Newsletter - Brain Injury Association of New Hampshire
Transcription
Newsletter - Brain Injury Association of New Hampshire
HEADWAY Newsletter Providing Resources – Promoting Futures A Second Chance Consumer-based organization for people surviving brain injury, brain tumor and stroke and for those who care. 109 North State Street, Suite 2 Concord, NH 03301 Non-Profit 501 (C) (3) 02-397683 Phone: (603) 225-8400 Fax: (603) 228-6749 Family Helpline: (800) 773-8400 IN THIS ISSUE... A Second Chance.................... Page 1 President’s Message ................. Page 2 Executive Director’s Message ..... Page 2 A Second Chance Cont’d.......... Page 3 BIANH Support Fund............... Page 3 Rehabilitation Tips .................. Page 4 Legislative Update................... Page 5 Upcoming Events .................... Page 6 20th Annual Walk-by-the-Sea... Page 7 Helping Survivors .................... Page 8 Ask Jon ................................. Page 9 Connections Corner ................. Page 9 Spotlight on Aphasia............... Page 10 Education Update .................. Page 11 Thank You Donors................. Page 12 UPCOMING EVENTS... January 27, 2007 4th Annual Bill Johnson Vertical Challenge for Brain Injury Awareness Cranmore Mountain Resort North Conway, NH May 16, 2007 24th Annual Brain Injury and Stroke Conference Courtyard by Marriott & Grappone Conference Center Concord, NH August 15, 2007 24th Annual Charity Golf Tournament Pheasant Ridge Golf Course Gilford, NH September 30, 2007 21st Annual Walk-by-the-Sea Hampton Beach State Park Hampton, NH BIANH ONLINE MAIL@BIANH.ORG HTTP://WWW.BIANH.ORG Brain injury is the leading cause of death, disability and hospitalizations for children, teens, and young adults in New Hampshire. Issue #32, Winter 2006 “I have been given a second chance,” says Karen Hire, reflecting on her journey of surviving a traumatic brain injury. Karen, a native of Minnesota and current resident of New Hampshire, recently shared her story of survival. Her engaging blue eyes and easy smile make it simple to understand why she is dearly loved and respected by her family, friends and colleagues. Karen’s determination and vigor rivals many of us who have never been challenged by brain injury. The Crash – The Physical and Emotional Impact Karen, a flight attendant for nearly twenty years with Northwest Airlines, was a passenger in a small aircraft piloted by her friend, Stewart Volpe, of Meredith, NH. The Piper Cub crashed shortly after take-off on April 15, 2000, from a private airstrip in Laconia, NH. Karen was airlifted from Lakes Region General Hospital in Laconia to Dartmouth Hitchcock Medical Center in Lebanon, NH. She lay in critical condition with severe brain trauma. The pilot of the aircraft, Stewart Volpe, succumbed ten days later from his injuries. No parent is ever prepared to learn that their child has been in a serious accident. Walt and Ellie Hire, Karen’s parents, received the news of their daughter’s plane crash within hours of the incident. “I felt the blood rush from my body,” recalls Ellie. The Hire’s immediately left their home in suburban Minnesota to make the journey to their daughter’s bedside in New Hampshire. The encouragement they received from their many friends and neighbors as well as Karen’s friends and co-workers at Northwest Airlines was both comforting and calming. Their journey to New Hampshire would be their journey into the world of brain injury as well. Hospitalization – The First Hours Karen’s condition was critical in the initial hours after the crash. She scored a Level 6 on the Glasgow Coma Scale. Ellie and Walt arrived at her bedside in the early morning hours of April 16, shocked by the array of tubes, IV lines and lead wires monitoring her vitals. “We were told that BRAIN INJURY ASSOCIATION OF NEW HAMPSHIRE THE BRAIN INJURY ASSOCIATION OF NEW HAMPSHIRE 109 North State Street, Suite 2 Concord, NH 03301 CHANGE SERVICE REQUESTED Karen might not survive,” Walt recounted, reflecting on the events of that painful day. The next two days were fraught with worry and despair as Karen’s condition showed no improvement. Amazingly, on the third day of her hospitalization, Karen seemed more “aware” of her environment for longer periods of time. Those closest to her thought she tried to speak. Karen’s parents remained at her bedside, talking with her, playing her favorite music from a tape recorder, reading and holding her hand tightly. The promising news that Karen was becoming more responsive and aware of her surroundings was also shadowed by additional health care concerns. The next twelve days consisted of a number of accomplishments as well as set-backs. Karen began to open her eyes, recognize names and follow movement around her room. She also experienced a partial lung collapse and contracted bacterial pneumonia. Karen was determined. By Sunday, April 30, fifteen days after the accident; she began to move her right leg, smile and joke, and wave to the nurses. Walt and Ellie continued their vigil at her bedside, encouraging her, comforting her and documenting her accomplishments in their personal diary. On Monday, May 1, sixteen days after the crash, Karen was well enough to be transferred to Northeast Rehabilitation Hospital in Salem, NH, to start the next phase of her recovery. Rehabilitation – Setting the Goals Karen credits much of her success in rehabilitation and recovery to her parents; Dr. Whitlock, her attending physician; and the staff at Northeast Rehabilitation Hospital. She is thankful that she had a strong support system in place. Her friends and co-workers were a constant source of support to her. Their presence was a steady reminder of what she was most determined to accomplish: to get back to work. “I wanted to make my recovery a real life experience,” Karen explained. The innovative approaches that Karen’s parents developed with the guidance of Dr. by Geri Holdsworth Whitlock were pivotal in supplementing the therapies being utilized in Karen’s treatment plan. Karen continued to suffer from right-side weakness, peripheral vision loss and extreme fatigue. The regimen of exercises and projects encompassing speech, physical, occupational and cognitive therapies left Karen frustrated. “I knew that to get back to being as normal as possible meant that I would need to accept challenging and difficult tasks,” she said. Karen encouraged the staff to allow her do things on her own. She is grateful they embraced her determination and allowed her to be an active participant. On Saturday, May 20, Karen walked for the first time with assistance from her father. Each day brought new activities: her first ride in the car, chocolate ice cream, and trips to the movie theater. Her 35th birthday party was celebrated with a cake shared among family, friends and hospital staff members. Walt and Ellie looked upon their daughter now with a renewed hope for her future and a respect for her determination. On Friday, June 16, sixty-two days after the crash, Karen was discharged from Northeast Rehabilitation Hospital. Making the Most of Each Day At home, Karen’s ‘work’ of recovering from a traumatic brain injury continued. Walt and Ellie took the lead in helping their daughter continue her steady progress. They scheduled and coordinated outpatient appointments with neurologists, eye physicians and neuropsychologists; each day brought new insights. cont’d on pg 3 Karen today (center) shown with her parents Walt & Ellie FAMILY HELPLINE - 1-800-773-8400 Nonprofit organization U.S. Postage PAID Concord, NH 03301 Permit No. 1665 Winter 2006 - Page 2 BIANH Officers & Board of Directors EXECUTIVE COMMITTEE President Newton Kershaw, Jr., Esq., Manchester Vice-President Brant Elkind, Greenfield Treasurer Kenneth Brown, Esq., Manchester Secretary James McKenna, Nashua At Large Jeremiah Donovan, Hillsboro Family Representative Richard Cunningham, Alton Bay Survivor Representative Paul Van Blarigan, Hollis Professional Representative James Taylor, Ph.D., New Durham Immediate Past President Carolyn Ramsay, Wolfeboro Executive Director Steven D. Wade, Concord BOARD OF DIRECTORS Jennifer Andrews-Peters, New Boston HEADWAY Newsletter PRESIDENT’S MESSAGE by Newton H. Kershaw, Jr On October 27, a crowd of people descended upon the Brain Injury Association of Massachusetts, in Westboro, MA, for a convocation of the Northeast United States Brain Injury Community, to swap stories about brain injury and about doing something about it. There were representatives from Pennsylvania, New Jersey, New York, Connecticut, Rhode Island, Massachusetts, Maine, Vermont and New Hampshire. Our own John Richards orchestrated the logistics and put the group through the paces of its agenda. There were BIA Execs, BIA Board Presidents and other such volunteers, Protection and Advocacy (P &A) folks, National Association of State Head Injury Administrator (NASHIA) folks, and Mary Reiter, the Chief Operating Officer (COO) of the Brain Injury Association of America (BIAA). New Hampshire was well represented by Steve Wade, Bud Elkind, Albert Ouellette, the aforesaid John Richards, and me. This event was one of a number of these convocations, and I believe it was the best attended. The energy, vigor, good will, inventiveness and dedication were tangible. I was proud to be there. Steve Wade, John Richards, Al Ouellette and I engaged in a lively conversation on our ride back home. Part of our conversation was about money. Great ideas are great, but it always gets back to money. Some state associations barely scrape by, some receive money from legislated trust funds, and some obtain money from the state government, others from grants. All associations depend on fund raising and charity. It is a daunting challenge to look at the real need in the eye and keep plugging along. I have seen the Brain Injury Association of New Hampshire’s budget grow steadily. Last year our budget was more than $700,000. That’s a lot, but nowhere near the need that stares back at us (how much is that?). How are we supposed to think about this? It’s a good question, and the answers are as complicated as money is (money is very complicated). How much money is there? What should we expect? This message does not offer any answers, but I want to share that there is good, positive energy in play now and that energy comes from people who care about other people. Many of those good people are members or friends of our Rocco A. Chiappini, M.D., Milford Laura Flashman, Ph.D., Grantham P. Joy Kiely, New London Jeannine LeClerc, Keene Margaret Louney, Bedford Amy Messer, Contoocook Dennis Powers, Atkinson Garry Sherry, North Conway Joe Viana, Madison James Whitlock, M.D., East Hampstead EX OFFICIO Robert Boyce, Alton Bay Martha Burnham, Kingston John Capuco, Psy.D., Concord David Krempels, Portsmouth John Richards, Deerfield Tina Trudel, Ph.D., Effingham FACT #2 An estimated one of every 250 New Hampshire residents experiences a TBI serious enough to result in death or hospital-based treatment each year. by Steven Wade Triple D Month Since 1992, December has been designated “National Drugged and Drunk Driver Awareness Month”. Each year in our state, the New Hampshire Highway Safety Agency hosts the “Governor’s Safe Family Holiday Breakfast” to help raise public awareness about Triple D Month. Eldon Munson, Jr., Francestown Donna Nicholaides, Bedford FACT #1 Currently, 5.3 million Americans live with a disability as a result of a traumatic brain injury. EXECUTIVE DIRECTOR’S MESSAGE Peggy Bedore, Gilsum Paul Blackford, Franklin Association. The reason we get involved is often personal. Mostly we have seen what it is to be vulnerable. We, as human beings, all know one thing for sure, “the vulnerability of childhood and the fact of mortality.” That is what Jonathan Shay says in an article from The Hedgehog Review titled, “Illness and Suffering.” Shay’s article is about psychological injury, especially the injury suffered by soldiers who return from war. Brain injury qualifies as a cause of such trauma. When someone has been injured we want to help. This is also good time to reflect on the direct link between motor vehicle crashes and traumatic brain injury (TBI). Vehicle crashes still account for nearly 50% of traumatic brain injury in our state and the percentage is much higher for younger drivers. Young drivers learn about drugs and alcohol and how driving under the influence can take lives, but few learn about the link between TBI and vehicle crashes or what can happen when you survive a crash. This is a message that needs to get out to young drivers. We are going to have some help in getting this message out thanks to a recent grant from the Allstate Foundation awarded to the NH Task Force on Adolescent Injury Prevention, which the Association formed back in 1998 and now serves as lead agency and fiscal agent. The grant will be providing seed money to five high school pilot sites in the state to start up and organize Driver Safety Awareness Week at their school. The Driver Safety Awareness Week program was developed by NH School Learning Incentives. High school Driver Safety Awareness Week will be a teen-led, peer to peer driver safety program, featuring activities designed, planned and produced by teen drivers and for teen drivers. Amazingly most teen driver safety initiatives have not involved the target audience in planning and development and recent research points to this being a critical missing ingredient. We are looking for other high schools in the state to participate in this project. Please let me know if you think the school in your community may be interested. FACT #3 Every year, there are nearly 5,000 traumatic brain injuries in New Hampshire. FACT #4 Every year, nearly 2,500 children and young adults are hospitalized in New Hampshire with a brain injury; more than the number hospitalized for cancer, AIDS, heart disease, and drug and alcohol abuse. FACT #5 More children, teens and young adults are killed, hospitalized or permanently disabled by brain injuries in New Hampshire than any other single cause. Submission & Editorial Policy: HEADWAY is published by the Brain Injury Association of New Hampshire. The Editor invites and encourages contributions in the form of articles, special reports and artwork. BIA of NH reserves the right to edit or refuse articles submitted for consideration. The Association does not endorse, support, or recommend any specific method, facility, treatment or program mentioned in this newsletter. Please submit items to: Editor, Brain Injury Association of NH, 109 North State St., Suite #2, Concord, NH 03301. For advertising rates please call 603-225-8400. HEADWAY Newsletter Winter 2006 - Page 3 A Second Chance Continued from pg 1 Walt worked tirelessly to enhance the treatment plan; developing new and creative ways for Karen to practice real life skills. These skills had a direct connection to the work that Karen would need to do to return to her job as a flight attendant. “We spent many hours practicing job skills; lifting suitcases, pouring beverages and balancing trays,” explained Walt. “This was all part of a day’s work.” In addition, Walt and Ellie assisted their daughter with activities of daily living (ADL’s), check writing and with helping her learn to drive her car again. During the course of her recovery, Karen held firmly to the belief that although difficult times were still ahead, she knew the importance of “scraping her shoes and moving on….” Karen’s last day of outpatient therapy was July 28, one hundred and four days after the crash. Karen continued her steady progress throughout the summer. On September 14, she received a letter medically granting permission for her to return to work as a flight attendant. On October 9, 2000, Karen met with Northwest Airline physicians to review her medical progress. The physicians agreed that Karen should undergo an additional six months of cognitive and speech therapy before returning to work. In April 2001, Karen realized her goal and returned to her job and the life she dearly missed with Northwest Airlines. Life Today Six years have passed since Karen survived a traumatic brain injury. She has returned to a normal routine, working as an international flight attendant for Northwest and spending many of her off-hours exercising at a local gym. for adults with a brain injury ■ ■ ■ ■ Supported Residential Programs Residential Rehabilitation Programs Supported Apartment Programs 24 Hour Staffing for All Programs Her parents, Walt and Ellie, continue to be a source of strength, visiting New Hampshire numerous times a year. They are grateful for being able to share special moments and craft new memories with their daughter. Mom and daughter ‘together’ days are a time of reflection and thanks. “Be involved, support your loved one, offer encouragement, be as knowledgeable as possible, and don’t be afraid to ask questions,” are their words of wisdom for other parents of brain injury survivors. “Life today is good, although not the same,” says Karen. “God puts challenges in front of those who can take them on. I never really talked with ‘Him’ before, but now I thank Him for giving me my life back. I feel that there is a reason for me to be here.” Es tabl i s h e d 19 8 3 www.robinhillfarm.com 55 Donovan Road, P.O. Box 1067, Hillsborough, NH 03244 Tel: 603-464-3841 Fax: 603-464-3851 e-mail: info@robinhillfarm.com Brain Injury Community Support Fund by Erin Hall The Brain Injury Community Support Fund is a collaborative program of the Bureau of Developmental Services and the Brain Injury Association of New Hampshire. The purpose of this program is to assist individuals with brain injuries live independently in their communities. Eligibility requirements are as follows: .. . .. . Quality of Life… A New Hampshire Resident Meet He-M 522 eligibility - which includes, and is not limited to, a diagnosis of TBI, ABD, Stroke, Tumor, MS, Huntington’s Disease (Please note that being found eligible for this program does not automatically make you eligible for Area Agency services) Not eligible for the Community Care Waiver except for extreme circumstances as determined by the committee Financial hardship Do not have other assets that could be accessed Modest level of income Funding has three broad areas: short-term financial crisis; transition back into and/or support to maintain community relationships; safe and dignified living. Services that could be funded include, but are not limited to, therapies, respite, assistive technology, etc. The Committee meets monthly on the third Wednesday of the month. All applications need to be received prior to this date. The process is as follows: .. .. .. All applications are sent to the BIANH c/o Erin Hall Applications must include the following: Description of services needed Budget or cost bid (2 bids are needed) Medical documentation of disability or signed release to obtain such documentation What other resources have been tried Incomplete applications will be returned and not reviewed until all information is received. Individuals may apply for $2,000 per year. There is no lifetime cap. If you would like more information on this program, please call Erin Hall at 225-8400. Applications can be downloaded from our website at www.bianh.org. Brain Injury Community Support Fund A Collaborative Program of the State of New Hampshire Bureau of Developmental Services and the Brain Injury Association of New Hampshire. If you are an individual living with a brain injury and find yourself in a financial crisis, this program may provide assistance. The purpose of the program is to assist individuals with brain injuries live independently in their communities. For more information or an application, please call Erin Hall at 603-225-8400. Applications can be downloaded from our website at www.bianh.org. ------------------------------------------------------------------------------------------------------------ Neuro-Resource Facilitation Program If you are struggling with attaining the appropriate services, think about applying to the Neuro-Resource Facilitation Program. This program aims to assist families and individuals who have experienced a brain injury or stroke. For more information or an application, please call Erin Hall at 603-225-8400. Applications can be downloaded from our website at www.bianh.org. Brain Injury Association of New Hampshire 109 North State Street, Suite 2 Concord, NH 03301 Family HelpLine: (800) 773-8400 Phone: (603) 225-8400 Website: www.bianh.org Winter 2006 - Page 4 HEADWAY Newsletter REHABILITATION TIPS Many rehabilitation professionals expect recovery to plateau or taper off at some point in their treatment program. This belief usually terminates the formal rehabilitation program and ignores what we know about human development: growth ceases only with death. While there is no cure for brain injuries, the brain does have some capacity to repair itself and rehabilitation is crucial to recovery from head injury-it uses both your body’s natural healing and your brain’s ability to relearn to aid recovery. Rehabilitation also means learning new ways to compensate for abilities that have permanently changed due to brain injury. Even when survivors are very motivated, there can be periods of apparent lack of progress. These may be times of consolidation, where the individual is gaining sufficient practice with the new skills to make them become habits. In other cases there may be other issues the person is dealing with. When learning skills are impaired, it is unreasonable to expect the individual to learn new information and behaviors every day. After decades of experience many rehabilitation professionals have found the common keys to making the most of the rehabilitation process. ATTITUDE Those who make the most of their recoveries tend to have an optimistic outlook, are usually more giving and selfless than most people, and don’t tend to give up easily. Even if this isn’t your natural personality, this is the perfect time to develop these traits! Those who do the best usually look upon negative experiences as a chance to grow and develop themselves further. People with brain injury often say rehabilitation is the biggest challenge of their lives. While you may never get back to ‘normal’, the good news is there is no limit to the extent of your rehabilitation. How far you get depends on how much you put in, and even if improvement is painfully slow remember progress is better than staying where you are. wherever they please and then can’t find them. Tight structure reduces the need to continually make decisions, vastly increases capabilities and significantly reduces the demands placed on the caregiver. Upon discharge, try to develop a schedule that includes as much activity as your loved one can handle without becoming too tired. Remember that fatigue, initiation and motivation are often big problems after an injury, so make gentle encouragement the theme to home rehabilitation. MEMORY PROMPTS Hand in hand with structure are memory prompts. If the individual is constantly faced with situations in which they have no recall and those around are constantly mentioning this lack of memory, it may eventually cause an erosion of self-esteem. Create some strategies for compensating for this problem by developing lists, post-it notes, cue cards or any other strategies that help the person feel more independent and less likely to make mistakes and be nagged or scolded. STRUCTURE Most of us lead highly structured lives: we awake, sleep and work at the same times each day. This kind of structure allows us to put most of our lives on automatic pilot and reserve creativity, memory, and novelty for more important areas. After a brain injury individuals often have no structure. They nap throughout the day and then can’t sleep at night, eat meals at varying times and therefore can’t recall if they have eaten at all, they leave things Make sure you are provided with a sound and realistic discharge plan. Once home, don’t sit back and assume everything will automatically fall into place. Establish a routine (structured environment), consistently enforce the discharge plan, and make sure that your family member has control over those aspects of their life that are safely manageable. As difficult as it may sound, troubleshooting as you go can ease any burden you may assume in guiding your family member to the optimal level of functioning possible. Whether you have memory problems or a legal case coming up, record everything in writing. Keep copies of all your letters. Record and date your phone calls. Ask people for permission to record phone calls if you think this is required. FAMILIAR SETTINGS INJURY PREVENTION A brain injury often creates difficulty learning new information and generalizing new skills from one environment to another. The most effective rehabilitation occurs in the home setting where old learning is maximized. When injured individuals are transported to another city or state, much of what they learn cannot be applied when they return home. The familiar cues which facilitated recall in the treatment setting disappear and the new behavior cannot be elicited. One brain injury makes you much more susceptible to further ones. Some of these added traumas occur because of the cognitive and behavioral deficits following the original injury. The impulsive person who has poor judgment may repeatedly FEEDBACK ON BEHAVIOR Individuals with a brain injury have enough problems without increasing their burden by accepting any and all behavior. If family members tolerate behavior which drives others away, the injured individual becomes increasingly isolated from human contact and the burden on the caregiver can become immense. Provide accurate and realistic feedback on their behavior and its consequences. SUPPORT GROUPS Rehabilitation may be the hardest thing you’ve ever done but look at it positively. As Ronald E. Osborn said, “Undertake something that is difficult; it will do you good. Unless you try to do something beyond what you have already mastered – you never grow.” while your family member is in a structured setting. You know your needs best. Your team needs to hear your opinions and concerns. If you have trouble with communication find someone you trust to speak for you. Support groups play a vital role in the lives of people with brain injuries and their families, and never more so than when the individual completes rehabilitation and finds that life is changed in ways that the individual and the family find puzzling or difficult to manage. Groups enable the individual to identify with others with similar problems, and together solutions are often found. Additionally, as a result of group interaction, the individual feels less alone and a sense of “belonging” is very important to those whose lives have been dramatically changed. GET INVOLVED During the rehabilitation process, be as involved as possible, ask questions, attend family conferences and learn all you can place himself in dangerous situations and then be unable to cope. Apart from supervision another useful tip is to avoid: .. . Exposure to toxic materials Alcohol, nicotine, stimulants and other recreational drugs Exposure to megavitamin therapy. Hopefully this information has been useful to you and you will begin to think about rehabilitation in terms of cognition and behavior rather than medical and physical problems. People who have sustained head injuries have a great deal to offer to family, friends, and society if they are given a chance. EVERYONE CAN WIN Information, education and support, are the three most important aspects of rebuilding life after brain injury. Add to that an equal measure of love, and it can be a win-win situation. This is one of over 100 fact sheets on brain injury available at www.biaq.com.au/facts.htm, reprinted with the permission of BIAQ. .FACT #6 The “silent epidemic” of traumatic brain injuries has become a major public health problem facing the nation and the people of New Hampshire. HEADWAY Newsletter Winter 2006 - Page 5 LEGISLATIVE UPDATE by Kenneth C. Brown, Esq. Chair BIANH Public Policy Committee are willing to work and advocate on the behalf of individuals with brain injury and their families. Once again it is time for us to focus our attention on legislative pursuits that will enhance the lives of survivors and their families. At the time of this publication, all proposed bills are in the process of being submitted to the legislature and we are unable to review the context of any legislation. Please check our website at http://www.bianh.org for legislation that we will be supporting or contact Ellen Edgerly at 603-332-9891 for additional information. Another legislative resource for you to access is Webster-New Hampshire State Government Online at http://www.state.nh.us. Our Brain Injury Public Policy Committee continues to meet regularly through occasional meetings in Concord and teleconferencing. We are always looking for individuals to help with our endeavors and to serve on the subcommittees. Our Association takes pride in the committed individuals who Our committee has created three public policy subcommittees with the focus to address the need for the development of future legislation and/or successful implementation of legislation. They include: 1. Bicycle Helmet Awareness and Education Committee Chair: Doug Grouel 2. Cognitive Therapy Committee Chair: Al Ouelette Talking Points and Fact Sheet Seat belts work by: Reducing the risk of ejection from the vehicle Spreading crash forces over the strongest bones of the body Keeping the driver behind the wheel and in control Preventing unbelted occupants from injuring others in the vehicle . . . . 70 years old and over (81%), and those living in northern NH. (76% each) (UNH Survey Center for NH SAFE KIDS) Why is this the time for NH to pass a seat belt law? . Between 1993 and 2003, NH has Seat belt use reduces injuries . In NH, from 1993-2000, unbelted 3. Trust Fund Committee Chair: Newton Kershaw The Brain Injury Association of New Hampshire is a member of the Seat Belts for All Coalition that will be supporting seat belt legislation for adults this upcoming legislative session. As you can see by the below listed facts, there is a strong correlation between seat belt usage and brain injury. Please refer to this information when making telephone calls and/or writing letters to your representatives and senators. Please access our legislative website for their names and addresses. . Approval was highest among those . occupants were more than twice likely to suffer an incapacitating injury as those who were belted and 20 times more likely to be ejected from their vehicles. (NH Department of Safety) Those ejected from their vehicles are 11 times more likely to suffer a traumatic brain injury than those who remain inside. (NHTSA) A majority of NH residents supports a seat belt law In 2006, 67% of NH residents survey indicated that they strongly or somewhat favor a law requiring belt use by all. (UNH Survey Center for Safe KIDS NH) . . . . seen an increase of: *28% in vehicles on the road, *25% in miles traveled *71% in crashes and *40% in injuries. In 2005, NH has 112 motor vehicle occupant fatalities. (NH Department of Safety) The costs of these crashes continue to rise and we all pay these costs. NH voluntary seat belt use rate is slipping compared to the nation as a whole. If you are interested in supporting brain injury legislative efforts and would like additional information relative to the Brain Injury Public Policy Committee and/or the Brain Injury Legislative Network, please contact Ellen M. Edgerly, Community Organizer at 603-332-9891 or e-mail address of Ellenedge@metrocast.net or Ken Brown, Public Policy Chair at 603-647-0300 or e-mail address of Kbrown@arbd.com. ABD WAITLIST UPDATE by Amy Messer, Senior Staff Attorney, NH Disabilities Rights Center The United State District Court in New Hampshire recently issued a decision in Bryson v. Commissioner, Department of Health and Human Services, regarding the waitlist for home and community-based services for persons with brain injuries. Although ruling in favor of the Defendants, the Court did so only after finding that during the course of litigation the State had significantly increased the size of the ABD Waiver program, devoted substantial additional resources to expand home and community-based services and substantially reduced the time individuals wait for services. After seven years of litigation, the result is expanded home and community-based supports to individuals with acquired brain disorders and traumatic brain injuries. In 1999 the Disabilities Rights Center filed a lawsuit against the Department of Health and Human Services alleging that the long wait for home and community-based care services for individuals with brain injuries violated individuals’ rights to community-based services. When the lawsuit was filed, there were approximately 50 people on the waitlist to receive services, some having already waited as many as seven years. Most of these individuals were languishing in institutional settings such as nursing homes, psychiatric hospitals and rehabilitation facilities. These individuals were unable to return to the community without the supportive services available under the ABD Waiver. In 2001, the U.S. District Court held that under Medicaid law, the State was required to provide these services to the individuals on the waitlist, and ordered the State to provide community-based services to everyone on the waitlist. As a result of the Court’s ruling, the State expanded the waiver and provided funding to serve all of the individuals on the waitlist at that time. Within a year, nearly everyone on the waitlist had been served. At the same time, the Department appealed the District Court’s ruling and the case was heard by the First Circuit Court of Appeals. In 2002, the First Circuit overturned the District Court’s initial ruling and sent the case back to the District Court for further litigation. Between 2002 and 2006, the Department continued to expand the ABD Waiver and provide for additional individuals to be served under the Waiver program, allowing an increasing number to move from institutions back into the community which significantly improved their quality of life. Throughout the litigation, the Disabilities Rights Center heard from many, many clients who talked about the benefits of being back in the community and encouraging the Disabilities Rights Center to pursue continued expansion of the Waiver. In 2005, the case went to trial, and by that time, the Department had provided services to the majority of individuals who had been waiting for services for many years. The time on the waitlist had been reduced to approximately one year on average. In September 2006, the District Court issued another ruling in the case, this time finding that the Defendants efforts towards moving individuals off the waitlist constituted a “comprehensive, effectively working plan’ to move individuals out of institutional settings. As such, the Court concluded, the Defendants do not violate the Americans with Disabilities Act which requires that individuals be served in the least restrictive setting. In making its findings, the Court cautioned the State that they will need to keep the waitlist moving at a reasonable pace, and that their “continuing obligation will remain a legitimate subject for scrutiny”. What this means for individuals with acquired brain disorders and traumatic brain injuries is that the State will need to continue to provide adequate resources to ensure that people do not unnecessarily remain in institutions as in years past. While the Disabilities Rights Center would have liked the Court to rule that individuals have a right to move off the waitlist and into the community in less than a year, it is very pleased that the litigation has resulted in a dramatic increase in the number of individuals that have moved from institutional settings back into their homes and communities. If you would like to know more about the ABD Waiver or the litigation, please contact the Disabilities Rights Center at 603-228-0432 or visit our website at www.drcnh.org. Winter 2006 - Page 6 HEADWAY Newsletter Upcoming Events - Mark Your Calendars! William Dean Johnson, "Bill," Born in Los Angeles, CA March 30, 1960 Bill began skiing at the age of seven in Boise, Idaho. During that first year, his family recognized his ability. At age 9, he moved to Brightwood, Oregon where he continued his pursuit of skiing on Mt. Hood as a member of local NW ski clubs. Traveling by car and supported by family funding, he hit every race that he could get to on the amateur circuit. Following graduation from Sandy High School, Bill entered Mission Ridge Ski Academy in the State of Washington while attending Wenatchee Valley College. At that time he entered selected invitational US Ski Team Divisional events. In 1980 he traveled to New York where he competed in the downhill and won his race, qualifying for a spot to forerun the Lake Placid Olympics downhill. The next day he was rushed to a race in Canada at the request of the US Ski Team, and was later officially accepted onto the team. He fit into a spot as a member of the Europa Cup Downhill Squad and competed on that circuit. His Olympic Gold was won at Sarajevo, Yugoslavia in 1984; following his worldwide television announcement during the days of delays saying that he was going to win. That season he also won World Cup Races in Wengen, Aspen and Canada. His career covered a decade, while on and off the US Ski Team. Following his divorce and separation from his children, he found that what he knew best and could do best was ski. He returned to the slopes with a Vertical Challenge Pre-Registration Form Team name: _________________________________________________ Team captain (and shirt size)____________________________________ Address: __________________________________________________ Phone Number: ____________________________________________ Remaining 3 team members (if known) T-shirt Size (If no size given, a large will be issued) ___________________________________ _____________ ___________________________________ _____________ ___________________________________ _____________ Teams are required to raise at least $350 in donations to participate in the event. Please use Pledge Sheets to record your pledges. All money should be turned in the day of the event. Registration must be received by January 12, 2007. For more information and pledge forms, check our website, www.billjohnsonverticalchallenge.org. Please mail this form, along with the $50 registration fee, to: Brain Injury Association of New Hampshire Attn: Vertical Challenge 109 North State Street, Suite 2 Concord, NH 03301 (603) 225-8400 Please make checks payable to BIANH coach and was making an attempt at a return for another Gold Medal. While training and preparing, he entered competition only to have a horrific fall at Big Mountain in Montana, and suffered from a traumatic brain injury in March of 2001. The accident left the right side of his body in a weakened condition. On December 14, 2002, while still recovering, Bill lost his balance on a patch of ice and broke his left hip. He had been attending the Hartford Disabled Ski Event in Breckenridge as their host all week. Bill's Championship Achievements: 1st American to win a Europa Cup Downhill 1st American to win a Europa Cup Combined 1st American to win a World Cup Downhill 1st American to win an Olympic Gold Medal in Downhill 1st American to be twice National Downhill Champion 1st American to win the Aspen World Cup Downhill 1st American to win the Whistler BC World Cup Downhill 1st American to be Ranked #1 F.I.S. Men's Downhill Champion Bill accomplished what no other American had accomplished in an arena totally dominated for decades by Europe's finest competitors. Bill's personal quest for competitive excellence is a classic storybook journey of one individual's efforts to overcome insurmountable odds and challenges to become virtually "America's Best." He was and is presently involved with the Special Olympics, and many others disabled programs, as well as the Brain Injury Association of America and its many affiliates to raise awareness of their many efforts. Brain Injury Association of New Hampshire 4th Annual Bill Johnson Vertical Challenge for Brain Injury Awareness Cranmore Mountain Resort, January 27, 2007 Sponsorship Opportunities Name: ______________________________________________________ Company: ___________________________________________________ Address:_____________________________________________________ ____________________________________________________________ Phone: _______________________ E-Mail: ______________________ Please check off your choices and drop this form in the mail to: BIANH, 109 North State St., Ste. 2, Concord, NH 03301. Thank you! ____ Event Sponsorship ____ Bill Johnson Appearance Sponsorship ____ Bill Johnson Travel Sponsorship ____ Lunch Sponsorship ____T-Shirt Sponsorship ____ Most Vertical Sponsorship ____ Most Money Raised Sponsorship ____ Checkpoint Sponsorship ____ Raffle Prize Donation ____ Goodie Bag Items $2000 $1500 $1000 $800 $500 $400 $400 $100 Describe:________________ Describe:________________ All sponsors will be recognized on the day of the event! Sponsors who donate $500 or more will be recognized in the event program, 2007 Spring HEADWAY Newsletter, official t-shirt, Vertical Challenge website and product placement in the skier goodie bags! Call BIANH with your questions ~ 603-225-8400. Brain Injury Association of New Hampshire 4th Annual Bill Johnson Vertical Challenge for Brain Injury Awareness Cranmore Mountain Resort, January 27, 2007 HEADWAY Newsletter Winter 2006 - Page 7 20th Annual Walk-by-the-Sea by Lori Sandefur October 1st marked the Brain Injury Association of New Hampshire’s 20th Annual Walk-by-the-Sea. In spite of the clouds and rain there was little that dampened the spirits of the 300+ people that turned out for the annual walk along Hampton Beach. Newton Kershaw, President of the Association, was there to welcome this year’s participants followed by Executive Director, Steven Wade. The 3.1 mile walk was kicked off once again with a performance by The Red Star Twirlers. Upon everyone’s return to the pavilion, a luncheon was provided. While being served, guests were entertained by singer/guitarist, Michael Skinner. Thank you to all the team captains and members who worked so hard on raising pledge dollars. This year we had 25 teams registered. The top 3 winners for Most Pledge Dollars Raised were Bob Holmes, in the individual non-team category, Jean and Linda Gill, in the individual within a team category, and SteppingStones Striders, for the team that raised the most pledge dollars. SteppingStones Striders had the largest number of walkers this year with forty members participating and Barb’s Survivors walked off with the most original name. Holmes, Michael Painter, Robin Hill Farm, the Red Star Twirlers, Carter Hill Orchard, State of New Hampshire Division of Parks and Recreation and the Hampton Beach State Park employees. Lori Sandefur The Brain Injury Association of New Hampshire would like to thank all of the individuals, organizations and businesses that contributed to this year’s walk. We could not have done it without you! A special thank you to Seacoast Coca Cola, Lakeview NeuroRehabilitation Center, the Munson Family, North Country Independent Living, Bekah’s Burger Barn, Bob Tourangeau, 1st Impressions Imprinted Sportswear, Bob “Catch-up” conversations during the event The Red Star Twirlers perform Walkers gather under pavilion VOLUNTEERS WELCOMED! We are seeking new volunteers to join us as a family and consumer directed charitable organization. We rely almost exclusively on volunteers in our work toward our mission, “to create a better future through brain injury prevention, education, advocacy and support.” Please indicate which committee you would like to join: Larry and Joyce enjoy the day _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ Prevention and education standing committee Public policy and legislative advocacy standing committee Direct support and service standing committee School-based program and services sub-committee Development and marketing study committee Budget and finance study committee Walk-by-the-Sea walkathon Charity Golf Tournament Bill Johnson Vertical Challenge ski event Connections/peer support Support groups Annual Brain Injury and Stroke Conference Bingo benefit/fundraising ------------------------------------------------------------------------------------------------------------Name: _______________________________________________________________ Address: _____________________________________________________________ State: _________________ Zip Code: ___________ Phone: _________________ Mike Skinner entertains the crowd Email: _________________________ Best time to call: ______________________ Winter 2006 - Page 8 HEADWAY Newsletter HELPING SURVIVORS TAKE THE NEXT STEP The Krempels Brain Injury Foundation…Improving the lives of people living with brain injury from trauma, tumor or stroke By Erika Mantz Did you know… . It costs just $4,400 a year, or $50 a day, for a brain injury survivor to attend SteppingStones. . trauma, SteppingStones, a community-based post-rehabilitative program in Portsmouth where people living with brain injury from tumor or stroke can find friendship and support as they rebuild their lives, keeps its costs down thanks to student interns and community volunteers – 240 people providing more than 8,600 in-kind hours. . andNotHuman only does SteppingStones host student interns from the University of New Hampshire – 40 from its School of Health Services and four from the Whittemore School of Business and Economics -- but for the fourth year it welcomed two 8th grade students from the North Hampton School. . experience. New Hampshire State Police troopers have referred 10 young driving offenders to SteppingStones for a community service They learn about SteppingStones’ commitment to prevention and education of brain injury in the community in David Krempels hopes they’ll make healthy choices in the future. The gift – and the power -- of music By Erika Mantz Craig Werth with Mandelin Joyce Anderson Within the last year SteppingStones has been organized into quarters, two academic semesters when interns from the University of New Hampshire run the programs that help survivors rebuild their lives, and the winter and summer enrichment programs, which focus on the arts, music, travel and wellness. This summer’s Enrichment Program brought in more than 40 artists, musicians, holistic health practitioners and community volunteers, as well a dozen student interns. "Music and art are the things that add joy and beauty and meaning to a life,” said the wife of a brain injury survivor and a former SteppingStones staff member. “Functional skills are necessary to exist but I would like our members to move beyond just existing. There is so much loss in their lives, and this is an area where there doesn't have to be loss. Bringing in artists goes far beyond entertainment. It's about helping people reconnect with things that make us all human. For many reasons, people who suffer from brain injury are cut off from the things that bring the rest of us joy." Recently, the Rotary Club of Portsmouth made it possible for the foundation to expand its arts and cultural enrichment program for SteppingStones members with a grant to pay for a variety of musical instruments. The music will continue! John Perrault )YHPUPUQ\Y`JHUOHWWLU[VHU`VUL H[HU`[PTL ;OL2YLTWLSZ)YHPU0UQ\Y`-V\UKH[PVU )MPROVINGTHELIVESOFPEOPLELIVINGWITHBRAININJURYFROMTRAUMATUMORORSTROKE Russ sings The Devil Went Down to Georgia with Joyce Anderson :[LWWPUN:[VULZPZHJVTT\UP[` IHZLKWVZ[YLOHIPSP[H[P]LWYVNYHT SVJH[LKH[[OL-V\UKH[PVUMVY:LH JVHZ[/LHS[O»Z*VTT\UP[`*HTW\ZPU 7VY[ZTV\[O5/0[WYV]PKLZVWWVY [\UP[PLZMVYZVJPHSPU[LYHJ[PVUSPMLZRPSS [YHPUPUNYLJYLH[PVUHUKZ\WWVY[MVY IYHPUPUQ\Y`Z\Y]P]VYZ^OVHYLUV^ SP]PUNPU[OLJVTT\UP[`*HSS MVYTVYLPUMVYTH[PVU ;OL.YHU[Z9LZV\YJLZ7YVNYHT H^HYKZ\W[V[V5L^/HTW ZOPYLYLZPKLU[Z^OVHYL[Y`PUN[VW\[ [OLPYSP]LZIHJR[VNL[OLYHNHPUHM[LY ZL]LYLIYHPUPUQ\Y`JH\ZLKI`OLHK [YH\THIYHPU[\TVYVYZ[YVRL>L NP]LTVUL`[VOLSW^P[O[OYLLWYPTHY` HYLHZVMULLK![VYLSPL]LHÄUHUJPHS JYPZPZ[VOLSW^P[O[YHUZP[PVUIHJRPU[V [OLJVTT\UP[`VY[VWH`MVYZVTL V[OLYHZWLJ[VMZHMLHUKKPNUPÄLK SP]PUN*HSS MVYTVYL PUMVYTH[PVU 4(%+2%-0%,3 "2!). ).*529 &/5.$!4)/. Expressive dance to harp music ^^^RYLTWLSZMV\UKH[PVUVYN HEADWAY Newsletter Winter 2006 - Page 9 ? ? ? ? ASK JON ? ? ? ? SUPPORT GROUPS IN NEW HAMPSHIRE by Jonathan Lanteigne What I did on my summer vacation! (Times and places may change without notice – please call in advance) Aphasia: Seacoast: Aphasia Support Group, 3rd Monday of the month, Community Campus, 100 Community Campus Drive, Portsmouth, NH Contact: Dave or Rosemarie Phone: (603) 659-6161 Brain Injury: Conway: 1st Wednesday of the month, 6:30pm, Northern Human Servioces, Center Conway, NH Contact: Joe Viana Phone: (603) 539-7451 Derry: 2nd Friday of the month, 6:30pm, Nutfield Building, Parkland Hospital, 99 Franklin Street, Derry, NH Contact: Cathy Rudd Phone: (603) 421-0609 Greenfield: 3rd Friday of each month, 5:00pm, Crotched Mountain Family Advisory Group, 1 Verney Drive, Greenfield, NH Contact: Trish Chickering Phone: (603) 547-3311 ext 487 Keene: 4th Tuesday of the month, 6:00pm-7:30pm – HCS, 312 Marlboro St., Keene, NH Contact: Cindy Carney Phone: (603) 352-6556 Lakes Region: 3rd Thursday usually every other month, 7:00pm, Lakes Region General Hospital, 80 Highland Street, Laconia, NH. call for upcoming dates. Contact: Helen Robinson Phone: (603) 279-3926 or in summer call (603) 744-2240 Nashua: 1st Wednesday of the month, 6:00pm, St. Joseph Hospital (4th floor), Nashua, NH Contact: Patti Motyka Phone: (603) 882-3000 ext. 7501 Rochester: 2nd Thursday of the month, 6:00pm at Frisbee Memorial Hospital, Rochester, NH Contact: Paula Dempsey Phone: (603) 539-8718 Seacoast: 1st Tuesday of the month, 7:00pm, North Hampton United Church of Christ, North Hampton, NH Contact: Lil Charron Phone: (603) 659-5769 Upper Valley: 2nd Wednesday of the month, 6:30pm, Dartmouth Hitchcock Medical Center, Fuller Board Room, Lebanon, NH Contact: Donna Crowley Phone: (603) 650-7305 Wolfeboro: 2nd Thursday of the month, 2:00pm, SunBridge Care and Rehabilitation for Wolfeboro, 39 Clipper Drive, Wolfeboro, NH Contact: Pam Mott Phone: (603) 569-3950 Stroke: by Jonathan Lanteigne I have never had a summer vacation. I always take summer classes to help me stay on track with my education. This provides me with an easier transition when the fall semester begins in September. However, this summer was different and was a very interesting and rewarding time for me. At the beginning of the year, I had applied for, and was notified that I was awarded a federal internship to work at the National Science Foundation (NSF) located in Arlington, Virginia for the summer of 2006. The internship program was brought to my attention by the Jon Lanteigne TRIO/Student Support Services at New Hampshire Community Technical College in Manchester, NH and from my counselor at New Hampshire Vocational Rehabilitation Center. Throughout my internship, I put to practice what I learned from college after completing my Associate’s degree in Computer Technologies in May 2006. The Information Technologies Internship Program is sponsored by Microsoft and the American Association of People with Disabilities (AAPD). I was one of 10 applicants from the entire United States awarded entry into the Microsoft-AAPD program. AAPD offers internship programs for college students with disabilities to work in assignments in Washington, DC. The interns work in the executive, legislative, and judicial branches of the federal government and in various federal government agencies to gain real world work experience as well as valuable employment contacts in the federal sector and disability community. The first couple of days were exciting, busy, and full of new experiences. I unpacked my suitcases and set up all of my electronic devices including my laptop, PDA, printer, and various other items that I brought with me to George Washington University (GWU) where I lived in my own apartment for the summer. I quickly realized that moving into a strange and unfamiliar neighborhood was not an easy task. There was a list of items that needed to be accomplished upon arrival and each one was at a different location on campus. This internship not only helped me learn new IT tasks, but also taught me about being independent and relying on myself, because I was in an unfamiliar place without assistance from parents, teachers, or friends. I had to use the Metro subway system for transportation from my apartment, to work, and back and I applied for a Metro system fare disability pass. Since I arrived a few days early, I used the Metro to take practice runs to my new workplace each day so I could get an idea of the average time for transportation during rush hour. Doing this made me feel very comfortable with the area and ready to go to work. NSF has previously participated in the Microsoft-AAPD Federal I.T. Internship Program and is aware that specific accommodations might need to be made in their workplace for persons who have a disability. I had many duties while working at NSF. All of these assignments related to my area of study and included computer programming, upgrades, and equipment repair. I attended weekly meetings and provided NSF, AAPD, and my college professor with feedback on what I had accomplished each week. I also received input from the teams on what I did or did not do correctly. Receiving constructive feedback was one of the most rewarding experiences of the internship. I was not treated as a visitor. I was treated like any other employee of their organization. I was told when my assignments went as planned and when things did not go the way that they should have. The team gave me the “tools” that would allow me to succeed in my next assignment. What I gained from this internship was the ability to actually apply many of the learned skills from my college studies and the customer support skills from my part-time job here in New Hampshire. Now I plan to continue my post-secondary education and then progress into a meaningful full-time work setting. During the internship, I had the experience of exploring opportunities that I would not have previously considered, but I now realize are available for me to pursue. I was able to practice skills in a real work setting to see what my career preferences are, and to narrow my focus when I consider future possibilities for a particular type of professional position. I have found that I have the ability to work on tasks that, in the past, would have been beyond my technical or physical ability. In the past, I would not have even attempted to work on something that I was not familiar with. However, as I found out during the internship this summer, a person is only restricted by what they do not want to try! As I have said in past columns, know your resources and work with them in order to find opportunities for yourself. Do not be hesitant to ask them for assistance. Do not be hesitant to try something new. Believe in your abilities and what you can accomplish, and tell yourself, “I can do more, just give me the opportunity!” CONNECTIONS CORNER 2007 Brain Injury Association of NH Calendars Available! Manchester: 4th Wednesday of the month, 1:15-2:30pm, Easter Seals, 555 Auburn Street, Manchester, NH Contact: 1-800-870-8728 Manchester: 2nd Tuesday of the month, 6:30pm, Rehab Medicine Unit, Catholic Medical Center, Manchester, NH Contact: Ask-A-Nurse Phone: (603) 626-2626 Peterborough: 3rd Thursday of the month, 1:30-2:30pm Wellness Center, Peterborough, NH Contact: Suzanne Baker Phone: (603) 924-4635 Lebanon: 1st Tuesday of the month, 10:30am-11:30am, Dartmouth Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH Contact: Jane Stephenson Phone: (603) 650-5789 Nashua: 2nd Wednesday of the month, St. Joseph Hospital, 172 Kinsley Street, Nashua, NH Contact: Karen Shaw Phone: (603) 882-3000 Salem: 1st Saturday of the month, Northeast Rehab Hospital, T-R Department, 70 Butler Street, Salem, NH Contact: Kim Errico Phone: (603) 893-2900 ext. 469 by Judy Sullivan, Connections Coordinator, Neuro-Resource Facilitator The Brain Injury Association of New Hampshire is a non-profit organization receiving its funding from grants, membership, fundraising events and donations. Through the generosity of many; the organization has been able to raise awareness, increase prevention and develop needed programs that have supported families and survivors. It is our hope that the 2007 BIANH Calendar will further these endeavors. The 2007 BIANH Calendar displays each artist’s expression of being a brain injury survivor. Each piece has its own unique story of courage. The proceeds from this fundraiser will go towards the Connections Program. The Connections Program provides a support system through phone contact to individuals or family members who are experiencing brain injury or stroke. To order your 2007 BIANH Calendar, please download a form from our website: http://www.bianh.org or call Judy Sullivan at (603) 225-8400. Winter 2006 - Page 10 HEADWAY Newsletter Spotlight on Aphasia My name is David Halloran and I am the founder of the “Aphasia Advocacy Foundation.” Our lives were changed forever on July 6, 1999 when I suffered a Massive Stroke! Through this stroke I have learned that….. Speech is the Most Important Piece of Communication and Aphasia Can Happen To Anyone!!! ~~~~~~~~~~~~~~~~~~~~ Can you imagine if the last word you uttered tonight was the last word you would ever say with ease? Aphasia is an acquired communication disorder caused by injury to the brain. It is most commonly due to a stroke, but can also result from traumatic head injury, cancer, or neurological disease. At the time of my stroke my wife and family were not told that I had aphasia or what aphasia was. I was being treated for stroke complications and they were not given any hope for my recovery by my doctor in the seacoast area of New Hampshire. My family was told that if I did live, I would be a vegetable and it would be best if I were put into a facility that could best care for me long term. Through my wife’s insistence, I was sent to Catholic Medical Center, Rehab Medical Unit (RMU) in Manchester, New Hampshire. It was in their Acute Rehab Unit that I came back to life. With all of the problems that I had, my speech loss had never been given a name. After several weeks we were finally told that I had aphasia. My speech therapist at CMC RMU gave me identification cards so that I could point to what I needed. When I left the hospital, speech services were provided at Dartmouth Commons. Here my therapist taught me to put words together and to use strategies when I couldn’t get the words out. Through the next two years we learned that rehabilitation was possible. Through my wife’s dedication and my eagerness to get back to what I had once been, we decided that I would continue with outpatient rehab and go to as many group meetings as we could find. At that time we found that there wasn’t a place in the seacoast area of New Hampshire for the survivor, their caregivers or their families to get the needed help or resources. We decided to make this a priority. We also found through others that once your insurance or disability services where exhausted, there was no place to go for the rehab that you still needed. I was fortunate to live within a few miles of UNH and it was suggested by several different young waitresses in the area that I contact UNH to volunteer for their Speech and Communications Department. The Speech and Communications Department refined my speech and helped me talk in a more natural style. They taught me to put the words that I did have together to make full sentences. They are still working with me today to help me speak in more normal patterns. Speech therapy for a person with aphasia is for life. JUNE IS APHASIA AWARENESS MONTH The APHASIA ADVOCACY FOUNDATION, Seacoast Aphasia Support Group and the Aphasia Support Group of Catholic Medical Center held it’s 2nd Annual Walk-aThon on June 3rd at Massabesic Lake Park in Manchester, NH. Despite the heavy rains we were still able to hold our Walk and picnic after. We would like to thank everyone for the contribution they made. We had a great turnout and a great day. Support Groups Seacoast Aphasia Support Group, 3rd Monday of the Month , 7:00-8:30 pm Held on the Lower Level, Community Campus, Portsmouth, NH We were in Tampa in June of 2004 for the National Aphasia Association’s Speaking Out Conference. I was honored with the National Aphasia Association’s Advocacy Award. The realization hit that I have made a difference to people with aphasia. Driving home from Florida, we knew there was more that we could do to help victims of aphasia and their families. We decided then and there that we would find a way to combine the needs of the victim and provide continuing help and support for all those that needed it. When my wife Rosemarie and I came home to New Hampshire we developed and formed the “APHASIA ADVOCACY FOUNDATION”. We wanted to help other aphasia victims with their recovery and most important wanted to assist caregivers and families. We wanted everyone to know that there is help out there not only for the victim but for the whole family. The majority of people with aphasia are discharged from hospitals without knowing their condition has a name or by David Halloran that their condition can improve with time, speech therapy, and/or community support groups. “Beyond survival for people with Aphasia” This is the “Motto” that we use to help people with aphasia. Recovery is possible with continued therapy and support. Most important we want all survivors, families and caregivers to know that they are not alone! The Brain Injury Association of New Hampshire believes in our mission and they have allowed us to place these articles in this newsletter to help educate and support people with aphasia. This is the first of many articles about aphasia and we hope that we can help educate and support the people of New Hampshire. If you have any questions or suggestions, please feel free to contact us at www.aafnh.org. Aphasia Advocacy Foundation APHASIA IS a COMMUNICATIVE DISABILITY caused by damage to the language centers of the brain, usually as the result of a stroke or head injury. It is not a loss of intelligence. Each person with aphasia has a unique set of language disabilities depending on which side and to what extent the brain is injured. There is a sticker available to educate Police, Fire and Emergency Personnel that a person with Aphasia is in the vehicle or in a home. Our goal is to have every person with aphasia to have these stickers visible on the automobile that they drive or ride in. We are also suggesting that they be put on the entrance door to the home that they live in. There is no charge for a sticker. Please send a self addressed stamped envelope to: AAFNH, P O Box 648, Stratham, NH 03885 and we will get a sticker to you. “So what, you have Aphasia!” Your mind is still intact and we need your help. Getting people educated about aphasia is no easy task. Not one person can do this; we all need to do it together. Our goal is to educate people about aphasia. We need help and no task that you can offer is too little. Please become a member and help us with our “Mission” Aphasia Advocacy Foundation: Mission/Vision The Aphasia Advocacy Foundation (AAF) is dedicated to the advancement of the quality of life and being for individuals with Aphasia and their families/caregivers throughout their lifespan. Catholic Medical Center Aphasia Support Group, 4th Tuesday of the month 6:30-7:30 pm, Level F at Catholic Medical Center, Manchester, NH We aspire to increase society’s awareness of Aphasia through education, so that communicative access to society is universally available to all those affected by Aphasia. Aphasia Community Group of Boston ; Is moving to Sargeant College E-mail us for dates and further information We aim to provide education, training and coping skills for individuals with Aphasia via group sessions, social re-integration activities and outreach programs. Steppingstones and Seacoast Aphasia Support Group, Friday 1:00-1:50 Community Campus 2nd Floor Movie Room We aim to provide education, training and coping skills for families/caregivers of Individuals with Aphasia. HEADWAY Newsletter Winter 2006 - Page 11 Education Update !&4%2).*529/2342/+% 4(%"2!).#!.(%!, By Lynne Flemming It is estimated that each year 2,000 children sustain a traumatic brain injury and 10% of these children require long-term hospitalization. Most of the children that sustain a brain injury require outpatient rehabilitation services. The majority of children injured return to their home educational system. As the health care system has changed, children are leaving the hospital sooner and returning to school while still in the recovery process. Educators are now faced with meeting the needs of a population that they have had limited contact with in the past. In an effort to meet this need, the Brain Injury Association of New Hampshire has developed the School-Based Support Program. The goal of the Brain Injury Association’s School-Based Support Program is to provide information to educators and families about brain injury and how the injury impacts cognitive development and learning. Services provided through the School-Based Support Program include: Community based trainings open to educators School-based (on-site) trainings designed to meet the needs of a specific educational team. Direct (one-on-one) consultation to specific team members regarding strategies for implementing a student’s IEP. Consultation to the educational team at the team meetings. On-line discussion between educators and neurorehabilitation specialists using the ListServ – “Educating New Hampshire’s Students with Traumatic Brain Injury”. Resources on-line at the Brain Injury Association website: www.bianh.org . . . . . . $R2OCCO#HIAPPINI$IRECTOR2EHABILITATIONAND0HYSICAL-EDICINE 3/-%4)-%3)4.%%$3!,)44,%(%,0 4HEREAREOPTIONS7ECANHELP !FTERABRAININJURYORSTROKEAPERSONMAY GOBACKHOMEORTOWORKxBUTSTILLMAY NEEDADDITIONALCARE7ENOWPROVIDE INTENSIVEOUTPATIENTSERVICESONAWEEKLY OREVENMONTHLYBASISTHATCANSIGNIlCANTLY IMPROVEAPATIENTSFUNCTIONINGMONTHS OREVENYEARSAFTERTHEORIGINALBRAININJURY !SKYOURDOCTORABOUTAREFERRALTO#ROTCHED -OUNTAIN)NFORMATIONISAVAILABLEINTHE /UTPATIENT3ERVICESSECTIONOFOURWEBSITE WWWCROTCHEDMOUNTAINORG The newest of the program’s services will be on-line training. It is anticipated that on-line training will be available this winter. Educators will be able to choose a topic of interest and receive contact hours for participating in the training at their own pace. If you are interested in coordinating a training or consultation with your educational team, please contact Lynne F. Fleming OTR/L, Coordinator of the School-Based Support Program at (603) 225-8400 or lynne@bianh.org Navigating the School System /540!4)%.4!$5,4 Receive up to $100 to evaluate a program that teaches advocacy skills to parents of children with brain injury. The Oregon Center for Applied Science (ORCAS) is looking for parents/guardians of a school-aged child with a brain injury to help us evaluate a web-based program on advocacy skills. The research begins in early 2007. You’ll receive up to $100.00 to spend approximately two hours viewing the program and completing three surveys. If you are interested in participating in this evaluation please visit the link below and sign up on online. "2!).).*5293%26)#%3 Brain Injury Association of NH "Headway" Newspaper Ad Rates Advertising Format and Rates Size 1/2 page (10"w x 6-1/8"h or 4-7/8"w x 12-5/8"h) 1/4 page (5"w x 7 1/4"h) Business Card (4-7/8"wx2"h) http://study.braininjurypartners.com Focus Group Participants Needed The Brain Injury Association of America is producing new materials for the National Brain Injury Information Center (NBIIC) and Brain Injury Awareness Month 2007 that are to be focus-tested. These materials will include a poster representing faces of people with brain injury and presenting the theme: Brain Injury: As Diverse as We Are. The poster will be accompanied by four fact sheets/vignettes of the people in the poster and include information and statistics on the leading causes of brain injury along with resources. There will also be two booklets on behavioral issues following brain injury and a guide for families and caregivers. The NBIIC is also producing a new booklet about children and brain injury to be disseminated to callers requesting information on brain injury and children. We are recruiting persons with brain injury and their family members for individual interviews and focus groups. Focus-group participants will be asked to review materials and then attend a 60-minute telephone meeting. The individual interviews with persons with brain injury will take about 30-45 minutes. Each participant will receive $50 for participating. If you are interested or know someone who would qualify and be willing to participate, please go to http://www.surveymonkey.com/s.asp?u=509282452479 in order to register for focus-testing of these new materials. Thank you for your interest. Sincerely, Pat Britz, Project Director Caroline, Feller, Consultant 2QH9HUQH\'ULYH*UHHQÀHOG1+ H[W DQGWROOIUHHLQ1+ HPDLORXWSDWLHQW#FURWFKHGPRXQWDLQRUJ $ Per Issue $470 p/issue $355 p/issue $165 p/issue . The Headway Newsletter is published quarterly. BIA-NH can bill you on a per issue basis or annually. . Circulation: approximately 7,500 . Please supply us with a clear, black and white camera ready copy. Ad/artwork cannot be submitted by fax. How To Place Ads Complete and submit the attached Advertising Insertion Order or call 603-225-8400 Monday – Friday, 9:00am to 5:00pm. Please call for deadline dates for each issue. ……………………………………………………………………………………… . . Annual Advertising Insertion Order Name:_______________________________ Title:_________________________ Institution or Company:_______________________________________________ Address:___________________________________________________________ City:_________________________ State:______________ Zip:______________ Contact Person:____________________________ Telephone #:______________ Ad Size:___________ Issue: Spring Summer Fall Winter Year ______ ___Payment Enclosed ___Bill to address above ___Bill annually ___Bill per issue (quarterly) Attach ad copy Special Instructions:__________________________________________________ __________________________________________________________________ Please send to: Brain Injury Association of NH , 109 North State Street, Suite #2 Concord, New Hampshire 03301 Winter 2006 - Page 12 HEADWAY Newsletter 2006 Members and Donors Thank You To All Our Members, Donors, and Event Supporters! (reflects donations received from January 1, 2006 through September 30, 2006) Beverly Abbott, RN Abramson, Brown and Dugan A. G. Edwards and Sons Lynn Allen All-Ways Accessible, Inc. Area Agency for Developmental Services of Greater Nashua Ascutney Mountain Resort Diane Aubrey Henry Badgley Rhonda Barkley, MS, OTR/L Paul Baron Joe Barrett Alan and Susan Bartunek Daniel Becerril Bekah’s Burger Barn Trina Bergeron Lee and Paula Bernard Bernier Insurance BJ’s Wholesale Club, Tilton, NH Paul Blackford John M. Blackford Gene Blank B. Mae’s Resort Inn and Suites Bob and Terry Sports Outlet, North Conway Body and Spirit Day Spa and Skin Care Bill Bonin Sandy Bonin Jack Bopp Boston Life Sciences, Inc. Donna Bouchard Madeline Boughter Laurie Boyce Jeanne Boynton Jane Brickett Jessica Browning Judith Burton Café on the Corner, Dover, NH Jerry and Christine Campbell Cannon Mountain Ski Area/DRED Cantin Design Capitol Distributors Carter Hill Farm Catholic Medical Center Community Health Charities of NH Lillian Charron Community Bridges, Inc. Mr. and Mrs. James Collins Community Partners Mr. and Mrs. James Cookman Paul and Pat Corcoran Jeffrey Cordts Coyote Rose, North Conway Crotched Mountain Rehabilitation Center Nicole Dalbec-Joyal Davis, Towle, Morrill and Everett Insurance Services William DeGrauw Peter Dekker Patricia DeMarino Donna DiBello Disabilities Rights Center, Inc. Dover Soul, Dover, NH Scott Dow Eastern Mountain Sports, North Conway EICSL Brant Elkind Energy Improvements Tom and Patti Ennis Priscilla Erhardt Judith Esburnett Extreme Clean Car Wash, Meredith, NH Gayle Feick Jacquelyn Felix 1st Impressions Imprinted Sportswear Ann Fitzgerald Sandra J. Forest Fratello’s/Homestead Restaurant Funspot Kevin Galeaz and Robin Galeaz Glen Group, North Conway Sheldon Grass Francine Grenier Gunstock Mountain Resort Giles Ham Phyllis E. Harding Linda D. Harrington Steve and Maureen Harris Ellen and Brad Hayes HealthSouth Rehab Hospital Employees Melissa R. Herman Hill’s Florist, North Conway Horsefeathers, North Conway Clinton and Ferne Huntemann Mary Jane Holland Mary Holmes Home Depot Foundation Hudon Kiwanis Club Independent Services Network Integrated Office Solutions Leslie Johnson, Attorney at Law Joe Jones, North Conway Jubilation, Newton Centre, MA Just the Thing!, Dover, NH Ruth Kabel Michael Keefe Kathryn J. Kerigan Newton Kershaw John S. Kitchen, Esq. Knights of Columbus, NH State Council 6902 Solange Knowles Lahout’s Country Clothing and Ski Shop Lakes Region Community Services Council Lakeview Neurorehabilitation Center Mr. and Mrs. Ronald Laramie Catherine Lemire Liberty Mutual Living Innovations Home Care, Inc. Lochmere Golf and Country Club Daniel Long Lucy Lumber and Hardware, North Conway Dave Madden Marie Magee Michelle Magner-Lawson Sally Ann and Larry Major Michael Margareci Stephen Marshall, Jr. Linda and Timothy Marx Annette Maurier Norman Michaud, O.D. LouAnn Michaud Keith A.Migneault Elizabeth G. Mills Manchester Monarchs Mary S. McGowan Bernard McManus Harold and Dolores McMillan Janet Montecalvo Moore Center Services, Inc. Morgan Stanley Employee Annual Appeal Campaign Mabel Mortlock Karen Mossey Mount Washington Resort MPZ Landscaping and Irrigation Karen Munsell The Munson Family Vivian Nash Pamela Nation, PT Dick and Glenna Nelson NH 104.9/Nassau Broadcasting NH Highland Games/NHSCOT NH Bureau of Developmental Services NH Troopers Association Nicole’s Hallmark, Dover, NH North Country Independent Living Northern Human Services Nuance, Dover, NH James S. O’Donnell Olympia Sports, Plymouth Melissa Ostlund Patient Lifts of New England Patrick’s Pub and Eatery PerfumeSisters.com Kevin Perkins Norm Peterson Pheasant Ridge Golf Course PIP Printing Nicole Piscopo Nate Plummer Plymouth Ski and Sports Ralph Porfido Judy Pratt Rodney and Elissa Proulx R. C. Brayshaw and Company, Inc. Rodgers Ski and Sport, Lincoln Michael and Irene Reagan Red Star Twirlers Nancy Reid Robin Hill Farm Helen Robinson Reverend Alice Roberts Rose Meadow Farm Jackie Rzasa Jim Salmon Susan B. Sasser Brian Schofield Seacoast Coca-Cola Bottling Co. Seufert Professional Association Shaw’s Supermarkets Jack Silverman Ski Fanatics, Plymouth Myron A. Smith Marion and Harding Sortevik Spaulding Rehabilitation Hospital Stan and Dan’s Sports, North Conway Jeannine Stergios St. Joseph Hospital Lisa J. Svec Synergy, North Conway Tanger Outlet Center, Tilton, NH Target The Krempels Brain Injury Foundation Louise C. Theriault Rich Thibeault, Concord Country Club Bob Tourangeau Tyco Matching Gifts Program Zoe Veasey Steve and Patti Wade Walk-By-the Sea Against Brain Injury 2006 Donors Walmart Waterville Valley Resort Elizabeth Watman Waukewan Golf Club Robert A. Wells, Esq. Wendy’s Restaurants Ilene Wheeler Al White Elaine Wiesman Barbara Wilson Penny and Peter Wilson Winnisquam Regional School District (Project Safeguard) WKS/Residential Resources, Inc. Pete and Penny Wilson Elaine Wood Robert Wood Jeff Woods Construction WPKQ 103.7, North Conway Jacqueline L. Yarmo Michael Cunningham Memorial Fund Carolyn Allenby Christopher Ankner Dale Cunningham Keith Cunningham Linda and Thomas Dunn Willaim and Elizabeth Furber Linda and Brian Hayward Marsha and Bruce Johnson Adam Margulirs Joel Miller Julie Murphy Nancy and Jeffrey Phlegar Robert Schoenthal Lisa and Victor Svec Doug Sweeney Jeffrey Tabak Lisa and Robert Wheeler In Memory of Mary Auger Paula Auger Louise and Peter Tiews Agnes Lastoria David, Lori Gordan and Seth Lampert Jennifer Steer In Memory of Madeline Bando Constance and John Archambault In Memory of James A. Dugan III Peter Cofran In Memory of Captain Thomas Fitzgerald Ruth Miller Priscilla Richardson In Memory of Kevin McCarthy Mr. and Mrs. John Archambault In Memory of Edward J. Murphy, Sr. Collaborative Consulting, Burlington, MA Lambert Funeral Home and Crematory, Inc. Moose Hill PTA Eric and Beth Soederberg In Memory of Phil Pagano and Agnes D’Urso Mr. and Mrs. John Archambault In Memory of Carol Scaison Carol and Silvio Giangregorio Richard and Frances Morse Mr. and Mrs. Joseph Paradise, Sr. Anne Quigg In Memory of Todd D. Williamson Kristin Hoffman In Honor of Jon Kell James and Jane Kell In Honor of Michael Silton Richard G. Silton In Honor of Dan Tomalonis Michele Magner-Lawson ____ Yes! I want to help support brain injury programs and services in New Hampshire. Individual Giving Levels $50-$99 $100-$249 $250-$499 $500-$999 $1000-$1999 Other ______ Monthly gift by credit card $4-$8 monthly $8-$20 monthly $20-$41 monthly $41-$83 monthly $83-$111 monthly Monthly gift: _____ For organization, business or corporate support levels, please call the Brain Injury Association of New Hampshire office at 603-225-8400. Name _________________________________________________________________ Address _______________________________________________________________ City _____________________________________________ State _____ Zip _______ Telephone ____________________________ Email ___________________________ Survivor Family/Friend Professional ___________ One-time gift $________ Monthly gift $_________ Amount Enclosed _________ Payment Method: Check/Cash Visa MasterCard Discover Other ___________ Account # _____________________________________________ Exp. Date _______ Signature ______________________________________________________________ This gift is in honor of: ___________________________________________________ This gift is in memory of: _________________________________________________ I wish to designate my United Way, CFC, SEC gift to BIANH I have applied for a matching gift from my employer I’m interested in including BIANH in my estate planning I’d like to volunteer, please contact me Message to BIANH: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Brain Injury Association of New Hampshire 109 North State Street, Suite 2, Concord, NH 03301 Phone: (603) 225-8400 Family Helpline: (800) 773-8400 www.bianh.org Help Us Fulfill Our Mission – Become a Member! ~~~~~~~~~~~~~~~~~~~~~~ Membership Benefits Include: . Complimentary subscription to the quarterly newsletter entitled . HEADWAY Membership in the Brain Injury Association of America wallet card . Membership Recognition in the Brain Injury Association of New Hampshire’s . publications Informational and educational on request . materials Notice of meetings, events and . conferences Voting rights at the Annual . Meeting Access to the Brain Injury Association of New Hampshire’s Family Resource Library .~~~~~~~~~~~~~~~~~~~~~~ Public policy email list server