Techniques to Maximize Upper<br />

Extremity Function”<br />

Feb 2009: In-house Education “Multi-Disciplinary Approach to Pediatric Pulmonary<br />

Care”<br />

Oct. 2008: Midwest Burn Conference presenter on “Maximizing Upper Extremity<br />

Outcomes Post Burn Injury”<br />

Yearly CEU presentations to case managers “Best Practices in Pediatric Rehabilitation”<br />

Yearly Guest Lecturer at University of Nebraska Medical Center Physical <strong>The</strong>rapy<br />

program; Topic “Vision and Vestibular Deficits” and “Behavior Management post <strong>Brain</strong><br />

Injury”<br />

Yearly Guest Lecturer at College of St. Mary’s Occupational <strong>The</strong>rapy program: Topic<br />

“Upper Extremity Tone Management”<br />

Yearly Grand Rounds presentation at Madonna Rehabilitation Hospital: “Innovations in<br />

Pediatric Rehabilitation”<br />

Jan. 2008: In-house education “Burn Rehabilitation for the Adult and Pediatric Patient”<br />

March 2008: In-house education “Rehabilitation of the Burned Hand”<br />

Pediatric Program Manager: 2006-present: Job responsibilities include: ensuring<br />

program compliance with regulatory agencies, leading quality improvement initiatives,<br />

implementing marketing plans, physician meetings, and completing data analysis for<br />

future growth


Staff Occupational <strong>The</strong>rapist: 1997-present: Provide daily treatment, evaluation, and<br />

training to pediatric and adult patients within a large free-standing rehabilitation hospital.<br />

Primary caseload consists of pediatric trauma survivors and young adult brain injury<br />

survivors. Senior level staff responsible for all training on serial casting, burn<br />

cares/rehabilitation, dynamic splinting, pediatric rehabilitation techniques, and spasticity<br />

management training.<br />

Fieldwork Coordinator for Occupational <strong>The</strong>rapy Department: 2000-2006. Coordinated<br />

all student fieldwork rotations within the hospital, mentoring to students and clinical<br />

supervisors, and primary contact for university regarding students performance.<br />

Pediatric Program Leader: 2004-2006: Completed data analysis and quarterly report<br />

information for program improvement. Limited amount of marketing and external<br />

speaking opportunities.<br />

Education<br />

University of North Dakota, Grand Forks: Graduated 1997 with a Bachelor of Science in<br />

Occupational <strong>The</strong>rapy<br />

Advanced certification by the state of Nebraska in physical agent modalities: 2006<br />

Advanced certification for Bioness H200 in 2007<br />

Completed AACBIS training and certification in August 2009<br />

Trained in serial casting, dynamic orthotics, wound care, vision therapy, pediatrics,<br />

kinesiotaping, spasticity management, CPI, manual edema mobilization<br />

Awards<br />

2004 Recipient of the GeorgeAnn Claussen award of excellence for patient care by<br />

Madonna Rehabilitation Hospital<br />

2005 Nebraska Occupational <strong>The</strong>rapy Practitioner of the Year Recipient<br />

Member of NOTA and AOTA


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Nevada<br />

Sunrise Children's Hospital<br />

www.sunrisehospital.com<br />

REGION: Pacific CATEGORY OF CARE: Adult Transition<br />

Program Director: James Swift, MD Position Title: Director<br />

Department: Pediatric ICU<br />

Address: 3186 S Maryland Parkway, Las Vegas, NV 89109<br />

Phone: (702) 697‐5234<br />

Email:<br />

Level 1 Center(s): Las Vegas, Reno<br />

Level 2 Center(s): Carson City, Elko<br />

Level 3 Center(s): Henderson, Pahrump, Mesquite<br />

Number of jobs <strong>PABI</strong> Grant creates in Nevada: 101<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,814,941<br />

Category of Care Management Sub‐total: $ 1,764,572<br />

Case Management Sub‐total: $ 3,676,099<br />

State Lead Center Sub‐total: $ 11,287,612<br />

Indirect Cost to Institution (20%): $ 2,257,522<br />

Administrative Cost to SJBF (2%): $ 225,752<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 13,770,886


Sunrise Children's Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 79,625<br />

Program Director Assistant: $ 94,659<br />

State Director: $ 315,529<br />

Associate State Director: $ 136,729<br />

State Epidemiologist: $ 210,353<br />

State Epidemiologist Assistant: $ 94,659<br />

State Scientific Investigation Research Coordinator: $ 178,800<br />

State Scientific Investigation Research Assistant: $ 178,800<br />

State Education/Training Coordinator (plus materials): $ 240,256<br />

State General Counsel: $ 252,423<br />

State IT Manager: $ 199,835<br />

State Family Support Coordinator: $ 157,765<br />

State Prevention/Awareness Coordinator: $ 157,765<br />

State Acute Care Coordinator: $ 157,765<br />

State Reintegration Coordinator: $ 157,765<br />

State Adult Transition Coordinator: $ 157,765<br />

State Mild TBI Coordinator: $ 157,765<br />

State Mental Health Coordinator: $ 136,729<br />

State Assistive/Emerging Technology Coordinator: $ 136,729<br />

State Correctional System Coordinator: $ 136,729<br />

State MISC Coordinator: $ 136,729<br />

State Veterans Coordinator: $ 136,729<br />

State Data Manager: $ 136,729<br />

State Public Policy Manager: $ 157,765<br />

State Community Relations Manager: $ 136,729<br />

State Administrative Support: $ 567,952<br />

Charity care: $ 323,620<br />

Human Resources Support: $ 101,000<br />

Training Support: $ 25,250<br />

State Lead Center Office Space Cost: $ 310,998<br />

State Lead Center Transportation/Travel: $ 104,853<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 100,322<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 92,463<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,814,941


Sunrise Children's Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Adult Transition<br />

Regional Category Director: $ 315,529<br />

Regional Category Epidemiologist: $ 252,423<br />

Regional Category Education/Training Coordinator: $ 210,353<br />

Regional Category Scientific Investigation Research: $ 210,353<br />

Regional Veteran Coordinator: $ 210,353<br />

Regional Additional Tech<br />

Regional Category Administrative Support: $ 378,635<br />

Regional Category Office Space Cost: $ 90,290<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 29,126<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,764,572


Sunrise Children's Hospital Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 300,504<br />

Level 1 Center Field Specialist(s): $ 240,403<br />

Level 1 Center SJB Family Specialist(s): $ 1,640,751<br />

Level 1 Center Administrative Support: $ 270,454<br />

Level 1 Office Space Cost: $ 48,543<br />

Level 1 Transportation/Travel: $ 55,122<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 87,840<br />

Level 2 Center Field Specialist(s): $ 144,242<br />

Level 2 Center SJB Family Specialist(s): $ 468,786<br />

Level 2 Transportation/Travel: $ 15,704<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 19,417<br />

Level 3 Center SJB Family Specialist(s): $ 263,692<br />

Level 3 Transportation/Travel: $ 7,020<br />

Level 3 Office Equipment/Communications: $ 17,100<br />

Level 3 Supplies: $ 8,322<br />

CASE MANAGEMENT SUB‐TOTAL: $ 3,676,099<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,287,612<br />

INDIRECT COST TO INSTITUTION: $ 2,257,522<br />

ADMINISTRATIVE FEE TO SJBF: $ 225,752<br />

STATE LEAD CENTER SUB‐TOTAL: $ 13,770,886<br />

TOTAL JOBS CREATED IN Nevada: 101


James D. Swift, MD, FAAP<br />

Dr. Swift received his undergraduate degree in Biological Sciences from the University of La<br />

Verne, graduating Summa Cum Laude. He attended the University of Health Science/Chicago<br />

Medical School where he received his doctoral degree in Medicine. Dr. Swift was selected as<br />

one of only two candidates to participate in a combined post-graduate training program in<br />

Internal Medicine and Pediatrics at Loma Linda University Medical Center. Upon completion of<br />

his residency training, he was selected as a fellow in Pediatric Critical Care Medicine through a<br />

combined program at Harbor/UCLA/Children's Hospital of Orange County/Martin-Luther King<br />

Jr. Medical Center.<br />

In 1996, Dr. Swift founded Children's Critical Care Network. Children's Critical Care Network<br />

of Nevada and California is a medical practice management company, which provides physician<br />

coverage and medical expertise to tertiary pediatric facilities in the U.S. As CEO of Children's<br />

Critical Care Network, he has developed a "hospitalist" approach to inpatient pediatric care from<br />

General Pediatrics to ICU. Based on the strength and success of Children's Critical Care<br />

Network, Dr. Swift founded Children's Emergency Medicine Network, which provides pediatric<br />

emergency medicine coverage to children's hospitals.<br />

Dr. Swift has been published in numerous textbooks and peer reviewed journals, and is an<br />

invited speaker at many medical society meetings throughout the country. His area of research<br />

interests include; High Frequency Ventilation, ECMO, Novel <strong>The</strong>rapies in Lung Injury, and<br />

"Hospitalist" Care in the United States.


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

New Hampshire<br />

Dartmouth Medical School<br />

dms.dartmouth.edu<br />

REGION: Northeast CATEGORY OF CARE: Adult Transition<br />

Program Director: Beth Pearson, MSW Position Title: Program Manager<br />

Department: Hood Center for Children & Families<br />

Address: One Medical Center Drive, HB 7465, Lebanon, NH 03756<br />

Phone: 603‐653‐3163<br />

Email: Elizabeth.Pearson@Dartmouth.edu<br />

Level 1 Center(s): Hanover<br />

Level 2 Center(s): Manchester<br />

Level 3 Center(s): Berlin, Nashua<br />

Number of jobs <strong>PABI</strong> Grant creates in New Hampshire: 77<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 6,073,359<br />

Category of Care Management Sub‐total: $ 1,865,985<br />

Case Management Sub‐total: $ 2,043,925<br />

State Lead Center Sub‐total: $ 10,015,268<br />

Indirect Cost to Institution (20%): $ 2,003,054<br />

Administrative Cost to SJBF (2%): $ 200,305<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 12,218,627


Dartmouth Medical School Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 56,875<br />

Program Director Assistant: $ 100,738<br />

State Director: $ 335,792<br />

Associate State Director: $ 145,510<br />

State Epidemiologist: $ 223,861<br />

State Epidemiologist Assistant: $ 100,738<br />

State Scientific Investigation Research Coordinator: $ 190,282<br />

State Scientific Investigation Research Assistant: $ 190,282<br />

State Education/Training Coordinator (plus materials): $ 221,382<br />

State General Counsel: $ 268,634<br />

State IT Manager: $ 212,668<br />

State Family Support Coordinator: $ 167,896<br />

State Prevention/Awareness Coordinator: $ 167,896<br />

State Acute Care Coordinator: $ 167,896<br />

State Reintegration Coordinator: $ 167,896<br />

State Adult Transition Coordinator: $ 167,896<br />

State Mild TBI Coordinator: $ 167,896<br />

State Mental Health Coordinator: $ 145,510<br />

State Assistive/Emerging Technology Coordinator: $ 145,510<br />

State Correctional System Coordinator: $ 145,510<br />

State MISC Coordinator: $ 145,510<br />

State Veterans Coordinator: $ 145,510<br />

State Data Manager: $ 145,510<br />

State Public Policy Manager: $ 167,896<br />

State Community Relations Manager: $ 145,510<br />

State Administrative Support: $ 604,426<br />

Charity care: $ 344,402<br />

Human Resources Support: $ 77,000<br />

Training Support: $ 19,250<br />

State Lead Center Office Space Cost: $ 330,970<br />

State Lead Center Transportation/Travel: $ 111,586<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 106,765<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 98,401<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 6,073,359


Dartmouth Medical School Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Adult Transition<br />

Regional Category Director: $ 335,792<br />

Regional Category Epidemiologist: $ 268,634<br />

Regional Category Education/Training Coordinator: $ 223,861<br />

Regional Category Scientific Investigation Research: $ 223,861<br />

Regional Veteran Coordinator: $ 223,861<br />

Regional Category Administrative Support: $ 402,950<br />

Regional Category Office Space Cost: $ 96,088<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 30,996<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,865,985


Dartmouth Medical School Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 159,901<br />

Level 1 Center Field Specialist(s): $ 127,921<br />

Level 1 Center SJB Family Specialist(s): $ 873,059<br />

Level 1 Center Administrative Support: $ 143,911<br />

Level 1 Office Space Cost: $ 51,660<br />

Level 1 Transportation/Travel: $ 27,828<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 59,040<br />

Level 2 Center Field Specialist(s): $ 76,752<br />

Level 2 Center SJB Family Specialist(s): $ 249,446<br />

Level 2 Transportation/Travel: $ 7,906<br />

Level 2 Office Equipment/Communications: $ 13,300<br />

Level 2 Supplies: $ 10,332<br />

Level 3 Center SJB Family Specialist(s): $ 187,084<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 5,904<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,043,925<br />

STATE LEAD CENTER SUB‐TOTAL: $ 10,015,268<br />

INDIRECT COST TO INSTITUTION: $ 2,003,054<br />

ADMINISTRATIVE FEE TO SJBF: $ 200,305<br />

STATE LEAD CENTER SUB‐TOTAL: $ 12,218,627<br />

TOTAL JOBS CREATED IN New Hampshire: 77


BIOGRAPHICAL SKETCH<br />

NAME POSITION TITLE<br />

ELIZABETH PEARSON (PHILP) Program Manager<br />

EDUCATION/TRAINING<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Anderson College, Anderson, IN B.A. 1980 Psychology / Sociology<br />

Boston College, Boston, MA M.S.W. 1993 Clinical Social Work<br />

Columbia University, New York, NY Ph.D.<br />

Expected Advanced Clinical Practice<br />

candidate defense<br />

September<br />

2009<br />

RESEARCH AND PROFESSIONAL EXPERIENCE:<br />

Professional Experience<br />

2002-current Program Manager, Hood Center for Children and Families, Dartmouth Medical School,<br />

Lebanon, NH<br />

2000-2002 Program Evaluator, Maine Center for Public Health, Augusta, ME<br />

1999-2000 Assistant Professor, Western Carolina University, Cullowhee, NC<br />

1996-1998 Director of Clinical Education, Victim Services, Inc. New York, NY<br />

<strong>Project</strong> Director; COPS <strong>Project</strong> funded by the National Institute of Justice, survey research and<br />

curriculum development project for the NYPD training academy<br />

1995-1996 Managed Care Consultant; <strong>The</strong> Bronx Health <strong>Plan</strong>, Bronx, NY<br />

Managed Care Consultant, Massachusetts General Hospital, Boston, MA<br />

1992-1995 Clinical Social Worker, Massachusetts General Hospital, Boston, MA<br />

1993-1995 Managed Care Coordinator, Massachusetts General Hospital, Boston, MA<br />

1989-1992 Editor, Health and Mental Health Care Group, SOFTbase Publications, Digital Equipment Company,<br />

Maynard, MA<br />

1987-1988 Coordinator of State <strong>Project</strong>s, National Head Injury Foundation, Southborough, MA<br />

1985-1987 Sexual Abuse Investigator, Texas Department of Human Services, Denton County, TX<br />

1982- 1984 Research Assistant / Technical Writer, Genetics Screening and Counseling Center, Denton, TX<br />

1980-1982 Sponsorship Coordinator, Cuban Refugee Relocation Program, Psychiatric Hospital, Ft. Chaffee, AR<br />

Publications<br />

Pearson, E. (1998) Battered christian women. In C.C. Kroeger, & J.R. Beck (Eds.), Healing the hurting: Giving<br />

hope and help to abused women. Grand Rapids, MI: Baker Books.<br />

Philp, E.P.; Berkman, B. (2000) Biotechnology, human health care services delivery and the complex additive of<br />

managed care systems. In N. Veeder & W. Peebles-Wilkins (Eds.), Managed care services: Policy, programs and<br />

research. New York: Oxford University Press.<br />

Jackson, H.C.; Philp, E.P., Nuttall, R. (2002). Traumatic brain injury: A hidden consequence for battered women.<br />

Professional Psychology: Research and Practice, 33 (1) 39-45.<br />

Jackson, H.C.; Philp, E.P., Nuttall, R. (2004). Battered women and traumatic brain injury. In, Kendall-Tackett, K.<br />

R(d). Health consequences of abuse in the family: A clinical guide for evidence-based practice. American Psychological<br />

Association, Washington DC.


Funding Received<br />

2007 Maine Health Access Foundation. Maine National Guard Screening for mTBI.<br />

2007 Maine <strong>Brain</strong> Injury Association. Prevalence and Correlates of mTbi Among Battered Women in Maine<br />

1994 Episcopal Diocese of Massachusetts Research Grant. A Study of Religious Belief Among a Select Population of<br />

Battered Women.<br />

Curriculum Development<br />

Domestic Violence: Basic Issues in Intervention<br />

Domestic Violence as Trauma<br />

Vicarious Trauma: Helping the Helper<br />

Counseling Skills<br />

Suicide and Homicide Assessment and Intervention<br />

Cultural Issues in a Clinical Relationship<br />

Empirical Practice<br />

Managed Care and Clinical Social Work Practice<br />

Selected Presentations<br />

Pearson, Elizabeth (2009, March) Domestic Violence and <strong>Brain</strong> Injury in the State of Maine. Maine Traumatic<br />

<strong>Brain</strong> Injury Conference.<br />

Pearson, Elizabeth, Lovell, Mark (2009, February. Concussive injuries among National Guard service members.<br />

Using screening protocols for care planning. Maine National Guard Screening <strong>Project</strong>.<br />

Pearson, Elizabeth (2008, November). Domestic Violence and mTBI. New England Military-Civilian<br />

Cooperation Conference: Psychological Health and Traumatic <strong>Brain</strong> Injury<br />

Jackson, H. C., Philp, E.P.(1998, January). Traumatic <strong>Brain</strong> Injury as a correlate of Battered Woman Syndrome.<br />

Presented at the International Conference on Research for Social Work Practice, Miami, FL.<br />

Jackson, H. C., Philp, E.P.(1998, November). Neurobehavioral Effects of Repetitive Battering Presented at the<br />

annual meeting of the Association for the Advancement of Behavior <strong>The</strong>rapy, Washington, DC.<br />

Philp, E.P. (June 1996). Vicarious Trauma: Helping the Helper. Grand Rounds presentation to the New York<br />

University / Bellevue Hospital Departments of Social Service, New York, NY.<br />

Philp, E.P. (January, 1996). Spirituality as a Factor in Trauma Response. Grand Rounds presentation to the New<br />

York Hospital Department of Social Work, New York, NY.<br />

Philp, E.P. (October, 1994). Religious Belief as a component in the psychosocial assessment of battered women.<br />

Grand Rounds presentation to the Massachusetts General Hospital Department of Social Work, Boston, MA.<br />

Philp, E.P. (March, 1994). Religious Belief and the Response to Battering: <strong>The</strong> experience of Sixty Battered<br />

Christian Women. Presented at the annual convention of Christians for Biblical Equality, Chicago, IL.


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

New Jersey<br />

<strong>Brain</strong> Injury Association of New Jersey<br />

www.bianj.org<br />

REGION: Mid‐Atlantic CATEGORY OF CARE: Adult Transition<br />

Program Director: Barbara Geiger‐Parker Position Title: President & CEO<br />

Address: 825 Georges Road, 2nd Floor, North Brunswick, NJ 08902<br />

Phone: 732‐745‐0200<br />

Email: bgeigerparker@bianj.org<br />

Program Director: Rene Carfi Position Title: Associate Director of Services<br />

Address: 825 Georges Road, 2nd Floor, North Brunswick, NJ 08902<br />

Phone: 732‐745‐0200<br />

Email: rcarfi@bianj.org<br />

Level 1 Center(s): Camden City, North Brunswick, Newark, Hackensack<br />

Level 2 Center(s): Atlantic County, Paterson<br />

Level 3 Center(s): Jersey City, Morristown, Trenton, Ocean County, Vineland, Sussex/Warren Counties<br />

Number of jobs <strong>PABI</strong> Grant creates in New Jersey: 138<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 7,912,784<br />

Category of Care Management Sub‐total: $ 2,312,325<br />

Case Management Sub‐total: $ 8,792,580<br />

State Lead Center Sub‐total: $ 19,049,688<br />

Indirect Cost to Institution (20%): $ 3,809,938<br />

Administrative Cost to SJBF (2%): $ 380,994<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 23,240,620


<strong>Brain</strong> Injury Association of New Jersey Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 173,250<br />

Program Director Assistant: $ 127,752<br />

State Director: $ 425,839<br />

Associate State Director: $ 184,530<br />

State Epidemiologist: $ 283,893<br />

State Epidemiologist Assistant: $ 127,752<br />

State Scientific Investigation Research Coordinator: $ 241,309<br />

State Scientific Investigation Research Assistant: $ 241,309<br />

State Education/Training Coordinator (plus materials): $ 446,526<br />

State General Counsel: $ 340,672<br />

State IT Manager: $ 269,698<br />

State Family Support Coordinator: $ 212,920<br />

State Prevention/Awareness Coordinator: $ 212,920<br />

State Acute Care Coordinator: $ 212,920<br />

State Reintegration Coordinator: $ 212,920<br />

State Adult Transition Coordinator: $ 212,920<br />

State Mild TBI Coordinator: $ 212,920<br />

State Mental Health Coordinator: $ 184,530<br />

State Assistive/Emerging Technology Coordinator: $ 184,530<br />

State Correctional System Coordinator: $ 184,530<br />

State MISC Coordinator: $ 184,530<br />

State Veterans Coordinator: $ 184,530<br />

State Data Manager: $ 184,530<br />

State Public Policy Manager: $ 212,920<br />

State Community Relations Manager: $ 184,530<br />

State Administrative Support: $ 766,511<br />

Charity care: $ 430,141<br />

Human Resources Support: $ 138,000<br />

Training Support: $ 34,500<br />

State Lead Center Office Space Cost: $ 413,365<br />

State Lead Center Transportation/Travel: $ 113,400<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 133,344<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 122,897<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 7,912,784


<strong>Brain</strong> Injury Association of New Jersey Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Adult Transition<br />

Regional Category Director: $ 425,839<br />

Regional Category Epidemiologist: $ 340,672<br />

Regional Category Education/Training Coordinator: $ 283,893<br />

Regional Category Scientific Investigation Research: $ 283,893<br />

Regional Veteran Coordinator: $ 283,893<br />

Regional Category Administrative Support: $ 511,007<br />

Regional Category Office Space Cost: $ 120,009<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 38,713<br />

CATEGORY OF CARE SUB‐TOTAL: $ 2,312,325


<strong>Brain</strong> Injury Association of New Jersey Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 811,123<br />

Level 1 Center Field Specialist(s): $ 648,898<br />

Level 1 Center SJB Family Specialist(s): $ 4,428,731<br />

Level 1 Center Administrative Support: $ 730,011<br />

Level 1 Office Space Cost: $ 64,521<br />

Level 1 Transportation/Travel: $ 111,600<br />

Level 1 Office Equipment/Communications: $ 117,200<br />

Level 1 Supplies: $ 202,781<br />

Level 2 Center Field Specialist(s): $ 194,669<br />

Level 2 Center SJB Family Specialist(s): $ 632,676<br />

Level 2 Transportation/Travel: $ 15,840<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 25,808<br />

Level 3 Center SJB Family Specialist(s): $ 711,760<br />

Level 3 Transportation/Travel: $ 14,040<br />

Level 3 Office Equipment/Communications: $ 34,200<br />

Level 3 Supplies: $ 22,122<br />

CASE MANAGEMENT SUB‐TOTAL: $ 8,792,580<br />

STATE LEAD CENTER SUB‐TOTAL: $ 19,049,688<br />

INDIRECT COST TO INSTITUTION: $ 3,809,938<br />

ADMINISTRATIVE FEE TO SJBF: $ 380,994<br />

STATE LEAD CENTER SUB‐TOTAL: $ 23,240,620<br />

TOTAL JOBS CREATED IN New Jersey: 138


Biographical Sketch<br />

Barbara Geiger-Parker<br />

Co-Director New Jersey<br />

Barbara Geiger-Parker is President and CEO of the <strong>Brain</strong> Injury Association of<br />

New Jersey. In this position for 22 years, she has had the opportunity to develop<br />

the community-based services of the organization to better meet the needs of<br />

individuals with brain injury, members of their families, and allied health<br />

professionals. She has grown the organization from a staff of four to a staff of 30<br />

and increased the budget 10 fold. Among her accomplishments is establishing,<br />

through legislation, the TBI Fund which is a payer of last resort for rehabilitation<br />

services needed by people with brain injury.<br />

Ms. Geiger-Parker has previous experience managing survey research projects<br />

at Rutgers University, Eagleton Institute of Politics. In addition, she has worked<br />

for the Arc of New Jersey and Delaware State Government.<br />

Ms. Geiger-Parker has a Bachelor of Arts in Political Science and a Masters<br />

Degree in City and Regional <strong>Plan</strong>ning. She has been appointed and elected to<br />

many committees, advisory councils, and boards including Founder and Chair of<br />

the statewide Coalition to Preserve Personal Injury Protection, the New Jersey<br />

Advisory Council on Traumatic <strong>Brain</strong> Injury and <strong>Brain</strong> Injury Association of<br />

America Board of Directors.


Biographical Sketch<br />

René Carfi<br />

Co-Director New Jersey<br />

René Carfi is Associate Director of Services for the <strong>Brain</strong> Injury Association of<br />

New Jersey. With the Association for 11 years, she has managed various<br />

programs including the Family Support care coordination service, the Information<br />

and Resource Service, and Outreach Services.<br />

Ms. Carfi has led the development and delivery of training materials aimed at<br />

people with brain injury, family members, allied health professionals, and<br />

educators. She has overseen an innovative partnership with Rutgers University<br />

Department of Continuous Education to provide an on-line course about brain<br />

injury for educators.<br />

Ms. Carfi has a Masters Degree in Social Work.


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

New Mexico<br />

University of New Mexico School of Medicine<br />

hsc.unm.edu/som/<br />

REGION: Southcentral CATEGORY OF CARE: Acute Phase<br />

Program Director: Erich Marchand, MD Position Title: Neurosurgeon<br />

Department: Department of Neurosurgery<br />

Address: 1 University of New Mexico, Albuquerque, NM 87131<br />

Phone: 505 272‐6487<br />

Email: emarchand@salud.unm.edu<br />

Level 1 Center(s): Albuquerque<br />

Level 2 Center(s): Roswell, Las Cruces, Farmington, Santa Fe<br />

Level 3 Center(s): Rural sections of New Mexico<br />

Number of jobs <strong>PABI</strong> Grant creates in New Mexico: 98<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,082,924<br />

Category of Care Management Sub‐total: $ 1,472,587<br />

Case Management Sub‐total: $ 2,564,761<br />

State Lead Center Sub‐total: $ 9,152,272<br />

Indirect Cost to Institution (20%): $ 1,830,454<br />

Administrative Cost to SJBF (2%): $ 183,045<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 11,165,772


University of New Mexico School of Medicine Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 79,625<br />

Program Director Assistant: $ 81,955<br />

State Director: $ 273,184<br />

Associate State Director: $ 118,380<br />

State Epidemiologist: $ 182,123<br />

State Epidemiologist Assistant: $ 81,955<br />

State Scientific Investigation Research Coordinator: $ 154,804<br />

State Scientific Investigation Research Assistant: $ 154,804<br />

State Education/Training Coordinator (plus materials): $ 201,705<br />

State General Counsel: $ 218,547<br />

State IT Manager: $ 173,016<br />

State Family Support Coordinator: $ 136,592<br />

State Prevention/Awareness Coordinator: $ 136,592<br />

State Acute Care Coordinator: $ 136,592<br />

State Reintegration Coordinator: $ 136,592<br />

State Adult Transition Coordinator: $ 136,592<br />

State Mild TBI Coordinator: $ 136,592<br />

State Mental Health Coordinator: $ 118,380<br />

State Assistive/Emerging Technology Coordinator: $ 118,380<br />

State Correctional System Coordinator: $ 118,380<br />

State MISC Coordinator: $ 118,380<br />

State Veterans Coordinator: $ 118,380<br />

State Data Manager: $ 118,380<br />

State Public Policy Manager: $ 136,592<br />

State Community Relations Manager: $ 118,380<br />

State Administrative Support: $ 491,731<br />

Charity care: $ 280,188<br />

Human Resources Support: $ 98,000<br />

Training Support: $ 24,500<br />

State Lead Center Office Space Cost: $ 269,261<br />

State Lead Center Transportation/Travel: $ 90,781<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 86,858<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 80,054<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,082,924


University of New Mexico School of Medicine Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Acute Phase<br />

Regional Category Director: $ 273,184<br />

Regional Category Epidemiologist: $ 218,547<br />

Regional Category Education/Training Coordinator: $ 182,123<br />

Regional Category Scientific Investigation Research: $ 182,123<br />

Regional Category Administrative Support: $ 327,821<br />

Regional Category Office Space Cost: $ 78,173<br />

Regional Category Transportation/Travel: $ 15,7500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 25,217<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,472,587


University of New Mexico School of Medicine Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 130,088<br />

Level 1 Center Field Specialist(s): $ 104,070<br />

Level 1 Center SJB Family Specialist(s): $ 710,278<br />

Level 1 Center Administrative Support: $ 117,079<br />

Level 1 Office Space Cost: $ 42,028<br />

Level 1 Transportation/Travel: $ 27,002<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 48,032<br />

Level 2 Center Field Specialist(s): $ 249,768<br />

Level 2 Center SJB Family Specialist(s): $ 811,746<br />

Level 2 Transportation/Travel: $ 30,962<br />

Level 2 Office Equipment/Communications: $ 53,200<br />

Level 2 Supplies: $ 33,623<br />

Level 3 Center SJB Family Specialist(s): $ 152,202<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 4,803<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,564,761<br />

STATE LEAD CENTER SUB‐TOTAL: $ 9,152,272<br />

INDIRECT COST TO INSTITUTION: $ 1,830,454<br />

ADMINISTRATIVE FEE TO SJBF: $ 183,045<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,165,772<br />

TOTAL JOBS CREATED IN New Mexico: 98


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

New York<br />

Mount Sinai Medical Center<br />

www.mountsinai.org<br />

REGION: Northeast CATEGORY OF CARE: Reintegration<br />

Program Director: Wayne Gordon, Ph.D. Position Title: Jack Nash Professor<br />

Department: Department of Rehabilitation Medicine<br />

Address: 1 Gustave L Levy Place #504, New York, NY 10029<br />

Phone: 212‐659‐9372<br />

Email: wayne.gordon@mssm.edu<br />

Level 1 Center(s): New York City, Nassau, Westchester, Albany, Syracuse, Rochester, Buffalo<br />

Level 2 Center(s): Suffolk, Queens, Brooklyn, Staten Island, Manhattan, Bronx<br />

Level 3 Center(s): Schenectady, Utica, Binghamton, Poughkeepsie, Watertown, Lockport, Canandaigua,<br />

Middletown, Troy, Ramapo, Saratoga, Kingston<br />

Number of jobs <strong>PABI</strong> Grant creates in New York: 226<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 8,120,880<br />

Category of Care Management Sub‐total: $ 2,287,434<br />

Case Management Sub‐total: $ 16,370,373<br />

State Lead Center Sub‐total: $ 26,810,687<br />

Indirect Cost to Institution (20%): $ 5,362,137<br />

Administrative Cost to SJBF (2%): $ 536,214<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 32,709,038


Mount Sinai Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 90,764<br />

Program Director Assistant: $ 125,534<br />

State Director: $ 418,447<br />

Associate State Director: $ 181,327<br />

State Epidemiologist: $ 278,965<br />

State Epidemiologist Assistant: $ 125,534<br />

State Scientific Investigation Research Coordinator: $ 237,120<br />

State Scientific Investigation Research Assistant: $ 237,120<br />

State Education/Training Coordinator (plus materials): $ 697,779<br />

State General Counsel: $ 334,758<br />

State IT Manager: $ 265,017<br />

State Family Support Coordinator: $ 209,224<br />

State Prevention/Awareness Coordinator: $ 209,224<br />

State Acute Care Coordinator: $ 209,224<br />

State Reintegration Coordinator: $ 209,224<br />

State Adult Transition Coordinator: $ 209,224<br />

State Mild TBI Coordinator: $ 209,224<br />

State Mental Health Coordinator: $ 181,327<br />

State Assistive/Emerging Technology Coordinator: $ 181,327<br />

State Correctional System Coordinator: $ 181,327<br />

State MISC Coordinator: $ 181,327<br />

State Veterans Coordinator: $ 181,327<br />

State Data Manager: $ 181,327<br />

State Public Policy Manager: $ 209,224<br />

State Community Relations Manager: $ 181,327<br />

State Administrative Support: $ 753,205<br />

Charity care: $ 441,051<br />

Human Resources Support: $ 226,000<br />

Training Support: $ 56,500<br />

State Lead Center Office Space Cost: $ 423,850<br />

State Lead Center Transportation/Travel: $ 113,400<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 136,726<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 126,015<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 8,120,880


Mount Sinai Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Reintegration<br />

Regional Category Director: $ 418,447<br />

Regional Category Epidemiologist: $ 334,758<br />

Regional Category Education/Training Coordinator: $ 278,965<br />

Regional Category Scientific Investigation Research: $ 278,965<br />

Regional Assistive/Emerging Technology Coordinator: $ 278,965<br />

Regional Additional Tech<br />

Regional Category Administrative Support: $ 502,137<br />

Regional Category Office Space Cost: $ 123,053<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 39,695<br />

CATEGORY OF CARE SUB‐TOTAL: $ 2,287,434


Mount Sinai Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 1,394,824<br />

Level 1 Center Field Specialist(s): $ 1,115,859<br />

Level 1 Center SJB Family Specialist(s): $ 7,615,738<br />

Level 1 Center Administrative Support: $ 1,255,341<br />

Level 1 Office Space Cost: $ 6,6158<br />

Level 1 Transportation/Travel: $ 195,300<br />

Level 1 Office Equipment/Communications: $ 200,600<br />

Level 1 Supplies: $ 340,239<br />

Level 2 Center Field Specialist(s): $ 573,870<br />

Level 2 Center SJB Family Specialist(s): $ 1,865,079<br />

Level 2 Transportation/Travel: $ 47,520<br />

Level 2 Office Equipment/Communications: $ 79,800<br />

Level 2 Supplies: $ 79,389<br />

Level 3 Center SJB Family Specialist(s): $ 1,398,809<br />

Level 3 Transportation/Travel: $ 28,080<br />

Level 3 Office Equipment/Communications: $ 68,400<br />

Level 3 Supplies: $ 45,365<br />

CASE MANAGEMENT SUB‐TOTAL: $ 16,370,373<br />

STATE LEAD CENTER SUB‐TOTAL: $ 26,810,687<br />

INDIRECT COST TO INSTITUTION: $ 5,362,137<br />

ADMINISTRATIVE FEE TO SJBF: $ 536,214<br />

STATE LEAD CENTER SUB‐TOTAL: $ 32,709,038<br />

TOTAL JOBS CREATED IN New York: 226


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

North Carolina<br />

<strong>The</strong> Clinical Center for the Study of Development and Learning<br />

www.cdl.unc.edu<br />

REGION: Southeast CATEGORY OF CARE: Reintegration<br />

Program Director: Stephen Hooper, Ph.D. Position Title: Professor<br />

Department: Psychiatry & Pediatrics<br />

Address: 1450 Raleigh Road #100, Chapel Hill, NC 27517<br />

Phone: 919‐966‐5171<br />

Email: shooper@nc.rr.com<br />

Level 1 Center(s): Asheville (Thoms Rehabilitation Center), Charlotte (Charlotte Institute of<br />

Rehabilitation), Chapel Hill (UNC Center for Development and Learning), Greenville (East Carolina School<br />

of Medicine), Fayetteville (Southeastern Rehabilitation Institute)<br />

Level 2 Center(s): 0<br />

Level 3 Center(s): 0<br />

Number of jobs <strong>PABI</strong> Grant creates in North Carolina: 188<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 6,546,314<br />

Category of Care Management Sub‐total: $ 1,886,049<br />

Case Management Sub‐total: $ 10,573,825<br />

State Lead Center Sub‐total: $ 19,038,188<br />

Indirect Cost to Institution (20%): $ 3,807,638<br />

Administrative Cost to SJBF (2%): $ 380,764<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 23,226,589


<strong>The</strong> Clinical Center for the Study of Development and Learning Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 165,760<br />

Program Director Assistant: $ 103,631<br />

State Director: $ 345,438<br />

Associate State Director: $ 149,690<br />

State Epidemiologist: $ 230,292<br />

State Epidemiologist Assistant: $ 103,631<br />

State Scientific Investigation Research Coordinator: $ 195,748<br />

State Scientific Investigation Research Assistant: $ 195,748<br />

State Education/Training Coordinator (plus materials): $ 413,723<br />

State General Counsel: $ 276,350<br />

State IT Manager: $ 218,777<br />

State Family Support Coordinator: $ 172,719<br />

State Prevention/Awareness Coordinator: $ 172,719<br />

State Acute Care Coordinator: $ 172,719<br />

State Reintegration Coordinator: $ 172,719<br />

State Adult Transition Coordinator: $ 172,719<br />

State Mild TBI Coordinator: $ 172,719<br />

State Mental Health Coordinator: $ 149,690<br />

State Assistive/Emerging Technology Coordinator: $ 149,690<br />

State Correctional System Coordinator: $ 149,690<br />

State MISC Coordinator: $ 149,690<br />

State Veterans Coordinator: $ 149,690<br />

State Data Manager: $ 149,690<br />

State Public Policy Manager: $ 172,719<br />

State Community Relations Manager: $ 149,690<br />

State Administrative Support: $ 621,788<br />

Charity care: $ 311,205<br />

Human Resources Support: $ 188,000<br />

Training Support: $ 47,000<br />

State Lead Center Office Space Cost: $ 299,068<br />

State Lead Center Transportation/Travel: $ 100,831<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 96,474<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 88,916<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 6,546,314


<strong>The</strong> Clinical Center for the Study of Development and Learning Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Reintegration<br />

Regional Category Director: $ 345,438<br />

Regional Category Epidemiologist: $ 276,350<br />

Regional Category Education/Training Coordinator: $ 230,292<br />

Regional Category Scientific Investigation Research: $ 230,292<br />

Regional Assistive/Emerging Technology Coordinator: $ 230,292<br />

Regional Category Administrative Support: $ 414,525<br />

Regional Category Office Space Cost: $ 86,826<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 28,008<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,886,049


<strong>The</strong> Clinical Center for the Study of Development and Learning Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 822,471<br />

Level 1 Center Field Specialist(s): $ 657,977<br />

Level 1 Center SJB Family Specialist(s): $ 4,490,692<br />

Level 1 Center Administrative Support: $ 740,224<br />

Level 1 Office Space Cost: $ 46,681<br />

Level 1 Transportation/Travel: $ 137,006<br />

Level 1 Office Equipment/Communications: $ 145,000<br />

Level 1 Supplies: $ 177,832<br />

Level 2 Center Field Specialist(s): $ 631,658<br />

Level 2 Center SJB Family Specialist(s): $ 2,052,888<br />

Level 2 Transportation/Travel: $ 62,562<br />

Level 2 Office Equipment/Communications: $ 106,400<br />

Level 2 Supplies: $ 74,689<br />

Level 3 Center SJB Family Specialist(s): $ 384,916<br />

Level 3 Transportation/Travel: $ 9,360<br />

Level 3 Office Equipment/Communications: $ 22,800<br />

Level 3 Supplies: $ 10,670<br />

CASE MANAGEMENT SUB‐TOTAL: $ 10,573,825<br />

STATE LEAD CENTER SUB‐TOTAL: $ 19,038,188<br />

INDIRECT COST TO INSTITUTION: $ 3,807,638<br />

ADMINISTRATIVE FEE TO SJBF: $ 380,764<br />

STATE LEAD CENTER SUB‐TOTAL: $ 23,226,589<br />

TOTAL JOBS CREATED IN North Carolina: 188


NAME<br />

Stephen R. Hooper<br />

eRA COMMONS USER NAME<br />

Stephen.Hooper<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

POSITION TITLE<br />

Professor of Psychiatry and Pediatrics<br />

Research Professor of Psychology<br />

Clinical Professor of Education<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Juniata College B.S. 1972-76 Child Psychology<br />

Western Kentucky University M.A. 1976-78 Clinical Psychology<br />

University of Georgia Ph.D. 1980-84 School Psychology<br />

Brown University Fellowship 1984-86 Child Neuropsychology<br />

A. POSITIONS AND HONORS:<br />

1978-1980 School Psychologist, Educational Cooperative Service Unit, Windom, Minnesota<br />

1986-1987 Assistant Professor, Department of Psychiatry, <strong>The</strong> Pennsylvania State University College of<br />

Medicine, Hershey, Pennsylvania<br />

1987-1994 Assistant Professor, Department of Psychiatry, University of North Carolina of Medicine, Chapel<br />

Hill, North Carolina<br />

1988-1994 Clinical Assistant Professor, School of Education, University of North Carolina School of<br />

Medicine, Chapel Hill, North Carolina<br />

1987-2000 Psychology Section Head, <strong>The</strong> Clinical Center for the Study of Development and Learning,<br />

University of North Carolina School of Medicine, Chapel Hill, North Carolina<br />

1987-pres. Director, Child and Adolescent Neuropsychology Consultation Service, <strong>The</strong> Clinical Center for<br />

the Study of Development and Learning, University of North Carolina School of Medicine,<br />

Chapel Hill, North Carolina<br />

1994-2002 Clinical Associate Professor, School of Education, University of North Carolina, North Carolina<br />

1994-2002 Research Associate Professor, Department of Psychology, University of North Carolina, Chapel<br />

Hill, North Carolina<br />

1994-2002 Associate Professor (tenured), Department of Psychiatry, University of North Carolina School of<br />

Medicine, Chapel Hill, North Carolina<br />

2000-pres. Associate Director, <strong>The</strong> Clinical Center for the Study of Development and Learning, University<br />

of North Carolina school of Medicine, Chapel Hill, North Carolina<br />

2002-pres. Professor (tenured), Department of Psychiatry, University of North Carolina School of Medicine,<br />

Chapel Hill, North Carolina<br />

2002-pres. Clinical Professor, School of Education, University of North Carolina, Chapel Hill, North<br />

Carolina<br />

2002-pres. Research Professor, Department of Psychology, University of North Carolina, Chapel Hill, North<br />

Carolina<br />

2004-pres. Professor (adjunct), Department of Psychiatry and Behavioral Sciences, Duke University<br />

Medical School, Durham, North Carolina<br />

2007-pres. Professor (adjunct), Department of Pediatrics, University of North Carolina School of Medicine,<br />

Chapel Hill, North Carolina<br />

B. SELECTED PEER-REVIEWED PUBLICATIONS IN CHRONOLOGICAL ORDER (last 5 years):<br />

Roberts, J.E., Schaaf, J.M., Skinner, M., Wheeler, A., Hooper, S.R., Hatton, D.D., & Bailey, D.B. (2005).<br />

Academic skills of boys with Fragile X Syndrome: Profiles and predictors. American Journal of Mental<br />

Retardation, 110, 107-120.<br />

Skinner, M., Hooper, S.R., Hatton, D.D., Roberts, J., Mirrett, Schaaf, J., Sullivan, K., Wheeler, A., &<br />

Bailey, D.B. (2005). Mapping nonverbal IQ in young boys with Fragile X Syndrome. American Journal of<br />

Medical Genetics, 132A, 25-32.<br />

Watts-English, T., Fortson, B.L., Gibler, N., Hooper, S.R., De Bellis, M.D. (2006). <strong>The</strong> psychobiology of<br />

maltreatment in childhood. Journal of Social Issues, 62, 717-736.


Gipson, D.S., Duquette, P.J., Icard, P.F., & Hooper, S.R. (2006). <strong>The</strong> central nervous system in childhood<br />

chronic kidney disease. Pediatric Nephrology, 22, 1703-1710.<br />

Burchinal, M. Roberts, J.E., Zeisel, S.A., Hennon, E.A., & Hooper, S.R. (2006). Social risk and protective<br />

child, parenting, and child care factors in early elementary school years. Parenting: Science and Practice, 6, 79-<br />

113.<br />

Hooper, S.R., Wakely, M.B., de Kruif, R.E.L., & Swartz, C.W. (2006). Aptitude-treatment interactions<br />

revisited: Effect of metacognitive intervention on subtypes of written expression in elementary school students.<br />

Developmental Neuropsychology, 29, 217-241.<br />

Wakely, M.B., Hooper, S.R., de Kruif, R.E.L., & Swartz, C. (2006). Subtypes of written expression in<br />

elementary school children: A linguistic-based model. Developmental Neuropsychology, 29, 125-159.<br />

Mattison, R. E., Hooper, S. R., & Carlson, G. A. (2006). Neuropsychological characteristics of special<br />

education students with serious emotional/behavioral disorders. Behavior Disorders, 31, 176-188.<br />

Hooper, S.R. (2006). Common myths of traumatic brain injury: <strong>The</strong> view of school psychologists and other<br />

special educators. Exceptionality, 14, 171-182.<br />

Wetherington, C.E., & Hooper, S.R. (2006). Traumatic brain injury in the preschool period: Implications<br />

for special educators. Exceptionality, 14, 155-170.<br />

Gipson, D.S., Hooper, S.R., Duquette, P.J., Wetherington, C.E., Stellwagen, K.K., Jenkins, T.L, & Ferris,<br />

M.E. (2006). Memory and executive functions in pediatric chronic kidney disease. Child Neuropsychology, 12,<br />

1-15.<br />

Hooper, S.R., Poon, K.K., Marcus, L., & Fine, C. (2006). Neuropsychological characteristics of school-age<br />

children with high-functioning autism: Performance on the NEPSY. Child Neuropsychology, 12, 1-7.<br />

Gerson, A.C., Butler, R., Moxy-Mims, M., Wentz, A., Shinnar, S., Lande, M., Mendley, S., Warady, B.A.,<br />

Furth, S.L., & Hooper, S.R. (2006). Neurocognitive outcomes in children with chronic kidney disease: Current<br />

findings and contemporary endeavors. Mental Retardation and Developmental Disabilities Research Reviews,<br />

12, 208-215.<br />

Sullivan, K., Hatton, D., Hammer, J., Sideris, J., Hooper, S., Ornstein, P., & Bailey, D., Jr. (2006). ADHD<br />

symptoms in children with FXS. American Journal of Medical Genetics Part A, 140A, 2275-2288.<br />

Amler, R.W., Barone, S., Belger, A., Berlin, C.M., Cox, C., Frank, H., Goodman, M., Harry, J., Hooper,<br />

S.R., Ladda, R., LaKind, J.S., Lipkin, P.H., Lipsitt, L.P., Lorber, M.N., Myers, G., Mason, A.M., Needham,<br />

L.L., Sonawane, B., Wachs, T.D., & Yager, J.W. (2006). Hershey Medical Center Technical Workshop Report:<br />

Optimizing the design and interpretation of epidemiologic studies for assessing neurodevelopmental effects<br />

from in utero chemical exposure. NeuroToxicology, 633, 1-14.<br />

Sullivan, K.M., Hooper, S.R., & Hatton, D.D. (2006). Behavioral equivalents of anxiety in children with<br />

Fragile X Syndrome: Parent and teacher report. Journal of Intellectual Disabilities Research, 51, 54-65.<br />

Hooper, S.R., Ashley, T.A., Roberts, J.E., Zeisel, S., & Poe, M. (2006). <strong>The</strong> relationship of otitis media in<br />

early childhood to attention during the early elementary school years. <strong>The</strong> Journal of Developmental and<br />

Behavioral Pediatrics, 27, 281-289.<br />

Hart, S.J., Davenport, M.L., Hooper, S.R., Piven, J., & Belger, A. (2006). Visuospatial executive function<br />

in Turner Syndrome: Functional neuroimaging and neurocognitive findings. <strong>Brain</strong>, 129, 1125-1136.<br />

Roberts, J., Price, J., Nelson, L., Burchinal, M., Hennon, E., Barnes, E., Moskowitz, L., Edwards, A.,<br />

Malkin, C., Anderson, K., Misenheimer, J., & Hooper, S.R. (2007). Receptive vocabulary, expressive<br />

vocabulary, and speech production of boys with fragile X syndrome in comparison to boys with Down<br />

syndrome. American Journal on Mental Retardation, 112, 177-193.<br />

Keenan, H.T., Hooper, S.R., Wetherington, C.E., Nocera, M., & Runyan, D. (2007). Neurodevelopmental<br />

consequences of early traumatic brain injury in three year-old children. Pediatrics, 119, e616-e623.<br />

Slickers, J.E., Duquette, P.J., Hooper, S.R., & Gipson, D.S. (2007). Predictors of neurocognitive deficits in<br />

children with chronic kidney disease. Pediatric Nephrology, 22, 465-472.<br />

Duquette, P.J., Hooper, S.R., Wetherington, C.E., Jenkins, T.L., & Gipson, D.S. (2007). Brief Report:<br />

Intellectual and academic functioning in pediatric chronic kidney disease. Journal of Pediatric Psychology, 32,<br />

1011-1017.


Hooper, S.R., Hatton, D., Schaaf, J., Sullivan, K., Hammer, J., Sideris, J., Mirrett, P., & Bailey, D. (2008).<br />

Executive functions in young males with fragile X syndrome in comparison to mental age matched controls:<br />

Baseline findings from a longitudinal study. Neuropsychology, 22, 36-47.<br />

Findling, R.L., Frazier, J.A., Kafantaris, V., Kowatch, R., McClellan, J., Pavuluri, M., Sikich, L., Hlastala,<br />

S., Hooper, S.R., Demeter, C.A., Bedoya, D., Brownstein, B., & Taylor-Zapata, P. (2008). <strong>The</strong> Collaborative<br />

Lithium Trials (CoLT): specific aims, methods, and implementation. Child and Adolescent Psychiatry and<br />

Mental Health, 2, 1-13.<br />

Mosconi, M., Nelson, L., & Hooper, S.R. (2008). Confirmatory factory analysis of the NEPSY for younger<br />

and older school-age children. Psychological Reports, 102, 861-866.<br />

De Bellis, M.D., Van Voorhees, E., Hooper, S.R., Gibler, N., Nelson, L., Hege, S.G., Payne, M.E., &<br />

MacFall, J. (2008). Diffusion tensor measures of the corpus callosum in adolescents with adolescent onset<br />

alcohol use disorders. Alcoholism: Clinical and Experimental Research, 32, 1-10.<br />

Icard, P.F., Hower, S.J., Kuchenreuther, A.R., Hooper, S.R., & Gipson, D.S. (2008). <strong>The</strong> transition from<br />

childhood to adulthood with ESRD: educational and social challenges. Clinical Nephrology, 69, 1-7.<br />

Ornstein, P.A., Schaaf, J.M., Hooper, S.R., Hatton, D., Mirrett, P., & Bailey, D. (in press). <strong>The</strong> memory<br />

skills of boys with Fragile X syndrome. American Journal of Mental Retardation,<br />

Duquette, P.J., Hooper, S.R., Icard, P.F., Mamak, E.G., Wetherington, C.E., & Gipson, D.S. (in press).<br />

Early neurodevelopment in children with chronic kidney disease. Journal of Special Education,<br />

Hooper, S.R., Duquette, P.J., Icard, P., Wetherington, C.E., Harrell, W., & Gipson, D.S. (in press). Socialbehavioral<br />

functioning in pediatric chronic kidney disease. Child: Care, Health & Development,<br />

DeBellis, M.D., Hooper, S.R., Spratt, E., & Woolley, D. (in press). Neuropsychological findings in<br />

childhood neglect and the relationships to pediatric PTSD. Journal of the International Neuropsychologial<br />

Society,<br />

Wetherington, C.E., Hooper, S.R., Keenan, H.T., Nocera, M., & Runyan, D. (in press). Parent ratings of<br />

behavioral functioning after traumatic brain injury in very young children. Journal of Pediatric Psychology,<br />

Hooper, S.R., Duquette, P., Icard, P., Wetherington, C., Harrell, W., & Gipson, D. (in press). Socialbehavioral<br />

functioning in pediatric chronic kidney disease. Child: Care, Health and Development,<br />

C. RESEARCH SUPPORT:<br />

T73MC00030 (Hooper) 07/01/2006 - 06/30/2011 3.44 cal months<br />

Maternal and Child Health Bureau $734,271<br />

Clinical Center for the Study of Development and Learning<br />

<strong>The</strong> major goal of this project is to provide interdisciplinary training for individuals who aspire to leadership<br />

positions in the field of developmental disabilities. <strong>The</strong> leadership training occurs across clinical, community,<br />

and research initiatives.<br />

Role: Lead Principal Investigator<br />

R305H060042 (Hooper) 07/01/2006 - 06/30/2010 2.33 cal months<br />

U.S. Department of Education $426,097<br />

Attention, Memory, and Executive Functions in Written Language Expression in Elementary School Children<br />

<strong>The</strong> goal of this project is to establish a stronger scientific foundation for educational practice within the writing<br />

domain by utilizing recent advances in cognitive science and neuroscience as they apply to the development of<br />

writing and writing problems in elementary school children.<br />

Role: Lead Principal Investigator<br />

90DD0545 (Olley) 07/01/2007 - 06/30/2012 1.14 cal months<br />

Administration on Developmental Disabilities $481,481<br />

Center for Development & Learning: University Center for Excellence in Developmental Disabilities.<br />

This core project provides basic support for the development and provision of interdisciplinary training,<br />

demonstration of exemplary services, technical assistance, and dissemination of information aimed at increasing<br />

the independence, productivity, and integration into the community of persons with developmental disabilities.<br />

Role: Investigator<br />

5R01 DA020989 (DeBellis) 09/25/2005 - 06/30/2010 0.93 cal months


Subcontract with Duke University $23,474<br />

National Institutes of Health/NIDA<br />

Frontal Function in Adolescent Cannabis Use Disorders<br />

5 Year cross-sectional investigation with 1 year prospective follow-up to further understanding of the<br />

neurobiological consequences of adolescent onset cannabis use disorder. We will comprehensively evaluate the<br />

effects of marijuana on the adolescent brain and on cognitive development.<br />

Role: Investigator<br />

5R01 DA022308-02 (DeBellis) 06/01/08 - 04/30/2013 1.91 cal months<br />

Subcontract with Duke University $16,714<br />

National Institutes of Health/NIDA<br />

Prefrontal Function in Adolescent Limited vs. Life Course Persistent SUD<br />

Adolescents from the Smoky Mountain Study will be examined with fMRI and neurocognitive procedures to<br />

determine cognitive and psychiatric contributors to substance use disorder.<br />

Role: Investigator<br />

P30 HD03110 (Piven) 08/22/08 - 06/30/13 0.30 cal months<br />

NICHD $842,061<br />

UNC Developmental Disabilities Research Center<br />

<strong>The</strong> major goal of this project is to support and promote research relevant to understanding the pathogenesis and<br />

treatment/prevention of neurodevelopmental disorders.<br />

Role: Investigator<br />

R01HD038819 (Roberts) 05/01/2007 - 03/31/2012 0.30 cal months<br />

National Institutes of Health $287,891<br />

Pragmatic Skills of Young Males and Females with Fragile X Syndrome<br />

This study compares the developmental trajectories of pragmatic skills among girls and boys with fragile X<br />

syndrome (FXS), Down syndrome (DS), and typical development (TD) and boys with autism spectrum disorder<br />

only (ASD-O) to determine whether individual differences in language relate to FXS, MR, or ASD.<br />

Role: Investigator<br />

R01 HD044935 (Roberts) 07/07/2003 - 10/30/2009 0.30 cal months<br />

National Institutes of Health $279,996<br />

Speech of Young Males with Fragile X Syndrome<br />

<strong>The</strong> specific objectives of this study are to: a) compare the development of phonological, prosodic, and<br />

segmental factors in the speech of males with FXS, males with DS, and TD males; b) identify the phonological,<br />

prosodic, and segmental factors affecting the speech intelligibility in conversational speech of males with FXS<br />

and determine if similar patterns of association are observed among males with DS and TD males; and c) to<br />

identify the motor speech/FMRP, cognitive/linguistic, and communicative contextual factors associated with<br />

speech intelligibility in conversational speech among males with FXS.<br />

Role: Investigator<br />

R40 MC05488 (Roberts) 09/01/2005 - 08/31/2009 0.24 cal months<br />

Maternal and Child Health $160,477<br />

School Competence of African American High School Youth<br />

This study examines how selected youth, peer, family, and school factors serve as risk and protective factors for<br />

African American youth’s school competence during the transition to high school.<br />

Role: Investigator<br />

O1DK66174 (Furth and Warady) 09/30/2003 - 07/31/2013 1.11 cal months<br />

NIH/NIDDK $35,600<br />

Chronic Kidney Disease in Children Prospective Cohort Study<br />

This is a multisite longitudinal study designed to assess the risk factors for progression of mild chronic kidney<br />

disease in 540 children and to document the changes in cognition, cardiovascular, and growth over time.<br />

Role: Investigator


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

North Dakota<br />

Still pending<br />

REGION: Rocky Mountain CATEGORY OF CARE: Adult Transition<br />

Program Director: Still pending Position Title:<br />

Address:<br />

Phone:<br />

Email:<br />

Level 1 Center(s): Fargo, Bismarck<br />

Level 2 Center(s): Grand Forks, Minot<br />

Level 3 Center(s): 0<br />

Number of jobs <strong>PABI</strong> Grant creates in North Dakota: 92<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 4,570,210<br />

Category of Care Management Sub‐total: $ 1,418,802<br />

Case Management Sub‐total: $ 2,672,532<br />

State Lead Center Sub‐total: $ 8,693,544<br />

Indirect Cost to Institution (20%): $ 1,738,709<br />

Administrative Cost to SJBF (2%): $ 173,871<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 10,606,123


Still pending Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 56,875<br />

Program Director Assistant: $ 73,933<br />

State Director: $ 246,442<br />

Associate State Director: $ 106,791<br />

State Epidemiologist: $ 164,295<br />

State Epidemiologist Assistant: $ 73,933<br />

State Scientific Investigation Research Coordinator: $ 139,650<br />

State Scientific Investigation Research Assistant: $ 139,650<br />

State Education/Training Coordinator (plus materials): $ 154,812<br />

State General Counsel: $ 197,153<br />

State IT Manager: $ 156,080<br />

State Family Support Coordinator: $ 123,221<br />

State Prevention/Awareness Coordinator: $ 123,221<br />

State Acute Care Coordinator: $ 123,221<br />

State Reintegration Coordinator: $ 123,221<br />

State Adult Transition Coordinator: $ 123,221<br />

State Mild TBI Coordinator: $ 123,221<br />

State Mental Health Coordinator: $ 106,791<br />

State Assistive/Emerging Technology Coordinator: $ 106,791<br />

State Correctional System Coordinator: $ 106,791<br />

State MISC Coordinator: $ 106,791<br />

State Veterans Coordinator: $ 106,791<br />

State Data Manager: $ 106,791<br />

State Public Policy Manager: $ 123,221<br />

State Community Relations Manager: $ 106,791<br />

State Administrative Support: $ 443,595<br />

Charity care: $ 252,761<br />

Human Resources Support: $ 92,000<br />

Training Support: $ 23,000<br />

State Lead Center Office Space Cost: $ 242,903<br />

State Lead Center Transportation/Travel: $ 81,895<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 78,356<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 72,217<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 4,570,210


Still pending Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Adult Transition<br />

Regional Category Director: $ 246,442<br />

Regional Category Epidemiologist: $ 197,153<br />

Regional Category Education/Training Coordinator: $ 164,295<br />

Regional Category Scientific Investigation Research: $ 164,295<br />

Regional Veteran Coordinator: $ 164,295<br />

Regional Category Administrative Support: $ 295,730<br />

Regional Category Office Space Cost: $ 70,520<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 22,748<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,418,802


Still pending Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 234,707<br />

Level 1 Center Field Specialist(s): $ 187,765<br />

Level 1 Center SJB Family Specialist(s): $ 1,281,498<br />

Level 1 Center Administrative Support: $ 211,236<br />

Level 1 Office Space Cost: $ 37,914<br />

Level 1 Transportation/Travel: $ 53,300<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 68,607<br />

Level 2 Center Field Specialist(s): $ 112,659<br />

Level 2 Center SJB Family Specialist(s): $ 366,142<br />

Level 2 Transportation/Travel: $ 15,340<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 15,166<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,672,532<br />

STATE LEAD CENTER SUB‐TOTAL: $ 8,693,544<br />

INDIRECT COST TO INSTITUTION: $ 1,738,709<br />

ADMINISTRATIVE FEE TO SJBF: $ 173,871<br />

STATE LEAD CENTER SUB‐TOTAL: $ 10,606,123<br />

TOTAL JOBS CREATED IN North Dakota: 92


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Ohio<br />

Cincinnati Children's Hospital Medical Center<br />

www.cincinnatichildrens.org<br />

REGION: Midcentral CATEGORY OF CARE: Reintegration<br />

Program Director: Shari Wade, Ph.D. Position Title: Professor<br />

Department: Pediatrics<br />

Address: 3333 Burnet Avenue, Cincinnati, OH 45229<br />

Phone: 513‐636‐7480<br />

Email: shari.wade@cchmc.org<br />

Level 1 Center(s): Cincinatti (CCHMC), Columbus (Nationwide Children's), Cleveland (RB&C), Cleveland<br />

(Cleveland Clinic), Akron (Akron Children's), Columbus (Dodd's Hall)<br />

Level 2 Center(s): 0<br />

Level 3 Center(s): 0<br />

Number of jobs <strong>PABI</strong> Grant creates in Ohio: 160<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,993,903<br />

Category of Care Management Sub‐total: $ 1,732,495<br />

Case Management Sub‐total: $ 8,828,428<br />

State Lead Center Sub‐total: $ 16,586,826<br />

Indirect Cost to Institution (20%): $ 3,317,365<br />

Administrative Cost to SJBF (2%): $ 331,737<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 20,235,928


Cincinnati Children's Hospital Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 76,073<br />

Program Director Assistant: $ 92,343<br />

State Director: $ 307,809<br />

Associate State Director: $ 133,384<br />

State Epidemiologist: $ 205,206<br />

State Epidemiologist Assistant: $ 92,343<br />

State Scientific Investigation Research Coordinator: $ 174,425<br />

State Scientific Investigation Research Assistant: $ 174,425<br />

State Education/Training Coordinator (plus materials): $ 445,898<br />

State General Counsel: $ 246,247<br />

State IT Manager: $ 194,946<br />

State Family Support Coordinator: $ 153,904<br />

State Prevention/Awareness Coordinator: $ 153,904<br />

State Acute Care Coordinator: $ 153,904<br />

State Reintegration Coordinator: $ 153,904<br />

State Adult Transition Coordinator: $ 153,904<br />

State Mild TBI Coordinator: $ 153,904<br />

State Mental Health Coordinator: $ 133,384<br />

State Assistive/Emerging Technology Coordinator: $ 133,384<br />

State Correctional System Coordinator: $ 133,384<br />

State MISC Coordinator: $ 133,384<br />

State Veterans Coordinator: $ 133,384<br />

State Data Manager: $ 133,384<br />

State Public Policy Manager: $ 153,904<br />

State Community Relations Manager: $ 133,384<br />

State Administrative Support: $ 554,056<br />

Charity care: $ 325,724<br />

Human Resources Support: $ 160,000<br />

Training Support: $ 4,0000<br />

State Lead Center Office Space Cost: $ 313,020<br />

State Lead Center Transportation/Travel: $ 105,534<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 100,974<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 93,064<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,993,903


Cincinnati Children's Hospital Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Reintegration<br />

Regional Category Director: $ 307,809<br />

Regional Category Epidemiologist: $ 246,247<br />

Regional Category Education/Training Coordinator: $ 205,206<br />

Regional Category Scientific Investigation Research: $ 205,206<br />

Regional Assistive/Emerging Technology Coordinator: $ 205,206<br />

Regional Category Administrative Support: $ 369,370<br />

Regional Category Office Space Cost: $ 90,877<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 29,315<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,732,495


Cincinnati Children's Hospital Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 879,454<br />

Level 1 Center Field Specialist(s): $ 703,563<br />

Level 1 Center SJB Family Specialist(s): $ 4,801,816<br />

Level 1 Center Administrative Support: $ 791,508<br />

Level 1 Office Space Cost: $ 48,859<br />

Level 1 Transportation/Travel: $ 165,527<br />

Level 1 Office Equipment/Communications: $ 172,800<br />

Level 1 Supplies: $ 218,700<br />

Level 2 Center Field Specialist(s): $ 140,713<br />

Level 2 Center SJB Family Specialist(s): $ 457,316<br />

Level 2 Transportation/Travel: $ 15,715<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 19,543<br />

Level 3 Center SJB Family Specialist(s): $ 342,987<br />

Level 3 Transportation/Travel: $ 9,360<br />

Level 3 Office Equipment/Communications: $ 22,800<br />

Level 3 Supplies: $ 11,168<br />

CASE MANAGEMENT SUB‐TOTAL: $ 8,828,428<br />

STATE LEAD CENTER SUB‐TOTAL: $ 16,586,826<br />

INDIRECT COST TO INSTITUTION: $ 3,317,365<br />

ADMINISTRATIVE FEE TO SJBF: $ 331,737<br />

STATE LEAD CENTER SUB‐TOTAL: $ 20,235,928<br />

TOTAL JOBS CREATED IN Ohio: 160


Principal Investigator/Program Director (Last, First, Middle):<br />

Wade, Shari L<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

Shari L. Wade, Ph.D.<br />

eRA COMMONS USER NAME<br />

SLWade<br />

POSITION TITLE<br />

Professor of Pediatrics<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Cornell University BA 1981 Psychology<br />

University of Pittsburgh MS 1985 Clinical Psychology<br />

University of Pittsburgh Ph.D. 1988 Clinical Psychology<br />

Yale University School of Medicine Fellowship 1987 Clinical Psychology<br />

Professional Experience:<br />

1989 – 1991 Senior Instructor of Psychology, Department of Pediatrics, Case Western<br />

Reserve University School of Medicine, Cleveland OH.<br />

1989 – 1992 Co-Director, Medical-Behavioral Center, Rainbow Babies & Childrens<br />

Hospital, Cleveland OH.<br />

1991 – 1993 Assistant Professor of Psychology, Department of Pediatrics, Case<br />

Western Reserve University School of Medicine, Cleveland, OH.<br />

1994 – Adjunct Assistant Professor, Department of Pediatrics, Case Western Reserve<br />

University, Cleveland OH.<br />

1996 – 1997 Visiting Assistant Professor, Department of Educational Psychology,<br />

Miami University, Oxford OH.<br />

1998 – 2000 Adjunct Assistant Professor, Department of Pediatric Rehabilitation,<br />

Children’s Hospital Medical Center, Cincinnati, OH.<br />

2000 - 2005 Associate Professor, Department of Pediatric Rehabilitation, Cincinnati Children’s<br />

Hospital Medical Center<br />

2005 - Professor, Department of Pediatric Rehabilitation, Cincinnati Children’s Hospital Medical<br />

Center<br />

2005- Director of Research, Division of Pediatric Rehabilitation, Cincinnati Children’s Hospital<br />

Medical Center<br />

Publications: (Partial Listing)<br />

1. Wade, S., Drotar, D., Taylor, H.G., & Stancin T. (1995). Assessing the effects of traumatic brain injury<br />

(TBI) on family functioning: Conceptual and methodological issues. Journal of Pediatric Psychology, 20,<br />

737 – 752.<br />

2. Wade, S.L., Taylor, H.G., Drotar, D., Stancin T. & Yeates, K. O. (1996). Childhood traumatic brain injury<br />

(TBI): Initial impact on families. Journal of Learning Disabilities, 29, 652 – 662.<br />

3. Yeates, K.O., Taylor, H.G., Drotar, D., Wade, S.L., Klein, S., Stancin, T., & Schatschneider, C. (1997).<br />

Pre-injury family environment as a determinant of recovery from traumatic brain injuries in school-age<br />

children. International Journal of Neuropsychology. 3, 617-630.<br />

4. Wade, S.L., Taylor, H.G., Drotar, D., Stancin, T. & Yeates, K.O. (1998). Family burden and adaptation<br />

during the initial year following traumatic brain injury (TBI) in children. Pediatrics, 102, 110 – 116.<br />

5. Burgess, E. S., Drotar, D., Taylor, H.G., Wade, S., Stancin,T. & Yeates, K.O.(1999). <strong>The</strong> Family Burden of<br />

Injury Interview (FBII): Reliability and validity studies. <strong>The</strong> Journal of Head Trauma Rehabilitation, 14, 394-<br />

405.<br />

6. Taylor, H.G., Yeates, K.O., Wade, S.L., Drotar, D., Klein, S. & Stancin, T. (1999). Influences on first-year<br />

recovery from traumatic brain injury in children. Neuropsychology, 13, 76-89.<br />

PHS 398/2590 (Rev. 09/04) Page 18 Biographical Sketch Format Page


Principal Investigator/Program Director (Last, First, Middle):<br />

7. Kirkwood, M., Janusz, J., Yeates, K.O., Taylor, H.G., Wade, S.L., Stancin, T. & Drotar, D. (2000).<br />

Prevalence and correlates of depressive symptoms following traumatic brain injuries in children. Child<br />

Neuropsychology, 6, 195-208.<br />

8. Taylor, H.G., Yeates, K.O., Wade, S.L., Drotar, D., Stancin, T. & Burant, C. (2001). Bidirectional childfamily<br />

influences on outcomes of traumatic brain injury in children. Journal of the International<br />

Neuropsychological Society, 7, 755-767.<br />

9. Wade, S.L., Borawski, E.A., Taylor, H.G., Drotar, D., Yeates, K.O. 7 Stancin, T. (2001). <strong>The</strong> relationship of<br />

caregiver coping to family outcomes during the initial year following pediatric traumatc injury. Journal of<br />

Consulting and clinical Psychology, 69, 406-415.<br />

10. Yeates, K.O., Taylor, H.G., Barry, C.T., Drotar, D., Wade, S.L., Stancin, T. (2001). Neurobehavioral<br />

symptoms in childhood closed-head injuries: Changes in prevalence and correlates during the first year<br />

post-injury. Journal of Pediatric Psychology, 26, 79-91.<br />

11. Stancin, T., Drotar, D., Taylor, H.G., Yeates, K.O., Wade, S.L. & Minich, N.M. (2002). Health related<br />

quality of life of children and adolescents following traumatic brain injury. Pediatrics, 109.<br />

12. Taylor, H.G., Yeates, K.O., Wade, S.L., Drotar, D., Stancin, T. & Minich, N. (2002). A prospective study of<br />

short- and long-term outcomes after traumatic brain injury in children: Behavior and achievement.<br />

Neuropsychology, 16, 15-27.<br />

13. Wade, S.L., Taylor, H.G., Drotar, D., Stancin, T., Yeates, K.O. & Minich, M. (2002). A prospective study of<br />

long-term caregiver and family adaptation following brain injury in children. Journal of Head Trauma<br />

Rehabilitation, 17, 96-111.<br />

14. Yeates, K.O., Taylor, H.G., Woodrome, S.E., Wade, S.L., Stancin, T., Drotar, D. (2002). Race as a<br />

moderator of parent and family outcomes following pediatric traumatic brain injury. Journal of Pediatric<br />

Psychology, 27,393-404.<br />

15. Yeates, K.O., Taylor, H.G., Wade, S.L., Drotar, D., Stancin, T., & Minich, N. (2002). A prospective study of<br />

short- and long-term neuropsychological outcomes after traumatic brain injury in children.<br />

Neuropsychology, 16, 514-523.<br />

16. Wade, S.L., Taylor, H.G., Drotar, D., Stancin, T., Yeates, K.O., Minich, M. (2003). Parent-adolescent<br />

interactions after traumatic brain injury: <strong>The</strong>ir relationship to family adaptation and adolescent adjustment.<br />

Journal of Head Trauma Rehabilitation, 18, 164-176.<br />

17. Wade, S.L., Taylor, H.G., Drotar, D., Stancin, T., Yeates, K.O. & Minich, M. (2004). Interpersonal stressors<br />

and resources as predictors of parental adaptation following pediatric traumatic injury. Journal of<br />

Consulting and Clinical Psychology, 72, 776-784.<br />

18. Wade, S.L., Wolfe, C.R., & Pestian, J.P. (2004). A web-based family problem-solving intervention for<br />

families of children with traumatic brain injury. Behavioral Research Methods, Instruments, and Computing.<br />

36, 261-269.<br />

19. Wade, S.L., Wolfe, C.R., Brown, T.M. & Pestian, J.P. (2005). Preliminary efficacy of an online family<br />

problem-solving intervention for pediatric brain injury. Journal of Pediatric Psychology. 437-442.<br />

20. Yeates, K.O., Armstrong, K., Janusz, J., Taylor, H.G., Wade, S., Stancin, T. & Drotar, D. (2005). Long-term<br />

attention problems in children with traumatic brain injury. Journal of the American Academy of Child and<br />

Adolescent Psychiatry. 44, 574-584.<br />

21. Wade, S.L., Michaud, L., Brown, T.M. (2006). Putting the Pieces Together: Preliminary efficacy of a family<br />

problem-solving intervention for children with TBI. Journal of Head Trauma Rehabilitation. 21, 50-60.<br />

22. Wade, S.L., Carey, J. & Wolfe, C.R. (2006). An online family intervention to reduce parental distress<br />

following pediatric brain injury. Journal of Consulting and Clinical Psychology, 74, 445-454.<br />

23. Wade, S.L., Carey, J. & Wolfe, C.R. (2006). <strong>The</strong> efficacy of an online cognitive-behavioral, family<br />

intervention in improving child behavior and social competence following pediatric brain injury.<br />

Rehabilitation Psychology, 51, 179-189.<br />

24. Wade, S.L., Taylor, H.G., Yeates, K.O., Drotar, D., Stancin, T., Minich, N.M., & Schulchter, M. (2006).<br />

Long-term family adaptation following pediatric brain injury. Journal of Pediatric Psychology, 31, 1072-<br />

1083.<br />

25. Karunanayaka, P., Holland, S., Yuan, W., Altaye, M., Egelhoff, J., Michaud, L., Walz, N.C., & Wade, S.L.<br />

(2007). Abnormalities in language circuitry in children with traumatic brain injury, an fMRI study.<br />

Neurorehabilitation and Neural Repair, 22, 355-369.<br />

PHS 398/2590 (Rev. 09/04) Page Continuation Format Page


Principal Investigator/Program Director (Last, First, Middle):<br />

26. Yuan, W., Holland, S., Schmithorst, V.J., Walz, N.C., Cecil, K., Jones, B., Karunanayaka, P., Michaud, L.,<br />

& Wade, S.L. (2007). Diffusion tensor MRI reveals persistent white matter alteration after traumatic brain<br />

injury experienced during early childhood. American Journal of Neuroradiology, 28, 1919-25.<br />

27. Carey, J., Wade, S.L., & Wolfe, C.R. (2008). Lessons learned: <strong>The</strong> effect of prior technology use on webbased<br />

interventions. CyberPsychology and Behavior.<br />

28. Kramer, M.E., Chiu, C.Y.P., Walz, N.C., Holland, S.K., Yuan, W., Karunanayaka, P., & Wade, S.L. (2008).<br />

Long-term neural processing of attention following early childhood traumatic brain injury: fMRI and<br />

neurobehavioral outcomes. Journal of the International Neuropsychological Society. 14:424-435.<br />

29. Stancin, T., Wade, S.L., Walz, N.C., Yeates, K.O., & Taylor, H.G. (2008). Traumatic brain injuries in early<br />

childhood: Initial impact on the family. Journal of Developmental and Behavioral Pediatrics, 29(4):253-61.<br />

30. Taylor, H.G., Swartwout, M.D., Yeates, K.O., Walz, N.C., Stancin, T., & Wade, S.L. (2008) Traumatic brain<br />

injury in young children: Post-acute effects on cognitive and school readiness skills. Journal of International<br />

Neuropsychological Society, 14:1-12.<br />

31. Wade, S.L., Walz, N.C., Bernard, L.A., Oberjohn, K., Taylor, H.G., Stancin, T., & Yeates, K.O. (2008).<br />

Parent-child interactions during the initial weeks following brain injury in young children. Rehabilitation<br />

Psychology, 53(2):180-190.<br />

32. Gfroerer, S.D., Wade, S.L., & Wu, M. (2008). Parent perceptions of school-based support services for<br />

students with traumatic brain injury. <strong>Brain</strong> Injury, 22, 649-656.<br />

33. Josie, K.L., Peterson, C.C., Burant, C., Drotar, D., Stancin, T., Wade, S.L., Yeates, K.O., & Taylor, H.G.<br />

(2008). Predicting family burden following childhood traumatic brain injury: A cumulative risk approach.<br />

Journal of Head Trauma Rehabilitation, 23, 357-368.<br />

34. Kramer, M.E., Chiu, C.Y.P., Walz, N.C., Holland, S.K., Yuan, W., Karunanayaka, P., & Wade, S.L. (2008).<br />

Long-term neural processing of attention following early childhood traumatic brain injury: fMRI and<br />

neurobehavioral outcomes. Journal of the International Neuropsychological Society, 14, 424-435.<br />

35. Stancin, T., Wade, S.L., Taylor, H.G., Yeates, K.O., & Walz, N.C. (2008). Traumatic brain injuries in young<br />

children: Initial impact on the family. Journal of Developmental and Behavioral Pediatrics, 29, 253-261.<br />

36. Taylor, H.G., Swartwout, M., Yeates, K.O., Walz, N.C., Stancin, T. & Wade, S.L. (2008). Traumatic brain<br />

injury in young children: Post acute effects on cognitive and school readiness skills. Journal of the<br />

International Neuropsychological Society, 14, 734-745.<br />

37. Wade, S.L., Walz, N.C., Carey, J.C., & Williams, K.M. (2008). Preliminary efficacy of a web-based family<br />

problem solving treatment program for adolescents with traumatic brain injury. Journal of Head Trauma<br />

Rehabilitation, 23, 369-377.<br />

38. Gilkey, S.L., Carey, J. & Wade, S.L. (2009). Families in crisis: Considerations for the use of web-based<br />

models in family therapy. Families in Society.<br />

39. Wade, S.L., Oberjohn, K., Burkhardt, A., & Greenberg, I. (2009). Feasibility and preliminary efficacy of a<br />

web-based parenting skills program for young children with traumatic brain injury. Journal of Head Trauma<br />

Rehabilitation, 24, 239-247.<br />

Research <strong>Project</strong>s Ongoing or Completed During the Last 3 Years:<br />

“Child and Family Sequelae of Preschool <strong>Brain</strong> Injury”<br />

Principal Investigator: Shari L. Wade, Ph.D.<br />

Agency: National Institute of Child Health and Human Development<br />

September 2002 – August 2009<br />

<strong>The</strong> objective of this project is to examine the process of family adaptation following TBI in young children and<br />

the relationship of specific aspects of the family environment to the child’s recovery.<br />

“A Trial of 2 Online Interventions for Pediatric <strong>Brain</strong> Injury”<br />

Principal Investigator: Shari L. Wade, Ph.D.<br />

Agency: CDC/HRSA<br />

October 1, 2003 – September 30, 2006<br />

<strong>The</strong> objectives of this project are to compare the efficacy of two online interventions, Family Problem Solving<br />

and Case Management, to standard care in reducing burden and stress in families of children with TBI.<br />

PHS 398/2590 (Rev. 09/04) Page Continuation Format Page


Principal Investigator/Program Director (Last, First, Middle):<br />

“Teen Online Problem Solving (TOPS)”<br />

Principal Investigator: Shari L. Wade, Ph.D.<br />

Agency: Department of Education/National Institute of Disability and Rehabilitation Research<br />

October 1, 2005 – September 30, 2008<br />

<strong>The</strong> objectives of this project are to adapt the family problem solving intervention for adolescents with TBI and<br />

to test its efficacy in a small randomized trial.<br />

“Improving Mental Health Outcomes of Child <strong>Brain</strong> Injury”<br />

Principal Investigator: Shari L. Wade, Ph.D.<br />

Agency: National Institute of Mental Health<br />

August 1, 2006 – May 31, 2011<br />

<strong>The</strong> objectives of this multi-site clinical trial are to examine the efficacy of Counselor-Assisted Problem Solving<br />

to an Internet Resource Comparison group in improving child and parent mental health following traumatic<br />

brain injury and to examine the mediating role of parent-child communication.<br />

“Positive Parenting Plus- A Parenting Intervention for TBI”<br />

Principal Investigator: Shari L. Wade, Ph.D.<br />

Agency: National Institute on Disability and Rehabilitation Research, Department of Education<br />

December 1, 2006 – November 31, 2009<br />

<strong>The</strong> objectives of this project are to adapt parent-child interaction therapy for delivery online to parents of<br />

young children with TBI and to test the efficacy of the intervention program in reducing parental distress and<br />

child behavior problems in a small, randomized clinical trial.<br />

“Social Influences on Long-Term Recovery from Traumatic <strong>Brain</strong> Injury in Young Children”<br />

Principal Investigator: Shari L. Wade, Ph.D.<br />

Agency: Ohio Department of Public Safety Emergency Medical Services<br />

July 1, 2007- June 30, 2008<br />

<strong>The</strong> objectives of this project are to continue to follow a prospectively recruited cohort of young children with<br />

TBI to examine the relationship between the social environment and child social and behavioral recovery 2-5<br />

years post injury.<br />

“Neural Substrates of Social, Language, and Executive Function Deficits in Internationally Adopted Children”<br />

Principal Investigator: Shari L. Wade, Ph.D.<br />

Agency: University of Cincinnati University Research Council<br />

Dates: July 1, 2007- June 30, 2008<br />

This project examines the neural underpinnings of observed deficits in language, executive function (EF), and<br />

social skills among children adopted from other nations (international adoption; IA) using fMRI.<br />

“Neural Substrates of Executive Function Skills in Adolescent Traumatic <strong>Brain</strong> Injury”<br />

Principal Investigator: Shari L. Wade, Ph.D.<br />

Agency: Ohio Department of Public Safety Emergency Medical Services<br />

July 1, 200- 8June 30, 2009<br />

<strong>The</strong> objectives of this project are to examine the neural substrates of executive function skills in adolescents<br />

who sustained a moderate to severe TBI more than 12 months previously.<br />

PHS 398/2590 (Rev. 09/04) Page Continuation Format Page


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Oklahoma<br />

Oklahoma State University / Center for Health Sciences<br />

www.healthsciences.okstate.edu<br />

REGION: Southcentral CATEGORY OF CARE: Adult Transition<br />

Program Director: Stanley Grogg, DO Position Title: Interim Dean/President<br />

Department: Department of Pediatrics<br />

Address: Houston Parke 635 West 11th Street, Tulsa, OK 74127<br />

Phone: 918‐561‐8201<br />

Email: stanley.grogg@okstate.edu<br />

Program Director: Kayse Shrum, DO Position Title: Associate Professor<br />

Department: Department of Pediatrics<br />

Address: Houston Parke 635 West 11th Street Tulsa, OK 74127<br />

Phone: 918‐382‐3178<br />

Email: kayse.shrum@okstate.edu<br />

Level 1 Center(s): Tulsa, Oklahoma City<br />

Level 2 Center(s): Lawton, Norman<br />

Level 3 Center(s): Woodward, Antlers<br />

Number of jobs <strong>PABI</strong> Grant creates in Oklahoma: 98<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 4,989,177<br />

Category of Care Management Sub‐total: $ 1,516,545<br />

Case Management Sub‐total: $ 3,041,451<br />

State Lead Center Sub‐total: $ 9,579,172<br />

Indirect Cost to Institution (20%): $ 1,915,834<br />

Administrative Cost to SJBF (2%): $ 191,583<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 11,686,590


Oklahoma State University / Center for Health Sciences Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 68,250<br />

Program Director Assistant: $ 79,791<br />

State Director: $ 265,972<br />

Associate State Director: $ 115,254<br />

State Epidemiologist: $ 177,314<br />

State Epidemiologist Assistant: $ 79,791<br />

State Scientific Investigation Research Coordinator: $ 150,717<br />

State Scientific Investigation Research Assistant: $ 150,717<br />

State Education/Training Coordinator (plus materials): $ 236,806<br />

State General Counsel: $ 212,777<br />

State IT Manager: $ 168,449<br />

State Family Support Coordinator: $ 132,986<br />

State Prevention/Awareness Coordinator: $ 132,986<br />

State Acute Care Coordinator: $ 132,986<br />

State Reintegration Coordinator: $ 132,986<br />

State Adult Transition Coordinator: $ 132,986<br />

State Mild TBI Coordinator: $ 132,986<br />

State Mental Health Coordinator: $ 115,254<br />

State Assistive/Emerging Technology Coordinator: $ 115,254<br />

State Correctional System Coordinator: $ 115,254<br />

State MISC Coordinator: $ 115,254<br />

State Veterans Coordinator: $ 115,254<br />

State Data Manager: $ 115,254<br />

State Public Policy Manager: $ 132,986<br />

State Community Relations Manager: $ 115,254<br />

State Administrative Support: $ 478,749<br />

Charity care: $ 272,791<br />

Human Resources Support: $ 98,000<br />

Training Support: $ 24,500<br />

State Lead Center Office Space Cost: $ 262,152<br />

State Lead Center Transportation/Travel: $ 88,384<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 84,565<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 77,940<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 4,989,177


Oklahoma State University / Center for Health Sciences Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Adult Transition<br />

Regional Category Director: $ 265,972<br />

Regional Category Epidemiologist: $ 212,777<br />

Regional Category Education/Training Coordinator: $ 177,314<br />

Regional Category Scientific Investigation Research: $ 177,314<br />

Regional Veteran Coordinator: $ 177,314<br />

Regional Category Administrative Support: $ 319,166<br />

Regional Category Office Space Cost: $ 76,109<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 24,551<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,516,545


Oklahoma State University / Center for Health Sciences Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 253,306<br />

Level 1 Center Field Specialist(s): $ 202,645<br />

Level 1 Center SJB Family Specialist(s): $ 1,383,052<br />

Level 1 Center Administrative Support: $ 227,976<br />

Level 1 Office Space Cost: $ 40,919<br />

Level 1 Transportation/Travel: $ 53,815<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 74,043<br />

Level 2 Center Field Specialist(s): $ 121,587<br />

Level 2 Center SJB Family Specialist(s): $ 395,158<br />

Level 2 Transportation/Travel: $ 15,443<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 16,367<br />

Level 3 Center SJB Family Specialist(s): $ 148,184<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 4,676<br />

CASE MANAGEMENT SUB‐TOTAL: $ 3,041,451<br />

STATE LEAD CENTER SUB‐TOTAL: $ 9,579,172<br />

INDIRECT COST TO INSTITUTION: $ 1,915,834<br />

ADMINISTRATIVE FEE TO SJBF: $ 191,583<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,686,590<br />

TOTAL JOBS CREATED IN Oklahoma: 98


CURRICULUM VITAE<br />

NAME Stanley E. Grogg, D.O., FACOP, FAAP<br />

Interim President and Dean, Oklahoma State University Center for Health Sciences<br />

BIOGRAPHICAL Office: 1111 W. 17 th St<br />

OSU-CHS Dean’s Office<br />

Tulsa, OK 74127<br />

Research Office: 635 W. 11 th St, OSU-Pediatrics<br />

Tulsa, OK 74127<br />

918-645-4723<br />

Birth: February 21, 1945<br />

Marital Status: Wife, Barbara<br />

Children: Sons - David, Steven, Kelly<br />

EDUCATION Galion High School<br />

Galion, Ohio, 1963<br />

University of Cincinnati<br />

Cincinnati, Ohio<br />

B.S. (Zoology), 1967<br />

Kirksville College of Osteopathic Medicine<br />

Kirksville, MO<br />

D.O., 1971<br />

Still Osteopathic Hospital<br />

Jefferson City, MO<br />

Rotating Internship, 1972<br />

Tulsa Regional Medical Center (Oklahoma Osteopathic Hospital)<br />

Tulsa, OK<br />

Pediatric Residency, 1972-1974<br />

AEC Programa de Imersion Total de Espanol<br />

Turrialba, Costa Rica, 2002<br />

Perspectives Study Program, World Christian Movement<br />

Tulsa, OK<br />

Certificate of Completion, 2005<br />

PROFESSIONAL AND TEACHING EXPERIENCE<br />

Oklahoma State University Medical Center, Tulsa, OK<br />

(Formerly Oklahoma Osteopathic Hospital) (Formerly Tulsa Regional Medical Center)<br />

Chief of Staff 1981-1983<br />

Vice Chief of Staff 1979-1981<br />

Chairman, Pediatric Department 1983-1985, 1991-1993, 2002-2003<br />

Tulsa Regional Medical Center (TRMC) Board Member 1985-1992, 1994-1995<br />

Post Graduate Educational Committee, 1996 – present<br />

Chair, June 2002-2005<br />

Executive Committee Member, 2002-2003<br />

TRMC Physician-Hospital Organization (PHO)<br />

Board Member 1995-1997<br />

Contracts/Finance Committee 1995-1998<br />

Internship Selection Committee 1985-2006<br />

Osteopathic Founders Foundation, Tulsa, OK<br />

Advisory Board, 1996-1998<br />

Sponsorship Committee, 1997-1998<br />

Life Member, 2003<br />

American College of Osteopathic Pediatricians (ACOP)<br />

Pediatrician of the Year, 2008<br />

Board of Trustees, 1994-2004<br />

Secretary/Treasurer, 1996-1997<br />

Vice President, 1997-2000<br />

President, 2000-2002


Immediate Past President, 2003-2004<br />

Nominating Committee, 1995-1996; 1998-1999; Chair, 2006-present<br />

Pediatric Department Chairs Council Ad Hoc Committee, 1998-1999<br />

Advisor for Osteopathic Colleges Student’s Pediatric Clubs, 1999-2000<br />

Alternate Liaison with AOA, 1998-1999<br />

Liaison with AOA, 1999-2003<br />

Chairman for Strategic <strong>Plan</strong>ning Committee 1999-2000<br />

Representative for AOA Unity Campaign, 1999-2003<br />

Finance Committee, 1999-2003; 2009<br />

Graduate Medical Education Committee, 2002-present<br />

Representative for Bureau of Osteopathic Specialty Societies, 2004-present<br />

Government Relations, 2009<br />

Clinical Reactor/Reviewer/Referee<br />

Contemporary Pediatrics, 1991-2006<br />

Journal of American Osteopathic Association, 1996-2006<br />

Journal of Travel Medicine, 1999-present<br />

Osteopathic Medicine and Primary Care, 2006-present<br />

Blue Cross and Blue Shield of Oklahoma<br />

Pharmacy and <strong>The</strong>rapeutics Committee, 1991-present<br />

Pediatric Advisor, Quality Assurance/Quality Improvement, 1995<br />

Ad Hoc Committees<br />

Development of Otitis Media Guidelines, 1997<br />

Development of Asthma Guidelines, 1997-1998<br />

PacifiCare, Green Country, Tulsa, OK<br />

Quality Assurance and Utilization Committee, 1992-1995<br />

Foundation Health and Oklahoma Health <strong>Plan</strong>, Inc.<br />

Quality Management Physician Advisory Committee, 1995<br />

Preferred Pediatrics Home Health Care, Tulsa, OK<br />

Advisory Board, 1992-2007<br />

Oklahoma Health Care Authority, Oklahoma City, OK<br />

Medical Advisory Committee, 1995-present<br />

Oklahoma State Department of Health, Oklahoma City, OK<br />

Oklahoma Coalition on Folic Acid, 1992-2002<br />

International Medicine<br />

Licensed CDC Yellow Fever Vaccine physician, 1984-present<br />

Oklahoma Osteopathic Association (OOA)<br />

President, 1988-1989<br />

Board Member, 1983-1990<br />

Peer Review Board Member, 1987<br />

Past President Committee, 1990-present<br />

Legislative Subcommittee on Immunizations, 1998<br />

Legislative Committee, 2000-2002, 2005-present<br />

Postgraduate Education Committee, 2003-2008<br />

Oklahoma Educational Foundation for Osteopathic Medicine<br />

Board Member 1989-1990<br />

Hospital Staffs<br />

Oklahoma State University Medical Center, Tulsa, OK<br />

Active and Consulting Staff, 1974-present<br />

Hillcrest Medical Center, Tulsa, OK<br />

Active or Courtesy Staff, 1986-1996<br />

Leave of Absence 1996-1999; 2004-present<br />

Courtesy Staff, 1999-2004<br />

Saint Francis Hospital, Tulsa, OK<br />

Active and Consulting Staff 1987-2002; 2008-present<br />

Courtesy Staff 2002-2008<br />

Children’s Hospital Steering Committee 1995-1998<br />

Pediatric Infectious Disease Sub-Committee, 1996<br />

RespiGam Guidelines Committee, 1996<br />

Post-Graduate Medical Education Quality Committee, 2003-2008<br />

Saint John Medical Center, Tulsa, OK<br />

2


Courtesy Staff, 1990-1998<br />

Leave of Absence, 1998-present<br />

Children’s Medical Center, Tulsa, OK<br />

Consulting Staff, 1979-1991<br />

Medical College Positions<br />

Oklahoma State University Center for Health Sciences, Tulsa, OK<br />

Adjunct Professor, 1974-1996<br />

Clinical Associate Professor of Pediatrics, 1996-1999<br />

Associate Professor of Pediatrics, 1999-2003<br />

Professor of Pediatrics with Tenure, 2003-present<br />

Medical Director, Osteopathic Medical Education of Consortium of Oklahoma<br />

(OMECO), 2005-2008<br />

Medical Director Clinical Research, 2008-present<br />

Committees<br />

Curriculum Development, 1980’s<br />

Student Admissions, 2000-present<br />

Promotion Evaluation, 1980’s<br />

Student Affairs, 2000-2003<br />

Chair, 2002<br />

Other Ad Hoc Committees as requested<br />

Ob-Gyn Search, 2002<br />

OMECO GME, 2001-present<br />

Chair, 2004-2008<br />

Research, 2003-2005; 2008-present<br />

Faculty Senate, 2003-2008<br />

Secretary, 2004-2005<br />

Executive, 2004-2008<br />

President-elect, 2005-2006<br />

President, 2006-2007<br />

Past-president, 2007-2008<br />

Promotion and Tenure, 2004-present<br />

Advisory for Clinical Research, 2007-present<br />

IRB Subcommittee, Chair 2007-2008<br />

Kirksville College of Osteopathic Medicine (KCOM), Kirksville, MO<br />

Clinical Associate Professor, 1985-present<br />

Alumni Association, 1974-present<br />

Oklahoma Chapter President, 1988-1989<br />

Alumni Board, KOAA, 2000-present<br />

President-elect, 2005-2006<br />

President, 2006-2007<br />

Past-President, 2007-2009<br />

Des Moines COM, Diplomat, 2003-present<br />

College of Osteopathic Medicine of the Pacific, Pomona, CA<br />

Clinical Associate Professor of Pediatrics, 1985-present<br />

Touro College of Osteopathic Medicine California, Vallejo, CA<br />

Adjunct Professor, 2009-present<br />

University of Oklahoma College of Nursing, Health Science Center, Oklahoma City, OK<br />

Clinical Instructor, 1996-1999<br />

University of Oklahoma College of Medicine, Tulsa, OK<br />

Clinical Instructor Department of Pediatrics, 1989-1991<br />

Clinical Assistant Professor of Pediatrics, 1991-1996<br />

Clinical Associate Professor of Pediatrics, 1996-present<br />

American Osteopathic Association<br />

House of Delegates Oklahoma representative, 1987-present<br />

Ad Hoc Committee, 2002<br />

By-Laws Committee, 2004<br />

Committee on Educational Affairs, 2005-2008<br />

Testified before U.S. House Commerce subcommittee on patient access to specialty<br />

care/appeals process of managed care, June 23, 1999<br />

Public Affairs Committee of AOA House of Delegates, July, 1999<br />

3


DO Capitol Hill Day, 1999-2006; 2009<br />

Council on Federal Health Programs, September 24, 1999<br />

Standard Setting Committee National Board of Osteopathic Medical Examiners, Inc.,<br />

(NBOME), 1999<br />

NBOME-PE, 2007<br />

NBOME-COMLEX 2, 2009<br />

Council on Federal Health Programs, April 14, 2000<br />

AOA Ambassador Network, 1999-present<br />

Federation of Osteopathic Specialist, member, 2001-2002<br />

Advisory Committee of the Council of Osteopathic Specialty Societies (COSS), 2003<br />

Bureau of Osteopathic Specialist (BOSS), formerly COSS<br />

Member, 2004-present<br />

Chair, 2004-2005<br />

Bureau of Conventions, member, 2004-2008<br />

Bureau of Education, member, 2004<br />

Standard-Setting Consultant, NBOME, 2003; 2009<br />

COMLEX-USA Level 2-PE, 2005, 2007<br />

Consultant, NBOME Clinical Skills Testing<br />

American Board of Osteopathic Examiners (AOBP), 2005-present<br />

Pediatric Endocrine Subcommittee, 2005-2006<br />

Liaison to CDC’s Advisory Committee on Immunization Practices (ACIP),<br />

2006-present<br />

ACIP Working Group Subcommittees<br />

HPV, 2007-present<br />

Rotavirus, 2007-2008<br />

General Recommendations, 2007-present<br />

Japanese Encephalitis, 2008-present<br />

Oklahoma Foundation for Peer Review, Advisory Council, 1988-1990<br />

Infectious Disease Society of America (IDSA) expert panel for updating the<br />

clinical practice guideline on immunizations (Travel Medicine Section),<br />

2007-2008<br />

MEMBERSHIPS IN PROFESSIONAL SOCIETIES<br />

ACTIVITIES<br />

American Osteopathic Association<br />

Chairman’s Club, charter member, 1999-2005<br />

President’s Club, 2006-present<br />

Oklahoma Osteopathic Association<br />

President, 1988-1989<br />

Tulsa Osteopathic Medical Society<br />

Nominating committee, 1998-present<br />

American Academy of Pediatrics<br />

Section on Child Abuse and Neglect, 1997-2000<br />

Section on International Child Health, 1999-present<br />

Section on Osteopathic Pediatricians, 2008-present<br />

American College of Osteopathic Pediatricians, 1974-present<br />

American College of Osteopathic Allergy and Immunology, 1980-present<br />

Pediatric Infectious Disease Society (PIDS), 2007-present<br />

International<br />

International Society of Travel Medicine (ISTM), 2000-present<br />

Rotary International, 1983-present<br />

Sunrise Board, 1985-1986; 1994-1996<br />

Sunrise International Director, 2000-2001<br />

Local representative, “Be Wise Immunize”, 2005-present<br />

Russian Medical Exchange Committee, 2006<br />

DOCARE, 2002-present<br />

DOCARE Guatemalan Medical Missions, 2008<br />

4


OSU-CHS International Medicine Club, 2006-present<br />

Redeemer Covenant Medical Missions, Oaxaca, Mexico, 2006<br />

In His Image International, Conference to Kabul Medical Institute – Junior and Senior<br />

Medical Students and Family Practice Residents and consultations in pediatrics at HOPE<br />

Hospital, Kabul, Afghanistan, 2008<br />

National<br />

Protective Service Task Force, HEW, Southwest Federal Regional Council, 1978-1980<br />

Advisory Council of Resource Center on Child Abuse and Neglect, University of Texas, 1976-1980<br />

Expert Panel Member, National Institutes of Health, Best Pharmaceuticals for Children Act (BPCA),<br />

2004-2005<br />

Certificate of Appreciation for service 2005 hurricane season relief efforts, American Red Cross<br />

Infectious Disease Society of America (IDSA), Expert Panel Member for updating Clinical Practice<br />

Guideline on Immunizations, 2007<br />

Reviewed article for publication for Osteopathic Medicine and Primary Care (OMPC), “School<br />

Based Health Centers: A Four Year Experience, with a Focus on Reducing Student<br />

Exclusion Rates”, 2009<br />

State<br />

Oklahoma Interagency Child Abuse Prevention, 1984-1986<br />

Coordinating Task Force for Children with Special Health Care Needs, 1988-1992<br />

Committee of the Governor’s Council on Children, 1989<br />

Certified Child Abuse Examiner State of Oklahoma, 1991-2000<br />

Oklahoma Health Care Authority Medical Advisory Committee, 1997-present<br />

Medical Review Committee, 1997-present<br />

Oklahoma Values Coalition, 1998<br />

Oklahoma Coalition on Folic Acid, 1999-present<br />

Doctor of the Day, Oklahoma State Legislature, Oklahoma City, 2001; 2007<br />

Emergency Response Database of Physicians, 2002<br />

Oklahoma Medical Reserve Corps, 2005-present<br />

American Lung Association of Oklahoma<br />

Medical Consultant, 2002-present<br />

Field Service Committee, 2004-present<br />

Leadership Committee, 2007-present<br />

Scientific Advisory Committee, 2008-present<br />

Oklahoma Immunization Advisory Committee (OIAC), 2007-present<br />

Vice-chair, 2007-present<br />

Special Olympics Winners Circle, 2008-present<br />

Community Activities<br />

Rainbow House Crisis Nursery, Tulsa, OK, Director and President, 1978-1981<br />

Cystic Fibrosis Foundation Oklahoma Chapter, Medical Advisory Board and Chairman, 1978-1979<br />

Children’s Protective Services, Tulsa, OK<br />

Member, 1980-1989<br />

Chairman, 1985-1986<br />

Redeemer Covenant Church, Tulsa, OK, 1989-present<br />

Missions Board, 2007-present<br />

Muscular Dystrophy Association, Tulsa, OK, 1978-1986<br />

Community Service Council of Greater Tulsa, OK, 1981-1996<br />

Parents Anonymous Advisory Board, Tulsa, OK 1984-1989<br />

Court Appointed Special Advocate Board of Directors (CASA), Tulsa, OK 1986-1991<br />

TLC, Inc., (Ronald McDonald House) Tulsa, OK, Advisory Board, 1989-present<br />

Tulsa Zoo Friends, Tulsa, OK, 1990-2009<br />

Tulsa Sinfonia Patron, Tulsa, OK, 1995-2007<br />

Family and Children’s Service, Advisory Board, Tulsa, OK, 1997-2005<br />

Tulsa Technology Center, Facilitator, Medical Office Assistant Program, Tulsa, OK 1997<br />

Emergency Infant Services, Inc. Tulsa, OK, Board, 1999<br />

Provider’s Alliance of Tulsa for Children’s Health (PATCH), 1999-2007<br />

Good Samaritan Medical Missions Van, Tulsa, OK, 2000-present<br />

United Way<br />

“Key Club” level for OSU-CHS, 1999-present<br />

Member Campaign Medical Clinics, 2000; Chair, 2001<br />

5


Parent Child Center of Tulsa, OK, Board, 2001-2003<br />

Medical Advisory Committee, 2000-2006<br />

Clinical Advisory Committee of CARELINK, Tulsa, OK, 2003-2005<br />

PROFESSIONAL STUDY<br />

Citizens Police Academy, Tulsa, OK, 2002<br />

OSU-CHS Sexual Harassment Class, 2005<br />

PALS Instructor, 2005-present<br />

Red Cross Disaster Course, 2005<br />

OSU-CHS Medical Spanish Course, 2005<br />

Educational Cruise Western Africa, 2006<br />

Disaster BLS certificate, 2007-present<br />

Educational visit to Egypt, Jordan, Syria, Lebanon, 2008<br />

Proper Prescribing, C. Scott Anthony, DO, OSU-MC 2009<br />

Biomedical Ethics Seminar: Professional Practice Guidelines; Values Determined by Politics or Science,<br />

2009<br />

HONORS<br />

McCaughan Education Fund Scholarship, KCOM, 1967<br />

Sigma Sigma Phi Honorary Fraternity, KCOM, 1996<br />

Psi Sigma Alpha National Osteopathic Honorary Society, 1966<br />

Mead Johnson Fellowship Grant, 1973<br />

PacifiCare P.R.I.D.E. Program Ovation Award, 1995<br />

Distinguished Service Award, OOA, 1998<br />

KCOM Distinguished Patron Lifetime Giving Award, 2008<br />

Oklahoma Osteopathic Association’s “Physician of the Year”, 2006<br />

OSU-CHS “Big 12 Research Fellowship”, 2008<br />

ACOP, Harold H. Finkel, DO Pediatrician of the Year Award, 2008<br />

Honorary Chair, Beaujolais Event, American Lung Association, 2008<br />

Oklahoma State University-CHS Regents Research Award, 2009<br />

RESEARCH ACTIVITIES<br />

Clinical Research<br />

FDA approved Clinical Investigator, 1989-present<br />

Certificate of Completion, Training in the Protection of Human Research Participants,<br />

Oklahoma State University, 2000<br />

Certified Basic Research, Collaborative Institutional Training Initiative (CITI), 2007<br />

Annual OSU-CHS Research Day, 2008-present<br />

Clinical Studies<br />

Hoffman - La Roche NR1469B: A single-blind Randomized Comparative Study of Single Dose<br />

(IM) Ceftriaxone and Single-Dose (IM) Benzathine Penicillin G for the Treatment of<br />

Streptococcal Pharyngitis in Children, 1992<br />

Academy of Osteopathy in conjunction with OSU-COM: Use of Manipulative <strong>The</strong>rapy in the<br />

Treatment of Chronic Otitis Media in 6 Months to 3-Year-Old Children, 1997-1999<br />

HealthCare Research Consultants: Comparative Safety and Efficacy of Cefditoren Pivoxil and<br />

Cefturoxime Axetil in the Treatment Of Acute Bacterial Exacerbation of Chronic Bronchitis,<br />

1998<br />

HealthCare Research Consultants: A Multicenter, Double-Blind, Randomized, Parallel-Group<br />

Asthma Study Comparing Montelukast with Placebo in 2 to 5 Year Old Patients. Protocol<br />

No. 072-00 Periods I, II and III, 1998-1999<br />

Protocol 843-043: Double blind, randomized, placebo- controlled trial of a tablet formulation of<br />

Pleconaril in the treatment of viral respiratory infection in adults, 2000<br />

FEN-USA-87: Principal Investigator, A study to assess the safety, dose conversion and titration<br />

of Duragesic (fentanyl transdermal system) in pediatric subjects with chronic pain requiring<br />

opioid therapy, 2000-2002<br />

ViroPharma Protocol 637-302: Principal Investigator. Observational Study to Characterize<br />

the Disease Course and Outcome of Respiratory Syncytial Virus (RSV) in Otherwise<br />

Healthy Infants, 2000- 2002<br />

6


ViroPharma Protocol 637-303: Principal Investigator, An Observational Study to Characterize<br />

the Disease Course and Outcome of Respiratory Syncytial Virus (RSV) in High-Risk Infants<br />

and Young Children, 2000-2002<br />

ViroPharma Protocol843-059: Principal Investigator. Clinical Efficacy of Pleconaril in the<br />

Treatment of Viral Respiratory Infections in Children 7-12 Years of Age, 2001<br />

ViroPharma Protocol 843-061: Principal Investigator. Clinical Efficacy of Pleconaril in the<br />

Treatment of Viral Respiratory Infections in Children 1-6 Years of Age, 2001<br />

Ingenix/Merck Pharmaceutical Services Protocol 006: Principal Investigator. Rotavirus Safety<br />

and Efficacy Study, 2001-2005<br />

Acknowledged :New England Journal of Medicine, 354;January 5, 2006, 23; S.E.<br />

Grogg, Oklahoma State University, Center for Health Sciences, OSU Physicians,<br />

Houston Parke Clinic, Tulsa, OK<br />

Merck Pharmaceutical MMR II Protocol 010, Principal Investigator, 2004- 2005.<br />

AAP Safety Check, Principal Investigator, Oct. 2004-July 2005.<br />

Sanofi-Pasteur Study GRC28. Primary Investigator. Safety and immunogenicity of Fluzone<br />

Influenza Virus Vaccine (2005-2006 Formulation) among healthy children 6-12 weeks of<br />

age. 2005-2007<br />

MedImmune, Inc: Surveillance Study, RSV testing, Principal Investigator, 2006<br />

Astellas: Protocol: FHI 03-0-161/FG-506-06-37. Principle Investigator. APPLES; A prospective<br />

pediatric longitudinal evaluation to assess the long-term safety of Tacrolimus Ointment for<br />

the treatment of atopic dermatitis. 2006-2016<br />

GSK, Hib-MenCY-TT. Protocol # 103813 (Primary) 105067 (Booster). Principal Investigator. Safety<br />

and immunogenicity study of Hib-MenCY-TT vaccine compared to licensed Hib conjugate<br />

vaccine, each administered at 2, 4, 6, and 15 months of age. A phase III, randomized,<br />

multinational study, double-blinded for the immunogenicity and consistency evaluation of 3-<br />

Hib-MenCY-TT vaccine lots and single-blinded and controlled for the evaluation of safety<br />

and immunogenicity of GSK Biological Haemophilus influenza type b and Neisseria<br />

meningitidis serogroups C and Y-tetanus toxoid conjugate vaccine combined (Hib-MenCY<br />

TT) compared to monovalent Hib vaccine in healthy infants at 2, 4, 6, and 12 to 15 months<br />

of age, 2006-present<br />

Merck 067, Vaqta. , Principal investigator. An open, randomized, multicenter study of the safety,<br />

tolerability and immunogenicity of Vaqta given concomitantly with ProQuad and Prevnar in<br />

healthy children 12 months of age, 2006-2008<br />

Merck HPV (Human Papillomavirus) Study Protocol V-501 025-Phase III for Gardasil. Principal<br />

Investigator. An open-label, randomized, Multicenter study of the safety, tolerability, and<br />

immunogenicity of Gardasil given concomitantly with Menactra and Adacel in healthy<br />

adolescents 11-17 years of age (Protocol No. V501-025), 2006-2007<br />

Sanofi, Menactra MTA 44. Principal Investigator, An Immunogenicity and Safety Evaluation of<br />

Menactra (Meningococcal Groups A, C, Y, and W-135 Polysaccharide Diphtheria Toxoid<br />

Conjugate) given at 9 and 12 Months of Age, 2006-present<br />

Wyeth, (Pneumococcal) 13vPCV. Principal Investigator. A phase 3, randomized, active-controlled,<br />

double blind trial (6096A13005 and 6096A1-30011) evaluating the safety, tolerability, and<br />

immunogenicity of 3 lots of 13-valent pneumococcal conjugate vaccine (PCV-13) in healthy<br />

infants given with routine pediatric vaccinations in the United States and older children,<br />

2007-present<br />

13VPCV. Principal Investigator. For 15 mon – 18 years, as above. 2009-present<br />

MedImmune, Inc. PIV3 (MI-CP-Study 150). Principal Investigator. An expanded phase 1/2a<br />

randomized, double-placebo-controlled study to evaluate the safety, tolerability,<br />

immunogenicity, and viral shedding of blind, Medi-560, a live attenuated recombinant<br />

parainfluenza virus type 3 (PIV3) vaccine, administered intranasally to healthy infants 1 to<br />


Inpatients at Saint Francis Children’s Hospital, Tulsa, OK from 1-04 to 9-31-07; 2008present<br />

MedImmune, Inc. Principal Investigator. Effect of Motavizumab Prophylaxis on Reduction of the<br />

Serious Early Childhood Wheezing in Preterm Infants (Agent MEDI-524). Study<br />

involves preterm infants born at 32-35 weeks gestational age, 2008-on hold<br />

Merck V503-001, Principal Investigator. HPV in adult females, 2009-present<br />

Novartis V59P21 (MenACW135), Principal Investigator. Toddlers, 2009-present<br />

Novartis V59P23 (MenACW135), Principal Investigator. Infants, 2009-present<br />

GSK, HIB-097. Principal Investigator. Partially double blind study to evaluate consistency and<br />

immunogenicity of 3 lots of GSK Biologicals HiB vaccine 208108 versus ActHIB and<br />

Pentacel at 2, 4, 6 and 15-18 months of age in healthy infants. Pending 2009<br />

<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Trauma Foundation. Request 3.3 million to set up Excellence Center for Acquired<br />

<strong>Brain</strong> Disorders, approved excellence center for Oklahoma, 5/2/09<br />

PUBLICATIONS/PRESENTATIONS<br />

Grogg, S. E., Hypoglycemia in the Neonate, Review of the Literature and Case Report.<br />

Journal AOA, 74:137-39; July 1975.<br />

Grogg, S. E., Fever: A Friend Not an Enemy. Health 29:5-7; May-June, 1976.<br />

Grogg, S. E., Child Abuse or Not? A Differential Diagnosis. Osteopathic Medicine. 2:56, 69,106, Jan. 1977.<br />

Grogg, S. E., Congenital Non-goitrous Hypothyroidism (Cretinism): Case Report. Osteopathic Medicine.<br />

2:83, 84, 86, Feb.1977.<br />

Grogg, S. E. & Dunaway, D., Haemophilus Influenza Meningitis: Review and Case Report. Osteopathic<br />

Medicine, 2:40, 41, 43, March, 1977.<br />

Grogg, S. E., Juvenile Diabetic Mellitus. Osteopathic Medicine, 2:40, 41, 43; May, 1977.<br />

Grogg, S. E. and Yates, H., Otitis Media in Children. Osteopathic Medicine, 2:102,103,107, Nov. 1977.<br />

Grogg, S. E. and Liedtke, C., Hypertonic Hypernatremic Dehydration; Diagnosis and Treatment".<br />

Osteopathic Medicine, 3:90, 92, 93, 94, June 1978.<br />

Grogg, S. E. and Thomas, R. L., Hyperthyroidism in Children: Review and Report of Case. Osteopathic<br />

Medicine, 3:91-95, September 1978.<br />

Hoff, G. L., Grogg, S. E., & Maurer, R. S., Idiopathic Thrombocytopenic Purpura in Infancy: Report of<br />

Case and Brief Review. Osteopathic Medicine, 3:42-45, November 1978.<br />

Geyer, D.O., & Grogg, S. E., Neuroblastoma: Review and Report of Two Cases. Osteopathic<br />

Medicine, 4:31-37, March 1979.<br />

Trent, S.N., Grogg, S. E., & Geyer, D. E. Recklinghausen's Disease: A Review of the Literature.<br />

Osteopathic Medicine. 4:61-64, November 1979.<br />

Lepley, B.K., & Grogg, S. E., Congenital Cytomegalovirus Infection: Review and Report of a Case. JAOA,<br />

83:86-88, 1984.<br />

Say, B., Barber, N., Miller, G. C., & Grogg, S. E. Microcephaly, Short Stature, and Developmental Delay<br />

Associated with a Chemotactic Defect and Transient Hypogammaglobulinemia in Two Brothers.<br />

Journal of Medical Genetics, 23:355-359, 1986.<br />

Archer, R. L., Grogg, S. E., & Sanders, S. P, Mucoepidermoid Bronchial Adenoma in a 6-year-old: A Case<br />

Report and Review of the Literature. Journal of Thoracic and Cardiovascular Surgery, 94:452-454,<br />

1987.<br />

Grogg, S. E. & Troxler, M., Diagnosis and Treatment of Childhood and Adolescent Depression. JAOA, 97:<br />

280-285, 1997.<br />

Grogg, B. C. & Grogg, S. E., Traveling Healthy. Hawkeye Osteopathic Journal. 15:5-7, 1997<br />

Mahmoudi, M. & Grogg, S. E., Case & Comment, Facial and Digital Clues. Patient Care, Jan. 30:125-126,<br />

1999.<br />

Grogg, S.E.; AOA House of Delegates Special Edition Washington Update- D.O. Testifies Before Congress<br />

to Protect Patients' Rights, July 1999.<br />

Grogg, S.E., Testifying on Capitol Hill for Patients' Rights, OOA Journal, August, 1999.<br />

Grogg, S. E., International Travel With Children. Practical Considerations, ACOP Pulse, Winter, 2000.<br />

Shrum, K, Grogg, S.E., et.al. Sinusitis in Children: <strong>The</strong> Importance of Diagnosis and Treatment.<br />

JAOA. 101-5, S8-13, May 2001.<br />

Grogg, S. E., Grogg, B. C., Medical Issues of International Adoption, JAOA, 107, 481-89, 2007<br />

Grogg, S.E., Pickering, L., Infectious Disease Society of America, Guidelines for Immunizations, Travel<br />

Medicine Immunization Section. To be published 2009.<br />

Grogg, S. E., Davison, M, Vassar, M, in preparation: “Making a Difference,<br />

Results of Medical Teaching in Kabul, Afghanistan, 2009.<br />

8


Media presentations:<br />

Medical Minute, Channel 6 with OSU-COM, Tulsa, OK, Attention Deficit Hyperactivity Disorder, July<br />

1998<br />

Medical Minute, Channel 6, with OSU-COM, Tulsa, OK, Allergies in Children, May 1999<br />

Medical Minute, PBS, with OSU-COM, Tulsa, OK, Getting Children to Take Medicines, 1999<br />

Rick Well's Show, Channel 6, Be Wise, Immunize, April 2000<br />

KVOO Radio Station, Tulsa, OK, Treatment of VRI, August 2000<br />

Channel 8, Tulsa, OK, Treatment of VRI, August 2000<br />

Channel 2, Tulsa, OK, Treatment of VRI, August 2000<br />

Channel 2, Tulsa, OK, "Common Cold Study", December 2001<br />

Channel 2, Tulsa, OK, "Rotavirus Study, February 2002<br />

Fox News, Tulsa, OK, "Pool Safety", June 2002<br />

Tulsa World, Tulsa, OK, "Halloween Safety", October 2002<br />

AOA News line, AOA Annual Meeting, Las Vegas, Nevada, October, 2002<br />

Tulsa World, Tulsa, OK, "What's New with ADHA, December, 2002<br />

<strong>The</strong> DO Magazine, "Childhood Obesity", January, 2003<br />

Tulsa World, Tulsa, OK, "SIDS Update", February 2003<br />

Tulsa World, Tulsa, OK, "Overdosing Unruly Kids", March 2003<br />

Tulsa World, Tulsa, OK, "Circumcisions, Pros and Cons", September 2003<br />

Media Tracks Communications, (syndicated radio), "Medical Aspects of Open versus Traditional<br />

Adoption, Nov. 2003<br />

Tulsa World, Tulsa, OK, "RSV Infection, Dec. 2003<br />

<strong>The</strong> DO magazine, "International Adoption" article, Jan. 2003<br />

ADDitude Magazine, "Weight Changes Associated with ADHD Medications, Jan. 2004<br />

American Medical News, "Taking a Good Travel History", Feb. 2004<br />

Tulsa World, Tulsa, OK, "Increase In Diabetes In Children", April 2004<br />

Parenting Media, "Adoption", April 2004<br />

American Medical News, "Importance of Travel History", May 2004<br />

Pulse (ACOP), "<strong>The</strong> Rule of 3's: Defining Anemia", 2004<br />

AOA Web Publication, "Back to School: Childhood Needlephobia", Aug.2004<br />

Tulsa World, Stillwater News Press, KRMG, FOX News, and Channel 6, “Measles<br />

vaccine trials due at OSU facility in Tulsa”, January 2005<br />

AOA Daily Report: “Representing AOA and ACOP at the Best Pharmaceuticals for<br />

Children Act Drug List Prioritization Meeting in Bethesda, MD 2005<br />

Tulsa Schools Educational Channel, "Asthma in Children", December 2005<br />

AOA’s Health for Whole Family 2006<br />

“Sudden Infant Death Syndrome”<br />

“Children on Medications”<br />

“Benefits of Breast Feeding”<br />

“Infant Safety in Cars”<br />

Tulsa Public Schools, Recorded for TV replay: “Difference between USA and Russian<br />

Medical Systems”, 2007<br />

OSU-Research Vanguard Magazine, OSU Medicine’s clinical trials/ Take on Children’s Diseases<br />

2009<br />

ACOP’s Pulse: “Communications Messaging, “Myths, <strong>The</strong> Truth about Immunizations”, 2009<br />

Speaker's Bureau 2008-2009<br />

AstraZeneca<br />

GlaxoSmithKline<br />

Merck<br />

Pfizer<br />

Sanofi-Aventis<br />

Pharmaceutical Advisory Boards<br />

Merck HPV International Advisory Board 2007-present<br />

Novartis Meningococcal International Advisory Board, 2008-present<br />

Invited presentation since January 2008<br />

“Asthma Up Date” and “Vaccine Up Date”, Kirksville College of Osteopathic Medicine, CME<br />

“Toxic Child", Oklahoma Osteopathic Association CME<br />

“Traveling Healthy”, Virginia College of Osteopathic Medicine<br />

9


HOBBIES<br />

“Immunizations for Children”, American College of Osteopathic Family Medicine<br />

“Why DO Clinical Research”, Oklahoma State University-Medical Center<br />

“Evaluation of Crying Child”, Oklahoma State University-CHS CME<br />

‘Childhood Asthma”, Kirksville College of Osteopathic Medicine CME<br />

“Acute Gastroenteritis and Pediatric Dermatology and Pediatrics Cardiac Workshop”<br />

Kabul Institute of Medicine, Kabul, Afghanistan<br />

“Combination Vaccines”, Ok State Health Departments, Teleconference<br />

“Zoonosis”, Tulsa Pediatric Grand Rounds<br />

“Pediatric Immunizations”, Cape Gerardo, MO Medical Society, CME<br />

“Medical Mission to Afghanistan”, OSU-COM Pediatric Club<br />

“Childhood Asthma”, Kirksville College of Osteopathic Medicine, CME<br />

“Immunization Update”, Kirksville College of Osteopathic Medicine, CME<br />

“Disorders NOT to Acquire While Cruising”, Kirksville College of Osteopathic Medicine CME,<br />

San Juan, Puerto Rico<br />

“Childhood Asthma”, Kirksville College of Osteopathic Medicine CME, Caribbean Cruise<br />

“History of Immunizations”, NOVA Southeastern University CME, Ft. Lauderdale<br />

“Pediatric GI disorders”, Oklahoma University PA students<br />

“Immunization Myths”, ACOP Annual CME, Anaheim, CA<br />

“Asthma in Childhood and Adolescence”, Kirksville College of Osteopathic Medicine CME,<br />

Honolulu, HI<br />

“Immunization Up-Date”, Kirksville College of Osteopathic Medicine CME, Honolulu, HI<br />

“Practice-based research”, OSU-CHS Medicine Students, monthly<br />

“Immunization Up-Date”, Missouri Association of Osteopathic Physicians and Surgeons (MAOPS),<br />

Branson, Missouri<br />

OSU-Medical Center Grand Rounds; “Autism”<br />

Regional Osteopathic Medical Education, “Autism”, “Emerging Pediatric Infections”, Myrtle Beach<br />

Travel - Traveler’s Century Club having visited 136 countries<br />

Reading<br />

Teaching<br />

Mission/Volunteer work<br />

Hosting international students<br />

Updated SEG 5/30/2009<br />

10


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Oregon<br />

Teaching Research Institute and Western Oregon University<br />

www.tr.wou.edu<br />

REGION: Pacific CATEGORY OF CARE: Reintegration (National Lead)<br />

Program Director: Ann Glang, Ph.D. Position Title: Research Professor<br />

Department: Special Education<br />

Address: 345 N. Monmouth Avenue, Monmouth, OR 97361<br />

Phone: 541‐346‐0594<br />

Email: aglang@orcasinc.com<br />

Level 1 Center(s): Eugene (Teaching Research Institute), Portland<br />

Level 2 Center(s): LaGrande, Bend, Medford, Albany, North Bend, Salem, Hillsboro<br />

Level 3 Center(s): 0<br />

Number of jobs <strong>PABI</strong> Grant creates in Oregon: 132<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 7,461,541<br />

Category of Care Management Sub‐total: $ 4,204,576<br />

Case Management Sub‐total: $ 7,891,631<br />

State Lead Center Sub‐total: $ 19,589,748<br />

Indirect Cost to Institution (20%): $ 3,917,950<br />

Administrative Cost to SJBF (2%): $ 391,795<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 23,899,492


Teaching Research Institute and Western Oregon University Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 0<br />

Program Director Assistant: $ 127,813<br />

State Director: $ 426,043<br />

Associate State Director: $ 184,619<br />

State Epidemiologist: $ 284,029<br />

State Epidemiologist Assistant: $ 127,813<br />

State Scientific Investigation Research Coordinator: $ 241,425<br />

State Scientific Investigation Research Assistant: $ 241,425<br />

State Education/Training Coordinator (plus materials): $ 343,801<br />

State General Counsel: $ 340,835<br />

State IT Manager: $ 269,827<br />

State Family Support Coordinator: $ 213,022<br />

State Prevention/Awareness Coordinator: $ 213,022<br />

State Acute Care Coordinator: $ 213,022<br />

State Reintegration Coordinator: $ 213,022<br />

State Adult Transition Coordinator: $ 213,022<br />

State Mild TBI Coordinator: $ 213,022<br />

State Mental Health Coordinator: $ 184,619<br />

State Assistive/Emerging Technology Coordinator: $ 184,619<br />

State Correctional System Coordinator: $ 184,619<br />

State MISC Coordinator: $ 184,619<br />

State Veterans Coordinator: $ 184,619<br />

State Data Manager: $ 184,619<br />

State Public Policy Manager: $ 213,022<br />

State Community Relations Manager: $ 184,619<br />

State Administrative Support: $ 766,878<br />

Charity care: $ 366,489<br />

Human Resources Support: $ 132,000<br />

Training Support: $ 33,000<br />

State Lead Center Office Space Cost: $ 352,196<br />

State Lead Center Transportation/Travel: $ 118,742<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 113,612<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 91,622<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 7,461,541


Teaching Research Institute and Western Oregon University Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Reintegration (National Lead)<br />

National Category Director: $ 558,000<br />

National Category Epidemiologist: $ 465,000<br />

National Category Education/Training Coordinator: $ 372,000<br />

National Category Scientific Investigation Research: $ 372,000<br />

National Assistive/Emerging Technology Coordinator: $ 372,000<br />

Regional Category Director: $ 426,043<br />

Regional Category Epidemiologist: $ 340,835<br />

Regional Category Education/Training Coordinator: $ 284,029<br />

Regional Category Scientific Investigation Research: $ 284,029<br />

Regional Assistive/Emerging Technology Coordinator: $ 284,029<br />

Regional Category Administrative Support: $ 511,252<br />

Regional Category Office Space Cost: $ 159,056<br />

Regional Category Transportation/Travel: $ 180,000<br />

Regional Category Office Equipment/Communications: $ 43,400<br />

Regional Category Supplies: $ 51,308<br />

CATEGORY OF CARE SUB‐TOTAL: $ 4,204,576


Teaching Research Institute and Western Oregon University Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 426,043<br />

Level 1 Center Field Specialist(s): $ 340,835<br />

Level 1 Center SJB Family Specialist(s): $ 2,492,354<br />

Level 1 Center Administrative Support: $ 383,439<br />

Level 1 Office Space Cost: $ 57,722<br />

Level 1 Transportation/Travel: $ 66,055<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 104,449<br />

Level 2 Center Field Specialist(s): $ 795,281<br />

Level 2 Center SJB Family Specialist(s): $ 2,907,746<br />

Level 2 Transportation/Travel: $ 73,216<br />

Level 2 Office Equipment/Communications: $ 93,100<br />

Level 2 Supplies: $ 89,790<br />

CASE MANAGEMENT SUB‐TOTAL: $ 7,891,631<br />

STATE LEAD CENTER SUB‐TOTAL: $ 19,589,748<br />

INDIRECT COST TO INSTITUTION: $ 3,917,950<br />

ADMINISTRATIVE FEE TO SJBF: $ 391,795<br />

STATE LEAD CENTER SUB‐TOTAL: $ 23,899,492<br />

TOTAL JOBS CREATED IN Oregon: 132


BIOGRAPHICAL SKETCH<br />

NAME POSITION TITLE<br />

Ann E. Glang Research Scientist<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION DEGREE YEAR(S) FIELD OF STUDY<br />

University of California, Berkeley, CA B.S. 1977 Social Welfare & French<br />

University of Oregon, Eugene, OR M.S. 1983 Special Education<br />

University of Oregon, Eugene, OR Ph.D. 1987 Special Education<br />

Positions and Employment<br />

1987-90 Research Associate, University of Oregon, Eugene, OR<br />

1987-91 Research Associate, Oregon Research Institute, Eugene, OR<br />

1991-93 Adjunct Research Scientist, Oregon Research Institute, Eugene, OR<br />

1993-06 Associate Research Professor, Teaching Research, Western Oregon University, Eugene, OR<br />

2006- Senior Fellow and Research Professor, Teaching Research Institute, Western Oregon University,<br />

Eugene, OR<br />

1996- Research Scientist, Oregon Center for Applied Science, Eugene, OR<br />

Peer-Reviewed Publications (in Chronological Order).<br />

Glang, A., Gersten, R., & Singer, G. (1990). Computer-assisted video instruction in training paraprofessionals to<br />

teach brain-damaged clients. Journal of Special Education Technology, 10(3), 137-146.<br />

Glang, A., Singer, G., Cooley, E., & Tish, N. (1991). Direct instruction: Applications with students with brain<br />

injury. Association for Direct Instruction News, 11(1), 23-28.<br />

Glang, A., Singer, G., Cooley, E., & Tish, N. (1992). Tailoring direct instruction techniques for use with<br />

elementary students with brain injury. Journal of Head Trauma Rehabilitation, 7(4), 93-108.<br />

Zoref, L., Glang, A., & Hall, T. (1993). Developing a volunteer reading program in your school: Strategies,<br />

successes, and challenges. <strong>The</strong> Oregon Conference Monograph, 5, 15-21.<br />

Glang, A., Gersten, R., & Morvant, M. (1994). Examining the consultation process: A case study. Learning<br />

Disabilities Research & Practice, 9(4), 225-233.<br />

Singer, G., Glang, A., Nixon, C., Cooley, E., Kerns, K., Williams, D., et al. (1994). A comparison of two<br />

psycholsocial interventions for parents of children with acquired brain injury: an exploratory study. Journal<br />

of Head Trauma Rehabilitation, 9(4), 38-49.<br />

Glang, A., Todis, B., Sohlberg, M. M., & Reed, P. (1996). Helping parents negotiate the school system. In G.<br />

H. S. Singer, A. Glang, & J. Williams (Eds.), Families and children with acquired brain injury:<br />

Challenge and adaptation. Baltimore, MD: Paul H. Brookes.<br />

Singer, G. H. S., Glang, A., & Williams, J. (Eds.). (1996). Families and children with acquired brain injury:<br />

Challenge and adaptation. Baltimore, MD: Paul H. Brookes.<br />

Sowers, J. A., Glang, A., Voss, J., & Cooley, E. A. (1996). Enhancing friendships and leisure involvement of<br />

students with traumatic brain injuries and other disabilities. In L.E. Powers, G.H.S. Singer, & J. Sowers<br />

(Eds.), Building self-competence among children with disabilities. Baltimore, MD: Paul H. Brookes.<br />

Zoref, L., Glang, A., & Hall, T. (1996). Using a volunteer reading program: What constitutes success? <strong>The</strong><br />

Oregon Conference Monograph, 8, 67-77.<br />

Cooley, E., Glang, A., & Voss, J. (1997). Making connections: Helping children with acquired brain injury<br />

build friendships. In A. Glang, G. H. S. Singer, & B. Todis (Eds.), Children with acquired brain injury:<br />

<strong>The</strong> school’s response. Baltimore, MD: Paul H. Brookes.<br />

Todis, B., Glang, A., & Fabry, M. (1997). Family, school, child: A qualitative study of the school experiences<br />

for students with ABI. In A. Glang, G. H. S. Singer, & B. Todis (Eds.), Children with acquired brain<br />

injury: <strong>The</strong> school’s response. Baltimore, MD: Paul H. Brookes.<br />

Glang, A., Singer, G. H. S., & Todis, B. (Eds.). (1997). Children with acquired brain injury: <strong>The</strong> school’s<br />

response. Baltimore, MD: Paul H. Brookes.<br />

Glang, A., & Todis, B. (1997). Providing ongoing support to educators through team-based consultation. In A.<br />

Glang, G. H. S. Singer, & B. Todis (Eds.), Children with acquired brain injury: <strong>The</strong> school’s response.<br />

Baltimore, MD: Paul H. Brookes.<br />

Glang, A., Todis, B., Cooley, E., Wells, J., & Voss, J. (1997). Building social networks for children and<br />

adolescents with ABI: A school-based intervention. Journal Head Trauma Rehabilitation, 12(2), 32-47.<br />

Sohlberg, M., Glang, A., & Todis, B. (1998). Improvement during baseline: Three case studies encouraging<br />

collaborative research when evaluating caregiver training. <strong>Brain</strong> Injury, 12(4), 333-346.<br />

1


Sohlberg, M., Mateer, C., Penkman, L., Glang, A., & Todis B. (1998). Awareness intervention: Who needs it?<br />

Journal of Head Trauma Rehabilitation, 13(5), 62-78.<br />

Sohlberg, M., Todis, B., & Glang, A. (1998). SCEMA: A team-based approach to serving secondary students<br />

with executive dysfunction following brain injury. Aphasiology, 12(12), 1047-1092.<br />

Glang, A., Robinson, L., & Todis, B. (1999). Collaboration between parents and educators: Partners or<br />

adversaries? <strong>Brain</strong> Injury Source, 3(3), 10-13.<br />

Todis, B., & Glang, A. (1999). School experiences of students with acquired brain injury: What happens after<br />

transition? American Speech-Language-Hearing Association Division 2 (Neurophysiology and<br />

Neurogenic Speech and Language Disorders) newsletter, 9(5), 3-8.<br />

Sohlberg, M., McLaughlin, K., Todis, B., Larsen, J., & Glang, A. (2001). What does it take to collaborate with<br />

families affected by brain injury? A preliminary model. Journal of Head Trauma Rehabilitation, 16(5),<br />

498-509.<br />

Ylvisaker, M., Todis, B., Glang, A., Urbanczyk, B., Franklin, C., DePompei, R., et al. (2001). Educating<br />

students with TBI: <strong>The</strong>mes and recommendations. Journal of Head Trauma Rehabilitation, 16(1), 76-3.<br />

Glang, A., Tyler, J., Pearson, S., Todis, B., & Morvant, M. (2004). Improving educational services for students<br />

with TBI through statewide resource teams. NeuroRehabilitation, 19(3), 219-231.<br />

Ehlhardt, L., Sohlberg, M.M., Glang, A., Albin, R. (2005). TEACH-M: A pilot study evaluating an instructional<br />

sequence for persons with impaired memory and executive functions. <strong>Brain</strong> Injury, 19(8), 569-583.<br />

Glang, A., Noell, J., Ary, D., & Swartz, L. (2005). Using interactive multimedia to teach pedestrian safety:<br />

An exploratory study. American Journal of Health Behavior, 29(5), 435-442.<br />

Ylvisaker, M., Adelson, P.D., Braga, L.W., Burnett, S.M., Glang, A., et. al. (2005). Rehabilitation and Ongoing<br />

Support After Pediatric TBI: 20 Years of Progress. Journal of Head Trauma Rehabilitation, 20(1), 95-109.<br />

Glang, A., Dise-Lewis, J., Tyler, J., & Denslow, P. (2006). Identification and Appropriate Service Delivery for<br />

Children who have TBI; Abstracts from the 2 nd Federal Interagency Conference on Traumatic <strong>Brain</strong> Injury.<br />

Journal of Head Trauma Rehabilitation, 21, 5, 408-436<br />

Todis, B., Glang A., Bullis, M., & Andrews, J. (2006). Longitudinal Investigation of the Post-School transition<br />

Experiences of Adolescents with TBI. Abstracts from the 2 nd Federal Interagency Conference on Traumatic<br />

<strong>Brain</strong> Injury. Journal of Head Trauma Rehabilitation, 21, 5, 408-436<br />

Glang, A. & Lash, M. (2006). A holistic approach for improving educational outcomes of students with TBI:<br />

Promising practices and new directions for research. <strong>Brain</strong> Injury Professional, 3(4), 16-18<br />

Todis, B., Glang A., Bullis, M., & Andrews, J. (2006). Longitudinal investigation of the post-school transition<br />

experiences of adolescents with TBI. Abstracts from the 2 nd Federal Interagency Conference on Traumatic<br />

<strong>Brain</strong> Injury. Journal of Head Trauma Rehabilitation, 21(5), 421-422.<br />

Glang, A., McLaughlin, K., & Schroeder, S. (2007). Using interactive multimedia to teach parent advocacy<br />

skills: An exploratory study. Journal of Head Trauma Rehabilitation, 22(3), 198-205.<br />

Todis, B., & Glang, A. (2008). Redefining success: Results of a qualitative study of post-secondary transition<br />

outcomes for youth with traumatic brain injury. Journal of Head Trauma Rehabilitation, 23(4), 252-263.<br />

Glang, A., Ylvisaker, M., Stein, M., Ehlhardt, L., Todis, B., & Tyler, J. (2008). Validated Instructional Practices:<br />

Application to Students with TBI. Journal of Head Trauma Rehabilitation.<br />

Glang, A., Todis, B., Thomas, C., Hood, D., Bedell, G., & Cockrell, J. (2008). Return to school following<br />

childhood TBI: Who gets services? NeuroRehabilitation, 23(6), 477-486.<br />

McLaughlin, K. & Glang, A. (in press). <strong>The</strong> effectiveness of a bicycly safety program for improving safetyrelated<br />

knowledge and behavior in young elementary students. Journal of Pediatric Psychology.<br />

Todis, B. Glang, A., Bullis, M., & Andrews, J. (submitted). Longitudinal Investigation of the Post-High School<br />

Transition Experiences of Adolescents with Traumatic <strong>Brain</strong> Injury. Journal Head Trauma Rehabilitation.<br />

Video and Curriculum Materials<br />

Noell, J., & Glang, A. (Producers/Authors). (1987). Basic skills in teaching [videotapes]. Eugene, OR:<br />

Association for Direct Instruction.<br />

Glang, A., Sohlberg, M. M., & Todis, B. (1999). Compensatory systems for students with brain injuries. Wake<br />

Forest, NC: L & A Publishing/Training.<br />

Sohlberg, M. M., Todis, B., & Glang, A. (1999). Changes in self awareness among students with brain<br />

injuries. Wake Forest, NC: L & A Publishing/Training.<br />

Sohlberg, M. M., Todis, B., Glang, A., & Lash, M. (1999). <strong>Brain</strong> injury: Causes and consequences for<br />

students. Wake Forest, NC: L & A Publishing/Training.<br />

Todis, B., Sohlberg, M. M., & Glang, A. (1999). Making the IEP process work for students with brain injury.<br />

Wake Forest, NC: L & A Publishing/Training.<br />

2


Voss, J., Stevens, T., Glang, A., & Cooley, E. (1999). Building friendships: Facilitating social integration of<br />

students with TBI. (Video/manual). Wolfboro, NH: Lash & Associates.<br />

Glang, A., McLaughlin, K., & Swartz, L. (2006). Walk Smart: A safety program for Children Grades K-3<br />

(CD ROM). Eugene, OR: Health Comm Interactive.<br />

Glang, A., McLaughlin, K., & Swartz, L. (2006). Bike Smart: A safety program for Children Grades K-3 (CD<br />

ROM). Eugene, OR: Health Comm Interactive.<br />

Selected Presentations<br />

Glang, A., Cooley, E., & Kurlychek, R. (1992, February). Tailoring Direct Instruction techniques for use with<br />

students with brain injury. Presented at annual meeting of the Intl. Neuropsych. Society, San Diego, CA.<br />

Glang, A., & Cooley, E. (1992, November). Designing effective services for students with traumatic brain<br />

injury, their families, and professionals who serve them. <strong>The</strong> Association for Persons with Severe<br />

Handicaps, San Francisco, CA<br />

Zoref, L., Glang, A., & Hall, T. (1993, February). Developing a volunteer reading program in your school:<br />

Strategies, challenges and successes. Oregon Conference, University of Oregon, Eugene, OR.<br />

Glang, A. (1993, March). Effective instructional interventions for students with traumatic brain injury. Invited<br />

speaker, Pediatric <strong>Brain</strong> Injury: Looking ahead to Adolescence and Beyond, Vancouver, BC.<br />

Glang, A., & Kerns, K. (1996, April). Intervention strategies for school-age children with cognitive deficits.<br />

Invited Speaker, Nelson Butters West Coast Neuropsychology Conference, San Diego, CA.<br />

Todis, B., Glang, A., & Fabry, M. (1996, November). A "C" for Mike is an "A" for anyone else. <strong>The</strong><br />

Association for Persons with Severe Handicaps, New Orleans, LA.<br />

Tyler, J., Pearson, S., Glang, A., & Todis, B. (1996, November). Training educators to serve students with<br />

brain injury: Where are we and where are we going? <strong>Brain</strong> Injury Association, Dallas, TX.<br />

Glang, A., Todis, B., & Tyler, J. (1997, November). Long term perspectives on pediatric traumatic brain injury.<br />

<strong>Brain</strong> Injury Association, Philadelphia, PA.<br />

Glang, A. (1999, December). Developing educational support teams: Building capacity to serve students with<br />

TBI. TBI in the 21st century: Learning from models of research and service delivery, Bethesda, MD.<br />

Glang, A., Tyler, J., Allen, B., & Wong, C. (2000, April). What's different?: Educating students with Traumatic<br />

<strong>Brain</strong> Injury. Council For Exceptional Children, Vancouver, BC.<br />

Glang, A. (2006). Hospital-School Transition and Educational Interventions. Moody Foundation, Galveston,<br />

TX.<br />

Glang, A., Dise-Lewis, J., Tyler, J., & Denslow, P. (2006). Identification and Appropriate Service Delivery for<br />

Children who have TBI. 2nd Federal Inter-agency Conference on TBI, Bethesda, MD.<br />

Glang, A. (2006) TBI and Education: Lessons learned from school-based advocacy. Federal TBI Protection &<br />

Advocacy Grantee Conference, San Diego, CA.<br />

Glang, A., Dise-Lewis, J., Tyler, J., & Denslow, P. (2005). Identification and Appropriate Service Delivery for<br />

Children who have TBI. Webcast – TBI-TAC.<br />

Tyler, J. & Glang, A. (2005). Identification and Appropriate Service Delivery for Children with TBI in the<br />

Schools. Maternal and Child Health, Washington, DC.<br />

Glang, A., DePompei, R., & Tyler, J. (2005). Service Delivery for Children who have TBI. Webcast, TBI<br />

Technical Assistance Center. Invited speaker. .<br />

Glang A., Savage, R. & Burns, P. (2006). Promoting effective communication and collaboration between families<br />

and schools. Invited speaker. <strong>Brain</strong> Injury Association of America Caregivers’ Conference, Washington,<br />

DC:<br />

Glang, A. (2006). Hospital-School Transition and Educational Interventions. Invited presenter and discussion<br />

leader, Moody Foundation-Galveston <strong>Brain</strong> Injury Conference. Galveston, TX. Galveston, TX:<br />

Glang, A., Dise-Lewis, J., Tyler, J., & Denslow, P. (2006). Identification and Appropriate Service Delivery for<br />

Children who have TBI. Invited speaker. 2 nd Federal Inter-agency Conference on TBI, Bethesda, MD.<br />

Todis, B., Glang A., Bullis, M., & Andrews, J. (2006). Longitudinal Investigation of the Post-School transition<br />

Experiences of Adolescents with TBI. 2 nd Federal Inter-agency Conference on TBI. Bethesda, MD.<br />

Glang, A. (2006). TBI and Education: Lessons learned from school-based advocacy. Invited speaker. Federal<br />

TBI Protection & Advocacy Grantee Conference. San Diego, CA:<br />

Glang, A. (2007). Validated Instructional Practices: What Works for Students with TBI? Invited presenter, Moody<br />

Foundation-Galveston <strong>Brain</strong> Injury Conference. Galveston, TX.<br />

Ongoing Research Support<br />

2004-10 Co-Investigator, Grant # H324C040148, Longitudinal Investigation of School Outcomes for<br />

Children and Youth with TBI, Office of Special Education Programs. <strong>Project</strong> to study school<br />

3


outcomes for children with traumatic brain injury.<br />

2006-11 <strong>Project</strong> Director, Grant # H133A060075. TBI Transition System (T-BITS): Systematic Hospital-to-<br />

School Transition for Students with Traumatic <strong>Brain</strong> Injury, National Institute on Disability and<br />

Rehabilitation Research. Development and evaluation of an intervention to improve transition from<br />

hospital-school, including formative evaluation, pilot test, and multi-site random control trial.<br />

2007-10 Principal Investigator, Grant # R44 HD046257, Advocacy Skills Training for Families Impacted<br />

by TBI, National Institute of Child Health and Human Development. <strong>Project</strong> to produce an<br />

interactive multimedia CD-ROM for families affected by TBI, focusing on effective<br />

communication skills used to advocate for services to address social behavior in adults with<br />

TBI.<br />

2006-10 Principal Investigator, Grant # R44 MH068989, Video-Based Internet Program to Prevent Youth<br />

Depression, National Institute of Mental Health. <strong>Project</strong> will develop and evaluate an interactive<br />

multimedia cognitive-behavioral training program for preventing clinical depression and<br />

ameliorating depressive symptomatology in young adolescents age 11 to 14 years old who are at<br />

high risk for depression.<br />

2007-11 Principal Investigator, Grant # R44 MH070966, A Multimedia Program to Improve<br />

Antidepressant Adherence and Prevent Relapse, National Institute of Mental Health. <strong>Project</strong> will<br />

develop and evaluate an interactive multimedia cognitive-behavioral intervention aimed at<br />

improving regimen adherence and preventing depression relapse for outpatients receiving<br />

antidepressants.<br />

2009-12 Principal Investigator, Grant # H133G090227, <strong>The</strong> TATE <strong>Project</strong>: Training Assistive Technology<br />

in the Environment. National Institute on Disability and Rehabilitation Research.<br />

2009-13 Principal Investigator, Grant # H21MC06769, Access to Services for Oregonians with TBI.<br />

Maternal Child Health Bureau—Oregon Department of Education. Development and evaluation of<br />

model to train regional cadres of adult service providers in traumatic brain injury to improve<br />

service delivery.<br />

Completed Research Support (During the Last Three Years)<br />

2001-06 Co-Investigator, Grant # H324C010113, Identification and Provision of Services to Students<br />

with TBI in Public Schools, US Department of Education. This project tracks educational<br />

outcomes for students with brain injury to better understand how special education referral,<br />

identification and placement decisions affect success in school for these students.<br />

2005-07 Principal Investigator, Grant # R44 HD042892, Training Parents to Advocate for Students with<br />

TBI, National Institute of Child Health and Human Development. This program will build upon<br />

the Phase I program which developed a multimedia CD-ROM for parents of students with TBI.<br />

It focused on effective communication skills. <strong>The</strong> Phase II research will expand the content,<br />

adding three additional advocacy skills and five essential information modules.<br />

2006-09 Principal Investigator, Grant # H21MC06769-01-00, Access to Services for Oregonians with TBI:<br />

A Regional Collaborative Team Approach, Oregon Department of Education. Development and<br />

evaluation of model to train regional cadres of adult service providers in traumatic brain injury to<br />

improve service delivery.<br />

2007-09 Principal Investigator, Grant # R43 HD056610, Interactive Training in Sports Concussion<br />

Prevention and Management, National Institute of Child Health and Human Development. <strong>The</strong><br />

Phase I project will develop an Internet/intranet browser-based program for coaches of children<br />

ages 10-14 involved in community sports, covering content advocated by the CDC and American<br />

Academy of Neurology.<br />

2008-09 Co-Investigator, Grant # HD057672, Interactive Training in Bike and Pedestrian Safety Grades 4-<br />

6, National Institute of Child Health and Human Development. This project will develop an<br />

interactive multimedia program to reinforce pedestrian and bicycle safety skills for children in<br />

grades 4-6, for use in both school and home settings.<br />

Media Awards<br />

Axiem Awards, Canyon City, SD 2002 Silver Award. StreetSmart [CD-ROM].<br />

Communicator Awards, Arlington, TX<br />

2001 Crystal Award of Excellence (1st place). BikeSmart [CD-ROM].<br />

Telly Awards, Cincinnati, OH<br />

2001 Bronze Award. Playground Supervision [CD-ROM].<br />

2001 Bronze Award. StreetSmart [CD-ROM].<br />

4


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Pennsylvania<br />

Children's Hospital of Pittsburgh of UPMC<br />

www.chp.edu<br />

REGION: Mid‐Atlantic CATEGORY OF CARE: Acute Phase<br />

Program Director: Rachel Berger, MD, MPH Position Title: Pediatrician<br />

Department: Pittsburgh Child Advocacy Center<br />

Address: One Children’s Hospital Drive, 4401 Penn Avenue, Pittsburgh, PA 15224<br />

Phone: 412‐692‐8664<br />

Email: rachel.berger@chp.edu<br />

Level 1 Center(s): 2 in Philadelphia, Pittsburgh, Harrisburg<br />

Level 2 Center(s): Philadelphia suburb, Lehigh Valley, Pittsburgh suburb<br />

Level 3 Center(s): rural regions in central PA<br />

Number of jobs <strong>PABI</strong> Grant creates in Pennsylvania: 136<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 6,400,094<br />

Category of Care Management Sub‐total: $ 1,762,569<br />

Case Management Sub‐total: $ 7,029,147<br />

State Lead Center Sub‐total: $ 15,223,810<br />

Indirect Cost to Institution (20%): $ 3,044,762<br />

Administrative Cost to SJBF (2%): $ 304,476<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 18,573,048


Children's Hospital of Pittsburgh of UPMC Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 68,775<br />

Program Director Assistant: $ 100,480<br />

State Director: $ 334,933<br />

Associate State Director: $ 145,138<br />

State Epidemiologist: $ 223,289<br />

State Epidemiologist Assistant: $ 100,480<br />

State Scientific Investigation Research Coordinator: $ 189,795<br />

State Scientific Investigation Research Assistant: $ 189,795<br />

State Education/Training Coordinator (plus materials): $ 484,014<br />

State General Counsel: $ 267,946<br />

State IT Manager: $ 212,124<br />

State Family Support Coordinator: $ 167,466<br />

State Prevention/Awareness Coordinator: $ 167,466<br />

State Acute Care Coordinator: $ 167,466<br />

State Reintegration Coordinator: $ 167,466<br />

State Adult Transition Coordinator: $ 167,466<br />

State Mild TBI Coordinator: $ 167,466<br />

State Mental Health Coordinator: $ 145,138<br />

State Assistive/Emerging Technology Coordinator: $ 145,138<br />

State Correctional System Coordinator: $ 145,138<br />

State MISC Coordinator: $ 145,138<br />

State Veterans Coordinator: $ 145,138<br />

State Data Manager: $ 145,138<br />

State Public Policy Manager: $ 167,466<br />

State Community Relations Manager: $ 145,138<br />

State Administrative Support: $ 602,879<br />

Charity care: $ 340,899<br />

Human Resources Support: $ 136,000<br />

Training Support: $ 34,000<br />

State Lead Center Office Space Cost: $ 327,604<br />

State Lead Center Transportation/Travel: $ 110,451<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 105,679<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 97,400<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 6,400,094


Children's Hospital of Pittsburgh of UPMC Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Acute Phase<br />

Regional Category Director: $ 334,933<br />

Regional Category Epidemiologist: $ 267,946<br />

Regional Category Education/Training Coordinator: $ 223,289<br />

Regional Category Scientific Investigation Research: $ 223,289<br />

Regional Category Administrative Support: $ 401,920<br />

Regional Category Office Space Cost: $ 95,111<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 30,681<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,762,569


Children's Hospital of Pittsburgh of UPMC Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 637,968<br />

Level 1 Center Field Specialist(s): $ 510,374<br />

Level 1 Center SJB Family Specialist(s): $ 3,483,303<br />

Level 1 Center Administrative Support: $ 574,171<br />

Level 1 Office Space Cost: $ 51,135<br />

Level 1 Transportation/Travel: $ 111,132<br />

Level 1 Office Equipment/Communications: $ 117,200<br />

Level 1 Supplies: $ 160,709<br />

Level 2 Center Field Specialist(s): $ 229,668<br />

Level 2 Center SJB Family Specialist(s): $ 746,422<br />

Level 2 Transportation/Travel: $ 23,690<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 30,681<br />

Level 3 Center SJB Family Specialist(s): $ 279,908<br />

Level 3 Transportation/Travel: $ 7,020<br />

Level 3 Office Equipment/Communications: $ 17,100<br />

Level 3 Supplies: $ 8,766<br />

CASE MANAGEMENT SUB‐TOTAL: $ 7,029,147<br />

STATE LEAD CENTER SUB‐TOTAL: $ 15,223,810<br />

INDIRECT COST TO INSTITUTION: $ 3,044,762<br />

ADMINISTRATIVE FEE TO SJBF: $ 304,476<br />

STATE LEAD CENTER SUB‐TOTAL: $ 18,573,048<br />

TOTAL JOBS CREATED IN Pennsylvania: 136


BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

Rachel Pardes Berger<br />

eRA COMMONS USER NAME<br />

BERGERRP<br />

POSITION TITLE<br />

Assistant Professor of Pediatrics<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Harvard University, Cambridge, MA A.B. 1988-1992 Biochemistry<br />

Columbia University College of Physicians and M.D. 1992-1996 Medicine<br />

Children's Hospital of Pittsburgh (CHP), Pittsburgh, PA Intern/Resid 1996-1999 Pediatrics<br />

Children's Hospital of Pittsburgh, Pittsburgh, PA Fellow 1999-2001 Pediatrics<br />

University of Pittsburgh School of Public Health, M.P.H. 1999-2001 Public Health<br />

NOTE: <strong>The</strong> Biographical Sketch may not exceed four pages. Items A and B (together) may not exceed two of<br />

the four-page limit. Follow the formats and instructions on the attached sample.<br />

A. Positions and Honors. List in chronological order previous positions, concluding with your present position. List<br />

any honors. Include present membership on any Federal Government public advisory committee.<br />

Positions and Employment<br />

1996 - 1999 Pediatric Intern and Resident, CHP, Pittsburgh, PA<br />

1999 - 2001 Instructor of Pediatrics/Fellow in General Academic Pediatrics, CHP, Pittsburgh, PA<br />

1999 - 2006 Medical Staff Attending, Western Psychiatric Institute & Clinic, Pittsburgh, PA<br />

2001 - 2003 Director, Pediatric Partners, Pittsburgh Child Advocacy Center, CHP, Pittsburgh, PA<br />

2001 - present Assistant Professor of Pediatrics, Medical Staff Attending, Children’s Hospital of Pittsburgh, Pgh PA<br />

2001 - present Scientist, Safar Center for Resuscitation Research, University of Pittsburgh, Pittsburgh, PA<br />

2006- present Associate Director, Safar Center for Resuscitation Research, University of Pittsburgh, Pgh, PA<br />

2008- present Core Faculty, Center for Injury Research and Controls (CIRCL), University of Pittsburgh, Pgh, PA<br />

Other Experience and Professional Memberships<br />

1996 - present Member, American Academy of Pediatrics - Sections on Child Abuse & Neglect<br />

2001 - present Member, Children’s Hospital of Pittsburgh, Child Protection Team<br />

2001 - 2008 Member, American Professional Society on the Abuse of Children (APSAC)<br />

2001 - present Fellow, American Academy of Pediatrics<br />

2002 - 2008 Member, International Society for Prevention of Child Abuse and Neglect (ISPCAN)<br />

2004 - present Helfer Society (Honorary Society for experts and leaders in the field of child abuse and neglect)<br />

Honors<br />

1996 Election to ΑΩΑ (Medical Honor Society)<br />

2001 Ambulatory Pediatric Association Fellows Award<br />

2002, 2003, 2007, 2008 Listed in Best Doctors in America<br />

2003 - present Member, Society for Pediatric Research (SPR)<br />

2004 Michael E. Miller Young Investigator Award (most promising young investigator at CHP)<br />

2006 Selected as one of Pittsburgh’s 40 Under 40 for work related to child abuse<br />

Selected peer-reviewed publications (selected, since 2003)<br />

1. Berger RP. Biomarkers or neuroimaging in central nervous system injury: will the real "gold standard"<br />

please stand up? Ped Crit Care Med 2003;4(3):391-392.<br />

2. Berger RP, Heyes M, Wisniewski S, Adelson PD, Thomas N, Kochanek P. Assessment of the macrophage<br />

marker quinolinic acid in cerebrospinal fluid after pediatric traumatic brain injury: Insight into the timing and<br />

severity of injury in child abuse. J Neurotrauma 2004;21(9):1123-1130.<br />

3. Berger RP, Pierce MC, Kochanek P. Biochemical markers of brain injury: Could they be used as diagnostic<br />

adjuncts in cases of inflicted traumatic brain injury? Child Abuse and Neglect: <strong>The</strong> International Journal<br />

2004;28(7):739-754.


4. Berger RP, Adelson PD, Dulani T, Pierce M, Cassidy L, Kochanek PM. Serum neuron-specific enolase,<br />

S100B and myelin basic protein concentrations after inflicted and non-inflicted traumatic brain injury in<br />

children. J of Neurosurgery 2005;103(1):61-68.<br />

5. Satchell M, Lai Y, Kochanek P, Wisniewski S, Fink E, Berger RP, DeKosky S, Adelson PD, Clark RSB.<br />

Cytochrome c, a biomarker of apoptosis, is increased in cerebrospinal fluid from infants with inflicted brain<br />

injury from child abuse. Journal of Cerebral Blood Flow & Metabolism 2005;25(7):919-927.<br />

6. Berger RP, Adelson PD. Evaluation and management of pediatric head trauma in the emergency<br />

department: Current concepts and state of the art research. Clinical Pediatric Emergency Medicine 2005;<br />

6(1):8-15.<br />

7. Berger RP. <strong>The</strong> use of serum biomarkers to predict outcome after traumatic brain injury in adults and<br />

children. J Head Trauma Rehabilitation 2006;21(4):315-333.<br />

8. Berger RP, Dulani T, Leventhal JM, Richichi R, Kochanek PM. Identification of inflicted traumatic brain injury<br />

in well-appearing infants using serum and cerebrospinal markers: A possible screening tool for inflicted<br />

traumatic brain injury. Pediatrics 2006;117:325-332.<br />

9. Berger RP, Adelson PD, Richichi R, Kochanek P. Serum biomarkers after traumatic and hypoxemic brain<br />

injuries: Insight into the biochemical response of the pediatric brain to inflicted brain injury. Dev Neurosci<br />

2006;28:327-335.<br />

10. Bechtel K, Berger RP. Inflicted traumatic brain injury: Making the diagnosis in the emergency department.<br />

Clinical Pediatric Emergency Medicine 2006;7(3):138-142.<br />

11. Berger RP, Hymel K, Gao W. <strong>The</strong> use of biomarkers after inflicted traumatic brain injury: Insight into etiology,<br />

pathophysiology and biochemistry. Clinical Pediatric Emergency Medicine 2006;7(3):186-193.<br />

12. Berger RP, Kochanek P. Urinary S100B concentrations are increased after brain injury in children: A<br />

preliminary study. Ped Crit Care Med 2006;7:557-561.<br />

13. Kochanek PM, Bayir H, Berger RP, Dixon CE, Jenkins L, Kline AE, Tisherman S, Wagner AK, Clark RSB.<br />

<strong>The</strong> Safar Center for Resuscitation Research: Searching for breakthroughs in the new millennium. General<br />

Reanimatology 2006;11(5-6):15-25.<br />

14. Beers S, Berger RP, Adelson PD. Neurocognitive outcome and serum biomarkers in inflicted vs. non-inflicted<br />

traumatic brain injury in young children. J Neurotrauma 2007;24(1):97-105.<br />

15. Shore P, Berger RP, Varma S, <strong>Jane</strong>sko KL, Wisniewski SR, Clark RSB, et al. Cerebrospinal fluid biomarkers<br />

versus Glasgow Coma Scale and Glasgow Outcome Scale in pediatric traumatic brain injury: <strong>The</strong> role of<br />

young age and inflicted injury. J Neurotrauma 2007;24(1):75-86.<br />

16. Gao W, Mandeep CS, Berger RP, Gilbert OS, Allen DL, Pisano M, Adelson PD, Clark RSB, Jenkins L,<br />

Kochanek P. A gel-based proteomic comparison of human cerebrospinal fluid between inflicted and noninflicted<br />

pediatric traumatic brain injury. J Neurotrauma 2007;24(1):43-53.<br />

17. Campbell KA, Berger RP, Ettaro L, Roberts MS. Cost-effectiveness of head computed tomography in infants<br />

with possible inflicted traumatic brain injury. Pediatrics 2007;120:295-304.<br />

18. Kochanek P, Berger RP, Jenkins L, Margulies S. Inflicted childhood neurotrauma: new insight into the<br />

detection, pathobiology, prevention, and treatment of our youngest patients with traumatic brain injury. J<br />

Neurotrauma 2007;24(1):1-4.<br />

19. Berger RP, Beers SR, Richichi R, Wiesman D. Serum biomarker concentrations and outcome after pediatric<br />

traumatic brain injury. J Neurotrauma. 2007;24(12):1793-1801.<br />

20. Buttram SDW, Wisniewski SR, Jackson EK, Adelson PD, Feldman K, Bayir H, Berger RP, Clark RSB,<br />

Kochanek PM. Multiplex assessment of cytokine and chemokine levels in cerebrospinal fluid following<br />

severe pediatric traumatic brain injury: Effects of moderate hypothermia. J Neurotrauma. 2007;24(11): 1707-<br />

1717.<br />

21. Runyan DK, Berger RP, Barr RG. Defining an ideal system to establish the incidence of inflicted traumatic<br />

brain injury: Summary of the consensus conference. Am J Preventive Medicine 2008;34(4S):S163-S168.<br />

22. Berger RP. Diagnosing abusive head trauma: A primer for health care providers. <strong>Brain</strong> Injury Professional<br />

2008;5(1):18-20.<br />

23. Kochanek PM, Berger RP, Bayir H, Wagner A, Jenkins LW, Clark RSB. Biomarkers of primary and evolving<br />

damage in traumatic and ischemic brain injury: Diagnosis, prognosis, probing mechanisms, and therapeutic<br />

decision making. Current Opinion in Critical Care 2008;14:135-141.<br />

24. Fink EL, Lai Y, Zhang X, <strong>Jane</strong>sko-Feldman K, Adelson PD, Szabó C, Berger RP, Sarnaik AA, Kochanek PM,<br />

Clark RSB. Quantification of poly(ADP-ribose)-modified proteins in cerebrospinal fluid from infants and<br />

children after traumatic brain injury. Journal of Cerebral Blood Flow and Metabolism 2008;28:1523-1529.<br />

25. Berger RP, Richichi R. Derivation and validation of an equation for adjustment of neuron-specific enolase<br />

concentrations in hemolyzed serum. Pediatric Critical Care Medicine 2009: 10(2): 260-263.<br />

26. Berger RP, Ta’asan S, Rand A, Lokshin A, Kochanek P. Multiplex assessment of serum biomarker<br />

concentrations in well-appearing children with inflicted traumatic brain injury. Pediatric Research<br />

2009;65(1):97-102.


C. Research Support. List selected ongoing or completed (during the last three years) research projects (federal<br />

and non-federal support). Begin with the projects that are most relevant to the research proposed in this<br />

application. Briefly indicate the overall goals of the projects and your role (e.g. PI, Co-Investigator, Consultant) in<br />

the research project. Do not list award amounts or percent effort in projects.<br />

1K23HD43843-0 4/1/2003- 3/31/2010, currently in a no-cost extension<br />

NIH<br />

Using Biochemical Markers to Detect Abusive Head Trauma<br />

Abusive head trauma is the leading cause of head injury in infants. Proper diagnosis of abusive head trauma is difficult<br />

because patients often present without a history of trauma, with non-specific signs and symptoms and/or with a normal<br />

physical examination. Biochemical markers of brain injury are released from the brain after injury and diffuse into the<br />

cerebrospinal fluid and/or serum where their concentration can be measured. <strong>The</strong> goals of this project are 1) to determine<br />

whether measuring the concentration of several of these cerebrospinal fluid and serum markers could be used as a<br />

screening test for abusive head trauma and 2) to measure serum biomarker concentrations after non-traumatic neurologic<br />

insults such as meningitis and seizures.<br />

Role: PI<br />

R49/CCR323155-01 9/1/03-8/30/09<br />

CDC<br />

University of Pittsburgh<br />

Center for Injury Research and Control (CIRCL)<br />

Center Grant<br />

Improving the Diagnosis and Prognosis of Inflicted Head Trauma in Infants<br />

This is a prospective study of biochemical markers of brain injury in children at increased risk of inflicted head injury. This<br />

study includes long-term follow up of enrolled children to improve assessment of the sensitivity and specificity of<br />

biomarkers of brain injury.<br />

Role: Co-Investigator<br />

Overlap<br />

<strong>The</strong>re is some scientific overlap between the K23 and the above grant. <strong>The</strong> above grant provides additional funding for a<br />

research nurse and laboratory technician<br />

1U49CE001 274-01 10/1/2007-9/30/2010<br />

CDC<br />

Pennsylvania Abusive Head Trauma Prevention Program<br />

<strong>The</strong> goal of this project is to assess the effectiveness of an education program in decreasing the incidence of abusive<br />

head trauma in Pennsylvania. As part of the program, a video about abusive head trauma is shown to all mothers (and<br />

many fathers) of infants born in any birthing hospital in Pennsylvania. <strong>The</strong> incidence of abusive head trauma is being<br />

tracked through ChildLine, the Pennsylvania-state registry for child abuse cases.<br />

Role: Co-investigator<br />

UL1 RR024153 12/1/2007-12/30/2009<br />

Pediatric Clinical and Translational Research Center<br />

Using a Blood Test and a Clinical Decision rule to Identify <strong>Brain</strong> Injury in Infants<br />

This grant funds the head CTs for the subjects enrolled in a study entitled ‘Novel Approaches to Screening for Inflicted<br />

Childhood Neurotrauma.’ This study evaluates the use of serum biomarkers and a clinical decision rule to screen for<br />

inflicted childhood neurotrauma in the emergency department. <strong>The</strong> study also uses multiplex bead technology to evaluate<br />

and screen for additional biomarkers which may be useful as part of a biomarker screening panel.<br />

Role: PI<br />

W81XWH- 07-0701 1/1/08-11/30/09<br />

Biomarkers: Evaluating and Treating Acute and Chronic Traumatic <strong>Brain</strong> Injury<br />

U.S. Army<br />

<strong>The</strong> purpose of this grant is to establish a military and civilian network: <strong>The</strong> Collaborative <strong>Brain</strong> Injury Biomarkers<br />

Development Network (CBBDN), with the goal of this system being to evaluate and identify and validate sensitive and<br />

effective biomarkers that possess a high potential for diagnosis, prognosis, and treatment monitoring in the acute and<br />

post-acute phase after traumatic brain injury. As part of this grant we will be establishing and utilizing both clinical and<br />

preclinical platforms for novel biomarker discovery and assessment. With this panel, we will then develop a program of<br />

clinical biomarker validation in the acute and chronic periods of clinical TBI<br />

R ole: Co-investigator


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Puerto Rico<br />

Puerto Rico Medical Center / University of Puerto Rico<br />

www.upr.edu<br />

REGION: Southeast CATEGORY OF CARE: Virtual SJB Center<br />

Program Director: Juan A. Vigo Prieto, MD Position Title: Neurological Surgeon<br />

Department: Department of Pediatrics<br />

Address: PO Box 5067, San Juan, PR 00936<br />

Phone: 787‐765‐8296<br />

Email: drvandj@coqui.net<br />

Level 1 Center(s): San Juan<br />

Level 2 Center(s): Ponce, Mayaguez<br />

Level 3 Center(s): Carolina, Arecibo<br />

Number of jobs <strong>PABI</strong> Grant creates in Puerto Rico: 84<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 3,728,717<br />

Category of Care Management Sub‐total: $ 1,145,270<br />

Case Management Sub‐total: $ 1,420,568<br />

State Lead Center Sub‐total: $ 6,326,555<br />

Indirect Cost to Institution (20%): $ 1,265,311<br />

Administrative Cost to SJBF (2%): $ 126,531<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 7,718,397


Puerto Rico Medical Center / University of Puerto Rico Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 68,250<br />

Program Director Assistant: $ 57,537<br />

State Director: $ 191,788<br />

Associate State Director: $ 83,108<br />

State Epidemiologist: $ 127,859<br />

State Epidemiologist Assistant: $ 57,537<br />

State Scientific Investigation Research Coordinator: $ 108,680<br />

State Scientific Investigation Research Assistant: $ 108,680<br />

State Education/Training Coordinator (plus materials): $ 202,135<br />

State General Counsel: $ 153,431<br />

State IT Manager: $ 121,466<br />

State Family Support Coordinator: $ 95,894<br />

State Prevention/Awareness Coordinator: $ 95,894<br />

State Acute Care Coordinator: $ 95,894<br />

State Reintegration Coordinator: $ 95,894<br />

State Adult Transition Coordinator: $ 95,894<br />

State Mild TBI Coordinator: $ 95,894<br />

State Mental Health Coordinator: $ 83,108<br />

State Assistive/Emerging Technology Coordinator: $ 83,108<br />

State Correctional System Coordinator: $ 83,108<br />

State MISC Coordinator: $ 83,108<br />

State Veterans Coordinator: $ 83,108<br />

State Data Manager: $ 83,108<br />

State Public Policy Manager: $ 95,894<br />

State Community Relations Manager: $ 83,108<br />

State Administrative Support: $ 345,219<br />

Charity care: $ 196,706<br />

Human Resources Support: $ 84,000<br />

Training Support: $ 21,000<br />

State Lead Center Office Space Cost: $ 189,034<br />

State Lead Center Transportation/Travel: $ 63,733<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 60,979<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 56,202<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 3,728,717


Puerto Rico Medical Center / University of Puerto Rico Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Virtual SJB Center<br />

Regional Category Director: $ 191,788<br />

Regional Category Epidemiologist: $ 153,431<br />

Regional Category Education/Training Coordinator: $ 127,859<br />

Regional Category Scientific Investigation Research: $ 127,859<br />

Regional Business Development Manager: $ 127,859<br />

Regional Category Administrative Support: $ 230,146<br />

Regional Category Office Space Cost: $ 54,881<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 17,704<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,145,270


Puerto Rico Medical Center / University of Puerto Rico Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 91,328<br />

Level 1 Center Field Specialist(s): $ 73,062<br />

Level 1 Center SJB Family Specialist(s): $ 498,650<br />

Level 1 Center Administrative Support: $ 82,195<br />

Level 1 Office Space Cost: $ 29,506<br />

Level 1 Transportation/Travel: $ 25,929<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 33,721<br />

Level 2 Center Field Specialist(s): $ 87,675<br />

Level 2 Center SJB Family Specialist(s): $ 284,943<br />

Level 2 Transportation/Travel: $ 15,052<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 11,802<br />

Level 3 Center SJB Family Specialist(s): $ 106,854<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 3,372<br />

CASE MANAGEMENT SUB‐TOTAL: $ 1,420,568<br />

STATE LEAD CENTER SUB‐TOTAL: $ 6,326,555<br />

INDIRECT COST TO INSTITUTION: $ 1,265,311<br />

ADMINISTRATIVE FEE TO SJBF: $ 126,531<br />

STATE LEAD CENTER SUB‐TOTAL: $ 7,718,397<br />

TOTAL JOBS CREATED IN Puerto Rico: 84


CURRICULUM VITAE<br />

NAME: JUAN ALBERTO VIGO PRIETO SEX: MALE<br />

DATE OF BIRTH: 24 November 1958 HOME ADDRESS:<br />

52 Kings Court, Apt. 1B<br />

PLACE OF BIRTH: Dominican Republic Santurce, P. R. 00911<br />

CITIZENSHIP: Spain; Permanent U.S. Resident<br />

MARITAL STATUS: Married HOME TELEPHONE: (787) 728-8052<br />

SPOUSE; Dr. Lori Jurgens;<br />

Oral & Maxillofacial Surgeon<br />

CHILDREN: Lorena Alexandra, born 3-17-93<br />

OFFICE ADDRESS;<br />

OFFICE ADDRESS:: - San Jorge Medical Building<br />

UPR School of Medicine 252 San Jorge, Suite 404<br />

RCM Neurosurgery, P. O. Box 5067 San Juan, P.R. 00912<br />

San Juan, Puerto Rico 00936-5067 Telephone: (787) 268-1996<br />

Telephone: (787) 765-8296<br />

. Beeper (787) 402-2337 Unidad 230-2844<br />

EDUCATION AND DEGREES<br />

COLLEGE OR UNIVERSITY<br />

Colegio de la Salle Dominican Republic 1976<br />

MEDICAL SCHOOL<br />

U. Catolica Madre y Maestra - MD Dominican Republic 1982<br />

Summa Cum Laude<br />

INTERNSHIP<br />

Ponce District Hospital 1985 - 86<br />

RESIDENCY, FELLOWSHIP OR OTHER POSTGRADUATE TRAINING<br />

Neurosurgery Residency U. of P. R. School of Medicine 1986 - 1991<br />

Pediatric Neurosurgery Texas Children’s Hospital 1991 - 1992<br />

Fellowship Baylor University<br />

SPECIALTY: Neurological Surgery<br />

SUBSPECIALTY: Postdoctoral Fellowship Pediatric Neurological Surgery<br />

Baylor School of Medicine, Houston, Texas<br />

Texas Children’s Hospital


LICENCE TO PRACTICE MEDICINE: (place, license number and year)<br />

Puerto Rico License # 10280 1992<br />

Texas License #L7914 2003<br />

CERTIFICATION BY AMERICAN BOARD OF MEDICAL SPECIALTY<br />

American Board of Neurological Surgeons 1998<br />

SPECIALTY COLLEGES<br />

American College of Neurosurgeons 1992<br />

Colegio de Medico Cirujanos de P. R. 1995<br />

PROFESSIONAL EXPERIENCE<br />

UPR Assistant professor, Neurosurgery Aug. 1992<br />

UPR Chief, Pediatric Neurosurgery Section Aug. 1992<br />

ACADEMIC APPOINTMENTS<br />

Assistant Professor UPR, RCM Neurosurgery Section 1992<br />

OTHER APPOINTMENTS<br />

Chief, Pediatric Neurosurgery Section, UPR, RCM 1992<br />

Chief, Pediatric Neurosurgery, San Jorge Children’s Hospital 1999<br />

TEACHING EXPERIENCE<br />

University of Puerto Rico, School of Medicine 1992<br />

Chief Pediatric Neurosurgical Section (involved with interns,<br />

residents, medical students, graduate students, and others)<br />

POSTGRADUATE OR GRADUATE COURSES<br />

Neurobiology Course Neurobiology Marine Institute 1987<br />

Woods Hole, Ma.<br />

Neurology Postdoctoral Course Queens Square, London 1988<br />

Hospital for the Sick


PARTICIPATION IN INTERNATIONAL SCIENTIFIC MEETINGS<br />

Caribbean Assoc. of N.S. Santo Domingo 2000<br />

Congress of N.A. Boston, Ma. 1999<br />

Congress of N.S. Seattle, Wa 1998<br />

Congress of N.S. New Orleans, La 1997<br />

Sociedad Ortopedia Dorado, P.R. 6/97<br />

AA Pediatric Neurosurgery Charleston, S.C. 12/96<br />

Congress of Neurosurgeons Montreal, Canda 9/96<br />

AANS Orlando, Fla 4/95<br />

AANS-Southern Society San Juan, PR 4/95<br />

AA Pediatric Neurosurgery St. Louis, Mo. 12/94<br />

Neuroscience Maracaibo, Venezuela 11/94<br />

AANS Chicago, Il. 10/94<br />

Neuro Oncology Houston, Tx. 3/94<br />

AANS - Pediatrics San Antonio, Tx. 12/93<br />

Caribbean Neurosurgery Cong. San Juan, PR 2001<br />

Caribbean Assoc. N.S. Panama 2002<br />

AANS/CNS Annual Mtg. Scotsdale, Ariz 2002<br />

Caribbean Assoc. N.S. Santo Domingo 2003<br />

Educational Program Ponce, P.R. 2004<br />

Caribbean Assoc. of N.S. Costa Rica 2004<br />

AANS/CNS Pediatric NS San Francisco, CA 2004<br />

Penn Neurology 2004 Update San Juan, P.R. 2004<br />

International Soc, Ped. N.S. Vancouver, B.C., Canada 2005<br />

Endoscopic Techniques in N.S. Phoenix, Ariz 2005<br />

XV Cong. Int. de Neurologia y<br />

Neurocirugia Santo Domingo 2005<br />

SPECIAL LECTURES (Guest Speaker)<br />

“Non-traumatic craniocervical<br />

instability in children” Caribbean Neurosurgery Society 2000<br />

“Craniosyntosis” Caribbean Neurosurgery Society 2000<br />

“<strong>Brain</strong> Tumors in Children Pediatric Med. Assoc. West Region 1999<br />

“Craniosyntosis” Pediatric Med. Assoc. West Region 1999<br />

“Craniosyntosis’ Caribbean Neurosurgery Society 1999<br />

“Neural Tube Defects” San Jorge Hospital Faculty 1997<br />

“Hydrocephalus” Dominican Neurosurgical Society 1996<br />

Neural Tube Defects<br />

“<strong>Brain</strong> Tumors in Children” Sociedad Auxilio Mutuo, Pediatrics 1995<br />

“Brachial Plexus Injury” San Jorge Hospital Faculty 1995<br />

“Neural Tube Defects” Ashford Community Hospital 1995<br />

“Advances en Neurocirugia<br />

Pediatrica Neuroendoscopia” Dominican Neurosurgical<br />

Society 2005<br />

LANGUAGES<br />

Spanish<br />

English


REFERENCES<br />

Dr. Nathan Rifkinson, UPR RCM , Dept. of Neurosurgery, P. O. Box 5067<br />

San Juan, P. R. 00936-5067<br />

Dr. William Cheek, Texas Children’s Hospital, Baylor University Clinical Care Center #950<br />

6621 Fannin, Houston, Texas<br />

Dr. Andres Peralta, U. Catolica Madre y Maestra School of Medicine, Santiago<br />

Dominican Republic<br />

---------------------------------- ------------------------------------------<br />

DATE SIGNATURE


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Rhode Island<br />

Hasbro Children's Hospital Child Protection Program<br />

www.lifespan.org<br />

REGION: Northeast CATEGORY OF CARE: Virtual SJB Center<br />

Program Director: Carole Jenny, MD Position Title: Professor<br />

Department: Department of Pediatrics<br />

Address: 593 Eddy Street, Providence, RI 02903<br />

Phone: 401‐444‐3996<br />

Email: cjenny@lifespan.org<br />

Level 1 Center(s): Providence<br />

Level 2 Center(s): Providence, Central Falls, Woonsocket, West Warwick, Newport<br />

Level 3 Center(s): 0<br />

Number of jobs <strong>PABI</strong> Grant creates in Rhode Island: 99<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 6,055,143<br />

Category of Care Management Sub‐total: $ 1,803,603<br />

Case Management Sub‐total: $ 3,150,652<br />

State Lead Center Sub‐total: $ 11,041,399<br />

Indirect Cost to Institution (20%): $ 2,208,280<br />

Administrative Cost to SJBF (2%): $ 220,828<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 13,470,506


Hasbro Children's Hospital Child Protection Program Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 227,675<br />

Program Director Assistant: $ 97,008<br />

State Director: $ 323,361<br />

Associate State Director: $ 140,123<br />

State Epidemiologist: $ 215,574<br />

State Epidemiologist Assistant: $ 97,008<br />

State Scientific Investigation Research Coordinator: $ 183,238<br />

State Scientific Investigation Research Assistant: $ 183,238<br />

State Education/Training Coordinator (plus materials): $ 208,074<br />

State General Counsel: $ 258,689<br />

State IT Manager: $ 204,795<br />

State Family Support Coordinator: $ 161,681<br />

State Prevention/Awareness Coordinator: $ 161,681<br />

State Acute Care Coordinator: $ 161,681<br />

State Reintegration Coordinator: $ 161,681<br />

State Adult Transition Coordinator: $ 161,681<br />

State Mild TBI Coordinator: $ 161,681<br />

State Mental Health Coordinator: $ 140,123<br />

State Assistive/Emerging Technology Coordinator: $ 140,123<br />

State Correctional System Coordinator: $ 140,123<br />

State MISC Coordinator: $ 140,123<br />

State Veterans Coordinator: $ 140,123<br />

State Data Manager: $ 140,123<br />

State Public Policy Manager: $ 161,681<br />

State Community Relations Manager: $ 140,123<br />

State Administrative Support: $ 582,050<br />

Charity care: $ 331,398<br />

Human Resources Support: $ 99,000<br />

Training Support: $ 24,750<br />

State Lead Center Office Space Cost: $ 318,473<br />

State Lead Center Transportation/Travel: $ 107,373<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 102,733<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 94,685<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 6,055,143


Hasbro Children's Hospital Child Protection Program Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Virtual SJB Center<br />

Regional Category Director: $ 323,361<br />

Regional Category Epidemiologist: $ 258,689<br />

Regional Category Education/Training Coordinator: $ 215,574<br />

Regional Category Scientific Investigation Research: $ 215,574<br />

Regional Business Development Manager: $ 215,574<br />

Regional Category Administrative Support: $ 388,033<br />

Regional Category Office Space Cost: $ 92,460<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 29,826<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,803,603


Hasbro Children's Hospital Child Protection Program Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 153,982<br />

Level 1 Center Field Specialist(s): $ 123,185<br />

Level 1 Center SJB Family Specialist(s): $ 840,739<br />

Level 1 Center Administrative Support: $ 138,583<br />

Level 1 Office Space Cost: $ 49,710<br />

Level 1 Transportation/Travel: $ 27,661<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 56,811<br />

Level 2 Center Field Specialist(s): $ 369,556<br />

Level 2 Center SJB Family Specialist(s): $ 1,201,056<br />

Level 2 Transportation/Travel: $ 39,361<br />

Level 2 Office Equipment/Communications: $ 66,500<br />

Level 2 Supplies: $ 49,710<br />

CASE MANAGEMENT SUB‐TOTAL: $ 3,150,652<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,041,399<br />

INDIRECT COST TO INSTITUTION: $ 2,208,280<br />

ADMINISTRATIVE FEE TO SJBF: $ 220,828<br />

STATE LEAD CENTER SUB‐TOTAL: $ 13,470,506<br />

TOTAL JOBS CREATED IN Rhode Island: 99


BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

Jenny, Carole<br />

POSITION TITLE<br />

eRA COMMONS USER NAME<br />

cjenny01<br />

Professor of Pediatrics<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as<br />

DEGREE<br />

INSTITUTION AND LOCATION<br />

(if<br />

applicable)<br />

YEAR(s) FIELD OF STUDY<br />

University of Missouri, Columbia, MO BA 1968 Zoology<br />

Dartmouth Medical School, Hanover, NH BMS 1970 Medicine<br />

University of Washington, Seattle, WA MD 1972 Medicine<br />

RW Johnson Clinical Scholar, U. of PA,<br />

Philadelphia<br />

1974-76 Health Care<br />

Wharton School, U. of PA, Philadelphia, PA MBA 1976 Health Care<br />

A. Positions and Honors.<br />

Positions and Employment<br />

1972-1973 Intern in Pediatrics, University of Colorado Affiliated Hospitals, Denver Colorado<br />

1973-1974 Resident in Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania<br />

1974-1975 Instructor in Pediatrics, Department of Pediatrics, University of Pennsylvania School of<br />

Medicine, Philadelphia, Pennsylvania<br />

1974-1976 Fellow in Ambulatory Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania<br />

1974-1976 Robert Wood Johnson Foundation Clinical Scholar, Department of Community Medicine,<br />

University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania<br />

1975-1976 Associate in Pediatrics and Community Medicine, University of Pennsylvania School of<br />

Medicine, Philadelphia, Pennsylvania<br />

1975-1976 Associate in Pediatrics and Community Medicine, University of Pennsylvania School of<br />

Medicine, Philadelphia, Pennsylvania<br />

1976-1979 Assistant Professor of Health Services, University of Washington School of Public Health and<br />

Community Medicine, Seattle, Washington<br />

1984-1987 Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle,<br />

Washington<br />

1987-1990 Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle,<br />

Washington<br />

1990-1994 Head of the Section on Child Abuse and Neglect, Department of Pediatrics, University of<br />

Colorado School of Medicine, Denver, Colorado<br />

1991-1996 Associate Professor of Pediatrics, University of Colorado School of Medicine, Denver, Colorado<br />

1996- Head of the Division of Child Maltreatment, Department of Pediatrics, Brown University School<br />

of Medicine, Providence, Rhode Island<br />

1996-1998 Associate Professor of Pediatrics, Brown University School of Medicine, Providence, Rhode<br />

Island<br />

1998- Professor of Pediatrics, Warren Alpert Medical School at Brown University, Providence, Rhode<br />

Island<br />

2001- Member, <strong>The</strong> Expert Faculty of the International Society for Prevention of Child Abuse and<br />

Neglect<br />

Other Experience and Professional Memberships<br />

1977-1978 Director, MEDEX Northwest, University of Washington, Seattle, Washington<br />

1984-1989 Medical Director, Harborview Sexual Assault Center, Harborview Medical Center, Seattle,<br />

Washington


1990-1996 Director of Medical Programs, C. Henry Kempe National Center for the Prevention and<br />

Treatment of Child Abuse and Neglect, Denver, Colorado<br />

1990-1996 Director, <strong>The</strong> Child Advocacy and Protection Team, <strong>The</strong> Children's Hospital, Denver, Colorado<br />

1990-1996 Director of the Fellowship Program in Child Abuse and Neglect, Department of Pediatrics,<br />

University of Colorado School of Medicine, Denver, Colorado<br />

1994-1996 Chair, Section on Child Abuse and Neglect, American Academy of Pediatrics<br />

1996- Director, ChildSafe: <strong>The</strong> Child Protection Program at Hasbro Children’s Hospital, Providence,<br />

Rhode Island<br />

1997-2007 Director of the Fellowship Program in Forensic Pediatrics, Department of Pediatrics, Warren<br />

Alpert Medical School at Brown University, Providence, Rhode Island<br />

2006- Chair, Committee on Child Abuse and Neglect, American Academy of Pediatrics<br />

Honors<br />

1968 Phi Beta Kappa<br />

1989 Commissioner's Award for Outstanding Achievement in the Prevention of Child Abuse,<br />

presented by the Commissioner of the Administration for Children, Youth and Families,<br />

Department of Health and Human Services, U.S. Government<br />

1999 Elected to the American Pediatric Society, an honorary society for academic pediatricians<br />

1999 Elected to the Ray E. Helfer Society, an honorary society in the field of child abuse and forensic<br />

pediatrics<br />

1999 American Academy of Pediatrics’ Award for Outstanding Service to Maltreated Children<br />

2001 Ray Helfer Award for Outstanding Achievements and Dedication to the Prevention of Child<br />

Abuse and Neglect, awarded by the National Alliance of Children's Trust and Prevention Funds<br />

2004 <strong>The</strong> Ray E. Helfer Society Award for Distinguished Contributions in the Field of Child Abuse and<br />

Neglect<br />

2005 American Professional Society on the Abuse of Children Outstanding Professional Award<br />

B. Selected peer-reviewed publications<br />

(Publications selected from 63 peer-reviewed publications)<br />

Chaffee RRJ, WS Platner, J Patton, C Jenny: Fatty acids of RBC ghosts, liver mitochondria, and microsomes<br />

of cold-acclimated hamsters. Proceedings of the Society for Experimental Biology and Medicine<br />

127:102-106, 1968.<br />

Zacharski LR, C Jenny, R McIntyre: Intravenously given conjugated estrogens; lack of effect on capillary<br />

stability. Journal of the American Medical Association 244:1510-1520, 1973.<br />

Jenny C, SE Sutherland, BB Sandahl: A developmental approach to the prevention of child sexual abuse.<br />

Pediatrics 78:1034-1038, 1986.<br />

Jenny C, MA Kuhn, F Arakawa: <strong>The</strong> presence of hymens in newborn females. Pediatrics 80:399-400, 1987.<br />

Jenny C: Risk factors in adolescent sexual assault. American Journal of Diseases of Children 140:770-772,<br />

1988.<br />

Jenny C, P Kirby, D Fuquay: Genital lichen sclerosis mistaken for child sexual abuse. Pediatrics 83:597-599,<br />

1989.<br />

Jenny C, TM Hooton, A Bowers, MK Copass, JN Krieger, SL Hillier, N Kiviat, L Corey, WE Stamm, KK<br />

Holmes: Sexually transmitted diseases in rape victims. New England Journal of Medicine 322:713-<br />

716, 1990.<br />

Bayes JA, C Jenny: Anatomic and pathological conditions confused with child sexual abuse trauma.<br />

American Journal of Diseases of Children 144:1334-1336, 1990.<br />

Roesler TA, N Czech, WP Camp, C Jenny: Network therapy using videotape disclosures for adult sexual<br />

abuse survivors. Child Abuse and Neglect: <strong>The</strong> International Journal 16:575-583, 1992.<br />

Krieger JN, C Jenny, M Verdon, N Siegel, R Springwater, CW Critchlow, KK Holmes: Clinical manifestations<br />

of trichomoniasis in men. Annals of Internal Medicine 118:844-849, 1993.<br />

Jenny C, TA Roesler: Quality assurance--A response to "the backlash" against child sexual abuse diagnosis<br />

and treatment. Journal of Child Sexual Abuse 2:89-98, 1993.<br />

Jenny C, TA Roesler, KA Poyer: Are children at risk for sexual abuse by homosexuals? Pediatrics 94:41-44,<br />

1994.


Starling SP, JR Holden, C Jenny: Abusive head trauma: <strong>The</strong> relationship of perpetrators to their victims.<br />

Pediatrics 95:259-262, 1995.<br />

Hymel KP, C Jenny: Abusive spiral fractures of the humerus: A videotaped exception. Archives of Pediatrics<br />

and Adolescent Medicine 150:226-227, 1996.<br />

Starling SS, C Jenny: Forensic examination of adolescent female genitalia: <strong>The</strong> Foley catheter technique.<br />

Archives of Pediatrics and Adolescent Medicine 151:102-103, 1997.<br />

Hymel KP, TC Apshire, DW Luckey, C Jenny: Coagulopathy in pediatric abusive head trauma. Pediatrics<br />

99:371-375, 1997.<br />

Clark KD, D Tepper, C Jenny: Effect of a screening profile on the diagnosis of nonaccidental burns in<br />

children. Pediatric Emergency Medicine 13:259-261, 1997.<br />

Hymel KP, CM Rumack, TC Hay, JD Strain, C Jenny: Comparison of intracranial computed tomographic (CT)<br />

findings in pediatric abusive and accidental head trauma. Pediatric Radiology 27:743-747, 1997.<br />

Bays JA, RC Alexander, RW Block, CF Johnson, S Kairys, MB Kanda, KD Wagner, LS Goldman, GA Shelley,<br />

C Jenny, MT McHugh: Gonorrhea in prepubertal children. Pediatrics 1998; 134-135.<br />

Arnholz D, KP Hymel, TC Hay, C Jenny: Bilateral pediatric skull fractures: Accident or abuse? Journal of<br />

Trauma: Injury, Infection, and Critical Care 45:172-174, 1998.<br />

Jenny C, KP Hymel, A Ritzen, SE Reinert, TC Hay: Analysis of missed cases of abusive head trauma.<br />

Journal of the American Medical Association 281:621-626, 1999.<br />

Starling SS, AP Sirotnak, C Jenny: Child abuse and forensic pediatric medicine fellowship curriculum<br />

statement. Child Maltreatment 5:58-62, 2000.<br />

Stevens-Simon C, D Nelligan, P Breese P, C Jenny, JM Douglas: <strong>The</strong> prevalence of genital human<br />

papillomavirus infections in abused and nonabused preadolescent girls. Pediatrics 106:645-649, 2001.<br />

Starling SP, RM Heller, C Jenny: Pelvic fractures in infants as a sign of physical abuse. Child Abuse &<br />

Neglect 26:475-480, 2002.<br />

Hymel KP, C Jenny, RW Block: Intracranial hemorrhage and rebleeding in suspected victims of abusive head<br />

trauma: Addressing the forensic controversies. Child Maltreatment 7:329-348, 2002.<br />

Webster RA, PG Schnitzer, C Jenny, BG Ewigman, AJ Alario: Child death review: <strong>The</strong> state of the nation.<br />

American Journal of Preventive Medicine 25:58-64, 2003.<br />

Jenny C, TA Roesler: Caring for survivors of childhood sexual abuse in medical practice. Medicine & Health<br />

Rhode Island 86:376-378, 2003.<br />

Magid DJ, HD Koepsell, A Ziller, MR Soules, C Jenny: <strong>The</strong> epidemiology of female rape victims who seek<br />

immediate medical care: Temporal trends in the incidence of sexual assault and acquaintance rape.<br />

Journal of Interpersonal Violence 19(1):3-12, 2004.<br />

Ganesh A, C Jenny, J Geyer, M Ghouldice, AV Levin: Retinal hemorrhages in type I osteogenesis imperfecta<br />

after minor trauma. Ophthalmology 111:1428-31, 2004.<br />

Barron CE, C Jenny: Forensic Pediatrics. Medicine and Health Rhode Island 88(9):318-320, 2005.<br />

Reece RM, C Jenny: Medical training in child maltreatment. American Journal of Preventive Medicine<br />

29:266-271, 2005.<br />

Jenny C, RW Block, RA Hibbard, ND Kellogg, BS Spivack, J Stirling, Jr: Evaluating infants and young children<br />

with multiple fractures. Pediatrics 2006; 118:1299-1303.<br />

Jenny C, R Isaac: <strong>The</strong> relation between child death and child maltreatment. Archives of Disease in<br />

Childhood. 91(3):265-269, 2006.<br />

Richards P, G Bertocci, R Bonshek, P Giangrande, R Gregson, T Jaspan, C Jenny, N Klein, W Lawler, M<br />

Peters, LB Rorke-Adams, H Vyas, A Wade: Shaken baby syndrome. Before the Court of Appeal.<br />

Archives of Disease in Childhood. 91(3):205-206, 2006<br />

Tung G, M Kumar, R Richardson, C Jenny, W Brown: Comparison of accidental and nonaccidental traumatic<br />

head injury in children on noncontrast computed tomography. Pediatrics 118(2), 626-633, 2006.<br />

Jenny C: <strong>The</strong> intimidation of British pediatricians. Pediatrics 2007; 119:797-799.<br />

Hibbard RA, LW Desch, C Jenny, C Christian, ND Kellogg, BS Spivack, J Stirling, Jr, DL Corwin, TP Hurley.<br />

Maltreatment of children with disabilities. Pediatrics 2007; 119:1018-1029.<br />

Stirling, J Jr, C Jenny, C Christian, RA Hibbard, ND Kellogg, BS Spivack, DL Corwin, TP Hurley. Beyond<br />

Munchausen syndrome by proxy: Identification and treatment of child abuse in a medical setting.<br />

Pediatrics 2007; 119:1026-1030.<br />

Gilliland MGF, AV Levin, RW Enzenauer, C Smith, MA Parsons, LB Rorke-Adams, JR Lauridson, GR La<br />

Roche, LM Christmann, M Mian, J Jentzen, K Simons, Y Morad, R Alexander, C Jenny, T<br />

Wygananski-Jaffe,: Guidelines for postmortem protocol for ocular investigation of sudden unexplained


infant death and suspected physical abuse. American Journal of Forensic Medicine and Pathology<br />

28(4): 323-329, 2007.<br />

Jenny C, Christian C, Hibbard RA, Kellogg ND, Spivak BS, Stirling J, Corwin DL, Mercy J, Hurley TP.<br />

Recognizing and responding to medical neglect. Pediatrics 2007; 120(6):1385-1389.<br />

Patno KM, Jenny C: Who slapped that child? Child Maltreatment 2008; 13(3):298-300.<br />

Perez-Rosello JM, SA Connolly, A Newton, M Thomason, C Jenny, N Sugar, PK Kleinman: Pubic ramus<br />

radiolucencies in infants: <strong>The</strong> good, the bad, and the indeterminate. AJR Am J Roentgenol 2008;<br />

190(6):1481-1489.<br />

Jenny C: Supporting paediatricians who work in child maltreatment. Lancet 2009;373(9659):195-197.<br />

Stirling J, L Amaya-Jackson, C Jenny, CW Christian, RA Hibbard, ND Kellogg, BS Spivack, DL Corwin, J Saul,<br />

TP Hurley, LMH Albers, DA Hermon, PW Mason, EE Shulte, MA Szilagyi, M Crane: Understanding<br />

the behavioral and emotional consequences of child abuse. Pediatrics 2008; 122(3):667-673.<br />

Christian CW, Block R, Jenny C, Crawford J, Flaherty E, Hibbard RA, Kaplan R, Block R, Corwin DL, Saul J,<br />

Hurley TP: Abusive head trauma in infants and children. Pediatrics 2009; 123(5):1409-1411.<br />

Goldberg AP, J Tobin, J Diagneau, RT Griffith, SE Reinert, C Jenny: Bruising Frequency and Patterns in<br />

Children with Disabilities. Pediatrics 2009; 124(2):604-609.<br />

Rangarajan N, Kamalakkannan SB, Hasija V, Shams T, Jenny C, Serbanescu I, Ho J, Rusinek M, Levin AV.<br />

Finite element model of ocular injury in shaken baby syndrome. J AAPOS 2009 May 5; (Epub ahead of<br />

print).<br />

Evangelista PT, Holmes WN, McCarten KM, Arcuri D, Barron CE, Goldberg AP, Jenny C, Tung GA: Coronal,<br />

whole-body short tau inversion recovery MR imaging for the evaluation of nonaccidental injury in<br />

children. Part I. Long bones. Submitted for publication.<br />

Evangelista PT, Holmes WN, McCarten KM, Arcuri D, Barron CE, Goldberg AP, Jenny C, Tung GA: Coronal,<br />

whole-body short tau inversion recovery MR imaging for the evaluation of nonaccidental injury in<br />

children. Part II.. Classic metaphpyseal fractures. Submitted for publication.<br />

Lowen DE, J Showers, M Msall, M Tremont, C Jenny: Assessment of functional independence in survivors of<br />

abusive head trauma. Submitted for publication.<br />

C. Research Support<br />

1987-1989 National Institute of Justice, US Department of Justice. "Forensic Aspects of DNA Typing".<br />

Grant # 87-IJ-CX-0400, $203,000. C. Jenny, Principal Investigator.<br />

2000 Rhode Island Department of Children, Youth and Families: “<strong>The</strong> Parent Support <strong>Project</strong>”,<br />

$100,000, T. Roesler and C. Jenny, Co-Directors.<br />

2001-2004 Centers for Disease Control and Prevention: "Cooperative Agreement for Surveillance of Child<br />

Maltreatment (Mortality). $49,469, C. Jenny and W. H. Hollinshead, Co-Principal Investigators.<br />

2001-2004 U.S. Centers for Disease Control and Prevention: "Cooperative Agreement for Surveillance of<br />

Child Maltreatment (Morbidity). $271,816, C. Jenny and W. Hollinshead, Co-Principal<br />

Investigators.<br />

2001-2002 Rhode Island DCYF: "Family Support <strong>Project</strong>", $134,477, T. A. Roesler and C. Jenny, Co-<br />

Directors.<br />

2001-2002 Brown University Department of Pediatrics, "Departmental Support for Fellow's Research",<br />

$3,300.<br />

2002 U.S. Department of Justice: "Development of Guidelines for Law Enforcement on the<br />

Evaluation of Child Pornography, $26,127, C. Jenny, Principal Investigator.<br />

2002 Aprica Kassai, Inc., Osaka, Japan: "Biomechanical Studies in Abusive Head Trauma", $54,913,<br />

C. Jenny, Principal Investigator<br />

2003 Aprica Kassai, Inc., Osaka, Japan: "Biomechanical Studies in Abusive Head Trauma",<br />

$100,464, C. Jenny, Principal Investigator.<br />

2005 Aprica Kassai, Inc., Osaka, Japan: "Biomechanical Studies in Abusive Head Trauma",<br />

$102,058, C. Jenny, Principal Investigator.<br />

2007-2008 Centers for Disease Control and Prevention, “Comprehensive Review of Nationwide Resources<br />

and Infrastructure for Pediatricians on Child Maltreatment”, $25,000, C. Jenny, Principal<br />

Investigator.


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

South Carolina<br />

Medical University of South Carolina<br />

www.musc.edu<br />

REGION: Southeast CATEGORY OF CARE: Virtual SJB Center<br />

Program Director: Stephen Kinsman, MD Position Title: Associate Professor<br />

Department: Department of Pediatrics Major Subdivision: Division of Pediatric<br />

Neurology<br />

Address: 6311 Garners Ferry Road, Bluff Estates, SC 29209<br />

Phone: 443‐956‐7742<br />

Email: kinsmans@musc.edu<br />

Level 1 Center(s): Charleston<br />

Level 2 Center(s): Charleston, Columbia, Greenville<br />

Level 3 Center(s): Myrtle Beach, Blufton, Greenwood, Spartanburg<br />

Number of jobs <strong>PABI</strong> Grant creates in South Carolina: 97<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,376,746<br />

Category of Care Management Sub‐total: $ 1,575,500<br />

Case Management Sub‐total: $ 2,480,800<br />

State Lead Center Sub‐total: $ 9,465,046<br />

Indirect Cost to Institution (20%): $ 1,893,009<br />

Administrative Cost to SJBF (2%): $ 189,301<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 11,547,356


Medical University of South Carolina Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 238,140<br />

Program Director Assistant: $ 83,291<br />

State Director: $ 277,636<br />

Associate State Director: $ 120,309<br />

State Epidemiologist: $ 185,091<br />

State Epidemiologist Assistant: $ 83,291<br />

State Scientific Investigation Research Coordinator: $ 157,327<br />

State Scientific Investigation Research Assistant: $ 157,327<br />

State Education/Training Coordinator (plus materials): $ 263,209<br />

State General Counsel: $ 222,109<br />

State IT Manager: $ 175,836<br />

State Family Support Coordinator: $ 138,818<br />

State Prevention/Awareness Coordinator: $ 138,818<br />

State Acute Care Coordinator: $ 138,818<br />

State Reintegration Coordinator: $ 138,818<br />

State Adult Transition Coordinator: $ 138,818<br />

State Mild TBI Coordinator: $ 138,818<br />

State Mental Health Coordinator: $ 120,309<br />

State Assistive/Emerging Technology Coordinator: $ 120,309<br />

State Correctional System Coordinator: $ 120,309<br />

State MISC Coordinator: $ 120,309<br />

State Veterans Coordinator: $ 120,309<br />

State Data Manager: $ 120,309<br />

State Public Policy Manager: $ 138,818<br />

State Community Relations Manager: $ 120,309<br />

State Administrative Support: $ 499,745<br />

Charity care: $ 285,634<br />

Human Resources Support: $ 97,000<br />

Training Support: $ 24,250<br />

State Lead Center Office Space Cost: $ 274,494<br />

State Lead Center Transportation/Travel: $ 92,545<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 88,547<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 81,610<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,376,746


Medical University of South Carolina Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Virtual SJB Center<br />

Regional Category Director: $ 277,636<br />

Regional Category Epidemiologist: $ 222,109<br />

Regional Category Education/Training Coordinator: $ 185,091<br />

Regional Category Scientific Investigation Research: $ 185,091<br />

Regional Business Development Manager: $ 185,091<br />

Regional Category Administrative Support: $ 333,164<br />

Regional Category Office Space Cost: $ 79,692<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 25,707<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,575,500


Medical University of South Carolina Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 132,208<br />

Level 1 Center Field Specialist(s): $ 105,766<br />

Level 1 Center SJB Family Specialist(s): $ 721,854<br />

Level 1 Center Administrative Support: $ 118,987<br />

Level 1 Office Space Cost: $ 42,845<br />

Level 1 Transportation/Travel: $ 27,072<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 48,966<br />

Level 2 Center Field Specialist(s): $ 190,379<br />

Level 2 Center SJB Family Specialist(s): $ 618,732<br />

Level 2 Transportation/Travel: $ 23,263<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 25,707<br />

Level 3 Center SJB Family Specialist(s): $ 309,366<br />

Level 3 Transportation/Travel: $ 9,360<br />

Level 3 Office Equipment/Communications: $ 22,800<br />

Level 3 Supplies: $ 9,793<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,480,800<br />

STATE LEAD CENTER SUB‐TOTAL: $ 9,465,046<br />

INDIRECT COST TO INSTITUTION: $ 1,893,009<br />

ADMINISTRATIVE FEE TO SJBF: $ 189,301<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,547,356<br />

TOTAL JOBS CREATED IN South Carolina: 97


Principal Investigator/Program Director (Last, First, Middle):<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

Stephen L. Kinsman, M.D.<br />

eRA COMMONS USER NAME<br />

POSITION TITLE<br />

Associate Professor<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Columbia College B.A. 1975-1979 Mathematics<br />

SUNY at Buffalo, Buffalo, New York M.D. 1979-1983 Medicine<br />

Johns Hopkins Hospital - 1983-1985 Pediatrics resident<br />

Johns Hopkins Hospital - 1985-1988 Neurology resident<br />

Johns Hopkins University School of Medicine - 1988-1990 Neurology fellow<br />

A. Positions and Honors<br />

Positions and Employment<br />

2007 - present Head, Division of Pediatric Neurology, Medical University of South Carolina<br />

2002 - 2007 Head, Division of Pediatric Neurology, University of Maryland School of Medicine<br />

1999 - 2002 Director, Carter Center for <strong>Brain</strong> Research in Holoprosencephaly and Related<br />

Malformations, Kennedy Krieger Institute<br />

1998 - 2002 Joint appointment - Department of Population and Family Health Sciences,<br />

Johns Hopkins University School of Hygiene and Public Health<br />

1998 - 2000 Director, Phelps Cerebral Palsy and Related Motor Disorders<br />

Program, Kennedy Krieger<br />

Institute<br />

1994 - 2002 Director, Spina Bifida and Related Conditions Center, Kennedy Krieger<br />

Institute<br />

1991 - 1994 Medical Director, Birth Defects Clinic, Kennedy Krieger Institute<br />

1993 - 2002 Assistant Professor - Department of Neurology, Johns Hopkins<br />

University School of Medicine<br />

1991 - 2002 Attending Physician, Neurology, Kennedy Krieger Institute<br />

1990 - 2002 Joint appointment - Department of Physiology, Johns Hopkins<br />

University School of<br />

Medicine<br />

1990 - 1993 Instructor - Department of Neurology, Johns Hopkins University<br />

School of Medicine<br />

Other Experience and Professional Memberships<br />

1993 - 1999 Professional Advisory Council - Spina Bifida Association of America (Chair for<br />

last two years)<br />

1998 - present North American Corresponding Member of Executive Committee – Society for<br />

Research into Hydrocephalus and Spina Bifida<br />

Honors<br />

1983 Alpha Omega Alpha<br />

1991 Certificate of Merit for Postdoctoral Fellowship, Young Investigator's Day, Johns<br />

Hopkins University School of Medicine<br />

1993 Award of Appreciation, Spina Bifida Association of Maryland<br />

PHS 398/2590 (Rev. 09/04) Page Biographical Sketch Format Page


Principal Investigator/Program Director (Last, First, Middle):<br />

1999 Extended Service Award, Spina Bifida Association of America<br />

B. Selected Publications<br />

1. Herzberg G., Fivush B., Kinsman S., and Gearhart J., Urolithiasis associated with the<br />

ketogenic diet, J Pediatrics 117: 743-745, 1990.<br />

2. Kinsman, S., Vining, E.P.G., Quaskey S.A., Mellits E.D., and Freeman, J., Efficacy of the<br />

ketogenic diet in intractable seizure disorders, Epilepsia 33:1132-1136, 1992.<br />

3. Holtzman, D.M., Li, Y., Parada, L.F., Kinsman, S.L., Chen, C.K., Valetta, J.S., Zhou, J., Long,<br />

J.B. and Mobley, W.C. P140 trk mRNA marks NGF-responsive forebrain neurons: Evidence<br />

that trk gene expression is induced by NGF. Neuron 9: 465-478, 1992.<br />

4. Chen, C.K.*, Kinsman, S.L.* , Holtzman, D.M., Mobley, W.C. and Johnston, M.V. A reverse<br />

transcription - PCR study of p 75 nerve growth factor receptor gene expression in developing<br />

rat cerebellum. International Journal of Developmental Neuroscience 12:255-262, 1994.<br />

*Equal Contribution.<br />

5. Kinsman, S.L. and Doehring, M.C. <strong>The</strong> Cost of Preventable Conditions in Adults with Spina<br />

Bifida. Eur J Pediatr Surg 6 Suppl I 19-22, 1996.<br />

6. Wilson, M.A., Kinsman, S.L., and Johnston, M.V. Expression of NMDA receptor subunit<br />

mRNA after MK-801 treatment of neonatal rats. Developmental <strong>Brain</strong> Research 109:211-220,<br />

1998.<br />

7. Bradley, N.K., Liakos, A.M., McAllister II, J.P.,Magram, G., Kinsman, S.L., Bradley, M.K.<br />

Maternal Shunt Dependency: Implications for Obstetric Care, Neurosurgical Management, and<br />

Pregnancy Outcomes and a Review of Selected Literature. Neurosurgery. 43:448-461, 1998.<br />

8. Kinsman, S.L., Rawlins, C., Finney, K., Ruffing, V., and Speedie L. A Conceptual Model of<br />

Higher Cortical Function Impairments in Myelomeningocele. Eur J Pediatr Surg, 1998;8:69-70,<br />

Suppl 1.<br />

9. Docimo, S.G., Steiner, G., Silver, R.I., Rodriguez, R., Kinsman, S., Sidransky, D., and<br />

Schoenberg, M. Detection of adenocarcinoma by urinary microsatellite analysis after<br />

augmentation cystoplasty. Urology (Online), 54:561, 1999.<br />

10. Gross, S.M., Ireys, H.T., and Kinsman, S.L. Young women with physical disablilities: risk<br />

factors for symptoms of eating disorders. J Dev Behav Pediatr, 21:87-96, 2000.<br />

11. Kinsman, S.L., Plawner, L.L. and Hahn, J.S. Holoprosencephaly: recent advances and new<br />

insights. Current Opinions in Neurology, 13:127-132, 2000.<br />

12. Jackman SV, Weingart JD, Kinsman SL, Docimo SG. Laparoscopic surgery in patients with<br />

ventriculoperitoneal shunts: safety and monitoring. J Urol (LWW on-line), 164(4):1352-4, 2000.<br />

13. Simon EM, Hevner R, Pinter JD, Clegg NJ, Miller VS, Kinsman SL, Hahn JS, Barkovich AJ.<br />

Assessment of the deep nuclei in holoprosencephaly. American Journal of Neuroradiology,<br />

21(10):1955-61, 2000.<br />

14. Kinsman, S, Levey E, Ruffing V, Stone J, Warren L. Beyond Multidisciplinary Care: A New<br />

Conceptual Model for Spina Bifida Services. Eur J Pediatr Surg, 10 (suppl I):35-38,<br />

2000.Gross, SM, Caulfield LE, Kinsman SL, Ireys HT. Inadequate folic acid intakes are<br />

prevalent among young women with neural tube defects. J Amer Diet Assoc, 101(3):342-5,<br />

2001.<br />

15. Simon EM, Hevner RF, Pinter J, Clegg N, Delgado M, Kinsman SL, Hahn JS, Barkovich AJ.<br />

<strong>The</strong> dorsal cyst in Holoprosencephaly and the role of the thalamus in its formation.<br />

Neuroradiology, 43:787-91, 2001.<br />

16. Johanson C, Del Bigio M, Kinsman S, Miyan J, Pattisapu J, Robinson M, Jones HC. New<br />

models for analyzing hydrocephalus and disorders of CSF volume transmission. Br J<br />

Neurosurg, 15:281-3, 2001.<br />

17. Simon EM, Hevner R, Pinter JD, Clegg NJ, Delgado M, Kinsman SL, Hahn JS, Barkovich AJ.<br />

<strong>The</strong> middle interhemispheric variant of holoprosencephaly. Am J Neuroradiol, 23:151-6, 2002.<br />

PHS 398/2590 (Rev. 09/04) Page Continuation Format Page


Principal Investigator/Program Director (Last, First, Middle):<br />

18. Albayram S, Melhem ER, Mori S, Zinreich SJ, Barkovich AJ, Kinsman SL. Diffusion tensor MR<br />

Imaging of white matter tracts of the brainstem in children with Holoprosencephaly: Initial<br />

experience. Radiology, 223:645-51, 2002.<br />

19. Barkovich AJ, Simon EM, Clegg NJ, Kinsman SL, Hahn JS. Analysis of the cerebral cortex in<br />

holoprosencephaly with attention to the sylvian fissures. Am J Neuroradiol, 23:143-50, 2002.<br />

20. Plawner LL, Delgado MR, Miller VS, Levey EB, Kinsman SL, Barkovich AJ, Simon EM, Clegg<br />

NJ, Sweet VT, Stashinko EE, Hahn JS. Neuroanatomy of holoprosencephaly as predictor of<br />

function: beyond the face predicting the brain. Neurology, 59:1058-66, 2002.<br />

21. Barkovich AJ, Simon EM, Glenn OA, Clegg NJ, Kinsman SL, Delgado M, Hahn JS. MRI shows<br />

abnormal white matter maturation in classical holoprosencephaly. Neurology. 2002 Dec<br />

24;59(12):1968-71.<br />

22. Takahashi T, Kinsman S, Makris N, Grant E, Haselgrove C. McInerney S, Kennedy DN,<br />

Takahashi T, Fredrickson K, Mori S, Caviness VS. Semilobar Holoprosencephaly With<br />

Midline “Seam”: A topologic and morphogenetic model based upon MRI analysis. Cerebral<br />

Cortex December 2003; 13:1299-1312.<br />

23. Zabel TA, Ries J, Mahone EM, Demetrides S, Levey E, Kinsman SL. <strong>The</strong> Kennedy<br />

Independence Scales--Spina Bifida Version: a parent report rating scale of adaptive functioning<br />

in adolescents with spina bifida. Eur J Pediatr Surg. 2003 Dec;13 Suppl 1:S37-9.<br />

24. Takahashi TS, Kinsman S, Makris N, Grant E, Haselgrove C, McInerney S,Kennedy DN,<br />

Takahashi TA, Fredrickson K, Mori S, Caviness VS. Holoprosencephaly--topologic variations<br />

in a Liveborn series: a general modelbased upon MRI analysis. J Neurocytol. 2004<br />

Jan;33(1):23-35.<br />

25. Kinsman, SL. White matter imaging in holoprosencephaly in children. Curr Opin Neurol. 2004<br />

Apr;17(2):115-9.<br />

26. Steele-Perkins G|, Plachez C, Butz KG, Yang G, Bachurski CJ, Kinsman S, Litwack ED, Ric LJ<br />

and Grohardsnostajski RM. <strong>The</strong> transcription factor Nfib is essential for both lung maturation<br />

and brain development. Mol Cell Biol. 2005 Jan;25(2):685-98.<br />

27. Ren T., Anderson A., Shen, W.B., Huang H., Plachez C., Kinsman S.L., Richards L.J. Imaging,<br />

anatomical and molecular analysis of callosal formation in the developing human fetal brain. Anat Rec<br />

A Discov Mol Cell Evol Biol. 2006 Feb;288(2):191-204.<br />

28. Hahn J.S., Barkovich A.J., Stashinko E.E., Kinsman S.L., Delgado M.R., Clegg N.J. Factor analysis of<br />

neuroanatomical and clinical characteristics of holoprosencephaly. <strong>Brain</strong> Dev. 2006 Aug;28(7):413-9.<br />

C. Research support<br />

Ongoing Research Support<br />

Funded Support<br />

Completed Research Support<br />

R21 NS045841-01 Richards (PI) 03/01/03 – 02/28/06<br />

NINDS<br />

Development of the Human Corpus Callosum<br />

<strong>The</strong> Goal of this project is to study the molecular and cellular mechanisms involved in forming the human<br />

corpus callosum.<br />

Role:Co-Investigator<br />

Kinsman (PI) 1/01/1999 – 6/30/2002<br />

<strong>The</strong> Don and Linda Carter Foundation - Denton, Texas<br />

<strong>The</strong> Carter Center for <strong>Brain</strong> Research in Holoprosencephaly and Related Malformations at Kennedy Krieger<br />

Institute<br />

This center has built a clinical and research base for this rare birth defect that draws on a regional and national<br />

level and studies neuroimaging/neuroanatony, genetics, and clinical aspects of the condition.<br />

PHS 398/2590 (Rev. 09/04) Page Continuation Format Page


Role: PI<br />

Principal Investigator/Program Director (Last, First, Middle):<br />

5 RO1 NS28208 Johnston (PI) 1/01/1997 - 12/31/2000<br />

NINDS<br />

Neurotransmitter Injury Mechanisms in Developing <strong>Brain</strong><br />

<strong>The</strong> goal of this project is to study the molecular mechanisms by which the immature rat nervous system<br />

responds to injuries, particularly those induced by neuroexcitatory processes.<br />

Role:Co-Investigator<br />

PHS 398/2590 (Rev. 09/04) Page Continuation Format Page


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

South Dakota<br />

Center for Disabilities / Sanford School of Medicine of <strong>The</strong> University of South<br />

www.usd.edu/cd/<br />

REGION: Rocky Mountain CATEGORY OF CARE: Mild TBI<br />

Program Director: Shelly Grinde, MA, CCC‐SLP Position Title: Director of Services &<br />

Supports<br />

Department: Department of Pediatrics<br />

Address: 1400 West 22nd Street, Sioux Falls, SD 57105<br />

Phone: 605‐357‐1475<br />

Email: Shelly.Grinde@usd.edu<br />

Level 1 Center(s): Rapid City, Sioux Falls<br />

Level 2 Center(s): Pierre<br />

Level 3 Center(s): Aberdeen, Winner<br />

Number of jobs <strong>PABI</strong> Grant creates in South Dakota: 91<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 4,762,176<br />

Category of Care Management Sub‐total: $ 1,687,210<br />

Case Management Sub‐total: $ 2,650,018<br />

State Lead Center Sub‐total: $ 9,131,405<br />

Indirect Cost to Institution (20%): $ 1,826,281<br />

Administrative Cost to SJBF (2%): $ 182,628<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 11,140,314


Center for Disabilities / Sanford School of Medicine of <strong>The</strong> University of South Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 119,000<br />

Program Director Assistant: $ 76,791<br />

State Director: $ 255,971<br />

Associate State Director: $ 110,921<br />

State Epidemiologist: $ 170,647<br />

State Epidemiologist Assistant: $ 76,791<br />

State Scientific Investigation Research Coordinator: $ 145,050<br />

State Scientific Investigation Research Assistant: $ 145,050<br />

State Education/Training Coordinator (plus materials): $ 164,058<br />

State General Counsel: $ 204,777<br />

State IT Manager: $ 162,115<br />

State Family Support Coordinator: $ 127,986<br />

State Prevention/Awareness Coordinator: $ 127,986<br />

State Acute Care Coordinator: $ 127,986<br />

State Reintegration Coordinator: $ 127,986<br />

State Adult Transition Coordinator: $ 127,986<br />

State Mild TBI Coordinator: $ 127,986<br />

State Mental Health Coordinator: $ 110,921<br />

State Assistive/Emerging Technology Coordinator: $ 110,921<br />

State Correctional System Coordinator: $ 110,921<br />

State MISC Coordinator: $ 110,921<br />

State Veterans Coordinator: $ 110,921<br />

State Data Manager: $ 110,921<br />

State Public Policy Manager: $ 127,986<br />

State Community Relations Manager: $ 110,921<br />

State Administrative Support: $ 460,748<br />

Charity care: $ 250,952<br />

Human Resources Support: $ 91,000<br />

Training Support: $ 22,750<br />

State Lead Center Office Space Cost: $ 241,165<br />

State Lead Center Transportation/Travel: $ 81,308<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 77,795<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 71,701<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 4,762,176


Center for Disabilities / Sanford School of Medicine of <strong>The</strong> University of South Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Mild TBI<br />

Regional Category Director: $ 255,971<br />

Regional Category Epidemiologist: $ 204,777<br />

Regional Category Education/Training Coordinator: $ 170,647<br />

Regional Category Scientific Investigation Research: $ 170,647<br />

Regional Category Administrative Support: $ 307,165<br />

Regional Category Office Space Cost: $ 70,016<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 22,586<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,687,210


Center for Disabilities / Sanford School of Medicine of <strong>The</strong> University of South Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 243,782<br />

Level 1 Center Field Specialist(s): $ 195,026<br />

Level 1 Center SJB Family Specialist(s): $ 1,331,050<br />

Level 1 Center Administrative Support: $ 219,404<br />

Level 1 Office Space Cost: $ 37,643<br />

Level 1 Transportation/Travel: $ 53,253<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 68,116<br />

Level 2 Center Field Specialist(s): $ 58,508<br />

Level 2 Center SJB Family Specialist(s): $ 190,150<br />

Level 2 Transportation/Travel: $ 7,665<br />

Level 2 Office Equipment/Communications: $ 13,300<br />

Level 2 Supplies: $ 7,529<br />

Level 3 Center SJB Family Specialist(s): $ 142,612<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 4,302<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,650,018<br />

STATE LEAD CENTER SUB‐TOTAL: $ 9,131,405<br />

INDIRECT COST TO INSTITUTION: $ 1,826,281<br />

ADMINISTRATIVE FEE TO SJBF: $ 182,628<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11140314<br />

TOTAL JOBS CREATED IN South Dakota: 91


Shelly M. Grinde, MA, CCC-SLP<br />

Director of Services & Supports<br />

Center for Disabilities<br />

Department of Pediatrics<br />

Sanford School of Medicine<br />

<strong>The</strong> University of South Dakota<br />

1400 West 22 nd Street<br />

Sioux Falls, SD 57105<br />

605-357-1475<br />

Certification<br />

• Certificate of Clinical Competence-Speech Language Pathology (1995-present).<br />

Education<br />

• August, 1989-December, 1992: South Dakota State University, Bachelor of Science<br />

in Communication Studies and <strong>The</strong>ater.<br />

• August, 1993-December, 1994: University of South Dakota, Master of Arts in<br />

Communication Disorders.<br />

Employment<br />

• June 2004 – Present: Center for Disabilities, Director of Services and Supports.<br />

o Duties include providing direct management of service and support areas<br />

including clinical activities (Autism, FASD, LEND Clinic, and<br />

Developmental Clinics) and support areas (Birth to 3 and Early<br />

Intervention). Responsible for developing Policies and Procedures related to<br />

clinical services, monitoring and evaluating the services provided, and<br />

supervising staff on-site and off-site. Additional responsibilities include<br />

hiring staff, and completing performance evaluations. Complete evaluations<br />

as a Speech Language Pathologist through the Fetal Alcohol Spectrum<br />

Disorders clinic and the Developmental Clinics. Provision of Technical<br />

Assistance in regards to the Center as well as Fetal Alcohol Spectrum<br />

Disorders and other disability areas as requested. Coordinator for LEND<br />

students during developmental clinics. Provide consultations and in-service<br />

training in the area of Traumatic <strong>Brain</strong> Injury. Received HRSA OHRP grant<br />

for Pine Ridge Reservation Developmental Clinic.<br />

• June 2005 – Present: American Speech Language Hearing Association, Council on<br />

Academic Accreditation Site Visitor<br />

o Serve as a site visitor for the Council on Academic Accreditation through the<br />

American Speech Language Hearing Association. Determine if university<br />

programs meet a set of standards to be an accredited graduate program in<br />

speech language pathology and/or audiology. Also serve as a Candidacy Site<br />

Visitor.<br />

• July 2005 – Present: Clinical Assistant Professor in the Department of Pediatrics at<br />

Sanford School of Medicine of <strong>The</strong> University of South Dakota.


• February 2004 – May 2005: Independent surveyor for <strong>The</strong> Rehabilitation<br />

Accreditation Commission (CARF).<br />

o Completed surveys of inpatient rehabilitation unit’s throughout the nation to<br />

determine conformance to a set of standards. During surveys,<br />

responsibilities included interviewing staff, patients, payers, and referral<br />

sources. Additionally, reviewing documents and observing staff interaction.<br />

A written report was completed prior to leaving the site, and consultation to<br />

the staff was provided as well.<br />

• March 2003 – June 2004: Sanford Health, Speech Language Pathologist.<br />

o Duties included providing speech and language services to a variety of<br />

diagnoses for adolescent, adult, and geriatric populations’ primarily on the<br />

Rehabilitation Unit. Chair of the Performance Improvement Committee,<br />

and involved in several departmental committees. Provided Clinical<br />

Practicum Supervision for Speech Language Pathology students.<br />

• August 2002 – March 2003: Sanford Health, Interim Rehabilitation Supervisor<br />

o Duties included providing supervision for the Inpatient Rehabilitation<br />

Department, as well as conducting employee performance reviews.<br />

Responsible for hiring new employees, assisting with Performance<br />

Improvement projects, assisting with budgeting for the department,<br />

implementing new strategies, and streamlining paperwork. Active in several<br />

department committees. Marketing of the Rehabilitation Unit to physicians<br />

and referral sources. Continued to provide speech language services to<br />

patients on the Rehabilitation Unit.<br />

• November 1994 – August 2002: Sanford Health, Speech Language Pathologist.<br />

o Duties included providing speech and language evaluation and treatment of a<br />

variety of disorders for children, adolescent, adult, and geriatric populations.<br />

Provided Clinical Practicum Supervision for Speech Language Pathology<br />

student and Clinical Fellow Supervision for Speech Pathologist’s in their first<br />

year of employment. Active in departmental committees.<br />

• December 1992 – May 1993: Brookings and Flandreau School Districts, Speech<br />

Language Pathologist.<br />

o Duties included providing speech and language evaluation and treatment of a<br />

variety of disorders for children birth to three, and grade school children.<br />

Presentations and Teaching Experiences<br />

• November 1994 – June 2004: Numerous in-services and presentations to staff at<br />

Sanford Health. Topics included dysphagia, aphasia, traumatic brain injury, and the<br />

role of the speech language pathologist in the hospital setting.<br />

• Fall 1997 and Fall 1998: Co-taught Introduction to Communication Disorders at<br />

Augustana College.<br />

• April 2004: Presentation at the South Dakota Speech Language Hearing Association<br />

Annual convention on the topic of dysphagia.<br />

• February 2005: Presentation at Augustana, Special Education class on the topic of<br />

interdisciplinary team collaboration.<br />

• April 2005: Facilitated round table discussion at the South Dakota Speech Language<br />

Hearing Association on the topic of resources for individuals with disabilities.


• June 2005: Presentation at University of South Dakota, Interdisciplinary Training<br />

class on the topic of providing culturally diverse services in South Dakota, and<br />

administrative budgeting and decision making.<br />

• September 2005: Presentation at University of South Dakota, Interdisciplinary<br />

Training class on the topic of Interdisciplinary Team Collaboration, and the<br />

Developmental Clinics.<br />

• February 2006: Presentation at Augustana, Special Education class on the topic of<br />

interdisciplinary team collaboration.<br />

• June 2006: Presentation at University of South Dakota, Interdisciplinary Training<br />

class on the topic of Interdisciplinary Team Collaboration, and the Services and<br />

Supports area of the Center for Disabilities.<br />

• August 2006: Presentation at University of South Dakota, Dietetic Interns on the<br />

topic of Dysphagia, and the Services and Supports are of the Center for Disabilities.<br />

• October 2006: Presentation at University of South Dakota, Interdisciplinary<br />

Training class on the topic of Interdisciplinary Team Collaboration, and the Services<br />

and Supports area of the Center for Disabilities.<br />

• October 2006: Presentation for Health Sciences on the topic of Interdisciplinary<br />

Training.<br />

• October 2006: Poster presentation at the National Association for University<br />

Centers on Disabilities titled “Direct Services with the Native American<br />

Population: What we’ve learned, and where to go from here.”<br />

• April 2007: Presentation at the South Dakota Speech Language Hearing Association<br />

on the topic of Continuing Education for Speech Language Pathologists and<br />

Audiologists.<br />

• May 2007: Presentation to the Multicultural Center regarding Disabilities<br />

• June 2007: Presentation at University of South Dakota, Interdisciplinary Training<br />

class on the topic of providing culturally diverse services in South Dakota, and<br />

administrative budgeting and decision making.<br />

• September 2007: Presentation to Center for Disabilities staff “Working with the<br />

Native American Population.”<br />

• September 2007: Presentation at University of South Dakota, Interdisciplinary<br />

Training class on the topic of Interdisciplinary Team Collaboration, and the<br />

Developmental Clinics.<br />

• November 2007: Poster presentation regarding “Direct Service Model with Two<br />

Tribes in South Dakota” at the National Conference for the American Speech<br />

Language Hearing Association.<br />

• April 2008: Presentation at the South Dakota Speech Language Hearing Association<br />

on the topic of Continuing Education for Speech Language Pathologists and<br />

Audiologists.<br />

• June 2008: : Presentation at University of South Dakota, Interdisciplinary Training<br />

class on the topic of providing culturally diverse services in South Dakota, and<br />

administrative budgeting and decision making.<br />

• August 2008: Two 4-hour presentations at South Dakota Achieve on Traumatic<br />

<strong>Brain</strong> Injury.


• September 2008: Presentation at University of South Dakota, Interdisciplinary<br />

Training class on the topic of Interdisciplinary Team Collaboration, and the<br />

Developmental Clinics.<br />

• November 2008: Presentation at University of South Dakota, Dietetic Interns class<br />

on the topic of Dysphagia.<br />

• March 2009: Presentation at State Special Education Conference on Traumatic<br />

<strong>Brain</strong> Injury and Classroom Implications.<br />

• Invited presentations scheduled for September 2009 on the topic of Traumatic <strong>Brain</strong><br />

Injury through the South Dakota Department of Special Education.<br />

Continuing Education: Related to current position<br />

• September 2004: Attended Picture Exchange Communication System (PECS)<br />

training.<br />

• October 2004: Attended 2 full day workshops regarding Fetal Alcohol Spectrum<br />

Disorder.<br />

• October 2004: Attended national Deaf/Blind <strong>Project</strong> Directors meeting in<br />

Washington DC.<br />

• November 2004: Attended national AUCD meeting in Washington DC.<br />

• March 2005: Attended <strong>Sarah</strong> Rosenfeld-Johnson’s Three Part Muscle Based Oral<br />

Motor <strong>The</strong>rapy training.<br />

• March 2005: Attended the Council for Exceptional Children workshop.<br />

• April 2005: Attended the state South Dakota Speech Language and Hearing<br />

Association convention.<br />

• June 2005: Attended Council for Academic Training meeting.<br />

• September 2005: Attended Asperger Syndrome training.<br />

• September 2005: Attended FASD training.<br />

• October 2005: Attended Birth to Three Training on Early <strong>Brain</strong> Development and<br />

Emotional Learning in Young Children.<br />

• February 2006: Attended Special Education Law in South Dakota workshop.<br />

• March 2006: Attended Writing Behavioral <strong>Plan</strong>s workshop.<br />

• April 2006: Attended the state South Dakota Speech Language and Hearing<br />

Association convention.<br />

• April 2006: Attended Sanford Health/T. Denny Sanford Pediatric Symposium.<br />

• May 2006: Attended CHARGE Grand Rounds.<br />

• June 2006: Attended Auditory Processing Disorders course.<br />

• October 2006: Attended Meth Course.<br />

• October 2006: Attended national AUCD meeting in Washington DC.<br />

• October 2006: Attended Spinal Cord Injury/Traumatic <strong>Brain</strong> Injury Educational<br />

Symposium.<br />

• January 2007: Attended Social Security Disability Information Seminar<br />

• January 2007: Attended IDEA Regulations update for South Dakota<br />

• April 2007: Attended South Dakota Speech Language Hearing Association<br />

• August 2007: HRSA training for new grant developed in Pine Ridge


• November 2007: Attended American Speech Language Hearing Association<br />

convention<br />

• January 2008: Attended course on Response to Intervention<br />

• March 2008: Attended Grand Rounds on Beta Cell Regeneration in Type 1 and 2<br />

Diabetes<br />

• April 2008: Attended the state South Dakota Speech Language and Hearing<br />

Association convention.<br />

• May 2008: Attended the Council of State Speech-Language-Hearing Association<br />

Presidents Workshop<br />

• June 2008: Attended the LEND sponsored workshop titled “ADHD in Children<br />

and Adolescents” by Russel A. Barkley, Ph.D.<br />

• October 2008: Attended GreenStar.<br />

• November 2008: Attended the American Speech Language Hearing Association<br />

convention.<br />

• November 2008: Attended the Council of State Speech-Language-Hearing<br />

Association Workshop.<br />

• March 2009: Attended Act Early Regional Summit.<br />

• April 2009: Attended Assessment and Treatment of Children with Autism Disorders<br />

Workshop.<br />

• May 2009: Attended technical assistance visit to University of New Mexico for<br />

telepractice implementation.<br />

Professional Memberships<br />

• American Speech Language Hearing Association (1995-present).<br />

• South Dakota Speech Language Hearing Association (1998-present).<br />

• Kappa Delta Pi (An International Honor Society in Education) (1991-present).<br />

• Member of the national Council for Interdisciplinary Service (2004-present).<br />

• <strong>The</strong> Honor Society of Phi Kappa Phi (1992-present).<br />

• Member of the state Newborn Hearing Screen work group (2004-2007).<br />

• <strong>Brain</strong> Injury Alliance of South Dakota (2009-present).<br />

Awards and Recognition<br />

• Continuing Education Administrator for the State of South Dakota’s Speech<br />

Language Hearing Association.<br />

• President of the State of South Dakota Speech Language Hearing Association.<br />

• Mentor for an undergraduate student in Speech Language Pathology.<br />

• Strategic <strong>Plan</strong>ning member for the South Dakota Speech Language Hearing<br />

Association 2003 and 2006.<br />

• Employee of the month October 1999 and April 2003 for the Physical Medicine and<br />

Rehabilitation Department at Sanford Health.


• Coordinator for LEND (<strong>The</strong> South Dakota Leadership Education Excellence in<br />

Caring for Children with Neurodevelopmental and Related Disabilities) students for<br />

the Developmental clinics.<br />

• Member of the State Birth-3 Workgroup 2008.<br />

• Spark Plug Nominee 2005-2006 at the Center for Disabilities.<br />

• American Speech Language Hearing Association Award for Continuing Education<br />

(ACE) 2006-2009, 2008-2011.


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Tennessee<br />

University of Tennessee<br />

www.utk.edu<br />

REGION: Southeast CATEGORY OF CARE: Mild TBI<br />

Program Director: Kristin Anne King, Ph.D. Position Title: Assistant Professor<br />

Department: Department of Audiology & Speech Pathology<br />

Address: 1620 Melrose Avenue, Knoxville, TN 37996<br />

Phone: 865‐974‐5277<br />

Email: kking29@utk.edu<br />

Level 1 Center(s): Knoxville, Nashville, Memphis<br />

Level 2 Center(s): Chattanooga, Jackson<br />

Level 3 Center(s): 0<br />

Number of jobs <strong>PABI</strong> Grant creates in Tennessee: 106<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,605,382<br />

Category of Care Management Sub‐total: $ 1,888,037<br />

Case Management Sub‐total: $ 4,437,305<br />

State Lead Center Sub‐total: $ 11,962,724<br />

Indirect Cost to Institution (20%): $ 2,392,545<br />

Administrative Cost to SJBF (2%): $ 239,254<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 14,594,523


University of Tennessee Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 71,680<br />

Program Director Assistant: $ 89,194<br />

State Director: $ 297,313<br />

Associate State Director: $ 128,836<br />

State Epidemiologist: $ 198,209<br />

State Epidemiologist Assistant: $ 89,194<br />

State Scientific Investigation Research Coordinator: $ 168,477<br />

State Scientific Investigation Research Assistant: $ 168,477<br />

State Education/Training Coordinator (plus materials): $ 315,368<br />

State General Counsel: $ 237,850<br />

State IT Manager: $ 188,298<br />

State Family Support Coordinator: $ 148,657<br />

State Prevention/Awareness Coordinator: $ 148,657<br />

State Acute Care Coordinator: $ 148,657<br />

State Reintegration Coordinator: $ 148,657<br />

State Adult Transition Coordinator: $ 148,657<br />

State Mild TBI Coordinator: $ 148,657<br />

State Mental Health Coordinator: $ 128,836<br />

State Assistive/Emerging Technology Coordinator: $ 128,836<br />

State Correctional System Coordinator: $ 128,836<br />

State MISC Coordinator: $ 128,836<br />

State Veterans Coordinator: $ 128,836<br />

State Data Manager: $ 128,836<br />

State Public Policy Manager: $ 148,657<br />

State Community Relations Manager: $ 128,836<br />

State Administrative Support: $ 535,163<br />

Charity care: $ 309,701<br />

Human Resources Support: $ 106,000<br />

Training Support: $ 26,500<br />

State Lead Center Office Space Cost: $ 297,623<br />

State Lead Center Transportation/Travel: $ 100,343<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 96,007<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 88,486<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,605,382


University of Tennessee Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Mild TBI<br />

Regional Category Director: $ 297,313<br />

Regional Category Epidemiologist: $ 237,850<br />

Regional Category Education/Training Coordinator: $ 198,209<br />

Regional Category Scientific Investigation Research: $ 198,209<br />

Regional Category Administrative Support: $ 356,776<br />

Regional Category Office Space Cost: $ 86,407<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 27,873<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,888,037


University of Tennessee Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 424,733<br />

Level 1 Center Field Specialist(s): $ 339,786<br />

Level 1 Center SJB Family Specialist(s): $ 2,319,042<br />

Level 1 Center Administrative Support: $ 382,260<br />

Level 1 Office Space Cost: $ 46,455<br />

Level 1 Transportation/Travel: $ 82,146<br />

Level 1 Office Equipment/Communications: $ 89,400<br />

Level 1 Supplies: $ 115,032<br />

Level 2 Center Field Specialist(s): $ 135,915<br />

Level 2 Center SJB Family Specialist(s): $ 441,722<br />

Level 2 Transportation/Travel: $ 15,633<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 18,582<br />

CASE MANAGEMENT SUB‐TOTAL: $ 4,437,305<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,962,724<br />

INDIRECT COST TO INSTITUTION: $ 2,392,545<br />

ADMINISTRATIVE FEE TO SJBF: $ 239,254<br />

STATE LEAD CENTER SUB‐TOTAL: $ 14,594,523<br />

TOTAL JOBS CREATED IN Tennessee: 106


NAME<br />

KING, Kristin A.<br />

eRA COMMONS USER NAME<br />

BIOGRAPHICAL SKETCH<br />

POSITION TITLE<br />

Assistant Professor<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

University of North Carolina, Chapel Hill, NC BA 1983 - 1987 Education: English<br />

East Carolina University, Greenville, NC MS 1992 - 1995<br />

Speech- Language<br />

Pathology and Audiology<br />

East Carolina University, Greenville, NC PhD 2002 - 2008 Communication<br />

Sciences and Disorders<br />

A). Positions and Honors<br />

Positions and Employment:<br />

May 1995 – Oct 1997 Clinical Fellow in Audiology and Speech Pathology; Pitt County<br />

Memorial Hospital, Greenville, North Carolina<br />

Oct 1997 – June 2001 Clinical Speech Pathologist; Pitt County Memorial Hospital, Greenville,<br />

North Carolina<br />

June 2001 – July 2002 Clinical Speech Pathologist; Duke Medical Center, Durham, North<br />

Carolina<br />

July 2002 – June 2004 Research Assistant; East Carolina University, Department of<br />

Communication Sciences and Disorders, Language and Reading<br />

Disorders Laboratory<br />

June 2004 – July 2008 Research Assistant; East Carolina University, Department of<br />

Communication Sciences and Disorders, Neurolinguistics Laboratory<br />

Aug 2008 – Present Assistant Professor; University of Tennessee Health Science Center,<br />

Department of Audiology & Speech Pathology, Knoxville, TN.<br />

Awards/Fellowships/Traineeships:<br />

2007 Nominated and Inducted, Sigma Xi Scientific Research Society<br />

2004 Student Journal Reviewer Award, Clinical Aphasiology; Aphasiology<br />

2004 NIDCD Student Fellowship for Research Award, awarded through Clinical Aphasiology<br />

Professional Licenses and Certification:<br />

Licensed Speech Pathologist (1995 – 2008 North Carolina, 3731; Tennessee pending)<br />

Certificate of Clinical Competence - Speech Pathology<br />

B1). Peer-Reviewed Publications (in chronological order)<br />

1. King K, Wagner C, Odom C, and Moore D. (1997). <strong>The</strong>rapeutic intervention for a pediatric SCI<br />

patient: a case study. Perspectives. 12 (3): 9 - 15.<br />

2. King K, Hough M, Walker M, Rastatter M, and Holbert D. (2006). Mild traumatic brain injury:<br />

effects on word retrieval in naming and discourse. <strong>Brain</strong> Injury. 20(7): 725-732.<br />

3. King K, Hough M, Vos P, Walker M, and Givens G. (2006). Word retrieval following mild TBI:<br />

implications for categorical deficits. Aphasiology. 20(2-4): 233-245.


4. Johnson, R. K., Hough, M. S., King, K. A., Vos, P., & Jeffs, T. (2008). Functional communication in<br />

individuals with chronic severe aphasia using augmentative communication. Augmentative &<br />

Alternative Communication, 24(4), 1-12.<br />

5. King, K, Hough, M, Walker, M, Everhart, E, Rastatter, M, Holbert, D, Moore, D. (2008)<br />

Dissertation: Picture naming and word reading: differential diagnostic tasks following Traumatic <strong>Brain</strong><br />

Injury in children?<br />

6. Deal R, Hough M, King K, Walker M, Rastatter M, and Hudson S. (in press). Influence of duration<br />

of post-traumatic amnesia on pragmatic skills in chronic traumatic brain injury. Journal of Medical<br />

Speech Pathology.<br />

C). Research Support<br />

Ongoing Research Support<br />

1. King, K 2008-2010 $ 50,000/2 yr<br />

University of Tennessee<br />

“Neurocognitive and Linguistics Research Laboratory.”


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Texas<br />

Center for <strong>Brain</strong>Health / <strong>The</strong> University of Texas at Dallas<br />

www.brainhealth.utdallas.edu<br />

REGION: Southcentral CATEGORY OF CARE: Virtual SJB Center (National Lead)<br />

Program Director: Sandra Chapman, Ph.D. Position Title: Professor<br />

Department: Department of Behavioral & <strong>Brain</strong> Sciences<br />

Address: 2200 W. Mockingbird Lane, Dallas, TX 75235<br />

Phone: 214‐905‐3007<br />

Email: schapman@utdallas.edu<br />

Level 1 Center(s): Dallas‐Fort Worth, Houston, San Antonio, Austin, El Paso<br />

Level 2 Center(s): Waco/Killeen/Temple/Fort Hood, Corpus Christi, Tyler/Longview, Lubbock,<br />

Midland/Odessa, Laredo, Bryan/College Station, Abilene<br />

Level 3 Center(s): Amarillo, Galveston/Beaumont, McAllen, San Angelo<br />

Number of jobs <strong>PABI</strong> Grant creates in Texas: 193<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 7,589,377<br />

Category of Care Management Sub‐total: $ 19,532,823<br />

Case Management Sub‐total: $ 13,435,431<br />

State Lead Center Sub‐total: $ 40,589,631<br />

Indirect Cost to Institution (20%): $ 8,117,926<br />

Administrative Cost to SJBF (2%): $ 811,793<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 49,519,350


Center for <strong>Brain</strong>Health / <strong>The</strong> University of Texas at Dallas Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 76,800<br />

Program Director Assistant: $ 113,583<br />

State Director: $ 378,610<br />

Associate State Director: $ 164,064<br />

State Epidemiologist: $ 252,407<br />

State Epidemiologist Assistant: $ 113,583<br />

State Scientific Investigation Research Coordinator: $ 214,546<br />

State Scientific Investigation Research Assistant: $ 214,546<br />

State Education/Training Coordinator (plus materials): $ 871,661<br />

State General Counsel: $ 302,888<br />

State IT Manager: $ 239,787<br />

State Family Support Coordinator: $ 189,305<br />

State Prevention/Awareness Coordinator: $ 189,305<br />

State Acute Care Coordinator: $ 189,305<br />

State Reintegration Coordinator: $ 189,305<br />

State Adult Transition Coordinator: $ 189,305<br />

State Mild TBI Coordinator: $ 189,305<br />

State Mental Health Coordinator: $ 164,064<br />

State Assistive/Emerging Technology Coordinator: $ 164,064<br />

State Correctional System Coordinator: $ 164,064<br />

State MISC Coordinator: $ 164,064<br />

State Veterans Coordinator: $ 164,064<br />

State Data Manager: $ 164,064<br />

State Public Policy Manager: $ 189,305<br />

State Community Relations Manager: $ 164,064<br />

State Administrative Support: $ 681,499<br />

Charity care: $ 394,386<br />

Human Resources Support: $ 193,000<br />

Training Support: $ 48,250<br />

State Lead Center Office Space Cost: $ 379,005<br />

State Lead Center Transportation/Travel: $ 127,781<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 122,260<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 98,596<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 7,589,377


Center for <strong>Brain</strong>Health / <strong>The</strong> University of Texas at Dallas Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Virtual SJB Center (National Lead)<br />

National Category Director: $ 576,000<br />

National Category Epidemiologist: $ 384,000<br />

National Category Education/Training Coordinator: $ 307,200<br />

National Category Scientific Investigation Research: $ 307,200<br />

National Database Mgr; National Content Mgr; National Help Desk Support Mgr; National Bus.<br />

Development Mgr; National HIPAA Compliance Officer: $ 1,536,000<br />

Development of SJBF Registry and Personal Health/Education Records Portal and Open Source Initiative:<br />

$ 15,000,000<br />

Regional Category Director: $ 378,610<br />

Regional Category Epidemiologist: $ 302,888<br />

Regional Category Education/Training Coordinator: $ 252,407<br />

Regional Category Scientific Investigation Research: $ 252,407<br />

Regional Business Development Manager; Database Support Staff; Content Support Staff; Help Desk<br />

Support Staff: $ 1,792,000<br />

Regional Additional Tech<br />

Regional Category Administrative Support: $ 454,332<br />

Regional Category Office Space Cost: $ 171,163<br />

Regional Category Transportation/Travel: $ 180,000<br />

Regional Category Office Equipment/Communications: $ 43,400<br />

Regional Category Supplies: $ 55,214<br />

CATEGORY OF CARE SUB‐TOTAL: $ 19,532,823


Center for <strong>Brain</strong>Health / <strong>The</strong> University of Texas at Dallas Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 946,526<br />

Level 1 Center Field Specialist(s): $ 757,221<br />

Level 1 Center SJB Family Specialist(s): $ 5,537,177<br />

Level 1 Center Administrative Support: $ 851,873<br />

Level 1 Office Space Cost: $ 62,116<br />

Level 1 Transportation/Travel: $ 167,021<br />

Level 1 Office Equipment/Communications: $ 145,000<br />

Level 1 Supplies: $ 236,631<br />

Level 2 Center Field Specialist(s): $ 807,702<br />

Level 2 Center SJB Family Specialist(s): $ 2,953,161<br />

Level 2 Transportation/Travel: $ 84,345<br />

Level 2 Office Equipment/Communications: $ 106,400<br />

Level 2 Supplies: $ 110,428<br />

Level 3 Center SJB Family Specialist(s): $ 615,242<br />

Level 3 Transportation/Travel: $ 14,040<br />

Level 3 Office Equipment/Communications: $ 22,800<br />

Level 3 Supplies: $ 17,747<br />

CASE MANAGEMENT SUB‐TOTAL: $ 13,435,431<br />

STATE LEAD CENTER SUB‐TOTAL: $ 40,589,631<br />

INDIRECT COST TO INSTITUTION: $ 8,117,926<br />

ADMINISTRATIVE FEE TO SJBF: $ 811,793<br />

STATE LEAD CENTER SUB‐TOTAL: $ 49,519,350<br />

TOTAL JOBS CREATED IN Texas: 193


NAME<br />

Sandra B. Chapman, Ph.D.<br />

eRA COMMONS USER NAME (credential, e.g., agency login)<br />

SANDRACHAPMAN<br />

BIOGRAPHICAL SKETCH<br />

POSITION TITLE<br />

Professor, Department of Behavioral & <strong>Brain</strong> Sciences<br />

Dee Wyly Distinguished Chair in <strong>Brain</strong>Health<br />

Chief Director, Center for <strong>Brain</strong>Health<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

<strong>The</strong> University of North Texas, Denton, TX BA 1973 Speech Pathology<br />

<strong>The</strong> University of North Texas, Denton, TX MA 1975 Speech Pathology<br />

<strong>The</strong> University of Texas at Dallas, Dallas, TX PhD 1986 Cognitive Neuroscience<br />

A. Positions and Honors<br />

PROFESSIONAL EXPERIENCE<br />

1986-1990 Research Scientist and <strong>Project</strong> Coordinator for NIH Grant, University of Texas at Dallas, (<strong>Brain</strong><br />

Mapping and cognitive Correlates in Neurogenic communications disorders)<br />

1986-Present Adjunct Instructor in Neurology, University of Texas Southwestern Medical Center at Dallas<br />

1987-Present Consultant and Investigator for Alzheimer ’s disease Research Center, University of Texas<br />

Southwestern Medical Center at Dallas<br />

1986-Present Research Scientist- Professor – UT Dallas, Behavioral and <strong>Brain</strong> Sciences<br />

1990-Present Editorial Review – Staff : Archives of Neurology, Jr. of International Neuropsychology, Aphasiology,<br />

American Journal of Speech Language Pathology, <strong>Brain</strong> and Language, Journal of Communication<br />

Disorders, Advances in Speech Language Pathology, Journal of Speech, Language and Hearing Research<br />

1997-Present Chief Director : Center for <strong>Brain</strong>Health at the University of Texas at Dallas. <strong>The</strong> Center is dedicated<br />

to understanding, protecting and healing the brain. Research and advanced clinical interventions<br />

optimize functional capacity and quality of life in clients with dementia, stroke, Alzheimer’s,<br />

Parkinson’s, depression, traumatic brain injury and complications of normal aging, across the lifespan.<br />

2003-2007 Head of Neurological Disorders of the Aging <strong>Brain</strong>; Institute of Biomedical Sciences and Technology (UTD)<br />

2003-Present Professor, University of Texas at Dallas, Department of Behavioral and <strong>Brain</strong> Sciences<br />

2004-Present Dee Wyly Distinguished Chair in <strong>Brain</strong>Health<br />

2005-Present Steering Committee, UTD Department of Bioengineering<br />

2006-Present Editorial Board of Experimental Biology and Medicine<br />

2007-2009 Research Integrity Committee Appointment, UT Dallas Academic Senate Committee<br />

2008-Present Member of <strong>The</strong> National Advisory Board of <strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Foundation (pediatric TBI)<br />

2009 NIH Reviewer for independent scientific peer review of the <strong>Brain</strong>, Biology, and Machine Initiative<br />

Program<br />

B. Selected Peer-Reviewed Publications<br />

Gamino, J., Chapman, S.B., Hart, J., Cook, L. (2009) “Strategic Learning in Children with Traumatic <strong>Brain</strong> Injury; New<br />

Evidence to Motivate Intervention.” Topics in Language Disorders; <strong>Brain</strong> Based Assessment And Treatment In<br />

Pediatric TBI<br />

Gamino, J., Chapman, S.B., Hart, J., Cook, L. , Vanegas, S., Tamm, L., Hughes, C., Cheng, D., Pickering, J. Emslie, G.<br />

(2009) “Strategic Learning of Gist versus Detail information in Children with Attention Deficit/Hyperactivity.” Journal<br />

of International Neuropsychological Society (submitted)<br />

Ornstein, T.J., Levin, H.S., Chen, S., Hanten, G., Ewing-Cobbs, L., Dennis, M., Barnes, M., Max, J.E., Chapman, S.B.,<br />

Logan, G., Schachar, R. (2008) “Performance monitoring in children following traumatic brain injury.” Journal of Child<br />

Psychology and Psychiatry (in press)<br />

Wong, S. B. C., Anand, R., Chapman, S. B., Rackley, A. M., & Zientz, J. N.. (2008) “When nouns and verbs degrade:<br />

Facilitating communication in semantic dementia.” Aphasiology. (in press)<br />

Hanten, G., Wilde, E., Menefee, DS, Li, X, Lane, S, Vasquez, C, Chu, Z, Ramos, MA, Yallampalli, R, Swank, P,<br />

Chapman, SB, Gamino, J., Hunter, JV, Levin, HS (2008) “Correlates of Social Problem-Solving During the First Year<br />

After Traumatic <strong>Brain</strong> Injury in Children.” Journal of International Neuropsychological Society Vol 22, No 3, 357-370<br />

Gamino, J., Chapman, S.B., Hart, J., Hull, H. (2008) “Strategic Memory and Reasoning Training in Children with Attention<br />

Deficit Hyperactivity Disorder”. Advances in ADHD<br />

Levin, H.S., Hanten, G., Roberson, G., Li, X., Ewing-Cobbs,L., Dennis, M., Chapman, S.B., Max, J.E., Hunter, J.,<br />

Schachar, R., Luerssen, T.G., Swank, P. (2008) “Abnormal CT after Mild Traumatic <strong>Brain</strong> Injury Predicts Cognitive<br />

Sequelae in School Aged Children.” Journal of Neurosurgery-Pediatrics


McCauley, S.R., McDaniel, M.A., Pedroza, C., Chapman, S.B., Levin, H.S. (2008) “Incentive Effects and Event-Based<br />

Prospective Memory Performance in Children and Adolescents with Traumatic <strong>Brain</strong> Injury.” Neuropsychology<br />

Max, J.E., Keatley, E., Levin, H.S., Schachar, R., Saunders, A. Ewing-Cobbs, L., Chapman, S.B., Dennis, M. (2008)<br />

“Anxiety Disorders in Children and Adolescents in the First Six Months After Traumatic <strong>Brain</strong> Injury.” Journal of the<br />

American Academy of Child and Adolescent Psychiatry (submitted)<br />

Hanten, G., Li, X., Chapman, S. B., Swank, P., Gamino, J., Roberson, G., & Levin, H. S. (2007). “Development of verbal<br />

selective learning.” Developmental Neuropsychology, 32, 585-596.<br />

Cook, L. G., Chapman, S. B., & Gamino, J. F. (2007). “Impaired discourse gist in pediatric brain injury: Missing the forest<br />

for the trees.” In K. Cain and J. Oakhill (Eds.), Cognitive Bases of Children’s Language Comprehension Difficulties<br />

(pp. 218-243). New York: Guilford Publications, Inc.<br />

Chapman, S. B. (2007). “Neurocognitive stall, a paradox in long term recovery from pediatric brain injury.” <strong>Brain</strong> Injury<br />

Professional, the official publication of the North American <strong>Brain</strong> Injury Society, 3(4),10-13.<br />

Wong, S. B. C., Chapman, S. B.; Cook, L. G.; Anand, R.; Gamino, J. F., & Devous, M. D. (2006). “A SPECT Study of<br />

language and brain reorganization three years after pediatric brain injury”. In A.R. Moller (Ed.), Reprogramming the<br />

<strong>Brain</strong>: Progress in <strong>Brain</strong> Research (vol. 157, pp. 173-185). Amsterdam: Elsevier.<br />

Chapman, S. B., Gamino, J. F., Cook, L. G., Hanten, G., Li, X., & Levin, H.S. (2006). “Impaired discourse gist and working<br />

memory in children after brain injury.” <strong>Brain</strong> and Language, 97, 178-188.<br />

Chapman, S. B., Anand, R., Sparks, G., & Cullum, C. M. (2006). “Gist distinctions in healthy cognitive aging versus mild<br />

Alzheimer’s disease.” <strong>Brain</strong> Impairment, 7, 223-233.<br />

Max, J. E., Levin, H. S., Schachar, R. J., Landis, J., Saunders, A. E., Ewing-Cobbs, L., Chapman, S. B., & Dennis, M.<br />

(2006). “Predictors of personality change due to traumatic brain injury in children and adolescents six to twenty-four<br />

months after injury.” Journal of Neuropsychiatry and Clinical Neuroscience, 18, 21-32.<br />

Anand, R., Chapman, S. B., Zientz, J., & Toussaint, K. (2005). “Mild cognitive impairment: A clinical perspective.”<br />

Perspectives on Gerontology, 10(2), 10-14.<br />

Chapman, S. B., Bonte, F. J., Wong, S. B. C., Zientz, J. N., Hynan, L. S. , Harris, T. S., Gorman, A. R., Roney, C. A., &<br />

Lipton, A. M. (2005). “Convergence of connected language and SPECT in variants of frontotemporal lobar<br />

degeneration.” Alzheimer Disease and Associated Disorders, 19(4), 202-213.<br />

Max, J. E., Levin, H. S., Landis, J., Schachar, R., Saunders, A., Ewing-Cobbs, L., Chapman, S. B., Dennis, M. (2005).<br />

“Predictors of personality change due to traumatic brain injury in children and adolescents in the first six months after<br />

injury.” Journal of the American Academy of Child and Adolescent Psychiatry, 44(5), 435-442.<br />

Max, J. E., Schachar, R. J., Levin, H. S., Ewing-Cobbs, L., Chapman, S. B., Dennis, M., Saunders, A., & Landis, J. (2005).<br />

“Predictors of secondary attention-deficit/hyperactivity disorder 6 to 24 months after pediatric traumatic brain injury.”<br />

Journal of the American Academy of Child and Adolescent Psychiatry, 44(10), 1041-1049.<br />

Max, J. E., Schachar, R. J., Levin, H. S., Ewing-Cobbs, L., Chapman, S. B., Dennis, M., Saunders, A., & Landis, J. (2005).<br />

“Predictors of attention-deficit/hyperactivity disorder within six months after pediatric traumatic brain injury.” Journal of<br />

the American Academy of Child and Adolescent Psychiatry, 44(10), 1032-1040.<br />

Hanten, G., Chapman, S. B., Gamino, J. F., Roberson, G., Benton, S., Zang, L., & Levin, H. S. (2004). “Verbal selective<br />

learning after traumatic brain injury in children.” Annals of Neurology, 56, 847-853.<br />

Levin, H. S., Hanten, G., Zhang, L., Swank, P. R., Ewing-Cobbs, L., Dennis, M., Barnes, M. A., Max, J., Schachar, R.,<br />

Chapman, S. B., & Hunter, J. V. (2004). Changes in working memory after traumatic brain injury in children.<br />

Neuropsychology, 18(2), 240-247.<br />

Chapman, S.B. (2004). “<strong>The</strong> Dana Guide to <strong>Brain</strong> Health: A book review.” Archives of Neurology, 61, 806-807.<br />

Chapman, S. B., Sparks, G. Levin, H. S., Dennis, M., Roncadin, C., Zhang, L., & Song, J. (2004). “Discourse macrolevel<br />

processing after severe pediatric traumatic brain injury.” Developmental Neuropsychology, 25(1&2), 37-60.<br />

Chiu, S., Zientz, J. N., Chapman, S. B., Harris, T. S., Roney, C., & Bonte, F. J. (2003).”Correspondence between brain<br />

blood flow SPECT with SPM and cognitive-linguistic testing in frontotemporal dementia variants” [abstract]. Journal of<br />

Nuclear Medicine, 44(suppl), 225P.<br />

Chapman, S. B., & Sparks, G. (2003). Language and discourse. In M. Aminoff & R. Daroff (Eds.), Encyclopedia of the<br />

Neurological Sciences (pp. 753-755). San Diego, CA: Academic Press.<br />

Chapman, S. B., Max, J. E., McGlothlin, J. H., Gamino, J. F., & Cliff, S. (2003) “Discourse plasticity in children after stroke:<br />

Age at injury and lesion effects.” Pediatric Neurology. 29(1), 34-41.<br />

Chapman, S. B., McKinnon, L., Levin, H. S., Song, J., & Meier, M. C. (2001). “Longitudinal outcome of verbal discourse in<br />

children with traumatic brain injury: Three-year follow-up.” Journal of Head Trauma Rehabilitation, 16(5), 441-455.<br />

Ulatowska, H. K., Wertz, R. T., Chapman, S. B., Hill, C. L., Thompson, J. L., Keebler, M. W., Olness, G. S., Parsons, S.<br />

D., Miller, T., & Auther, L. L. (2001). “Interpretation of fables and proverbs by African Americans with and without<br />

aphasia.” American Journal of Speech-Language Pathology, 10(1), 40-50.<br />

Levin, H. S., Song, J., Ewing-Cobbs, L., Chapman, S. B., & Mendelsohn, D. (2001). “Word fluency in relation to severity of<br />

closed head injury, associated frontal brain lesions, and age at injury in children.” Neuropsychologia, 39, 122-133.


Levin, H. S., & Chapman, S. B. (2000). “Contribution of frontal lobe lesions to cognitive deficit after closed head injury in<br />

children.” In D. Riva & A. Benton (Eds.), Localization of <strong>Brain</strong> Lesions and Developmental Functions (pp. 97-108).<br />

London: John Libbey & Company, Ltd.<br />

Brookshire, B. L., Chapman, S. B., Song, J., & Levin, H. S. (2000). “Cognitive and linguistic correlates of children’s<br />

discourse after closed head injury: A three year follow-up.” Journal of the International Neuropsychological Society, 6,<br />

741-751.<br />

Levin, H. S., Song, J., Chapman, S. B., & Harward, H. (2000). “Neuroplasticity following traumatic diffuse vs. focal brain<br />

injury in children: Studies of verbal fluency.” In H. S. Levin & J. Grafman (Eds.), Cerebral Reorganization of Function<br />

after <strong>Brain</strong> Damage (pp. 218-231). New York: Oxford University Press.<br />

Chapman, S. B., & McKinnon, L. (2000). “Discussion of developmental plasticity: Factors affecting cognitive outcome after<br />

pediatric traumatic brain injury.” Journal of Communication Disorders, 33, 333-344.<br />

Levin, H. S., Song, J., Scheibel, R. S., Fletcher, J. M., Harward, H. N., & Chapman, S. B. (2000). “Dissociation of<br />

frequency and recency processing from list recall after severe closed head trauma.” Journal of Clinical and<br />

Experimental Psychology, 22, 1-15.<br />

Chapman, S. B., Nasits, J., Challas, J. D., & Billinger, A. P. (1999). “Long-term recovery in pediatric head injury:<br />

Overcoming the hurdles.” Advances in Speech-Language Pathology, 1, 19-30.<br />

Chapman, S. B., Levin, H. S., & Lawyer, S. L. (1999). “Communication problems resulting from brain injury in children:<br />

Special issues of assessment and management.” In S. McDonald, L. Toger, & C. Code (Eds.), Communication<br />

Disorders Following Traumatic <strong>Brain</strong> Injury (pp. 235-270). UK: Psyschology Press Ltd.<br />

Chapman, S. B., Levin, H. S., & Lawyer, S. L. (1999). “Communication problems resulting from brain injury in children:<br />

Special issues of assessment and management.” In S. McDonald, L. Togher, & C. Code (Eds.), Communication<br />

disorders following traumatic brain injury (pp. 235-270). East Sussex, UK: Psychology Press.<br />

Chapman, S. B., Highley, A. P., & Thompson, J. L. (1998). Discourse in fluent aphasia and Alzheimer dementia: Linguistic<br />

and pragmatic considerations.” Journal of Neurolinguistics, 11(1-2), 55-78.<br />

Chapman, S. B. (1998). “Bridging the gap between research and education reintegration: Direct instruction on processing<br />

connected discourse.” Aphasiology, 12, 1081-1088.<br />

Ekwueme, B. N., Kroner, A., Chapman, S. B., Highley, A. P., & Thompson, J. L. (1998). “Discourse in fluent aphasia and<br />

Alzheimer dementia: Linguistic and pragmatic considerations” In M. Paradis (Ed.), Pragmatics in Neurogenic<br />

Communication Disorders (pp. 55-78). Amsterdam, <strong>The</strong> Netherlands: Elsevier.<br />

Chapman, S. B., Levin, H. S., Wanek, A., Weyrauch, J., & Kufera, J. (1998). “Discourse after closed head injury in young<br />

children.” <strong>Brain</strong> and Language, 61, 420-449.<br />

Levin, H. S., & Chapman, S. B. (1998). “Aphasia after traumatic brain injury.” In M. T. Sarno (Ed.), Acquired Aphasia, 3rd<br />

Edition (pp.481-529). New York: Academic Press.<br />

Chapman, S. B. (1997). “Cognitive-communicative abilities in children with closed head injury.” American Journal of<br />

Speech-Language Pathology, 6, 50-58.<br />

Chapman, S. B., Watkins, R., Gustafson, C., Moore, S., Levin, H.S., & Kufera, J. A. (1997). “Narrative discourse in<br />

children with closed head injury, children with language impairment, and typically developing children.” American<br />

Journal of Speech-Language Pathology, 6, 66-75.<br />

Chapman, S. B., Ulatowska, H. K., Franklin, L., Shobe, A., & Thompson, J. (1997). “Proverb interpretation in fluent<br />

aphasia and Alzheimer’s disease: Implications beyond abstract thinking.” Aphasiology, 11(4), 337-350.<br />

Chapman, S. B., Levin, H. S., & Harward, H. N. (1996). “Long-term recovery of discourse, cognitive and psychosocial<br />

abilities in pediatric head injury: A case illustration.” In A. Balejko (Ed.), Diagnosis and <strong>The</strong>rapy in Patients with<br />

Various Language Impairments (pp. 41-64). Sklad: Bialystok.<br />

Levin, H. S., Fletcher, J. M., Kusnerik, L., Kufera, J. A., Lilly, M. A., Duffy, F. F., Chapman, S., Mendelsohn, D., & Bruce,<br />

D. (1996). “Semantic memory following pediatric brain injury: Relationship to age, severity of injury, and MRI.” Cortex,<br />

32, 461-478.<br />

Chapman, S. (1995). Discourse as an outcome measure in pediatric head injured populations.” In S. Broman & M. E.<br />

Michel (Eds.), Consequences of Traumatic Head Injury in Children: Variability in Short and Long Term Outcomes (pp.<br />

95 116). UK: Oxford University Press.<br />

Chapman, S. B., Levin, H. S., Matejka, J., Harward, H., & Kufera, J. A. (1995). “Discourse ability in children with brain<br />

injury: Correlations with psychosocial, linguistic, and cognitive factors”. Journal of Head Trauma Rehabilitation, 10, 36-<br />

54.<br />

Chapman, S. B., Levin, H. S., & Culhane, K. (1995). “Language impairment in closed head injury.” In H. Kirschner (Ed.),<br />

Handbook of neurological speech and language disorders (pp. 387-414). New York: Marcel-Dekker.<br />

Ulatowska, H. K., Chapman, S. B., & Johnson, J. K. (1995). “Processing of proverbs in aphasics and old elderly.” Clinical<br />

Aphasiology, 23, 179 193.<br />

Levin, H. S., Culhane, K. A., Fletcher, J. M., Mendelsohn, D. B., Lilly, M. A., Harward, H., Chapman, S. B., Bruce, D. A.,<br />

Bertolino Kusnerik, L., & Eisenberg, H. M. (1994). “Dissociation between delayed alternation and memory after<br />

pediatric head injury: Relationship to MRI findings.” Journal of Child Neurology, 9, 81 89.


Levin, H. S., Mendelsohn, D. B., Lilly, M. A., Fletcher, J. M., Culhane, K. A., & Chapman, S. B., Harward, H., Kusnerik, L.,<br />

Bruce, D., & Eisenberg, H. M. (1994). “Tower of London performance in relation to magnetic resonance imaging<br />

following closed head injury in children.” Neuropsychology, 8(2), 171 179.<br />

Ulatowska, H. K., & Chapman, S. B. (1994). “Discourse macrostructure in aphasia.” In R. L. Bloom, L. K., Obler, S.<br />

DeSanti, & J. S. Ehrlich (Eds.), Discourse analysis and applications (pp.29-46). Hillsdale, NJ: Lawrence Erlbaum<br />

Associates.<br />

Levin, H. S., Culhane, K. A., Mendelsohn, D., Lilly, M. A., Bruce, D., Fletcher, J. M., Chapman, S. B., Harward, H., &<br />

Eisenberg, H. M. (1993). “Cognition in relation to magnetic resonance imaging in head injured children and<br />

adolescents.” Archives of Neurology, 50, 897 905.<br />

Chapman, S. B., Culhane, K. A., Levin, H. S., Harward, H., Mendelsohn, D., Ewing Cobbs, L., Fletcher, J. M., & Bruce, D.<br />

(1992). “Narrative discourse after closed head injury in children and adolescents.” <strong>Brain</strong> and Language, 43, 42 65.<br />

C. Research Support<br />

R01 NS21889 (Levin) 08/18/04-04/30/09<br />

NINDS/NIH<br />

Neurobehavioral Outcome of Head Injury in Children<br />

Role: Site PI Competing Renewal Pending<br />

R01HD48179 (Chapman) 07/04-07/09<br />

NIH<br />

Genetic Factors in Outcome from Traumatic <strong>Brain</strong> Injury<br />

Role: PI<br />

(none) (Chapman) 03/06-03/10<br />

Sparrow Foundation<br />

Center for Advanced ADHD Research, Treatment and Education (CAARTE)<br />

(none) (Chapman) 03/06-03/11<br />

Lattner Foundation<br />

Lattner Health <strong>Brain</strong> Initiative in Young Adults with Social cognition Disorders<br />

Chapman (Co-PI) 7/07-9/09<br />

Department of Defense<br />

Human Performance Measures in Humans<br />

Chapman 2005-2009<br />

Social Cognition (Wacker)<br />

Genetics and <strong>Brain</strong> Mapping of Social Cognition in Psychiatric Disorders<br />

Chapman 2006-2010<br />

<strong>Brain</strong> Repair in Children<br />

Strategic Reasoning and Memory Training in Pediatric <strong>Brain</strong> Injury<br />

Chapman 2006-2010<br />

Sparrow Pediatric Social Cognition <strong>Brain</strong> Hope<br />

Virtual Training of Social Cognition in Childhood<br />

Chapman 2005-2010<br />

Vin & Caren Prothro Foundation<br />

<strong>Brain</strong> Repair after <strong>Brain</strong> Injury<br />

Completed during the last three years<br />

AG019724 (Miller) 04/02-03/07<br />

NIA<br />

Genes, Emotions and Images, Frontotemporal Dementia<br />

Role: Consultant<br />

Chapman (PI) 10/01-09/08<br />

Frank Garrott Research Fund<br />

Discourse in Hereditary Dysphasic Dementia


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Utah<br />

University of Utah<br />

www.utah.edu<br />

REGION: Rocky Mountain CATEGORY OF CARE: Acute Phase<br />

Program Director: Kimberly Statler, MD, M.P.H. Position Title: Assistant Professor<br />

Department: Department of Pediatrics<br />

Address: 30 N. 1900 E., Salt Lake City, UT 84132<br />

Phone: (801) 662‐2466<br />

Email: kim.statler@hsc.utah.edu<br />

Level 1 Center(s): Salt Lake City<br />

Level 2 Center(s): Ogden, Provo, St. George<br />

Level 3 Center(s): Logan, Richfield, Blanding<br />

Number of jobs <strong>PABI</strong> Grant creates in Utah: 94<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,454,701<br />

Category of Care Management Sub‐total: $ 1,570,374<br />

Case Management Sub‐total: $ 2,526,674<br />

State Lead Center Sub‐total: $ 9,583,749<br />

Indirect Cost to Institution (20%): $ 1,916,750<br />

Administrative Cost to SJBF (2%): $ 191,675<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 11,692,174


University of Utah Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 106,312.50<br />

Program Director Assistant: $ 88,444<br />

State Director: $ 294,814<br />

Associate State Director: $ 127,753<br />

State Epidemiologist: $ 196,543<br />

State Epidemiologist Assistant: $ 88,444<br />

State Scientific Investigation Research Coordinator: $ 167,062<br />

State Scientific Investigation Research Assistant: $ 167,062<br />

State Education/Training Coordinator (plus materials): $ 231,738<br />

State General Counsel: $ 235,852<br />

State IT Manager: $ 186,716<br />

State Family Support Coordinator: $ 147,407<br />

State Prevention/Awareness Coordinator: $ 147,407<br />

State Acute Care Coordinator: $ 147,407<br />

State Reintegration Coordinator: $ 147,407<br />

State Adult Transition Coordinator: $ 147,407<br />

State Mild TBI Coordinator: $ 147,407<br />

State Mental Health Coordinator: $ 127,753<br />

State Assistive/Emerging Technology Coordinator: $ 127,753<br />

State Correctional System Coordinator: $ 127,753<br />

State MISC Coordinator: $ 127,753<br />

State Veterans Coordinator: $ 127,753<br />

State Data Manager: $ 127,753<br />

State Public Policy Manager: $ 147,407<br />

State Community Relations Manager: $ 127,753<br />

State Administrative Support: $ 530,666<br />

Charity care: $ 291,175<br />

Human Resources Support: $ 94,000<br />

Training Support: $ 23,500<br />

State Lead Center Office Space Cost: $ 279,819<br />

State Lead Center Transportation/Travel: $ 94,341<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 90,264<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 83,193<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,454,701


University of Utah Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Acute Phase<br />

Regional Category Director: $ 294,814<br />

Regional Category Epidemiologist: $ 235,852<br />

Regional Category Education/Training Coordinator: $ 196,543<br />

Regional Category Scientific Investigation Research: $ 196,543<br />

Regional Category Administrative Support: $ 353,777<br />

Regional Category Office Space Cost: $ 81,238<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 26,206<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,570,374


University of Utah Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 140,388<br />

Level 1 Center Field Specialist(s): $ 112,310<br />

Level 1 Center SJB Family Specialist(s): $ 766,518<br />

Level 1 Center Administrative Support: $ 126,349<br />

Level 1 Office Space Cost: $ 43,676<br />

Level 1 Transportation/Travel: $ 27,144<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 49,916<br />

Level 2 Center Field Specialist(s): $ 202,158<br />

Level 2 Center SJB Family Specialist(s): $ 657,015<br />

Level 2 Transportation/Travel: $ 23,306<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 26,206<br />

Level 3 Center SJB Family Specialist(s): $ 246,381<br />

Level 3 Transportation/Travel: $ 7,020<br />

Level 3 Office Equipment/Communications: $ 17,100<br />

Level 3 Supplies: $ 7,487<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,526,674<br />

STATE LEAD CENTER SUB‐TOTAL: $ 9,583,749<br />

INDIRECT COST TO INSTITUTION: $ 1,916,750<br />

ADMINISTRATIVE FEE TO SJBF: $ 191,675<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,692,174<br />

TOTAL JOBS CREATED IN Utah: 94


NAME<br />

Kimberly D. Statler, M.D., M.P.H.<br />

eRA COMMONS USER NAME<br />

BIOGRAPHICAL SKETCH<br />

POSITION TITLE<br />

Assistant Professor, Department of Pediatrics<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Northwestern University, Evanston, IL B.S. 1992 Biomedical Engineering<br />

Northwestern University Medical School, Chicago, IL M.D. 1995 Medicine<br />

Baylor College of Medicine, Houston, TX Residency 1995-1998 Pediatrics<br />

University of Pittsburgh School of Medicine,<br />

Pittsburgh, PA Fellowship 1998-2001 Pediatric Critical Care<br />

National Research Service Award Fellowship, Safar<br />

Center for Resuscitation Research, University of<br />

Pittsburgh School of Medicine, Pittsburgh, PA<br />

2000-2002<br />

Pediatric Neurointensive<br />

Care<br />

University of Utah, Salt Lake City, UT M.P.H. 2004 General Public Health<br />

A. Positions and Honors.<br />

2001-2002 Visiting Instructor, Department of Critical Care Medicine, University of Pittsburgh School of<br />

Medicine, Pittsburgh, PA<br />

2002-Present Assistant Professor, Department of Pediatrics, University of Utah School of Medicine, Salt<br />

Lake City, Utah<br />

2005-Present Adjunct Assistant Professor, Department of Pharmacology and Toxicology, University of Utah<br />

College of Pharmacy, Salt Lake City, Utah<br />

2006-Present Faculty, Interdepartmental Graduate Program in Neuroscience, University of Utah, Salt Lake<br />

City, UT.<br />

2007-Present Associate Medical Director, Pediatric Intensive Care Unit, Primary Children’s Medical Center,<br />

Salt Lake City, UT.<br />

2008-Present Medical Director, Respiratory Care Services, Primary Children’s Medical Center, Salt Lake<br />

City, UT<br />

1999 Annual Educational Scientific Award, Society of Critical Care Medicine.<br />

2000 Women in Neurotrauma Research Award, Women in Neurotrauma Research Society.<br />

2004-2008 Primary Children’s Medical Center Foundation Scholar, Primary Foundation.<br />

2007-2009 Pediatric Clinical and Translational Research Scholar, University of Utah.<br />

B. Selected peer-reviewed publications (in chronological order).<br />

ORIGINAL PUBLICATIONS<br />

1. Delp SL, Statler K, Carrol NC. (1995) Preserving plantar flexion strength after surgical treatment for<br />

contracture of the triceps surae: a computer simulation study. J Orthop Res 13:96-104.<br />

2. Vankoski S, Moore C, Statler KD, Sarwark JF, Dias L. (1997) <strong>The</strong> influence of crutches on pelvic<br />

kinematics in children with myelomeningocele: don’t throw away the crutches. Dev Med Child Neurol<br />

39:614-9.<br />

3. Statler KD, Kochanek PM, Dixon CE, Alexander HL, Warner DS, Clark RSB, Wisneiwski SR, Graham SH,<br />

Jenkins LW, Marion DW, Safar PJ. (2000) Isoflurane improves long-term neurologic outcome versus<br />

fentanyl after traumatic brain injury in rats. J Neurotrauma 17:1179-89.<br />

4. Hendrich KS, Kochanek PM, Melick JA, Schiding JK, Statler KD, Williams DS, Marion DW, Ho C. (2001)<br />

Cerebral perfusion during anesthesia with fentanyl, isoflurane, or pentobarbital in normal rats studied by<br />

arterial spin-labeled MRI. Mag Reson Med 46:202-6.


5. Statler KD, Jenkins LW, Dixon CE, Clark RS, Marion DW, Kochanek PM. (2001) <strong>The</strong> simple model versus<br />

the super model: translating experimental traumatic brain injury research to the bedside. J Neurotrauma<br />

18:1195-206.<br />

6. Statler KD, Alexander H, Vagni V, Nomoto E, Tofovic SP, Dixon CE, Jenkins LW, Marion DW, Kochanek<br />

PM. (2003) Moderate Hypothermia may be Detrimental After Traumatic <strong>Brain</strong> Injury in Fentanyl-<br />

Anesthetized Rats. Crit Care Med 31:1134-9.<br />

7. Statler KD, <strong>Jane</strong>sco KL, Melick JA, Clark RS, Jenkins LW, Kochanek PM. (2003) Hyperglycolysis is<br />

exacerbated after traumatic brain injury with fentanyl vs. isoflurane anesthesia in rats. <strong>Brain</strong> Res 994(1):37-<br />

43.<br />

8. Statler KD, Alexander H, Vagni V, Dixon CE, Clark RSB, Jenkins L, Kochanek PM (2006) Comparison of<br />

seven anesthetic agents on outcome after experimental traumatic brain injury in adult, male rats. J<br />

Neurotrauma, 23(1):97-108.<br />

9. Statler KD, Alexander H, Vagni V, Holubkov R, Dixon CE, Clark RS, Jenkins L, Kochanek PM (2006)<br />

Isoflurane exerts neuroprotective actions at or near the time or severe traumatic brain injury. <strong>Brain</strong> Res<br />

1076(1):216-24.<br />

10. Statler KD (2006) Pediatric post-traumatic seizures: epidemiology, putative mechanisms of<br />

epileptogenesis, and promising investigational progress. Dev Neurosci, 28(4-5):354-63.<br />

11. Bratton SL, Van Duker H, Statler KD, Pulsipher M, McArthur J, Keenan HT (2007) Lower Hospital Mortality<br />

and Complications after Pediatric Hematopoetic Stem Cell Transplantation. Crit Care 2008 36(3),923-7.<br />

12. Statler KD, Swank S, White HS (2007) Strain and age affect electroconvulsive seizure testing in rats.<br />

Epilepsy Res 78(2-3), 232-4.<br />

13. Statler KD, Swank S, Abildskov T, Bigler ED, White HS (2008) Traumatic <strong>Brain</strong> Injury During Development<br />

Reduces Minimal Clonic Seizure Thresholds At Maturity. Epilepsy Res 80(2-3):163-70.<br />

14. Bratton SL, Van Duker H, Statler KD, Pulsipher MA, McArthur J, Keenan HTLA - eng. (2008). Lower<br />

hospital mortality and complications after pediatric hematopoietic stem cell transplantation. Crit Care<br />

Med, 36(3), 923-7.<br />

15. Statler KD, Swank S, Abildskov T, Bigler ED, White HSLA - engGR - K12 HD 01410-01/HD/NICHD<br />

NIH HHS/United States. (2008). Traumatic brain injury during development reduces minimal clonic seizure<br />

thresholds at maturity. Epilepsy Res, 80(2-3), 163-70.<br />

16. Meert KL, Donaldson A, Nadkarni V, Tieves KS, Schleien CL, Brilli RJ, Clark RS, Shaffner DH, Levy F,<br />

Statler K, Dalton HJ, van der Jagt EW, Hackbarth R, Pretzlaff R, Hernan L, Dean JM, Moler FW. (2009).<br />

Multicenter cohort study of in-hospital pediatric cardiac arrest. Pediatr Crit Care Med. (Epub ahead of print).<br />

17. Statler KD, Scheerlinck P, Pouliot W, Hamilton M, White HS, Dudek FE. (2009). A potential model of<br />

pediatric posttraumatic epilepsy. Epilepsy Res, (Epub ahead of print).<br />

18. Moler FW, Meert K, Donaldson AE, Nadkarni V, Brilli RJ, Dalton HJ, Clark RS, Shaffner DH, Schleien<br />

CL, Statler K, Tieves KS, Hackbarth R, Pretzlaff R, van der Jagt EW, Levy F, Hernan L, Silverstein FS,<br />

Dean JM. Pediatric Emergency Care Applied Research Network (2009). In-hospital versus out-of-hospital<br />

pediatric cardiac arrest: A multicenter cohort study. Crit Care Med, 37(7), 2259-2267.<br />

19. Meert KL, Donaldson A, Nadkarni V, Tieves KS, Schleien CL, Brilli RJ, Clark RS, Shaffner DH, Levy F,<br />

Statler K, Dalton HJ, van der Jagt EW, Hackbarth R, Pretzlaff R, Hernan L, Dean JM, Moler FW; for the<br />

Pediatric Emergency Care Applied Research Network (2009). Multi-center cohort of in-hospital cardiac<br />

arrest. Pediatr Crit Care Med, (Epub ahead of print).<br />

EDITORIALS<br />

1. Statler KD, Lugo RA (2004) Surveying sedation and analgesia practice in the PICU: discomforting data<br />

raise more questions. Pediatr Crit Care Med 5(6):582-3.<br />

2. Kochanek PM, Statler KD, Clark RSB, Jenkins L (2005) Physiological assessment and control in studies<br />

evaluating CNS injury: should size matter? Anesth Analg 102(1):72-4.<br />

3. Statler KD, Keenan HT (2007) How many is too many: Repeat head CT after TBI. Pediatr Crit Care Med,<br />

8:402-3.<br />

4. Statler KD (2008) Hypothermia to treat neonatal hypoxic ischemic encephalopathy. AAP Grand Rounds,<br />

19(1), 3-4.<br />

BOOKS & BOOK CHAPTERS


1. Clark RSB, Statler KD, Ruppel RA, Satchell MA, Seidberg NA, Kochanek PM. (2000) Neuroprotective<br />

strategies for the treatment of severe traumatic brain injury: past, present, and future. In: Current Concepts<br />

in Pediatric Critical Care. Edited by Fineman G and Giroir B. Society for Critical Care Medicine, Anaheim,<br />

CA; pp. 69-84.<br />

2. Kochanek PM, Hendrich KS, Statler KD, Clark RSB, Jenkins LW, Williams DS, Ho C, Marion DW.<br />

(2002) Ischemic mechanisms in traumatic brain injury. In: Update in Intensive Care and Emergency<br />

Medicine, Cerebral Blood Flow, Mechanisms of Ischemia, Diagnosis and <strong>The</strong>rapy. Edited by Pinsky MR.<br />

Springer-Verlag, Berlin, Heidelberg, New York; Section II, pp 60-71.<br />

3. Bayır H, Statler KD, Satchell MA, Ruppel RA, Clark RSB, Kochanek PM. (2003) Severe traumatic brain<br />

injury. In: Classic Papers in Critical Care. Edited by Fink M, Hayes M, Soni N. Blandon Medical Publishing,<br />

Oxfordshire, UK.; pp. 87-118.<br />

4. Statler KD, van Orman C. (2008) Status Epilepticus. In: Nichols D (Ed.), Rogers Textbook of Pediatric<br />

Intensive Care, 4 th Edition (pp. 912-28). Baltimore, MD: Lippencott, Williams, and Wilkins<br />

C. Research Support.<br />

1. U01HL094345 PI: Moler 09/01/2009-10/31/2010<br />

<strong>The</strong>rapeutic Hypothermia After Cardiac Arrest (THAPCA) Trials<br />

A mulitcenter, interventional, randomized, controlled trial of hypothermia after cardiac arrest in children. My<br />

responsibilities including executing the trial at the University of Utah site.<br />

Role: Site Principal Investigator.<br />

2. K12 HD 01410 - 01 A2 PI: Clark 07/01/2004-06/30/2007<br />

NICHD Child Health Research Career Development Award<br />

A K12 training award administrated by the University of Utah, Department of Pediatrics to support research<br />

development in young faculty. My responsibilities include establishing a model of pediatric traumatic brain<br />

injury and evaluating the influence of developmental age on outcome and the susceptibility to posttraumatic<br />

seizures.<br />

Role: Trainee.<br />

3. Primary Children’s Medical Center Foundation. 07/01/2005–06/30/2008.<br />

Age, Traumatic <strong>Brain</strong> Injury, and Seizure Thresholds.<br />

This project uses a translational model of pediatric traumatic brain injury to investigate the effects of<br />

developmental age and rat strain on the propensity for post-traumatic seizures and to correlate histological<br />

damage with post-traumatic changes in seizure thresholds.<br />

Role: Principal Investigator.<br />

4. R21 HD044955-01 PI: Moler 07/01/2003-06/30/2005<br />

NICHD Hypothermia For Pediatric Cardiac Arrest <strong>Plan</strong>ning Grant.<br />

A multi-center project, based at the University of Michigan, investigating the epidemiology of cardiac arrest<br />

in children and assessing the feasibility of an interventional trial of hypothermia for pediatric cardiac arrest.<br />

My responsibilities include overseeing data collection at the University of Utah and submission to the<br />

central data coordination center.<br />

Role: Site Principal Investigator.<br />

5. <strong>The</strong> Laerdal Foundation for Acute Medicine. 01/01/2000-12/31/2001<br />

MRI Assessment of Cerebral Blood Flow After Traumatic <strong>Brain</strong> Injury in Rats: Isoflurane vs. Fentanyl.<br />

This project investigated mechanisms of neuroprotection afforded by isoflurane vs fentanyl anesthesia.<br />

Role: Principal Investigator.<br />

6. University of Pittsburgh School of Medicine, Dept of Anesthesiology 01/01/2000-06/30/2002<br />

Evaluating potential neuroprotective actions of isoflurane vs fentanyl after traumatic brain injury.<br />

This project compared outcomes in a translational model of traumatic brain injury using isoflurane or<br />

fentanyl anesthesia and investigated how these anesthetics affect secondary cerebral injury cascades.<br />

Role: Principal Investigator.<br />

D. Board Certifications<br />

American Board of Pediatrics (Pediatrics), Certified, 1998<br />

American Board of Pediatrics (Pediatrics), Re-certified 2005<br />

American Board of Pediatrics (Sub: Critical Care Med), Certified, 2002


F. Invited Presentations<br />

International<br />

2002 Stabilization and Treatment of the Pediatric Patient with Shock. Second Annual Symposium on<br />

Advances in Pediatric Care, Hospital Regional de Loreto, Iquitos, Peru<br />

2005 Early Recognition and Treatment of Pediatric Shock, Mandalay General Hospital, Mandalay,<br />

Myanmar<br />

2007 Pediatric Respiratory Failure: A Practical Approach, 1 st Annual Pediatric Update Conference,<br />

Komofo Anokye Teaching Hospital, Kumasi, Ghana<br />

2007 Arterial Blood Gas Interpretation, Pediatric House Staff Morning Teaching Conference, Komofo<br />

Anokye Teaching Hospital, Kumasi, Ghana<br />

National<br />

2001 Circulatory Compromise in Children. EMMCO West 16th Annual EMS Conference, Sharon,<br />

Pennsylvania<br />

2006 Does Sedation Alter Outcomes in TBI? 16 th Pediatric Critical Care Colloquium, Snowbird, Utah<br />

Local/Regional<br />

2001 Anesthetics in Head Injury. Pediatric Trauma Conference, Children's Hospital of Pittsburgh,<br />

Pittsburgh, Pennsylvania<br />

2001 Protective Effects of Anesthetics in Traumatic <strong>Brain</strong> Injury. Safar Center for Resuscitation<br />

Research, University of Pittsburgh, Pittsburgh, Pennsylvania<br />

2002 Sepsis and the Coagulation System. PICU Nursing Education: Advanced Metabolic Module,<br />

Primary Children's Medical Center, Salt Lake City, Utah<br />

2002 Hydrocortisone as a Vasopressor? PICU Nursing Education: Advanced Respiratory Module,<br />

Primary Children's Medical Center, Salt Lake City, Utah<br />

2003 Anesthetics and Sedative in Traumatic <strong>Brain</strong> Injury. Intermountain Injury Control Research<br />

Center, Salt Lake City, Utah<br />

2003 Management of Severe Pediatric Traumatic <strong>Brain</strong> Injury: Update of the Treatment Protocol for<br />

Increased Intracranial Pressure based on the Current National Guidelines. PICU Nursing<br />

Education: Neurotrauma Module, Primary Children's Medical Center, Salt Lake City, Utah<br />

2004 Diffuse Axonal Injury. 2nd Annual Intermountain Trauma Network, Salt Lake City, Utah<br />

2004 Diffuse Axonal Injury. 5th Annual Trauma Update Workshop, Primary Children's Medical Center,<br />

Salt Lake City, Utah<br />

2004 Glucose and Traumatic <strong>Brain</strong> Injury: What's the Connection. 5th Annual Trauma Update<br />

Workshop, Primary Children's Medical Center, Salt Lake City, Utah<br />

2007 Prompt Recognition and Early Goal Directed <strong>The</strong>rapy Improve Outcomes in Children with Septic<br />

Shock (March), Primary Children’s Medical Center Grand Rounds, Salt Lake City, Utah<br />

E. Reviewer Experience<br />

Referee: Acta Biochimica et Biophysica Sinica<br />

Referee: <strong>Brain</strong><br />

Referee: Critical Care Medicine<br />

Referee: Developmental Neuroscience<br />

Referee: Experimental Neurology<br />

Referee: Gene Regulation and System Biology<br />

Referee: Pediatric Critical Care Medicine<br />

Referee: Pharmacology Research<br />

Abstract Reviewer: Society of Critical Care Medicine 34th Critical Care Congress<br />

Abstract Reviewer: Society of Critical Care Medicine 35th Critical Care Congress<br />

Abstract Reviewer: Society of Critical Care Medicine 36th Critical Care Congress<br />

Abstract Reviewer: Society of Critical Care Medicine 37th Critical Care Congress<br />

Abstract Reviewer: Society of Critical Care Medicine 38th Critical Care Congress<br />

Abstract Reviewer: 22nd International Symposium on Cerebral Blood Flow, Metabolism, and<br />

Function (<strong>Brain</strong> ’05)<br />

Abstract Reviewer: 23rd International Symposium on Cerebral Blood Flow, Metabolism, and<br />

Function (<strong>Brain</strong> ’07)


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Vermont<br />

<strong>The</strong> Vermont Center for Children, Youth and Families at the University of<br />

www.med.uvm.edu<br />

REGION: Northeast CATEGORY OF CARE: Mild TBI<br />

Program Director: James Hudziak, MD Position Title: Professor<br />

Department: Department of Pediatrics<br />

Address: 1 S. Prospect Street, North Burlington, VT 05401<br />

Phone: 802‐656‐1084<br />

Email: James.Hudziak@uvm.edu<br />

Level 1 Center(s): Burlington (Fletcher Allen Health Care)<br />

Level 2 Center(s): Rutland (Rutland Regional Medical Center), Brattleboro (Brattleboro Memorial<br />

Medical Center)<br />

Level 3 Center(s): St. Johnsbury (Northeastern Vermont Regional Hospital), Berlin (Central Vermont<br />

Medical Center)<br />

Number of jobs <strong>PABI</strong> Grant creates in Vermont: 84<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 6,844,564<br />

Category of Care Management Sub‐total: $ 2,219,336<br />

Case Management Sub‐total: $ 2,624,574<br />

State Lead Center Sub‐total: $ 11,720,474<br />

Indirect Cost to Institution (20%): $ 2,344,095<br />

Administrative Cost to SJBF (2%): $ 234,409<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 14,298,978


<strong>The</strong> Vermont Center for Children, Youth and Families at the University of Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 339,474<br />

Program Director Assistant: $ 111,101<br />

State Director: $ 370,335<br />

Associate State Director: $ 160,479<br />

State Epidemiologist: $ 246,890<br />

State Epidemiologist Assistant: $ 111,101<br />

State Scientific Investigation Research Coordinator: $ 209,857<br />

State Scientific Investigation Research Assistant: $ 209,857<br />

State Education/Training Coordinator (plus materials): $ 224,540<br />

State General Counsel: $ 296,268<br />

State IT Manager: $ 234,546<br />

State Family Support Coordinator: $ 185,168<br />

State Prevention/Awareness Coordinator: $ 185,168<br />

State Acute Care Coordinator: $ 185,168<br />

State Reintegration Coordinator: $ 185,168<br />

State Adult Transition Coordinator: $ 185,168<br />

State Mild TBI Coordinator: $ 185,168<br />

State Mental Health Coordinator: $ 160,479<br />

State Assistive/Emerging Technology Coordinator: $ 160,479<br />

State Correctional System Coordinator: $ 160,479<br />

State MISC Coordinator: $ 160,479<br />

State Veterans Coordinator: $ 160,479<br />

State Data Manager: $ 160,479<br />

State Public Policy Manager: $ 185,168<br />

State Community Relations Manager: $ 160,479<br />

State Administrative Support: $ 666,603<br />

Charity care: $ 350,000<br />

Human Resources Support: $ 84,000<br />

Training Support: $ 21,000<br />

State Lead Center Office Space Cost: $ 336,350<br />

State Lead Center Transportation/Travel: $ 113,400<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 108,500<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 100,000<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 6,844,564


<strong>The</strong> Vermont Center for Children, Youth and Families at the University of Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Mild TBI<br />

Regional Category Director: $ 370,335<br />

Regional Category Epidemiologist: $ 296,268<br />

Regional Category Education/Training Coordinator: $ 246,890<br />

Regional Category Scientific Investigation Research: $ 246,890<br />

Regional Category Administrative Support: $ 444,402<br />

Regional Category Office Space Cost: $ 97,650<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 31,500<br />

CATEGORY OF CARE SUB‐TOTAL: $ 2,219,336


<strong>The</strong> Vermont Center for Children, Youth and Families at the University of Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 176,350<br />

Level 1 Center Field Specialist(s): $ 141,080<br />

Level 1 Center SJB Family Specialist(s): $ 962,871<br />

Level 1 Center Administrative Support: $ 158,715<br />

Level 1 Office Space Cost: $ 52,500<br />

Level 1 Transportation/Travel: $ 27,900<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 60,000<br />

Level 2 Center Field Specialist(s): $ 169,296<br />

Level 2 Center SJB Family Specialist(s): $ 550,212<br />

Level 2 Transportation/Travel: $ 15,840<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 21,000<br />

Level 3 Center SJB Family Specialist(s): $ 206,330<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 6,000<br />

CASE MANAGEMENT SUB‐TOTAL: $ 2,624,574<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,720,474<br />

INDIRECT COST TO INSTITUTION: $ 2,344,095<br />

ADMINISTRATIVE FEE TO SJBF: $ 234,409<br />

STATE LEAD CENTER SUB‐TOTAL: $ 14,298,978<br />

TOTAL JOBS CREATED IN Vermont: 84


NAME<br />

James Hudziak, M.D.<br />

eRA COMMONS USER NAME<br />

jhudziak<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

POSITION TITLE<br />

Professor<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

St. John’s University, Collegeville, MN B.S. 1979 Natural Science<br />

University of Minnesota, Minneapolis, MN M.D. 1988 Medicine<br />

Washington University, St. Louis, MO Resident 89-91 Psychiatry<br />

Washington University, St. Louis, MO Fellow 91-93 Child Psychiatry<br />

Positions and Employment<br />

1993-Present Graduate Medical Faculty, University of Vermont Graduate School, Burlington, VT<br />

1996-Present Adjunct Professor of Psychiatry, Dartmouth Medical School, Hanover, NH<br />

1997-Present Director, Division of Behavioral Genetics, University of Vermont, Burlington, VT<br />

2000-Present Cttee., Scientific Advisory Panel, Dept. of Health on Tobacco Related Issues, Burlington, VT.<br />

2005-Present Director, Child Psychiatry, Department of Psychiatry, University of Vermont, College of<br />

Medicine, Burlington, VT<br />

2005-Present Professor; Endowed Chair on Genetics of Childhood Behaviour Problems, Biological<br />

Psychology, Vrije Universiteit, Amsterdam, <strong>The</strong> Netherlands<br />

2005-Present Professor of Medicine, Department of Medicine, University of Vermont, College of Medicine<br />

(Human Medical Genetics), Burlington, VT<br />

2005-Present Professor of Child Psychiatry, Department of Psychiatry, University of Vermont, College of<br />

Medicine, and Fletcher Allen Health Care, Burlington, VT<br />

2006-Present Prof. of Pediatrics, Department of Pediatrics, University of Vermont, College of Medicine,<br />

Burlington, VT<br />

2007-Present Thomas M. Achenbach Chair in Developmental Psychopathology<br />

2009-2010 Lecturer, Erasmus University, Sophia Children's Hospital, Rotterdam <strong>The</strong> Netherlands.<br />

Other Experience and Professional Experience<br />

1990-1993 DSM-IV Tasks Force, (Appointed as APA/Burroughs-Wellcome Fellow).<br />

1996-2003 Curriculum Task Force Committee, Dean’s Office, University of Vermont, College of Medicine<br />

2002-2004 Institute Of Medicine Committee on Incorporating Research into Psychiatry Residency<br />

Training, Washington DC<br />

2004-2005 Co-Chair, Developing Collaborative Genetics Research Network, NIMH Pediatric Bipolar<br />

Conf.<br />

2004-2005 Vice-President Elect, Officers of <strong>The</strong> American Psychopathological Association, NYC, NY.<br />

2005-2007 President Elect, Officers of the American Psychopathological Association, NYC, NY.<br />

2003-2007 NIMH Child Psychopathology and Developmental Disabilities Study Section, Center for<br />

Scientific Review, Bethesda, Maryland.<br />

2003-Present Corresponding Committee on Research Training, American Psychiatric Association.<br />

2004-Present Science Foundation Ireland, SFI Investigator Programme invited grant application reviewer,<br />

International Scientific Committee, Dublin, Ireland.<br />

2004-Present Strategic <strong>Plan</strong>ning Task Force, University of Vermont, College of Medicine, Burlington, VT.<br />

2004-Present Steering Committee MD-PHD Program, University of Vermont, College of Medicine.<br />

2004-Present Residency Review Committee for Psychiatry, at the American Psychiatric Association,<br />

Arlington, VA.<br />

2004-Present <strong>The</strong> Foundation Sophia Children’s Hospital Fund, Scientific Advisory Council, Rotterdam.<br />

2005-Present Reviewer for NIDA/NIMH Clinical Trials Network Data Safety Monitoring Board.


2006-Present Chairman of the Child and Adolescent Bipolar Foundation, Wilmette, IL.<br />

2007-Present Associate Editor, Journal of the American Academy of Child & Adolescent Psychiatry,<br />

Washington, DC<br />

2009-Present Vice Chair of ACGME RRC for Psychiatry and Neurology, American Psychiatric Association,<br />

Arlington, VA.<br />

Honors<br />

A.PA./Burroughs-Wellcome (FALK) Fellowship, 1990-92.<br />

<strong>The</strong> Best Doctors in America, Woodward/White, Inc. 1998 to present.<br />

Marquis Who's Who in Medicine and Healthcare 2004-present<br />

J. Macy Foundation, <strong>The</strong> Future of Psychiatry in Medical Education, Toronto, Canada, 2001.<br />

Residents Teacher of the Year Award, University of Vermont, College of Medicine, Burlington, VT 2002.<br />

Institute Of Medicine Com. on Incorporating Research into Psychiatry Residency Training, 2002-2003<br />

Class of 2008, 2009, 2010 Foundations Awards; <strong>The</strong> Silver Stethoscope Award 2006, 2007, 2008.<br />

Genetic and Environmental Influences on Child Psychopathology and Wellness, UCLA Greenblatt<br />

Professorship Lecture, Los Angeles, CA, April 2007.<br />

Translating Lessons from Genomics and Neuroscience into the Assessment and Treatment of Child<br />

Psychopathology. Eli Robins Lecture, Washington University School of Medicine, St. Louis, MO, 2006.<br />

Selected peer-reviewed publications (in chronological order)<br />

Hudziak JJ, Copeland W, Stanger C, Wadsworth M: Screening for DSM-IV Externalizing Disorders with the<br />

Child Behavior Checklist: A Receiver-Operating characteristic analysis. J Child Psychol Psychiatry & Allied<br />

Discipline, 2004. 45(7):1299-307.<br />

Hudziak JJ, Derks EM, Althoff RR, Copeland W, Boomsma DI: <strong>The</strong> Genetic and Environmental Contributions<br />

to Oppositional Defiant Disorder: A Multi-Informant Twin Study. J Am Acad Child Adolesc Psych, 2005,<br />

44(9):907-914.<br />

Hudziak JJ, Derks EM, Althoff RR, Rettew DC, Boomsma DI: <strong>The</strong> Genetic and Environmental Contributions<br />

to Attention Deficit Hyperactivity Disorder as Measured by the Conners’ Rating Scales-Revised. Am J<br />

Psychiatry, 2005 162(9):1614-1620.<br />

Althoff RR, Farone SV, Rettew DC, Morley CP, Hudziak JJ: Family, Twin, Adoption, and Molecular Genetic<br />

Studies of Juvenile Bipolar Disorder, Bipolar Disord, 2005: 7; 598-609.<br />

Faraone SV, Althoff RR, Biederman J, Hudziak JJ: <strong>The</strong> CBCL Predicts DSM Bipolar Disorder in Children: a<br />

receiver operating characteristic curve analysis. Bipolar Disord, 2005: 7; 518-524.<br />

Hudziak JJ, Althoff RR, Derks EM, Faraone SV, Boomsma DI: Prevalence and genetic architecture of Child<br />

Behavior Checklist-juvenile bipolar disorder. Biol Psychiatry, Oct 2005, 562-568.<br />

Hudziak JJ, Althoff RR, Stanger C, van Beisterveldt CEM, Nelson EC, Hanna GL, Boomsma DI, Todd RD:<br />

<strong>The</strong> Obsessive Compulsive Scale of the Child Behavior Checklist Predicts Obsessive-Compulsive Disorder:<br />

A Receiver Operating Characteristic Curve Analysis. J Child Psychol Psych 2006: 47(2): 160-166.<br />

Derks EM, Hudziak JJ, Dolan CV, Ferdinand RF, Boomsma DI: <strong>The</strong> relations between DISC-IV DSMinterview<br />

diagnoses of ADHD and multi-informant CBCL-AP syndrome scores, Comp Psychiatry 2006: 47:<br />

116-122.<br />

Rettew DC, Vink J, Willemsen G, Doyle A, Hudziak JJ, Boomsma DI: <strong>The</strong> Genetic Architecture of<br />

Neuroticism in 3301 Dutch Adolescent Twins as a Function of Age and Sex: A study from the Dutch Twin<br />

Register. Twin Res Hum Genet, 2006: 9(1); 24-29.<br />

Althoff, RR, Copeland, WE, Stanger, C, Derks, EM, Todd, RD, Neuman, RJ, Van Beijsterveldt, CEM,<br />

Boomsma, DI, Hudziak, JJ: <strong>The</strong> Latent Class Structure of ADHD is Stable Across Informants, Twin Res<br />

Hum Genet, 2006, 9(4), 507-522.<br />

Rettew DC, McKee L, Doyle A, Stanger C, Hudziak JJ: Interactions between child and parent temperament<br />

and child behavior problems. Comp Psych, 2006, 47(5), 412-420.<br />

Rettew DC, Doyle A, Kwan M, Stanger C, Hudziak JJ: Exploring the boundary between temperament and<br />

generalized anxiety disorder: a receiver operating characteristic analysis. J Anx Dis, 2006, 20(7), 931-945.<br />

Althoff, RR, Rettew, DC, Faraone, SV, Boomsma, DI, Hudziak, JJ: Latent Class Analysis Shows Strong<br />

Heritability of the Child Behavior Checklist-Juvenile Bipolar Phenotype. Biol Psychiatry, 2006, 60:903-911.<br />

Bartels, M, Hudziak, JJ. Genetically Informative Designs in the Study of Resilience in Developmental<br />

Psychopathology, Child Adolesc Psychiatric Clin N Am, 2007, 16:323–339.


Bartels, M, Hudziak, JJ, Derks, EM, van Beijsterveldt, CEM, Stroet, TM, Polderman, TJC, and Boomsma, DI.<br />

Young – Netherlands Twin Register (Y-NTR); A Longitudinal Multiple Informant Study of Problem Behavior<br />

Twin Res & Hum Genet, 2007, 10(1):3-11.<br />

Polderman TJ, Derks EM, Hudziak JJ, Verhulst FC, Posthuma D, Boomsma DI. Across the continuum of<br />

attention skills: a twin study of the SWAN ADHD rating scale. J Child Psychol Psychiatry. 2007 48(11):1080-7.<br />

Hudziak, JJ, Achenbach, TM, Althoff, RR, Pine, DS. A dimensional approach to developmental<br />

psychopathology. Int. J. Methods Psychiatr. Res, 2007, 16(SI): S16-S23.<br />

Lehn H, Derks EM, Hudziak JJ, Heutink P, van Beijsterveldt TC, Boomsma DI. Attention Problems and<br />

Attention Deficit Hyperactivity Disorder in Discordant and Concordant MZ twins: Evidence of Environmental<br />

Mediators. J Am Acad Child Adolesc Psychiatry, 2007, 46(1):83-91.<br />

Derks, EM, Dolan, CV, Hudziak, JJ, Neale, MC, Boomsma, DI. Assessment and Etiology of Attention Deficit<br />

Hyperactivity Disorder and Oppositional Defiant Disorder in Boys and Girls. Behav Genet, 2007, 37:559–<br />

566. PMCID: PMC1914288<br />

Derks EM, Hudziak JJ , Boomsma DI. Why More Boys Than Girls With ADHD Receive Treatment: A Study of<br />

Dutch Twins. Twin Research and Human Genetics, 2007 10(5):765-770.<br />

Hoekstra RA, Bartels M, Hudziak JJ, Van Beijsterveldt TC, Boomsma DI. Genetic and environmental<br />

covariation between autistic traits and behavioral problems. Twin Res Hum Genet. 2007 Dec;10(6):853-60.<br />

PMID: 18179398<br />

Rettew DC, Althoff RR, Dumenci L, Ayer L, Hudziak JJ. Latent Profiles of Temperament and <strong>The</strong>ir Relations<br />

to Psychopathology and Wellness, J Am Acad Child Adolesc Psychiatry. 2008 Jan 22; [Epub ahead of print]<br />

Rettew DC, Rebollo-Mesa I, Hudziak JJ, Willemsen G, Boomsma DI. Non-additive and Additive Genetic<br />

Effects on Extraversion in 3314 Dutch Adolescent Twins and <strong>The</strong>ir Parents. Behav Genet, 2008 Feb 1;<br />

(Epub ahead of print)<br />

Bartels M, Cacioppo JT, Hudziak JJ, Boomsma DI. Genetic and environmental contributions to stability in<br />

loneliness throughout childhood. Am J Med Genet B Neuropsychiatr Genet 2008 Oct 4; 147B:385-391.<br />

PMCID: PMC2226020<br />

Martin A, Hudziak J, Todd R, Faraone S, Lebenluft E, Piacenti J, Walkup J. JAACAP 2007-00245: Conflict of<br />

Interest (Editorial) AND JAACAP 2007-00027. J Am Acad Child Adolesc Psychiatry, 2008, 47(2):119-20.<br />

Hudziak JJ, Bartels M. Genetic and Environmental Influences on Wellness, Resilience, and<br />

Psychopathology: A Family Based Approach for Promotion, Prevention, and Intervention, American<br />

Psychiatric Publishing Inc, Developmental Psychopathology and Wellness: Genetic and Environmental<br />

Influences, Editor, JJ Hudizak, 2008 pages 267-286.<br />

Boomsma DI, van Beijsterveldt CEM, Bartels M, Hudziak JJ. Genetic and Environmental Influence on<br />

Anxious/Depression: A longitudinal study in 3 to 12 year old children, American Psychiatric Publishing Inc.,<br />

Developmental Psychopathology and Wellness: Genetic and Environmental Influences, Editor, JJ Hudizak,<br />

2008, pages 161-190.<br />

Hudziak JJ, Achenbach TA, Althoff RR, Pine DS. A Dimensional Approach to Developmental<br />

Psychopathology. American Psychiatric Association. Dimensional Approaches in Diagnostic Classification<br />

Refining the Research Agenda for DSM-V. Edited by, JE Helzer, HC Kraemer, RF Krueger, HU Wittchen,<br />

RJ Sirovatka, DA Regier. 2008 pages 101-114.<br />

Hoekstra R, Bartels M, van Beijsterveldt T, Hudziak JJ, Boomsma DI. Genetic and Environmental Influences<br />

on the Stability of Withdrawn Behavior in Children: A Longitudinal, Multi-informant Twin Study, Behavior<br />

Genetics, 2008, 38(5):447-461.<br />

Horner, MS, Miller S, Rettew DC, Althoff R, Ehmann M, Hudziak JJ, Martin A. Mentoring Increases<br />

Connectedness and Knowledge: A Cross-Sectional Evaluation of Two Programs in Child and Adolescent<br />

Psychiatry. Academic Psychiatry, 32(5):420-428.<br />

Bartels M, Boomsma DI, Hudziak JJ, van Beijsterveldt TC, van den Oord EJ. Twins and the study of rater<br />

(dis)agreement. Psychol Methos, 2007, Dec. 12(4):451-66.<br />

Abdellaoui A, Bartels M, Hudziak JJ, Rizzu P, van Beijsterveldt TCEM, Boomsma DI. Genetic Influences on<br />

Thought Problems in 7-Year-Olds: A Twin-Study of Genetic, Environmental and Rater Effects. Twin Research<br />

and Human Genetics, 2008, 11(6): 571–578.<br />

Ehli EA, Lengyel-Nelson T, Hudziak JJ, and Davies GE. Using a commercially available DNA extraction kit to<br />

obtain high quality human genomic DNA suitable for PCR and genotyping from 11-year-old saliva saturated<br />

cotton spit wads. BMC Research Notes, 1:133, 2008. PMCID: PMC2628920


Abdellaoui A, Bartels M, Hudziak JJ, Rizzu P, van Beijsterveldt TCEM, Boomsma DI. Genetic Influences on<br />

Thought Problems in 7-Year-Olds: A Twin-Study of Genetic, Environmental and Rater Effects. Twin<br />

Research and Human Genetics, 2008, 11(6): 571–578.<br />

van ’t Ent D, van Beijsterveldt FCEM, Derks EM, Hudziak JJ, Veltman DJ, Todd R, Boomsma DI, de Geus<br />

EJC, Neuroimaging of response interference in twins concordant or discordant for inattention and<br />

hyperactivity symptoms. In press, Neuroscience.<br />

Ayer L, Althoff R, Ivanova M, Rettew D, Waxler E, Sulman J, & Hudziak J. Child behavior checklist-juvenile<br />

bipolar disorder (CBCL-JBD) and CBCL posttraumatic stress problems (CBCL-PTSP) scales are measures of<br />

a single dysregulatory syndrome. In press. J Child Psychol Psychiatr.<br />

C. Ongoing Research Support<br />

P116Z080329-01 10/1/08-09/30/2010<br />

U.S. Department of Education; “Initiation of a Child and Adolescent Psychiatry Fellowship Program in<br />

Vermont”<br />

Completed Research Support in the last 3 years<br />

MH 01-012 Todd (PI) Role: Co-Investigator 2002-2005<br />

NIMH Collaborative; ADHD: Genetic Epidemiology and <strong>Brain</strong> Structure.<br />

R56MH0587996 Role: (PI) 8/1/00 – 7/31/05<br />

NIMH Collaborative; “Renewal of Developmental Twin Study of Attention, Aggression & Affect”<br />

2R56MH0587996 Role: (PI) 2007 – 2008<br />

NIMH Collaborative; “Renewal of Developmental Twin Study of Attention, Aggression & Affect”<br />

DTNH22-04-H-01425 (Role PI) 4/15/07-4/15/08<br />

This project will build on an existing infrastructure of the VT Child Health Improvement Program through the<br />

use of Telemedicine and online education.<br />

03420-5145 State of Vermont (Role PI) 9/1/08 – 6/30/09<br />

Increase the availability of child tele-psychiatry consultation services for Vermont primary care providers.<br />

Research Grant (Role PI) 4/15/07-4/15/08<br />

Office of Vermont Health Access - Vermont Child Initiative Program - Collaborative project between <strong>The</strong><br />

Office of Vermont Health Access and the Department of Developmental Disabilities and Mental Health<br />

Services with Fletcher Allen (UVM) and the Dartmouth-Hitchcock Medical Centers.<br />

Klingenstein Third Generation Foundation (Role PI) 7/1/07 – 6/30/09<br />

“Donald J. Cohen Medical Student Training Program” - To create mentoring relationships between medical<br />

students & child psychiatrists, 2) teach empirically-based & family-centered assessment, 3) encourage<br />

students to consider careers in child & adolescent psychiatry.<br />

Klingenstein Third Generation Foundation (Role Mentor) 7/1/07 – /30/09<br />

“Epigenetic factors associated with Attention Deficit/Hyperactivity Disorder” - We predict that an MZ twin who<br />

suffers from ADHD will have a different pattern of whole genome methylation than his or her co-twin who does<br />

not have the disorder.<br />

2R56MH058799 Role: (PI) 2008 – 2009<br />

NIMH Collaborative; “Renewal of Developmental Twin Study of Attention, Aggression & Affect” - Using data<br />

from multiple informants, obtained at multiple time points with multiple assessments techniques to identify<br />

heritable phenotypes for future gene-mapping studies of ADHD and related behaviors.<br />

K08 MH069562 Role: (Mentor) 12/1/03 – 11/30/08<br />

NIMH Collaborative; “Temperament and Developmental Psychopathology” - This application focuses on the<br />

incorporation of temperamental assessment and behavioral genetic approaches to provide refined<br />

phenotypes for future research in molecular genetics and early intervention.


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Virginia<br />

UVA Children's Hospital and Kluge's Children's Rehabilitation Center<br />

www.virginia.edu<br />

REGION: Mid‐Atlantic CATEGORY OF CARE: Virtual SJB Center<br />

Program Director: Peter Patrick, Ph.D. Position Title: Associate Professor<br />

Department: Department of Clinical Pediatrics<br />

Address: 2270 Ivy Road, University, VA 22903<br />

Phone: 434‐924‐5411<br />

Email: pdp2n@virginia.edu<br />

Level 1 Center(s): Charlottesville, Hampton Roads<br />

Level 2 Center(s): Roanoke, Fairfax, Richmond, NE Virginia, Southcentral Virginia<br />

Level 3 Center(s): Rural southern Virginia, Shenandoah Valley<br />

Number of jobs <strong>PABI</strong> Grant creates in Virginia: 119<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 6,593,644<br />

Category of Care Management Sub‐total: $ 1,947,400<br />

Case Management Sub‐total: $ 5,103,701<br />

State Lead Center Sub‐total: $ 13,676,746<br />

Indirect Cost to Institution (20%): $ 2,735,349<br />

Administrative Cost to SJBF (2%): $ 273,535<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 16,685,630


UVA Children's Hospital and Kluge's Children's Rehabilitation Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 104,619<br />

Program Director Assistant: $ 105,923<br />

State Director: $ 353,076<br />

Associate State Director: $ 152,999<br />

State Epidemiologist: $ 235,384<br />

State Epidemiologist Assistant: $ 105,923<br />

State Scientific Investigation Research Coordinator: $ 200,076<br />

State Scientific Investigation Research Assistant: $ 200,076<br />

State Education/Training Coordinator (plus materials): $ 383,701<br />

State General Counsel: $ 282,461<br />

State IT Manager: $ 223,615<br />

State Family Support Coordinator: $ 176,538<br />

State Prevention/Awareness Coordinator: $ 176,538<br />

State Acute Care Coordinator: $ 176,538<br />

State Reintegration Coordinator: $ 176,538<br />

State Adult Transition Coordinator: $ 176,538<br />

State Mild TBI Coordinator: $ 176,538<br />

State Mental Health Coordinator: $ 152,999<br />

State Assistive/Emerging Technology Coordinator: $ 152,999<br />

State Correctional System Coordinator: $ 152,999<br />

State MISC Coordinator: $ 152,999<br />

State Veterans Coordinator: $ 152,999<br />

State Data Manager: $ 152,999<br />

State Public Policy Manager: $ 176,538<br />

State Community Relations Manager: $ 152,999<br />

State Administrative Support: $ 635,536<br />

Charity care: $ 354,360<br />

Human Resources Support: $ 119,000<br />

Training Support: $ 29,750<br />

State Lead Center Office Space Cost: $ 340540<br />

State Lead Center Transportation/Travel: $ 113,400<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 109,852<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 101,246<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 6,593,644


UVA Children's Hospital and Kluge's Children's Rehabilitation Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Virtual SJB Center<br />

Regional Category Director: $ 353,076<br />

Regional Category Epidemiologist: $ 282,461<br />

Regional Category Education/Training Coordinator: $ 235,384<br />

Regional Category Scientific Investigation Research: $ 235,384<br />

Regional Business Development Manager: $ 235,384<br />

Regional Category Administrative Support: $ 423,691<br />

Regional Category Office Space Cost: $ 98,867<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 31,892<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,947,400


UVA Children's Hospital and Kluge's Children's Rehabilitation Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 336,263<br />

Level 1 Center Field Specialist(s): $ 269,010<br />

Level 1 Center SJB Family Specialist(s): $ 1,835,994<br />

Level 1 Center Administrative Support: $ 302,636<br />

Level 1 Office Space Cost: $ 53,154<br />

Level 1 Transportation/Travel: $ 55,800<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 96,183<br />

Level 2 Center Field Specialist(s): $ 403,515<br />

Level 2 Center SJB Family Specialist(s): $ 1,311,424<br />

Level 2 Transportation/Travel: $ 39,600<br />

Level 2 Office Equipment/Communications: $ 66,500<br />

Level 2 Supplies: $ 53,154<br />

Level 3 Center SJB Family Specialist(s): $ 196,714<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 6,075<br />

CASE MANAGEMENT SUB‐TOTAL: $ 5,103,701<br />

STATE LEAD CENTER SUB‐TOTAL: $ 13,676,746<br />

INDIRECT COST TO INSTITUTION: $ 2,735,349<br />

ADMINISTRATIVE FEE TO SJBF: $ 273,535<br />

STATE LEAD CENTER SUB‐TOTAL: $ 16,685,630<br />

TOTAL JOBS CREATED IN Virginia: 119


BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

PATRICK, Peter D.<br />

eRA COMMONS USER NAME<br />

POSITION TITLE<br />

Associate Professor of Clinical Pediatrics<br />

Director of Pediatric Psychology for Children's Med<br />

Center, Kluge Children's Rehabilitation Center<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

Alfred University, Alfred, NY BA 1968 Psychology<br />

Alfred University, Alfred, NY MA 1970 School Psychology<br />

University of Detroit, Detroit, MI PhD 1974 Clinical Psychology<br />

Fairleigh Dickinson University<br />

Post Doc<br />

Masters<br />

2004 Psychopharmacology<br />

A. Positions and Honors.<br />

RESEARCH AND PROFESSIONAL EXPERIENCE<br />

1971-1972 Lafayette Clinic, Detroit, MI<br />

1972-1973 Harbor Light Treatment Center, Detroit, MI<br />

1972-1974 Wake Psychology Clinic, Royal Oak, MI<br />

1973-1974 Henry Ford Hospital, Detroit, MI<br />

1974-1977 Washington Hospital Center, Washington, DC<br />

1977-1980 Group Practice, Glick, Kreuz and Gardner, Washington, DC<br />

1980-1982 Group Practice, Chesapeake Health Resources, Washington, DC<br />

1982-1987 Private Practice, Northern Virginia Neuropsychology Center<br />

1988-1997 Program Director, Learning Services Mid-Atlantic, Manassas, VA<br />

1997-1998 President and Psychologist, NeuroPsych. HealthCare, Inc., Fairfax, VA<br />

Present Director of Pediatric Psychology , Associate Professor of Clinical Pediatrics, University of Virginia,<br />

Children’s Hospital, Charlottesville, VA<br />

PROFESSIONAL ACTIVITIES<br />

2003-2004 Member of the Board of Governors International <strong>Brain</strong> Injury Association<br />

2002-2003 Member CDC task force on “Surveillance, detection and diagnosis of mild traumatic brain injury in<br />

America,” Chair: Victor Coronado, M.D. Currently completing draft report to Congress that will be<br />

submitted Summer 2002<br />

2000-2002 Chair, Scientific Advisory Board, National <strong>Brain</strong> Injury Research and Training Organization<br />

2000-2001 Member, Taskforce on Mental Health, Department of Education, City of Waynesboro<br />

1999-2001 Reviewer, Irving and Felecia Rubin Family Grant. Private grantor for research in brain injury<br />

1999-2000 Chairman: International Task Force on Guidelines and Standards of Care for Children and<br />

Adolescents following Acquired <strong>Brain</strong> Injury<br />

1999 Paper Presentation 3rd World Congress on Traumatic <strong>Brain</strong> Injury, Quebec Canada June 12-17,<br />

1999, Evaluation and Treatment of Minimally Conscious Children<br />

1999 Member: Task Force of the <strong>Brain</strong> Injury Association to Address Issues Affecting Children and<br />

Adolescents after <strong>Brain</strong> Injury, November 30, 1999<br />

1999 Co-Chair of the international task force for review of Quality of Life Measures in Children With<br />

Traumatic <strong>Brain</strong> Injury: Invited Conference: University of Colon, Colon Germany September 31-<br />

Oct 3rd Colon Germany (Proceedings to be published in the Journal of Reconstructive<br />

Neurosurgery, 2000)<br />

1995-1998 Past Vice Chairman, Mid-Atlantic <strong>Brain</strong> Injury Consortium, Northern Virginia<br />

1985-1992 Chairman of Virginia <strong>Brain</strong> Injury Council, Department of Rehabilitation<br />

1986-1989 President of Virginia <strong>Brain</strong> Injury Association<br />

1984-1985 Chairman, Task Force for the Study of Head Injury, Commonwealth of Virginia


B. Selected peer-reviewed publications (in chronological order).<br />

1. Patrick P, Patrick S., Duncan E., “Neuropsychological Recovery of Children and Adolescents Following<br />

Traumatic <strong>Brain</strong> Injury” In <strong>Brain</strong> Injury Treatment: <strong>The</strong>ories and Practice, Ed. Carrion, JL, Zitnay, G., Von<br />

Weld, C., 2006, Pp.401-440, Taylor & Francis, 279 Madison Ave., New York<br />

2. Patrick P, Mabry J., Buck M, Gurka M, Blackman J. "Dopamine agonist therapy in low response children<br />

following traumatic brain injury Accepted for publication, September 2005,Child Neurology 2006<br />

3. Oria RB., Patrick P, Zhang H, et al. APOE4 Protects the Cognitive Development in Children with Heavy<br />

Diarrhea Burdens in Northeast Brazil. Pediatric Research 2005.<br />

4. Patrick P, Oria RB., Madhavan V, et al. Limitations in Verbal Fluency Following Heavy Burdens of Early<br />

Childhood Diarrhea in Brazilian Shantytown Children. Child Neuropsychology 2005;11(2).<br />

5. Blackman, J A, Patrick, PD, Buck, ML, Rust, RS “ Paroxismal Autonomic Instability with Distonia”, Arch<br />

Neurol. 2004, 61: 321-328<br />

6. Patrick, P.D., Buck, M., Conaway, M., Blackman, J.: “Use of dopamine enhancing medications with<br />

children in low response states following brain injury,” <strong>Brain</strong> Injury, 17(6):1-10, 2003<br />

7. Ravens-Sieberer, U., Patrick, P.D., “Quality of life in children with traumatic brain injury-basic issues,<br />

assessment and recommendations,” Restorative Neurology and Neuroscience, 20(3.4):135-150, 2002<br />

8. Patrick, P.D., Rice, S.A., and Hostler S.L.: “DSM-IV: Diagnosis of children with traumatic brain injury,”<br />

Neurorehabilitation, 16:1-7, 2001<br />

9. Patrick, P. D., Conaway, M. R., Buck, M. L., Blackman, J. A., Dopamine Enhancing Drugs for Children in<br />

Low Response States Following <strong>Brain</strong> Injury. <strong>Brain</strong> Injury; 2003, vol 17, no.6, 497-506.<br />

10. Patrick, P.D., Patrick, S.T., Poole, J., Hostler, S., Evaluation and Treatment of the Minimally Conscious<br />

Child: Single Subject Design. Behavioral Interventions; 15: 225-242, 2000.<br />

11. Patrick, P.D., Mozzoni, M., Patrick, S.T., Evidenced Base Care and <strong>The</strong> Single Subject Design. <strong>The</strong><br />

Journal of Infants and Young Children, Vol. 13, Number 1, 60-73, June 2000.<br />

C. Other Support<br />

Active<br />

U01 AI 26512 (Guerrant) 5/1/89-4/30/10 0.96 calendar mo.<br />

NIH/NIAID $412,073<br />

Long-Term Impact and Intervention for Diarrhea in Brazil<br />

International Collaboration in Infectious Disease Research (ICIDR)<br />

New and Emerging Pathogens Causing Persistent Diarrhea: Epidemiology, Pathophysiology and Novel<br />

Approaches to <strong>The</strong>rapy<br />

Continuing our long term studies in northeast Brazil, the major goals of this project are (1) to determine the<br />

effects of zinc and arginine on diarrhea morbidity, nutritional status, cognitive development, and intestinal<br />

barrier function; (2) to define plausible genetic determinants of genotype-specific major enteric protozoan and<br />

EAEC infections, overt diarrhea, intestinal inflammation, and long term developmental sequelae.<br />

1T15HD050255-01A1 (Blackman) 4/06 – 5/11 0.24 calendar mo.<br />

NIH/NCMRR $698,000<br />

NIH Grant Prep.Workshops for Rehabilitation Research<br />

<strong>The</strong> purpose of this project is to provide training and mentoring in grant writing, clinical trial design,<br />

biostatistics, informatics, collaboration, grantsmanship, budgeting, and career development for junior and midlevel<br />

faculty in all medical rehabilitation disciplines.<br />

RFP #07-302 (Patrick) 7/07 – 6/10 3.6 calendar mo.<br />

Virginia Neurotrauma Initiative $450,000<br />

Growth Hormone and Insulin Growth Factor 1 Deficiencies in Children/Adolescents Following Traumatic <strong>Brain</strong><br />

Injury: <strong>The</strong> impact on growth/development and neuropsychological recovery<br />

<strong>The</strong> study will examine the relationships between alteration in GH and IGF-1 axis on growth and development<br />

patterns following TBI. Additionally, the relationship between disturbances in the GH-IFG-1 axis and<br />

neurobehavioral/neurocognitive recovery will be examined.<br />

Pending<br />

N/A


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Washington<br />

University of Washington / Harborview Medical Center<br />

www.uwmedicine.org/Facilities/Harborview<br />

REGION: Rural/Tele‐health CATEGORY OF CARE: Pacific<br />

Program Director: Monica Vavilala, MD Position Title: Associate Professor<br />

Department: Department of Anesthesiology & Pediatrics<br />

Address: 325 Ninth Avenue, Seattle, WA 98104<br />

Phone: 206‐744‐9454<br />

Email: vavilala@u.washington.edu<br />

Level 1 Center(s): Seattle, Spokane<br />

Level 2 Center(s): Tacoma, Vancouver, Bellevue<br />

Level 3 Center(s): Everett, Bellingham, Kennewick<br />

Number of jobs <strong>PABI</strong> Grant creates in Washington: 108<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 6,565,838<br />

Category of Care Management Sub‐total: $ 1,857,942<br />

Case Management Sub‐total: $ 4,490,489<br />

State Lead Center Sub‐total: $ 12,946,269<br />

Indirect Cost to Institution (20%): $ 2,589,254<br />

Administrative Cost to SJBF (2%): $ 258,925<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 15,794,448


University of Washington / Harborview Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 68,250<br />

Program Director Assistant: $ 106,491<br />

State Director: $ 354,969<br />

Associate State Director: $ 153,820<br />

State Epidemiologist: $ 236,646<br />

State Epidemiologist Assistant: $ 106,491<br />

State Scientific Investigation Research Coordinator: $ 201,149<br />

State Scientific Investigation Research Assistant: $ 201,149<br />

State Education/Training Coordinator (plus materials): $ 355,942<br />

State General Counsel: $ 283,975<br />

State IT Manager: $ 224,814<br />

State Family Support Coordinator: $ 177,485<br />

State Prevention/Awareness Coordinator: $ 177,485<br />

State Acute Care Coordinator: $ 177,485<br />

State Reintegration Coordinator: $ 177,485<br />

State Adult Transition Coordinator: $ 177,485<br />

State Mild TBI Coordinator: $ 177,485<br />

State Mental Health Coordinator: $ 153,820<br />

State Assistive/Emerging Technology Coordinator: $ 153,820<br />

State Correctional System Coordinator: $ 153,820<br />

State MISC Coordinator: $ 153,820<br />

State Veterans Coordinator: $ 153,820<br />

State Data Manager: $ 153,820<br />

State Public Policy Manager: $ 177,485<br />

State Community Relations Manager: $ 153,820<br />

State Administrative Support: $ 638,944<br />

Charity care: $ 364,071<br />

Human Resources Support: $ 108,000<br />

Training Support: $ 27,000<br />

State Lead Center Office Space Cost: $ 349,872<br />

State Lead Center Transportation/Travel: $ 113,400<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 112,862<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 104,020<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 6,565,838


University of Washington / Harborview Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Pacific<br />

Regional Category Director: $ 354,969<br />

Regional Category Epidemiologist: $ 283,975<br />

Regional Category Education/Training Coordinator: $ 236,646<br />

Regional Category Scientific Investigation Research: $ 236,646<br />

Regional Category Administrative Support: $ 425,963<br />

Regional Category Office Space Cost: $ 101,576<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 32,766<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,857,942


University of Washington / Harborview Medical Center Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 338,066<br />

Level 1 Center Field Specialist(s): $ 270,453<br />

Level 1 Center SJB Family Specialist(s): $ 184,5839<br />

Level 1 Center Administrative Support: $ 304,259<br />

Level 1 Office Space Cost: $ 54,611<br />

Level 1 Transportation/Travel: $ 55,800<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 98,819<br />

Level 2 Center Field Specialist(s): $ 243,407<br />

Level 2 Center SJB Family Specialist(s): $ 791,074<br />

Level 2 Transportation/Travel: $ 23,760<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 32,766<br />

Level 3 Center SJB Family Specialist(s): $ 296,653<br />

Level 3 Transportation/Travel: $ 7,020<br />

Level 3 Office Equipment/Communications: $ 17,100<br />

Level 3 Supplies: $ 9,362<br />

CASE MANAGEMENT SUB‐TOTAL: $ 4,490,489<br />

STATE LEAD CENTER SUB‐TOTAL: $ 12,946,269<br />

INDIRECT COST TO INSTITUTION: $ 2,589,254<br />

ADMINISTRATIVE FEE TO SJBF: $ 258,925<br />

STATE LEAD CENTER SUB‐TOTAL: $ 15,794,448<br />

TOTAL JOBS CREATED IN Washington: 108


NAME<br />

Principal Investigator/Program Director (Last, first, middle):<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel on page 1 of the Detailed Cost Estimate form for the initial budget period.<br />

Monica S. Vavilala, MD<br />

POSITION TITLE<br />

Associate Professor, Anesthesiology<br />

Pediatrics and Neurological Surgery (Adj)<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

University of Houston, Houston, TX BS 1984-1987 Biology<br />

University of Texas Medical School, Houston, TX MD 1987-1991 Medicine<br />

University of Texas Medical School, Houston, TX Residency 1991-1994 Pediatrics<br />

University of Washington, Seattle, WA Residency 1994-1997 Anesthesiology<br />

A. Positions and Honors<br />

Positions and Employment<br />

1983, 1984 Dr. Michael E. De Bakey Summer Research Fellowship<br />

1986 Southwestern Sociological Association Writing Award<br />

1990 American Cancer Society Fellowship<br />

1992 Outstanding Medical Student Educator<br />

1992 Pediatrics Resident of the Year<br />

1997-2000 Acting Assistant Professor, Departments of Anesthesiology and Pediatrics, University of<br />

Washington School of Medicine, Seattle, WA.<br />

2002- Affiliate Investigator, Harborview Injury Prevention and Research Center. Seattle, WA.<br />

2000-2004 Assistant Professor, Departments of Anesthesiology and Pediatrics, University of Washington<br />

School of Medicine, Seattle, WA.<br />

2004- Associate Professor, Departments of Anesthesiology and Pediatrics, University of Washington<br />

School of Medicine, Seattle, WA.<br />

2006- Core member, Harborview Anesthesia Research Center. Seattle, WA.<br />

2008- Associate Director, Harborview Injury Prevention and Research Center, Seattle, WA.<br />

Honors<br />

2005 EuroNeuro2005 Poster Presentation Prize<br />

2005 University of Washington Department of Anesthesiology B. Raymond Fink Award for Research<br />

2005-2006 Ad hoc Member Study Section, Pediatrics Subcommittee, NICHD, October 2005, March 2006<br />

2006-2010 Permanent Member Study Section, Pediatrics Subcommittee, NICHD<br />

2007 Reviewer for Medical Research Council, United Kingdom.<br />

2009- Panel to Update National Pediatric Traumatic <strong>Brain</strong> Injury Guidelines<br />

Other Experience and Professional Memberships<br />

1. Society for Pediatric Research, 2. Reviewer for Critical Care Medicine, Archives of Pediatrics and<br />

Adolescent<br />

Medicine, Stroke, Pediatric Research, & Anesthesiology, 3. Editorial Board for Journal of Neurosurgical<br />

Anesthesiology<br />

Page _______ Biographical Sketch Format Page


Principal Investigator/Program Director (Last, first, middle):<br />

B. Selected peer-reviewed publications of 72 (in chronological order).<br />

1. Vavilala, M.S., Lee L.A., Lam, A.M.: Cerebral Autoregulation Before and After Blood Transfusion in A<br />

Child. J Neurosurg Anesthesiol.13:231-6, 2001.<br />

2. Vavilala, M.S., Roberts J.O., Moore A.E., Newell, D.W., Lam A.M.: <strong>The</strong> Influence of Inhaled Nitric<br />

Oxide on Cerebral Blood Flow and Metabolism in a Child with Traumatic <strong>Brain</strong> Injury. Anesthesia &<br />

Analgesia 93:351-3, 2001.<br />

3. Vavilala, M.S., Junger E., Douville C.A., Rivara, F.P.: Newell D., Lam A.M.: Dynamic Cerebral<br />

Autoregulation in Healthy Adolescents. Acta Scanda Anes 46:393-7, 2002.<br />

4. Sharar, S.R., Carrougher, G.J., Selzer, K., O’Donnell, F., Vavilala, M.S., Lee, L.A.: A Comparison of Oral<br />

Transmucosal Fentanyl Citrate (OFTC) and Oral Oxycodone (OC) for Pediatric Outpatient Wound Care. J<br />

Burn Care Rehabil 23:27-31, 2002.<br />

5. Vavilala, M.S., Nathens, A.B., Mackenzie, E., Jurkovich, G.J., Rivara, F.P.: Risk Factors for Venous<br />

Thromboembolism in Pediatric Trauma. J Trauma 52:922-7, 2002.<br />

6. Boddu, K., Vavilala, M.S., Stevenson, G.J., Lam, A.M.: Pediatric Thoracic Nailgun Injury: A Case Report<br />

and Review of the Literature. Anesthesia & Analgesia 95:624-6, 2002.<br />

7. Ransom, G., Mann, F., Vavilala, M.S., Rivara, F.P.: Cerebral Infarct in Head Injury: Relation to Child<br />

Abuse. Child Abuse Negl 27:381-92, 2003.<br />

8. Vavilala, M.S., Lee, M., Lee L.A., Graham A., Visco E., Lam A.M.: Cerebral Autoregulation in Children<br />

During Sevoflurane Anesthesia. Br J Anaesth 90:636-41, 2002.<br />

9. Vavilala, M.S., Bowen, A., Lam, A.M., Uffman, J.C., Powell, J.C., Winn, H.R., Rivara, F.P.: Blood<br />

Pressure and Outcome Following Severe Pediatric Traumatic <strong>Brain</strong> Injury. J Trauma. 55:1039-44, 2003.<br />

10. Vavilala, M.S., Lee, L.A., Lam, A.M.: <strong>The</strong> Lower Limit of Cerebral Autoregulation in Children during


Principal Investigator/Program Director (Last, first, middle):<br />

22. Coates, B.M., Vavilala, M.S., Mack C., Muangman, S., Suz, P., Sharar, S.R., Bulger, E., Lam, A.M.: <strong>The</strong><br />

Influence of Definition and Location of Hypotension on Outcome Following Severe Pediatric Traumatic<br />

<strong>Brain</strong> Injury. Crit Care Med. 33:2645-50, 2005.<br />

23. Suz, P., Vavilala, M.S., Souter, M., Muangman, S., Lam, A.M.: Clinical Features of Fever Associated with<br />

Poor Outcome in Severe Pediatric Traumatic <strong>Brain</strong> Injury. J Neurosurg Anesthesiol. 18:5-10, 2006.<br />

24. Vavilala, M.S., Muangman, S., Tontisirin, N., Fisk, D., Roscigno, C., Mitchell, P., Kirkness, C.,<br />

Zimmerman, J.J., Chesnut, R., Lam, A.M.: Impaired Cerebral Autoregulation and 6-month Outcome in<br />

Children with Severe Traumatic <strong>Brain</strong> Injury: Preliminary Findings. Develop Neurosci. 28(4-5):348-53,<br />

2006.<br />

25. Roberts, J.S., Vavilala, M.S., Schenkman, K.A., Shaw, D., Martin, L.D., Lam, A.M.: Cerebral Hyperemia<br />

and Impaired Cerebral Autoregulation Associated with Diabetic Ketoacidosis in Critically Ill Children. Crit<br />

Car Med. 34(8):2217-23, 2006.<br />

26. Miller, P., Vavilala, M.S., Lam, A.M.: <strong>The</strong> Incidence and Risk Factors for Hypotension During Emergent<br />

Decompressive Craniotomy in Children with Traumatic <strong>Brain</strong> Injury. Anesth Analg. 2006 Oct;103(4):869-<br />

75.<br />

27. Rozet, I., Vavilala, M.S., Lam, A.M.: Clinical Experience with Dexmedetomidine for Implantation of Deep<br />

<strong>Brain</strong> Stimulators in Parkinson's Disease. Anesth Analg. 103(5):1224-8, 2006.<br />

28. Vavilala, M.S., Muangman, S., Waitayawinyu, P., Fisk, D., Jaffe, K., Mitchell, P., Kirkness, C.,<br />

Zimmerman, J., Ellenbogen, R., Lam, A.: Neurointensive Care; Impaired Cerebral Autoregulation in<br />

Infants and Young Children Early After Inflicted TBI: A Preliminary Report. Pediatric <strong>Brain</strong> Injury. J<br />

Neurotrauma. 24(1):87-96, 2007.<br />

29. Tontisirin, N., Muangman, S.L., Suz, P., Pihoker, C., Fisk, D., Moore, A., Lam, A.M., Vavilala, M.S.:<br />

Early Childhood Gender Differences in Anterior and Posterior Cerebral Blood Flow Velocity and<br />

Autoregulation. Pediatrics. Mar;119(3):e610-5, 2007.<br />

30. Vavilala, M.S. Cerebral Oximetry Patience is a Virtue but not a Virtue for the Patient, Yet?. Editorial.<br />

Pediatr Crit Care Med. March;8(2):192-3, 2007.<br />

31. Hollingworth, W., Vavilala M.S., Jarvik, J.G., Chaudhry, S., Johnston, B.D., Layman, S., Tontisirin, N.,<br />

Wang, M.: <strong>The</strong> use of Repeated Head Computed Tomography in Pediatric Blunt Head Trauma: Factors<br />

Predicting New and Worsening <strong>Brain</strong> Injury. Pediatr Crit Care Med. July:8(4):348-56, 2007.<br />

32. Tontisirin, N., Armstead, W., Waitayawinyu, P., Moore, A., Udomphorn, Y., Zimmerman, J.J., Chesnut,<br />

R., Vavilala, M.S.: Change in Cerebral Autoregulation as a Function of Time In Children after Severe<br />

Traumatic <strong>Brain</strong> Injury: A Case Series. Child’s Nerv Syst. Oct;23(10):1163-9, 2007.<br />

33. Rozet, I., Vavilala, M.S.: Risks and Benefits of Patient Positioning During Neurosurgical Care. Anesthesiol<br />

Clin. Sep;25(3):631-53, 2007.<br />

34. Armstead, W.M., Vavilala, M.S.: Adrenomedullin Reduces Gender-dependent Loss of Hypotensive<br />

Cerebrovasodilation after Newborn <strong>Brain</strong> Injury through Activation of ATP-dependent K Channels. J<br />

Cereb. Blood Flow Metab. Oct;27(10):1702-9, 2007.<br />

35. Olivar, H., Bramhall, J.S., Rozet, I., Vavilala, M.S., Souter, M.J., Lee, L.A., Lam, A.M.: Subarachnoid<br />

Lumbar Drains: a Case Series of Fractured Catheters and a Near Miss. Can J Anaesth. 54(10):829-34,<br />

2007.<br />

36. Brown, J.M., Udomphorn, Y., Suz, P., Vavilala, M.S.: Antipyretic Treatment of Noninfectious Fever in<br />

Children with Severe Traumatic <strong>Brain</strong> Injury. Childs Nerv Syst. 2008 Apr;24(4):477-83. Epub 2007 Oct 5.<br />

37. Rozet, I., Tontisirin, N., Muangman, S., Vavilala, M.S., Souter, M.J., Lee, L.A., Kincaid, M.S., Britz,<br />

G.W., Lam, A.M. Effect of Equiosmolar Solutions of Mannitol Versus Hypertonic Saline on Intraoperative<br />

<strong>Brain</strong> Relaxation and Electrolyte Balance. Anesthesiology. 2007 Nov;107(5):697-704.<br />

38. Freeman, S., Udomphorn, Y., Armstead, W.M., Vavilala, M.S. Young Age as a Risk Factor for Impaired<br />

Cerebral Autoregulation in Children after Moderate to Severe Pediatric Traumatic <strong>Brain</strong> Injury.<br />

Anesthesiology. 2008 Apr;108(4):588-95.<br />

39. Samant, U.B., Mack, C.M., Koepsell, T., Rivara, F.P., Vavilala, M.S. Time of Hypotension and Discharge<br />

Outcome after Severe Pediatric Traumatic <strong>Brain</strong> Injury. J Neurotrauma. 2008 May;25(5):495-502.<br />

PHS 398/2590 (Rev. 05/01) Page _______ Biographical Sketch Format Page


Principal Investigator/Program Director (Last, first, middle):<br />

40. King MA, Garrison MM, Vavilala MS, Zimmerman JJ, Rivara FP. Complications associated with arterial<br />

catheterization in children. Pediatr Crit Care Med. 2008 May 19. [Epub ahead of print]<br />

41. Curry R, Hollingworth W, Ellenbogen RG, Vavilala MS. Incidence of hypo- and hypercarbia in severe<br />

traumatic brain injury before and after 2003 pediatric guidelines. Pediatr Crit Care Med. 2008;9(2):141-6.<br />

42. Vavilala MS, Tontisirin N, Udomphorn Y, Armstead W, Zimmerman JJ, Chesnut R, Lam AM.<br />

Hemispheric Differences in Cerebral Autoregulation in Children with Moderate and Severe Traumatic<br />

<strong>Brain</strong> Injury. Neurocrit Care. 2008. 2008;9(1):45-54.<br />

43. Sharma D, Jelacic J, Chaiwat O, Chandler W, Vavilala M.S. Perioperative Hyperglycemia in Pediatric<br />

Traumatic <strong>Brain</strong> Injury. Anesth & Analg 2009; 108(1):81-9<br />

44. Chaiwat O, Lang J, Wang J, Jurkovich GJ, Rivara FP, Vavilala M.S. Effect of Red Blood Cell Transfusion<br />

on ARDS in Trauma Patients. Anesthesiology. 2009; 110:351-60.<br />

45. Relyea-Chew AM, King M, Vavilala, M.S. Hollingworth W. Radiation Risk and Cancer Estimates in<br />

Pediatric Traumatic <strong>Brain</strong> Injury. Ped Radiol. 2008 (in-press).<br />

46. Chaiwat O, Sharma D, Udomphorn Y, Armstead WM, Vavilala M.S. Cerebral Hemodynamic Predictors of<br />

Poor 6 month Glasgow Outcome Score in Severe Pediatric Traumatic <strong>Brain</strong> Injury. J Neurotrauma. 2009;<br />

26:1–7..<br />

47. Philip S, Chaiwat O, Udomphorn Y, Zimmerman JJ, Armstead WM, Vavilala MS. Variability in Cerebral<br />

Blood Flow Velocity with Cerebral Perfusion Pressure > 40mmHg in 42 Children with Traumatic <strong>Brain</strong><br />

Injury. Crit Care Med. (in-press).<br />

Book Chapters: Selected of 12<br />

1. Udomphorn Y, Armstead WM, Vavilala M.S.: Cerebral Autoregulation in Pediatric Traumatic <strong>Brain</strong> Injury.<br />

Ped Neurology. 2008 Apr;38(4):225-34.<br />

C. Research Support<br />

Ongoing Research Support<br />

CDC/R49 CE0010210-02 (PI Rivara, F.P.) 09/01/2006 – 08/30/2011<br />

Center for Disease Control $ 3,200,000<br />

Disability from Pediatric Trauma <strong>Brain</strong> Injury<br />

<strong>The</strong> purpose is to examine disability after pediatric traumatic brain injury. Role: Co-investigator<br />

CDC/R49 CE000197-05 (PI Ebel, Beth) 08/01/2004 – 07/31/2009<br />

Center for Disease Control $ 4,500,000<br />

Harborview Injury Prevention & Research Center<br />

<strong>The</strong> purpose is to examine trauma care delivery and outcome.<br />

Role: Co-investigator<br />

0006876A.UW (Vavilala) 3/1/09-2/28/12 .<br />

UTexas/NIH $21,094<br />

Resource Over-Utilization due to Serious Alcohol Related Injuries<br />

<strong>The</strong> current study will estimate the extra-burden of injuries imposed by individuals with high blood alcohol<br />

concentrations in the ED and/or dependence to alcohol on emergency medical service (EMS) system and the<br />

hospital health care system. We will place special emphasis on sex and race/ethnicity. <strong>The</strong> main specific aims<br />

are to compare: 1) pre-hospital resource utilization between alcohol- and non-alcohol involved injuries; 2) the<br />

cost of pre-hospital care between alcohol- and non-alcohol involved injuries; 3) early vs. late hospital resource<br />

utilization (i.e., procedures conducted in the first twenty four hours following admission vs. thereafter) between<br />

alcohol- and non-alcohol involved injuries; 4) cost of hospital care between alcohol-and non-alcohol involved<br />

injuries.<br />

PHS 398/2590 (Rev. 05/01) Page _______ Biographical Sketch Format Page


Principal Investigator/Program Director (Last, first, middle):<br />

NICHD/NIH/R21 HD049832-02 (PI Vavilala, M.S.) 04/01/2005 – 05/31/2009<br />

National Institute of Child Health and Human Development $ 275,000 ---no cost extension<br />

Cerebral Edema in Pediatric Diabetic Ketoacidosis<br />

<strong>The</strong> purpose is to examine the relationship between cerebral blood flow velocity, autoregulation and<br />

oxygenation and the development of cerebral edema in children with diabetic ketoacidosis.<br />

Completed Research Support (Selected Funding described)<br />

RRF (Vavilala, M.S.) 03/01/02-8/31/03<br />

Royalty Research Fund $30,056<br />

“Cerebral Autoregulation Following Pediatric Traumatic <strong>Brain</strong> Injury”<br />

<strong>The</strong> specific aims of this proposal are to determine: 1) the effects of age on cerebral autoregulation in<br />

unanesthetized children without neurological injury, 2) whether Traumatic <strong>Brain</strong> Injury (TBI) induced<br />

impairment of cerebral autoregulation is age dependent, and 3) if impaired cerebral autoregulation is associated<br />

with poor outcome. <strong>The</strong> results of our study can help form practice guidelines for the hemodynamic<br />

management of children with TBI.<br />

AHA NW Affiliate (Vavilala, M.S.) 07/01/02-06/30/04<br />

AHA Beginning Grant In Aid $80,000<br />

Cerebral Autoregulation During Sevoflurane Anesthesia in Children with Traumatic <strong>Brain</strong> Injury<br />

<strong>The</strong> specific aims of this proposal are to determine the effects of age on cerebral autoregulation in healthy<br />

anesthetized children, whether Traumatic <strong>Brain</strong> Injury (TBI) impairs cerebral autoregulation in children during<br />

general anesthesia, if the incidence of TBI induced impairment of cerebral autoregulation is age dependent and<br />

if impaired cerebral autoregulation during general anesthesia is associated with poor outcome.<br />

WSSA (Vavilala, M.S.) 01/01/03-12/31/03<br />

Washington State Society of Anesthesiologists $9,600<br />

Cerebral Perfusion Pressure and Outcome Following Severe Pediatric Traumatic <strong>Brain</strong> Injury<br />

<strong>The</strong> goal is to prospectively characterize cerebral hemodynamics following severe TBI and to determine the<br />

relationship between cerebral hemodynamics and outcome following severe pediatric TBI.<br />

Department Start up Fund (Vavilala, M.S.) 01/01/02-12/31/03<br />

Anesthesia Research & Training $8,640<br />

Cerebral Autoregulation and Cerebral Oxygenation in Cerebral Edema due to Pediatric Diabetic Ketoacidosis<br />

<strong>The</strong> specific aims of this proposal are: 1) to examine the relationship between impaired cerebral autoregulation<br />

and cerebral edema associated with diabetic ketoacidosis (DKA), 2) to examine the relationship between middle<br />

cerebral artery flow velocity (Vmca) and cerebral edema in children with DKA, and 3) to examine the<br />

association between cerebral edema secondary to DKA and cerebral oxygen desaturation.<br />

HIPRC (Vavilala, M.S.) 08/01/2003 - 07/31/2004<br />

Harborview Injury Prevention & Research Center $2,000<br />

Pre-hospital Hypotension and Outcome in Children with Traumatic <strong>Brain</strong> Injury<br />

<strong>The</strong> overall goals are to: 1) characterize the incidence of pre-hospital hypotension following pediatric TBI and<br />

2) determine the relationship between pre-hospital blood pressure and outcome following TBI in children.<br />

Departmental RFA (Vavilala, M.S.) 02/13/2004<br />

Anesthesia Research & Training $34,972<br />

Departmental RFA for shared equipment: Purchase of Research Equipment (Transcranial Doppler<br />

Ultrasonography) for Collaborative Departmental Use.<br />

NINR/NIH/R01 (Vavilala, M.S. Co-Investigator with 5% effort) 04/01/2004 – 03/31/2008<br />

National Institute of Nursing Research $1,295, 635<br />

PHS 398/2590 (Rev. 05/01) Page _______ Biographical Sketch Format Page


Principal Investigator/Program Director (Last, first, middle):<br />

<strong>The</strong> purpose of this study is to evaluate the effect of CPP monitoring on Nursing Practice.<br />

NICHD/NIH/ K23 (Vavilala, M.S) 09/01/2003- 08/31/2008<br />

National Institute of Child Health and Human Development $638,000<br />

<strong>The</strong> purpose of the study is to examine the: 1) relationship between cerebral perfusion pressure and outcome, 2)<br />

relationship between persistent impairment of cerebral autoregulation and outcome, and 3) the age-related<br />

incidence of hyperemia. We will also examine the relationship between hyperemia and impaired cerebral<br />

autoregulation and the relationship between persistent hyperemia and outcome following severe pediatric TBI.<br />

PHS 398/2590 (Rev. 05/01) Page _______ Biographical Sketch Format Page


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

West Virginia<br />

West Virginia <strong>Brain</strong> Injury Association<br />

www.biausa.org/WVirginia/<br />

REGION: Mid‐Atlantic CATEGORY OF CARE: Rural/Tele‐health<br />

Program Director: Michael Davis, CBIS‐CE Position Title: President and Senior Case Manager<br />

Address: 405 Capitol Street, suite 612, Charleston, WV 25301<br />

Phone: 304‐345‐7757<br />

Email: mdavis@brainman.com<br />

Level 1 Center(s): Morgantown, Charleston<br />

Level 2 Center(s): Huntington, Parkersburg, Wheeling<br />

Level 3 Center(s): 0<br />

Number of jobs <strong>PABI</strong> Grant creates in West Virginia: 99<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 4,940,653<br />

Category of Care Management Sub‐total: $ 3,436,767<br />

Case Management Sub‐total: $ 3,155,704<br />

State Lead Center Sub‐total: $ 11,565,125<br />

Indirect Cost to Institution (20%): $ 2,313,025<br />

Administrative Cost to SJBF (2%): $ 231,302<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 14,109,452


West Virginia <strong>Brain</strong> Injury Association Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 68,250<br />

Program Director Assistant: $ 79,675<br />

State Director: $ 265,582<br />

Associate State Director: $ 115,085<br />

State Epidemiologist: $ 177,054<br />

State Epidemiologist Assistant: $ 79,675<br />

State Scientific Investigation Research Coordinator: $ 150,496<br />

State Scientific Investigation Research Assistant: $ 150,496<br />

State Education/Training Coordinator (plus materials): $ 193,382<br />

State General Counsel: $ 212,465<br />

State IT Manager: $ 168,202<br />

State Family Support Coordinator: $ 132,791<br />

State Prevention/Awareness Coordinator: $ 132,791<br />

State Acute Care Coordinator: $ 132,791<br />

State Reintegration Coordinator: $ 132,791<br />

State Adult Transition Coordinator: $ 132,791<br />

State Mild TBI Coordinator: $ 132,791<br />

State Mental Health Coordinator: $ 115,085<br />

State Assistive/Emerging Technology Coordinator: $ 115,085<br />

State Correctional System Coordinator: $ 115,085<br />

State MISC Coordinator: $ 115,085<br />

State Veterans Coordinator: $ 115,085<br />

State Data Manager: $ 115,085<br />

State Public Policy Manager: $ 132,791<br />

State Community Relations Manager: $ 115,085<br />

State Administrative Support: $ 478,047<br />

Charity care: $ 272,391<br />

Human Resources Support: $ 99,000<br />

Training Support: $ 24,750<br />

State Lead Center Office Space Cost: $ 261,768<br />

State Lead Center Transportation/Travel: $ 88,255<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 84,441<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 77,826<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 4,940,653


West Virginia <strong>Brain</strong> Injury Association Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Rural/Tele‐health<br />

Regional Category Director: $ 265,582<br />

Regional Category Epidemiologist: $ 212,465<br />

Regional Category Education/Training Coordinator: $ 177,054<br />

Regional Category Scientific Investigation Research: $ 177,054<br />

Regional Category Administrative Support: $ 318,698<br />

Regional Category Office Space Cost: $ 75,997<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 24,515<br />

CATEGORY OF CARE SUB‐TOTAL: $ 3,436,767


West Virginia <strong>Brain</strong> Injury Association Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 252,935<br />

Level 1 Center Field Specialist(s): $ 202,348<br />

Level 1 Center SJB Family Specialist(s): $ 1,381,025<br />

Level 1 Center Administrative Support: $ 227,641<br />

Level 1 Office Space Cost: $ 40,859<br />

Level 1 Transportation/Travel: $ 53,804<br />

Level 1 Office Equipment/Communications: $ 61,600<br />

Level 1 Supplies: $ 73,935<br />

Level 2 Center Field Specialist(s): $ 182,113<br />

Level 2 Center SJB Family Specialist(s): $ 591,868<br />

Level 2 Transportation/Travel: $ 23,161<br />

Level 2 Office Equipment/Communications: $ 39,900<br />

Level 2 Supplies: $ 24,515<br />

CASE MANAGEMENT SUB‐TOTAL: $ 3,155,704<br />

STATE LEAD CENTER SUB‐TOTAL: $ 11,565,125<br />

INDIRECT COST TO INSTITUTION: $ 2,313,025<br />

ADMINISTRATIVE FEE TO SJBF: $ 231,302<br />

STATE LEAD CENTER SUB‐TOTAL: $ 14,109,452<br />

TOTAL JOBS CREATED IN West Virginia: 99


MICHAEL W. DAVIS, CBIS-CE<br />

President and Senior Case Manager<br />

Neurological Case Management Associates, LLC<br />

Michael Davis is a Certified <strong>Brain</strong> Injury Specialist and an independent case<br />

manager specializing in traumatic brain and spinal injury cases. Since 1985<br />

Mr. Davis has been a consultant to attorneys, insurance companies, families,<br />

survivors and service providers lending his expertise in the areas of case<br />

reviews, rehabilitation needs assessment, educational/vocational planning,<br />

access to resources and life care plan implementation. He has been actively<br />

involved in public education, program development and advocacy<br />

throughout his many years of service in the field of rehabilitation.<br />

Mr. Davis is the current President, Co-Founder and past Executive Director<br />

of the <strong>Brain</strong> Injury Association of West Virginia (formerly the West Virginia<br />

Head Injury Foundation). He serves on the Board of Directors of the <strong>Brain</strong><br />

Injury Association of West Virginia and is former Chairperson of the Ethics<br />

and Standards Committee of the <strong>Brain</strong> Injury Association (formerly the<br />

National Head Injury Foundation). Over the years Mr. Davis has served on<br />

the Advisory Boards of several rehabilitation facilities as well as other health<br />

related organizations including the West Virginia Traumatic <strong>Brain</strong> & Spinal<br />

Injury Rehabilitation Fund Board and the North American <strong>Brain</strong> Injury<br />

Society.<br />

Mr. Davis has been instrumental in promoting quality assurance criteria in<br />

areas including programming and ethical marketing practices while<br />

emphasizing the rights of survivors and families. Through his professional<br />

career and personal experience, Mr. Davis has earned respect for his<br />

expertise on the educational and psychosocial problems inherent to survivors<br />

of traumatic injuries and their families. In 1988 Mr. Davis received<br />

the’Distinguished West Virginian Award’ for his dedication to the rights of<br />

people with disabilities and his legislative advocacy for the West Virginia<br />

Safety Belt Law and the Americans With Disabilities Act.<br />

Mr. Davis is distinguished Vietnam Veteran who studied Business<br />

Administration, Public Relations and Marketing at West Virginia State<br />

University. He continues to further his experience and expertise in the field<br />

of Rehabilitation and Case Management through his attendance at national<br />

and local conferences and his presentation of numerous professional<br />

inservices.


Phone: (304) 345-7757 405 Capitol Street, St. 612 Website: www.brainman.com<br />

Fax: (304) 345-1009 Charleston, WV 25301 Email: mdavis@brainman.com


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Wisconsin<br />

Children's Hospital of Wisconsin<br />

www.chw.org<br />

REGION: Midcentral CATEGORY OF CARE: Prevention<br />

Program Director: Elizabeth Moberg‐Wolff, MD Position Title: Associate Professor<br />

Department: Department of Physical Medicine & Rehabilitation<br />

Address: 9000 W. Wisconsin Avenue, Wauwatosa, WI 53226<br />

Phone: 414‐266‐3085<br />

Email: emoberg@chw.org<br />

Level 1 Center(s): Milwaukee<br />

Level 2 Center(s): Marshfield, Lacrosse, Madison, Eau Claire, Wausau, Green Bay/Appleton<br />

Level 3 Center(s): 0<br />

Number of jobs <strong>PABI</strong> Grant creates in Wisconsin: 112<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 5,683,796<br />

Category of Care Management Sub‐total: $ 1,605,237<br />

Case Management Sub‐total: $ 3,459,371<br />

State Lead Center Sub‐total: $ 10,780,404<br />

Indirect Cost to Institution (20%): $ 2,156,081<br />

Administrative Cost to SJBF (2%): $ 215,608<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 13,152,093


Children's Hospital of Wisconsin Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 102,375<br />

Program Director Assistant: $ 90,401<br />

State Director: $ 301,337<br />

Associate State Director: $ 130,579<br />

State Epidemiologist: $ 200,891<br />

State Epidemiologist Assistant: $ 90,401<br />

State Scientific Investigation Research Coordinator: $ 170,757<br />

State Scientific Investigation Research Assistant: $ 170,757<br />

State Education/Training Coordinator (plus materials): $ 303,776<br />

State General Counsel: $ 241,069<br />

State IT Manager: $ 190,847<br />

State Family Support Coordinator: $ 150,668<br />

State Prevention/Awareness Coordinator: $ 150,668<br />

State Acute Care Coordinator: $ 150,668<br />

State Reintegration Coordinator: $ 150,668<br />

State Adult Transition Coordinator: $ 150,668<br />

State Mild TBI Coordinator: $ 150,668<br />

State Mental Health Coordinator: $ 130,579<br />

State Assistive/Emerging Technology Coordinator: $ 130,579<br />

State Correctional System Coordinator: $ 130,579<br />

State MISC Coordinator: $ 130,579<br />

State Veterans Coordinator: $ 130,579<br />

State Data Manager: $ 130,579<br />

State Public Policy Manager: $ 150,668<br />

State Community Relations Manager: $ 130,579<br />

State Administrative Support: $ 542,406<br />

Charity care: $ 309,063<br />

Human Resources Support: $ 112,000<br />

Training Support: $ 28,000<br />

State Lead Center Office Space Cost: $ 297,010<br />

State Lead Center Transportation/Travel: $ 100,136<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 95,810<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 88,304<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 5,683,796


Children's Hospital of Wisconsin Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Prevention<br />

Regional Category Director: $ 301,337<br />

Regional Category Epidemiologist: $ 241,069<br />

Regional Category Education/Training Coordinator: $ 200,891<br />

Regional Category Scientific Investigation Research: $ 200,891<br />

Regional Category Administrative Support: $ 361,604<br />

Regional Category Office Space Cost: $ 86,229<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 27,816<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,605,237


Children's Hospital of Wisconsin Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 143,494<br />

Level 1 Center Field Specialist(s): $ 114,795<br />

Level 1 Center SJB Family Specialist(s): $ 783,475<br />

Level 1 Center Administrative Support: $ 129,144<br />

Level 1 Office Space Cost: $ 46,359<br />

Level 1 Transportation/Travel: $ 27,374<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 52,982<br />

Level 2 Center Field Specialist(s): $ 413,262<br />

Level 2 Center SJB Family Specialist(s): $ 1,343,100<br />

Level 2 Transportation/Travel: $ 46,888<br />

Level 2 Office Equipment/Communications: $ 79,800<br />

Level 2 Supplies: $ 55,631<br />

Level 3 Center SJB Family Specialist(s): $ 167,888<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 5,298<br />

CASE MANAGEMENT SUB‐TOTAL: $ 3,459,371<br />

STATE LEAD CENTER SUB‐TOTAL: $ 10,780,404<br />

INDIRECT COST TO INSTITUTION: $ 2,156,081<br />

ADMINISTRATIVE FEE TO SJBF: $ 215,608<br />

STATE LEAD CENTER SUB‐TOTAL: $ 1,3152,093<br />

TOTAL JOBS CREATED IN Wisconsin: 112


Principal Investigator/Program Director (Last, First, Middle):<br />

BIOGRAPHICAL SKETCH<br />

Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2.<br />

Follow this format for each person. DO NOT EXCEED FOUR PAGES.<br />

NAME<br />

Elizabeth A. Moberg-Wolff, MD<br />

eRA COMMONS USER NAME<br />

emoberg<br />

POSITION TITLE<br />

Associate Professor<br />

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)<br />

INSTITUTION AND LOCATION<br />

DEGREE<br />

(if applicable)<br />

YEAR(s) FIELD OF STUDY<br />

University of Wisconsin-Eau Claire BS 1986 Biology, Chemistry<br />

University of Wisconsin-Madison MD 1990 Medicine<br />

Medical College of Wisconsin, Milwaukee Resident 1994 Physical Medicine & Rehab<br />

Children’s Hospital, Denver, CO Fellow 1995 Pediatric, PM&R<br />

A. Positions and Honors.<br />

1995-1999 Assistant Clinical Professor, Dept of Pediatrics , Children’s Medical Center, Medical College of Georgia ,<br />

Augusta, GA<br />

1999-2004 Assistant Professor, Dept of Pediatrics and Neurology,<br />

Chief, Section of PM&R, Dept of Pediatrics, Children’s Medical Center, Medical College of Georgia, Augusta,<br />

GA<br />

2004-2005 Associate Professor, Dept of Pediatrics and Neurology<br />

Chief, Section of PM&R, Dept of Ped, Children’s Medical Center, Medical College of Georgia, Augusta, GA<br />

1996-2005 Consulting Physician<br />

St Mary’s Hospital, Dept of Pediatrics, Athens, GA, Children’s Medical Services, State of GA<br />

Anderson Area Medical Center, Dept of Pediatrics, Anderson, SC, Children’s Rehabilitation Services, SC<br />

2005- Associate Professor, Department of Physical Medicine and Rehabilitation<br />

Director, Tone Management and Mobility,<br />

Director Ped PM&R Fellowship, Children’s Hospital of WI, Medical College of Wisconsin<br />

PROFESSIONAL SOCIETY MEMBERSHIPS<br />

Am. Association of Academic Physiatrists 1990-2000<br />

Am. Academy Physical Medicine & Rehabilitation 1990–present<br />

Am. Acad. of Dev. Med. and Child Neurology 1997–present<br />

Administrative/Committee Appointments<br />

1997–2002 Secretary, Women’s Special Interest Group (SIG), American Academy of PM&R<br />

1999-2002 Program <strong>Plan</strong>ning Committee, Pediatric SIG, American Academy of PM&R<br />

2003-2004 Secretary, Pediatrics Special Interest Group, American Academy of PM&R<br />

2004-2006 Vice Chair, Pediatrics Special Interest Group, American Academy of PM&R<br />

2007-2008 Chair, Pediatrics Special Interest Group, American Academy of PM&R<br />

2004-2007 Oral Board Examiner, American Board of Physical Medicine and Rehabilitation<br />

2005-2008 Ped PRM exam question writer American Board of Physical Medicine and Rehabilitation<br />

2000-current Chapter Editor, eMedicine PM&R textbook<br />

2001-2004 Consulting Board Member Children’s Hemiplegia and Stroke Association (CHASA)<br />

2005-curent Board Member, United Cerebral Palsy, Milwaukee, WI<br />

2008- 2010 AAPMR Study Guide Committee Pediatric Rehabilitation<br />

2008-2011 Vice Chair, Communications Committee, Pediatric Council, AAPMR<br />

B. Selected peer-reviewed publications (in chronological order).<br />

1. Moberg-Wolff, E., Kosasih, K. Journal clubs. Prevalence, format, and efficacy in PM&R. Am J Phys Med Rehabil.<br />

74(3):224-9, 1995 May-Jun<br />

2. Moberg-Wolff, E. An Aggressive Approach to Limb Dystonia: A Case Report, Arch Phys Med Rehabil. 79(5):589-90.<br />

PHS 398/2590 (Rev. 09/04) Page Biographical Sketch Format Page


Principal Investigator/Program Director (Last, First, Middle): PI Name<br />

3. Moberg-Wolff, E. Spasticity Management, Chapter Emedicine, PM&R Textbook, December 2001, 2007<br />

4. Moberg-Wolff E, Dystonia, Chapter Emedicine, PM&R Textbook,<br />

5. Moberg-Wolff EA, Kiesling S. Adapted Recreational and Sports Programs for Children with Disabilities: <strong>The</strong>n and Now.<br />

J of Ped Rehab Med 2008: 1(2) p.155-61.<br />

6. Ocasio M, McBride A, Moberg-Wolff E “Cerebral Palsy Masking Spinal Muscular Atrophy: A Case Report”<br />

J of Ped Rehab Med 2008 :1(179-183)<br />

7.Moberg-Wolff, E. <strong>The</strong> Potential Clinical Impact of Compounded vs Non-Compounded Intrathecal Baclofen. Archives of Phys Med<br />

Rehab.In press.<br />

Abstracts<br />

1. Moberg-Wolff, E, Epner, M., McGrath, M. Welshofer, J. Kosasih, J. "Electric Stimulation in the Treatment of Chronic<br />

Pressure Ulcers" Archives of PM&R, November 1993<br />

2. Moberg-Wolff, E. and Nussbaum,S. “Adult Onset Tay Sachs: A Case Report" Archives of PM&R September 1994<br />

3. Moberg-Wolff, E “An Aggressive Approach to Limb Dystonia” Archives of PM&R, November 1997<br />

4. Moberg-Wolff, E., and Stempien, L., Recurrent Tethered Cord and Myelomeningoceole” American Academy of PM&R<br />

National Meeting October 1996<br />

5. Moberg-Wolff, E, Devries, C, Eubanks, L, Watson, T. “<strong>The</strong> Effect of Intrathecal Baclofen on Bladder Function in<br />

Children with Cerebral Origin Spasticity American Academy of PM&R National Meeting November 1999<br />

6. Moberg-Wolff, E, and Walke, K. “Use of Botulinum Type B in the Pediatric Population” Archives of PM&R, Vol 83:1673,<br />

2002<br />

7. Nowacki M, Lee, M , Mani C, Moberg-Wolff E, Woeltje K. ‘An Analysis of Post Operative Baclofen Pump Infections”<br />

Association of Practitioners of Infection Control and Epidemiology. March 2003<br />

8. Martin R, Howell E, McClain M, Miles B, Moberg-Wolff E.“Imaging Features of Intrathecal Baclofen Delivery Systems”<br />

Pediatric Radiology, Vol 33:S114, 2003<br />

9. Moberg E, Iwin N, McGuire J “ITB and the H Reflex in Pediatric Patients with CP” October 2005 American Academy<br />

of PM&R National Meeting<br />

10. Moberg, EIntrathecal Vancomycin in the Treatment of Meningitis in ITB Patients” American Academy of PM&R National Meetin<br />

October 2005<br />

11. Taylor C, Irwin N, Moberg E, Klingbeil F Recovery from Rabies Encephalopathy: A Case Report”<br />

American Academy of PM&R National Meeting October 2005<br />

12. Moberg E, Wendt C. Tolerance or non-Responder? An ITB Case Report American Academy of PM&R National Meeting Octob<br />

13. Moberg E, To Compound or not to Compound: Intrathecal Baclofen American Academy of PM&R National Meeting October 20<br />

14. Ocasio-Silva MA, Moberg-Wolff EA, Dillingham TR, Rice JB: Spasticity treatment services in patients with cerebral<br />

palsy in the United States. Arc Phys Med Rehabil 2007; 88: E78<br />

15. Moberg-Wolff EA, Ocasio-Silva MA, Nelson ME: A Longitudinal look at intrathecal baclofen dosing. Arc Phys Med Rehabil 2007<br />

E78<br />

16. Moberg E, Ocasio M.Pediatric ITB Dosing Over Time Arc Phys Med Rehabil 2007; 88: American Academy of PM&R National<br />

17. Ocasio M, Moberg-Wolff E. Intrathecal Baclofen and Speech in Children with Cerebral Palsy. Arch Phy Med Rehab 2008:E3<br />

18. Moberg E, Zetley L, Urban M, BrownJ, Altstadt D, Cohn J. “Medically Fragile Child: Fostering Outcomes through Community<br />

Collaborations. Dev Med Child Neuro Sept 2009.<br />

19. K.Kolaski, L.Krach, D.Gaebler, D.Fehlings, E.Hurvitz, M Kuroda, E.Moberg, L. Thornton, M.Msall. “Cerebral Palsy<br />

Outcomes <strong>Project</strong>” Dev Med Child Neuro, Sept 2009.<br />

(Non-Refereed Journals)<br />

1. Moberg-Wolff, E. and Rogers, T. Taming Limb Dystonia” Advance for Directors in Rehabilitation March 1998<br />

2. Moberg-Wolff, E“Have a ball, and a racket, and a glove..... Creating adaptive sports programs” Advance for Directors in<br />

Rehabilitation January 1999<br />

3. Moberg-Wolff, E “Alternative Medicine Overview” “Return to School after TBI” <strong>Brain</strong> Injury Association of Georgia,<br />

Virtual Case Management Online Resource September 2003<br />

C. Research Support.<br />

Completed<br />

“Medically Fragile Foster Child Improving Health Status through Education and Community Linkages 2008-2009<br />

Primary Investigator, $50,000 Healthier Wisconsin Partnership Program Award<br />

Cerebral Palsy Outcomes <strong>Project</strong> – Multicenter Pilot Study<br />

Co-Investigator $50,000 funded by American Academy of Cerebral Palsy and Developmental Medicine<br />

“Special Needs Child – Medical, <strong>The</strong>rapeutic and Educational Interventions” Conference<br />

PHS 398/2590 (Rev. 09/04) Page Continuation Format Page


Principal Investigator/Program Director (Last, First, Middle): PI Name<br />

E Moberg-Wolff<br />

$10,000 funded by Allergan 2008, 2006<br />

“Children’s Rehabilitation Program Development”<br />

R McCabe, E. Moberg-Wolff<br />

$10,000 Funded by Kiwanis<br />

“Bladder Function Alterations by Intrathecal Baclofen Administration”<br />

E. Moberg-Wolff. C. Devries, L. Eubanks<br />

$30,000, Funded by Medtronic,1998<br />

“Special Needs Car Seat Program Development”<br />

E. Moberg-Wolff<br />

$3,500 Funded by DePuy 1999<br />

“Rural Rehabilitation Clinic Development grant”<br />

E Moberg-Wolff, J Geer<br />

$4,000 annually Allergan/Medtronic 1999 – 2003<br />

PHS 398/2590 (Rev. 09/04) Page Continuation Format Page


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

Wyoming<br />

<strong>Brain</strong> Injury Association of Wyoming<br />

www.biausa.org/Wyoming<br />

REGION: Rocky Mountain CATEGORY OF CARE: Prevention<br />

Program Director: Dorothy Worrell, ED Position Title: President<br />

Address: 111 West 2nd Street, suite 106, Casper, WY 82601<br />

Phone: (307) 473‐1767<br />

Email: doceykins@yahoo.com<br />

Level 1 Center(s): Casper<br />

Level 2 Center(s): Cheyenne, Gillette<br />

Level 3 Center(s): Green River, Cody<br />

Number of jobs <strong>PABI</strong> Grant creates in Wyoming: 84<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 4,937,023<br />

Category of Care Management Sub‐total: $ 1,452,643<br />

Case Management Sub‐total: $ 1,946,275<br />

State Lead Center Sub‐total: $ 8,367,941<br />

Indirect Cost to Institution (20%): $ 1,673,588<br />

Administrative Cost to SJBF (2%): $ 167,359<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 10,208,888


<strong>Brain</strong> Injury Association of Wyoming Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 56,875<br />

Program Director Assistant: $ 80,685<br />

State Director: $ 268,951<br />

Associate State Director: $ 116,545<br />

State Epidemiologist: $ 179,301<br />

State Epidemiologist Assistant: $ 80,685<br />

State Scientific Investigation Research Coordinator: $ 152,406<br />

State Scientific Investigation Research Assistant: $ 152,406<br />

State Education/Training Coordinator (plus materials): $ 164,995<br />

State General Counsel: $ 215,161<br />

State IT Manager: $ 170,336<br />

State Family Support Coordinator: $ 134,476<br />

State Prevention/Awareness Coordinator: $ 134,476<br />

State Acute Care Coordinator: $ 134,476<br />

State Reintegration Coordinator: $ 134,476<br />

State Adult Transition Coordinator: $ 134,476<br />

State Mild TBI Coordinator: $ 134,476<br />

State Mental Health Coordinator: $ 116,545<br />

State Assistive/Emerging Technology Coordinator: $ 116,545<br />

State Correctional System Coordinator: $ 116,545<br />

State MISC Coordinator: $ 116,545<br />

State Veterans Coordinator: $ 116,545<br />

State Data Manager: $ 116,545<br />

State Public Policy Manager: $ 134,476<br />

State Community Relations Manager: $ 116,545<br />

State Administrative Support: $ 484,112<br />

Charity care: $ 275,847<br />

Human Resources Support: $ 84,000<br />

Training Support: $ 21,000<br />

State Lead Center Office Space Cost: $ 265,089<br />

State Lead Center Transportation/Travel: $ 89,375<br />

State Lead Center Office Equipment/Communications: $ 197,500<br />

State Lead Center Supplies: $ 85,513<br />

Annual and Regional Conferences: $ 32,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 78,814<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 4,937,023


<strong>Brain</strong> Injury Association of Wyoming Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY: Prevention<br />

Regional Category Director: $ 268,951<br />

Regional Category Epidemiologist: $ 215,161<br />

Regional Category Education/Training Coordinator: $ 179,301<br />

Regional Category Scientific Investigation Research: $ 179,301<br />

Regional Category Administrative Support: $ 322,741<br />

Regional Category Office Space Cost: $ 76,961<br />

Regional Category Transportation/Travel: $ 157,500<br />

Regional Category Office Equipment/Communications: $ 27,900<br />

Regional Category Supplies: $ 24,826<br />

CATEGORY OF CARE SUB‐TOTAL: $ 1,452,643


<strong>Brain</strong> Injury Association of Wyoming Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 128,072<br />

Level 1 Center Field Specialist(s): $ 102,458<br />

Level 1 Center SJB Family Specialist(s): $ 699,273<br />

Level 1 Center Administrative Support: $ 115,265<br />

Level 1 Office Space Cost: $ 41,377<br />

Level 1 Transportation/Travel: $ 26,947<br />

Level 1 Office Equipment/Communications: $ 33,800<br />

Level 1 Supplies: $ 47,288<br />

Level 2 Center Field Specialist(s): $ 122,949<br />

Level 2 Center SJB Family Specialist(s): $ 399,585<br />

Level 2 Transportation/Travel: $ 15,459<br />

Level 2 Office Equipment/Communications: $ 26,600<br />

Level 2 Supplies: $ 16,551<br />

Level 3 Center SJB Family Specialist(s): $ 149,844<br />

Level 3 Transportation/Travel: $ 4,680<br />

Level 3 Office Equipment/Communications: $ 11,400<br />

Level 3 Supplies: $ 4,729<br />

CASE MANAGEMENT SUB‐TOTAL: $ 1,946,275<br />

STATE LEAD CENTER SUB‐TOTAL: $ 8,367,941<br />

INDIRECT COST TO INSTITUTION: $ 1,673,588<br />

ADMINISTRATIVE FEE TO SJBF: $ 167,359<br />

STATE LEAD CENTER SUB‐TOTAL: $ 10,208,888<br />

TOTAL JOBS CREATED IN Wyoming: 84


EDUCATION<br />

Dorothy Worrell<br />

2302 Sagewood<br />

Casper, Wyoming 82601<br />

307-262-5996<br />

VITA<br />

ONGOING CONFERENCES<br />

Behavior modification, behavior management, non-aversive behavior strategies, job coaching<br />

strategies, guardianship and its alternatives, Case Management, Social Security PASS plan and work<br />

incentives, Supported Employment, adaptive equipment, Traumatic <strong>Brain</strong> Injury Research and<br />

Treatment, Patient Advocacy, BIAUSA Leadership conferences, NASHIA brain injury conferences,<br />

Social Security Ticket to Work, Medicare Part D, TBI & Substance Abuse, aging, pre-hospital<br />

management of TBI, Native American <strong>Brain</strong> Injury, grant writing, children with special health needs,<br />

Emergency Summit for <strong>Brain</strong> Injured Veterans, Association for People in Rural Independent Living,<br />

National Council on Independent Living.<br />

ADDITIONAL COLLEGE COURSES<br />

Psychology, Drugs & Psychology, Computer Graphics, philosophy<br />

DEGREE<br />

A.A. Casper College: Commercial Art<br />

Graduation: May 1986<br />

LICENSES AND CREDENTIALS<br />

Certified <strong>Brain</strong> Injury Specialist AACBIS<br />

Notary Public Wyoming<br />

PROFESSIONAL EXPERIENCE<br />

2002 To Present Executive Director, <strong>Brain</strong> Injury Association of Wyoming, Casper, Wyoming<br />

Responsibilities: Administrator for a small non-profit organization providing support groups,<br />

information and referral services, educational opportunities, a resource library, prevention programs<br />

and a link to national organizations all focused on the mission of providing advocacy for survivors,<br />

family/friends and professionals; securing and developing information and referral services, respite<br />

and support groups, and promoting prevention of brain injury. Duties include day-to-day<br />

operations, bookkeeping, grant writing, staff management, public presentations, council and<br />

committee work, advertising, public service announcements, coordination of events and support<br />

groups, outreach, and community education.<br />

2001-2002 Children’s Advocate, Self Help Center, Inc.<br />

Casper, Wyoming<br />

Supervise Safe-house residents, check in new residents, offer activities to occupy children, peercounseling,<br />

lead domestic violence group, monitor track and update food inventory, plan develop<br />

and implement summer art camp, household management, design new company brochure and


webpage, computerize forms, correspondence, track petty cash, identify community resources for<br />

clients and make referrals, documentation, daily/monthly statistics, household maintenance.<br />

1999-2002 Vice President, Board of Directors, BIAW<br />

Casper, Wyoming<br />

Assist and support Executive Director in management of a non-profit, supervise Executive Director,<br />

provide annual evaluation of performance, set policy & procedure, oversight of fiscal responsibility,<br />

annual budget approval.<br />

1999-2002 Legal Secretary, McCrary Law Offices<br />

Casper, Wyoming<br />

Interview, hire, train and supervise new employees; quality assurance of other employee’s work;<br />

document production; maintenance of company webpage; data entry; computer software installation<br />

and upgrades, including manual revision of text in automated documents programs; customer<br />

service; ordering supplies; correspondence-electronic and hard copy; deed writing and tracking;<br />

organization of workplace, case files, computer files; development of training tools; notary public<br />

certification.<br />

1997-1999 Case Management Services, Self Employed<br />

Casper, Wyoming<br />

Provide case management, and evaluation services for as many as 23 developmentally disabled<br />

and/or brain injured individuals including: locate and access community resources; coordinate<br />

services: develop, monitor and implement individual care plans; evaluate community living,<br />

employment, and transition skills; data collection and report writing; payee-ship services for Social<br />

Security recipients; computer data entry, report generation for State of Wyoming Division of<br />

Developmental Disabilities; represent clientele with NCSD #1 transition teams; advocate for client<br />

and family rights; make referrals to appropriate social service agencies; assist new clients in<br />

accessing services through Division of Developmental Disabilities; complete billing through<br />

Medicaid, State of Wyoming DDD Contract services, DVR and private pay sources; bookkeeping<br />

for self-employment; outcomes measurement, and demographics analysis.<br />

1992-1997 Case Manager/Evaluator, NOWCAP Services, Inc.<br />

Casper, Wyoming<br />

Provide in-depth case management for up to 25 individuals with developmental, physical, and/or<br />

mental disabilities including; locate and access community resources; coordinate services,<br />

develop and implement individual care plans, monitor progress, and bill for assessments and<br />

applicable services; evaluate community living, employment, and transition skills; report<br />

writing; in-service training of staff; develop, implement and monitor PASS plans, and oversee<br />

payee-ship services for Social Security recipients; computer data entry, computer training for coworkers,<br />

report generation for various computer programs; represent NOWCAP at NCSD #1<br />

transition team meetings and with Central Wyoming Rescue Mission Advisory Committee;<br />

advocate for client and family rights and make referrals to appropriate social service agencies;<br />

Level II screening for appropriate nursing home placements for the State of Wyoming Division


of Developmental Disabilities; assist new clients in accessing services through intake and<br />

admissions process.<br />

1990-1992 Lead Case Manager, MAXIMUS/WOW<br />

(Contractor to the State of Wyoming Department of Family Services)<br />

Casper, Wyoming<br />

Supervise and manage office staff providing supports and services aimed at promoting self<br />

sufficiency through employment; case management for a caseload of 72 AFDC recipients<br />

consisting of: office set up; assignment of job duties; supervising ordering of office supplies, cost<br />

estimates; assessment of barriers to employment; locating and accessing community resources<br />

and/or funding through Department of Family Services; report writing; supervisory training; staff<br />

training; staff meetings; presentation of services available to potential clients; quality control of<br />

services provided; computer tracking of client progress; data entry; case file setup, maintenance,<br />

and review; quality review of local and other Wyoming MAXIMUS service offices; liaison to<br />

Curtis and Associates, and Department of Family Services; community presentation of available<br />

services to other social service agencies; provide feedback to the State of Wyoming regarding<br />

data collection devices, reports available, and data comparison between report sources and<br />

viability of available computer reports; ongoing computer training; program evaluation; forms and<br />

program development and implementation.<br />

PRESENTER<br />

Montana <strong>Brain</strong> Injury Conference 2009, Team building and organization of support groups.<br />

Presented in Billings, Mt.<br />

NASHIA 2008, Co-presenter on brain injury surveys for prison populations. Presented in<br />

Williamsburg, VA.<br />

<strong>Brain</strong> Injury Association of America 2008, Round table discussion regarding surveys for brain<br />

injured prison populations.<br />

HRSA Leadership Conference 2007, Co-presenter on creative outreach and brain injury prevention<br />

in children. Presented in Washington D.C.<br />

Wyoming <strong>Brain</strong> Injury Conference 2007, How to locate community resources for your brain injured<br />

family member. Presented in Douglas, Wyoming.<br />

Oregon <strong>Brain</strong> Injury Conference 2007, How to locate community resources for your clientele.<br />

Undiagnosed <strong>Brain</strong> Injuries in Wyoming Prison Populations 2007, Acquired <strong>Brain</strong> Injury Task<br />

Force, presented in Afton, Wyoming.<br />

WYAPSE Conference 2006, Panelist on obstacles and barriers for people with disabilities. Presented<br />

in Sheridan, Wyoming.<br />

BIAUSA Leadership Conference 2006, Panelist on Innovative Ideas, related to <strong>Project</strong> B.R.A.I.N.<br />

Presented in Bethesda, Maryland.


Wyoming <strong>Brain</strong> Injury Conference 2006, Targeted Case Management, how to get the most for your<br />

client. Presented in Cheyenne, Wyoming.<br />

Nutrition and Child Development Center 2006, Proper use and fitting of bicycle helmets for<br />

maximum safety. Presented in Sheridan, Wyoming.<br />

Patient Advocacy Workshop 2006, How to locate community resources for your clientele. Presented<br />

in Cheyenne, Wyoming.<br />

NASHIA 2005, Panelist on interstate cooperative activities. Presented in Washington, D.C.<br />

MEGA Conference 2005, Panel discussion on services most frequently used by brain injury<br />

survivors. Presented in Cheyenne, Wyoming.<br />

Wyoming <strong>Brain</strong> Injury Conference 2004, Panelist on current brain injury services and gaps in<br />

Wyoming. Presented in Casper, Wyoming.<br />

BIAUSA Leadership Conference 2004, Panelist on successful expansion of brain injury support<br />

groups in Wyoming. Presented in Nashville, Tennessee.<br />

Home Health Care Alliance 2004, Motivation and Injury Prevention in Senior & Disabled<br />

Populations. Presented in Casper, Wyoming.<br />

Wyoming Medical Center Social Workers 2004 & 2006, discussion of BIAW’s role in Wyoming.<br />

Presented in Casper, Wyoming.<br />

Natrona County School District 2003, <strong>Brain</strong> Injury 101 for teachers. Presented in Casper,<br />

Wyoming<br />

Casper Housing Authority 2003, How to work with the brain injured population, and helpful<br />

accommodations. Presented in Casper, Wyoming.<br />

PROFESSIONAL AFFILIATIONS<br />

Core Member of Wyoming ABI Task Force<br />

Member of NASHIA, and NASHIA’s 2006 conference planning committee (National<br />

Association of State Head Injury Administrators)<br />

Affiliate of BIAUSA (<strong>Brain</strong> Injury Association of America) and member of Executive<br />

Director’s Society<br />

Member of BIAUSA’s 2008 conference planning committee<br />

Member of Wyoming Trauma Coalition<br />

Member of NCAPT (Natrona County Adult Protection Team)<br />

Member of Natrona County Transition Team (school to adult services)<br />

Member of WANO (Wyoming Association of Non-profit Organizations)<br />

Member of Natrona County Affordable Housing Committee<br />

Member of Safe Kids Wyoming, and Safe Kids of Central Wyoming<br />

Governor’s appointee & Former Chairperson for Wyoming State Independent Living<br />

Council, now Vice-Chair<br />

Director for <strong>Project</strong> BRAIN-DVR (Dept. of Vocational Rehabilitation)


PUBLICATIONS<br />

Member of VISIONS Admissions team (State of Wyoming)<br />

Casper Housing Authority Hearing Officer<br />

Governor’s appointee to Wyoming State Rehabilitation Council<br />

Governor’s appointee to Mental Health <strong>Plan</strong>ning Council<br />

Certified <strong>Brain</strong> Injury Specialist (CBIS) since 2004<br />

1. Series of 3 posters for the Natrona County Adult Protection Team; Financial Abuse, Elder<br />

Abuse and Emotional Abuse.<br />

2. Booster Seat Poster for Safe Kids of Wyoming.<br />

3. Used Helmets Not a Good Idea, Poster for BIAW.<br />

4. Wyoming Homes and Living Magazine, 2 full-color ads for brain injury<br />

awareness.<br />

5. ½ page Editorial Opinion for Casper Star Tribune on brain injury services and gaps in<br />

Wyoming.<br />

6. Waiver Comparison Chart for BIAW, NCAPT and ABI Task Force.<br />

7. BIAW Newsletters from 2002-2007.<br />

8. Webpages for Self Help Center Inc., A-1 Private Investigations, Wyoming SILC,<br />

and BIAW.<br />

9. <strong>The</strong> Fence Post, ¼ page ad<br />

10.Non-military Resources for Wyoming Veterans<br />

MAJOR ACCOMPLISHMENTS<br />

Expansion of support groups in Wyoming from 1 to 22; development of BIAW library; change from<br />

support role for Wyoming’s annual brain injury conference to leadership of the conference;<br />

development of BIAW newsletter; increase in volunteerism from 1 in 2002, to 76 volunteers in<br />

2007; change in funding for BIAW from $68,475 in 2002, to $376,000.00 in 2007.<br />

GRANTS MANAGEMENT<br />

Department of Vocational Rehabilitation $5,000,$500,000, $4,000,<br />

Division of Developmental Disabilities $5,000<br />

HRSA Grant $20,000, $80,000, $118,600 (per yr x 3 yrs)<br />

Wyoming Independent Living Rehabilitation $68,400, $68,400, $68,400, $70,400, $72,737,<br />

$72,737, $72,237, $72,237<br />

Storer Foundation $25,000<br />

McMurry Foundation $2,000, $10,000, $5,000<br />

Wyoming Community Foundation $3,000, $4,300, $10,000<br />

Tonkin Foundation $3,200, $4,400, $5,400, $3,179<br />

BIAUSA $4,000<br />

Myra Fox Skelton Foundation $1,000<br />

Fitzgerald Foundation for Children $1,000, $1,000, $1,500<br />

City of Casper $2,400<br />

Casper Star Tribune $1,000 advertising grant<br />

Christopher Reeve Foundation $14,000<br />

Ellbogen Foundation $2,500, &2,500<br />

KM For Kids $1,000, $1,080


State Farm $1,000, $1,000<br />

Walmart $1,000, $2,000, $1,000, $1,000<br />

Covenant Insurance $1,000<br />

Wyoming Trial Lawyers $1,980, $1,000, $1,500<br />

Pharmaceutical Prescription Assistance $2,000, $4,000, $3,000<br />

American Petroleum Institute $2,000, $4,000, $4,000, $3000<br />

Mattel Toys $3,000, $3,000<br />

Total $1,684,315.00


<strong>Sarah</strong> <strong>Jane</strong> <strong>Brain</strong> Family State Lead Center of Excellence<br />

For the state of<br />

TOTALS<br />

Budget Overview for State Lead Center<br />

State Lead Center Management Sub‐total: $ 324,126,920<br />

Category of Care Management Sub‐total: $ 150,445,553<br />

Case Management Sub‐total: $ 285,992,508<br />

State Lead Center Sub‐total: $ 762,228,981<br />

Indirect Cost to Institution (20%): $ 152,445,796<br />

Administrative Cost to SJBF (2%): $ 15,244,580<br />

SUB‐TOTAL AMOUNT OF GRANT PROPOSAL: $ 929,919,357


Title/Description Sub‐total Amount for Grant<br />

STATE LEAD CENTER MANAGEMENT<br />

Program Director: $ 5,605,499<br />

Program Director Assistant: $ 5,212,523<br />

State Director: $ 17,375,076<br />

Associate State Director: $ 7,529,200<br />

State Epidemiologist: $ 11,583,384<br />

State Epidemiologist Assistant: $ 5,212,523<br />

State Scientific Investigation Research Coordinator: $ 9,845,877<br />

State Scientific Investigation Research Assistant: $ 9,845,877<br />

State Education/Training Coordinator (plus materials): $ 17,366,876<br />

State General Counsel: $ 13,900,061<br />

State IT Manager: $ 11,004,215<br />

State Family Support Coordinator: $ 8,687,538<br />

State Prevention/Awareness Coordinator: $ 8,687,538<br />

State Acute Care Coordinator: $ 8,687,538<br />

State Reintegration Coordinator: $ 8,687,538<br />

State Adult Transition Coordinator: $ 8,687,538<br />

State Mild TBI Coordinator: $ 8,687,538<br />

State Mental Health Coordinator: $ 7,529,200<br />

State Assistive/Emerging Technology Coordinator: $ 7,529,200<br />

State Correctional System Coordinator: $ 7,529,200<br />

State MISC Coordinator: $ 7,529,200<br />

State Veterans Coordinator: $ 7,529,200<br />

State Data Manager: $ 7,529,200<br />

State Public Policy Manager: $ 8,687,538<br />

State Community Relations Manager: $ 7,529,200<br />

State Administrative Support: $ 31,275,137<br />

Charity care: $ 17,313,204<br />

Human Resources Support: $ 6,150,000<br />

Training Support: $ 1,537,500<br />

State Lead Center Office Space Cost: $ 16,658,968<br />

State Lead Center Transportation/Travel: $ 5,682,633<br />

State Lead Center Office Equipment/Communications: $ 10,270,000<br />

State Lead Center Supplies: $ 5,373,861<br />

Annual and Regional Conferences: $ 1,664,000<br />

State <strong>Brain</strong> Injury Association Pediatric Programs: $ 4,836,694<br />

STATE LEAD CENTER MANAGEMENT SUB‐TOTAL: $ 324,126,920


n/a Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CATEGORY OF CARE RESPONSIBILITY:<br />

National Category Director: $ 3,746,260<br />

National Category Epidemiologist: $ 2,877,840<br />

National Category Education/Training Coordinator: $ 2,302,272<br />

National Category Scientific Investigation Research: $ 2,302,272<br />

National Category Additional: $ 3,245,200<br />

National Additional Tech: $ 29,700,000<br />

Regional Category Director: $ 17,375,076<br />

Regional Category Epidemiologist: $ 13,900,061<br />

Regional Category Education/Training Coordinator: $ 11,583,384<br />

Regional Category Scientific Investigation Research: $ 11,583,384<br />

Regional Category Additional: $ 6,847,752<br />

Regional Additional Tech<br />

Regional Category Administrative Support: $ 20,850,092<br />

Regional Category Office Space Cost: $ 5,280,678<br />

Regional Category Transportation/Travel: $ 8,347,500<br />

Regional Category Office Equipment/Communications: $ 1,553,100<br />

Regional Category Supplies: $ 1,703,445<br />

CATEGORY OF CARE SUB‐TOTAL: $ 150,445,553


n/a Profile continued<br />

Title/Description Sub‐total Amount for Grant<br />

CASE MANAGEMENT RESPONSIBILITY<br />

Level 1 Center Manager(s): $ 22,121,920<br />

Level 1 Center Field Specialist(s): $ 17,697,536<br />

Level 1 Center SJB Family Specialist(s): $ 123,135,097<br />

Level 1 Center Administrative Support: $ 19,909,728<br />

Level 1 Office Space Cost: $ 2,620,067<br />

Level 1 Transportation/Travel: $ 3,800,764<br />

Level 1 Office Equipment/Communications: $ 3,926,000<br />

Level 1 Supplies: $ 5,881,926<br />

Level 2 Center Field Specialist(s): $ 14,405,733<br />

Level 2 Center SJB Family Specialist(s): $ 48,366,105<br />

Level 2 Transportation/Travel: $ 1,510,362<br />

Level 2 Office Equipment/Communications: $ 2,340,800<br />

Level 2 Supplies: $ 1,875,902<br />

Level 3 Center SJB Family Specialist(s): $ 16,616,665<br />

Level 3 Transportation/Travel: $ 403,650<br />

Level 3 Office Equipment/Communications: $ 883,500<br />

Level 3 Supplies: $ 496,752<br />

CASE MANAGEMENT SUB‐TOTAL: $ 285,992,508<br />

STATE LEAD CENTER SUB‐TOTAL: $ 762,228,981<br />

INDIRECT COST TO INSTITUTION: $ 152,445,796<br />

ADMINISTRATIVE FEE TO SJBF: $ 15,244,580<br />

STATE LEAD CENTER SUB‐TOTAL: $ 929,919,357<br />

TOTAL JOBS CREATED IN TOTALS: 6,150


References<br />

1. Adelson, P.D. (2008). Evidence-based recommendations: Time, implementation, and<br />

strength of evidence. Pediatric Critical Care Medicine, 9(2), 230-231.<br />

2. Adelson, P.D., Bratton, S.L., Carney, N.A., Chesnut, R.M., Coudray, H.E., Goldstein,<br />

B., et al. (2003). Guidelines for the acute medical management of severe traumatic<br />

brain injury in infants, children, and adolescents. Chapter 1: Introduction. Pediatric<br />

Critical Care Medicine, 4(3 Suppl.), S2-S35.<br />

3. Adelson, P.D., Bratton, S.L., Carney, N.A., Chesnut, R.M., du Coudray, M.E.,<br />

Goldstein, B., et al. (2003). Guidelines for the acute medical management of severe<br />

traumatic brain injury in infants, children, and adolescents. Chapter 18. Nutritional<br />

support. Pediatric Critical Care Medicine, 4 (3 Suppl), S68-71.<br />

4. Agha A, Rogers B, Sherlock M, O'Kelly P, Tormey W, Phillips J, Thompson CJ.<br />

Anterior pituitary dysfunction in survivors of traumatic brain injury. J Clin Endocrinol<br />

Metab. 2004; 89: 4929-36.<br />

5. Agha A, Thornton E, O'Kelly P, Tormey W, Phillips J, Thompson CJ. Posterior<br />

pituitary dysfunction after traumatic brain injury. J Clin Endocrinol Metab. 2004; 89:<br />

5987-92.<br />

6. Aimaretti G, Ambrosio MR, Di Somma C, Gasperi M, Cannavò S, Scaroni C, De<br />

Marinis L, Baldelli R, Bona G, Giordano G, Ghigo E. Hypopituitarism induced by<br />

traumatic brain injury in the transition phase. J Endocrinol Invest. 2005; 28: 984-9.<br />

7. Aimaretti G, Ambrosio MR, Di Somma C, Gasperi M, Cannavò S, Scaroni C, Fusco A,<br />

Del Monte P, De Menis E, Faustini-Fustini M, Grimaldi F, Logoluso F, Razzore P,<br />

Rovere S, Benvenga S, Degli Uberti EC, De Marinis L, Lombardi G, Mantero F,<br />

Martino E, Giordano G, Ghigo E. Residual pituitary function after brain injury-induced<br />

hypopituitarism: a prospective 12-month study. J Clin Endocrinol Metab 2005; 90:<br />

6085-92.<br />

8. American Academy of Pediatrics Committee on Fetus and Newborn. Collaborators:<br />

Stark, A.R., Adamkin, D.H., Batton, D.G., Bell, E.F., Bhutani, V.K., Denson, S.E.,<br />

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