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Val Lougheed Northern Lights Canada 1-800-361-4642 www.northernlightscanada.ca [email_address] Facilitating Resilience and Independence --  Inspired to Serve   Lessons From Lived Experience ~ Keep Your Fork ~
“ You don’t want your impairments to define you – you want them to inform you.” (Hanita Dagan, personal communication, 2005)
Twitter:  #NLCAN Slideshare:  Book:  Be Still
Agenda ,[object Object],[object Object],[object Object]
Three Essential Recovery Questions ,[object Object],[object Object],[object Object]
Rated PG-113 People Strongly Cautioned!  May contain bad language, brief nudity, sexual overtones, and drug usage.
Social Workers believe: ,[object Object],[object Object],[object Object]
Social Work Goals ,[object Object],[object Object],[object Object]
Value of Our Honourable Work ,[object Object],[object Object],[object Object]
Happy Birth Day
Beginning My Story
 
 
 
Sept. 9, 2003  - morning
Sept. 9 – p.m.
Sept. 15 2003 – Jan. 19 2004 Journey Back to Life
 
 
 
Oct. 3 – Dec. 11
Dec. 11/03 – Jan. 19/04
 
In acute care: * What do people need? * How can we help? Key Questions
 
 
 
Research
Researcher’s Position Paradigm ,[object Object],Ontology ,[object Object],[object Object],[object Object],Epistemology ,[object Object],[object Object],Approach to Research ,[object Object],[object Object],[object Object],[object Object],[object Object],(Glaser and Strauss, 1967; Mertens, 1998)
Research Methodology Narrative Inquiry ,[object Object],[object Object],Data Analysis Method ,[object Object],[object Object],Findings Must Be  … ,[object Object],[object Object],[object Object],(my own requirements) (White and Epston, 1990: van Manen, 1998) (Mertens, 1998; Strauss, 1988; Glaser and Strauss, 1967)
Dominant Themes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Foundation for Understanding Experience
Rehabilitation “ Neither the type nor the degree of impairment can foretell the pattern or extent of the psychosocial impact.” (George Nelson Wright, 1980, p. 72)
Body-Mind Connection Psychoimmunoendocrine Network ,[object Object],[object Object],[object Object]
February 2004 – Present Starting Point
Identity Disintegration  and The Re-organization of Self March 2004
“ In the aftermath of traumatic life events … [the] sense of self has been shattered.” (Herman, 1992, p. 61) “ An existential crisis …” (Hanita Dagan, personal communication, 2005)
Sliding Down the Slope
 
OxyContin ™ Research (Dalhousie, March 2005) 783,762 prescriptions for OxyContin ™  dispensed in Canada Nov. 2003 – Oct. 2004 OxyContin ™  is one of Canada’s 3 most-prescribed narcotic painkillers 2003 OxyContin ™  earns Purdue more than $1 billion U.S. 2002 Approved in Canada 1996 Purdue Pharmacy (USA) launches OxyContin ™  – controlled-release formula 1995 Oxycodone ™  developed in Germany Early 1900’s
A Foothold ,[object Object],[object Object],[object Object],[object Object],1 st  Neuropsychological Assessment June 2004 -- Results
ABI – Measuring Loss “ Pre-morbid intelligence is a crucial variable …” Subjective Report – difficulty retrieving words and communicating ideas Objective Report – above-average performance on neuropsychological measures (Prigatano, 1999, p. 59)
Losing My Grip My IWRP August 2004
 
Rescued in the Valley of Despair Head Injury Program Oct. – Dec. 2004
 
HIP Oct to Nov – Full-time December  – Part-time
GO TO WORK
GRTW – The Plan Jan. 3 – Feb. 7, 2005  (5 weeks)
GRTW – The Reality
GRTW – The Reality
GRTW – The Reality
GRTW – The Reality
GRTW – The Reality
GRTW – The Reality
GRTW – The Reality
GRTW – The Reality
GRTW – The Reality
How do we help people transition from acute recovery to community life and work? Key Question
Rescue Attempts ,[object Object],[object Object],[object Object]
Sliding Back Down  Into The Abyss ,[object Object],[object Object],[object Object],[object Object],2 nd  Neuropsychological Assessment May 2005 -- Edmonton
Test Results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lesson ASSUMPTIONS REVEAL BIAS
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],3rd Neuropsychological Assessment August 2005 -- Calgary
Symptom Overlap (co-morbidity) (Michael Sullivan, Centre for Research on Pain and   Disability, McGill University, September, 2006) Pain, Trauma, Depression, ABI
 
Oct. 3 – Dec. 11
 
Pain Research 1600’s – Rene Descartes (philosopher)
Pain Research 1950’s – Wilder Penfield (brain surgeon)
 
Pain Research Patrick Wall (physiologist) Ronald Melzack (psychologist)
Pain Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain – The Future SCN9A (Globe and Mail, March 24, 2007) Poppy Genes (U of Calgary -- Calgary Sun, March 15, 2010) Glia (Scientific American, November, 2009)
 
 
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Trauma Research
“ In every encounter, basic trust is in question.” ( Herman, 1992, p. 92) “ Survivors feel unsafe in their bodies – and in any relationship with other people.” (Herman, 1992, p. 160) Rehab & Recovery
Trauma Personal Experience ,[object Object],[object Object],[object Object],Trust (Safety) = Love No Trust (Life Threatening) = Hate
Trauma Personal Experience ,[object Object],[object Object],[object Object],[object Object],I trust (love, feel safe with, will try hard for) practitioners who:
 
 
“…  depression [caused by trauma] is not the same as ordinary depression.” ( Herman, 1992, p. 118) Depression
“ Emotions are not in the head – they are in every cell in the body.” (Pert (1995), in Bolen, 1996, p. 7) Pscyhoimmunoendocrine Network
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],ABI
Back to Wilder Penfield – 1950’s ABI Localizationist
Paul Bach-y-Rita – 1934 – 2006 Scientist and Rehab Doctor Neuroplasticity - 1969
Michael Merzenich Neuroplastician Neuroplasticity
Harnessing the Power
 
“ The words and attitudes of others … are potent. They help or hex healing and recovery.” “  Expectations are powerful.” “ Neutrality can be deadly.” (Bolen, 1996, p. 94) Body-Mind Connection
[object Object],[object Object],[object Object],[object Object]
 
Quantum Connection ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Rest of My Story
“ Loss of identity can evoke a personal crisis, creating a need for change.” (Ornelas, in Smith & Johnson (Eds), 1997, p. 172) The Re-Organization of Self Identity Research
Scaling the Canyon
Sept., 2005 Waskesiu
 
 
 
 
Breast Cancer  Reconstructive Surgery March 2006
Convocation M.Ed. -- June 2006
Back in “a” Saddle September  2007 ,[object Object],[object Object],[object Object]
Keep Your Fork
 
Three Essential Recovery Questions ,[object Object],[object Object],[object Object]
Inspired to Serve - 101 Resilience ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Inspired to Servce -- 201 Rehabilitation   (habiter – to live inside) “ Rehabilitation is the learning to live inside not only one’s body, however it is after an injury or illness, but inside one’s very being.” (Kabat-Zinn, in Meili, 2003, p. 241)
Inspired to Serve - 301 Recovery Crombez, October, 2003 Focus on the person [inside] Healing Focus on the illness/ impairment [outside] Curing
Be Still
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Voc Rehab Canada (VRCAN) is a national consortium of experienced regional vocational rehabilitation companies. VRCAN provides customers with single-point access to VR services anywhere they are needed in Canada, whether on an individual service or contract basis. Member companies include: For more information, please feel free to contact us at 1-800-361-4642 Rehabilitation Focus Genesis Rehabilitation Ltd. Diversified Rehabilitation Group Western Rehabilitation Specialists Inc. Occupational Rehabilitation Group of Canada (ORGOC) Northern Lights Canada CVE Inc. OPTIMA  Rehabilitation Rehabilitation Alternatives Limited / Vocational Alternatives Software Advantage Rehabilitation Consultants Ltd.  Sandra Preeper & Associates Argus Management Consultants, Inc.
 

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Facilitating Resilience and Independence

  • 1. Val Lougheed Northern Lights Canada 1-800-361-4642 www.northernlightscanada.ca [email_address] Facilitating Resilience and Independence -- Inspired to Serve Lessons From Lived Experience ~ Keep Your Fork ~
  • 2. “ You don’t want your impairments to define you – you want them to inform you.” (Hanita Dagan, personal communication, 2005)
  • 3. Twitter: #NLCAN Slideshare: Book: Be Still
  • 4.
  • 5.
  • 6. Rated PG-113 People Strongly Cautioned! May contain bad language, brief nudity, sexual overtones, and drug usage.
  • 7.
  • 8.
  • 9.
  • 12.  
  • 13.  
  • 14.  
  • 15. Sept. 9, 2003 - morning
  • 16. Sept. 9 – p.m.
  • 17. Sept. 15 2003 – Jan. 19 2004 Journey Back to Life
  • 18.  
  • 19.  
  • 20.  
  • 21. Oct. 3 – Dec. 11
  • 22. Dec. 11/03 – Jan. 19/04
  • 23.  
  • 24. In acute care: * What do people need? * How can we help? Key Questions
  • 25.  
  • 26.  
  • 27.  
  • 29.
  • 30.
  • 31.
  • 33. Rehabilitation “ Neither the type nor the degree of impairment can foretell the pattern or extent of the psychosocial impact.” (George Nelson Wright, 1980, p. 72)
  • 34.
  • 35. February 2004 – Present Starting Point
  • 36. Identity Disintegration and The Re-organization of Self March 2004
  • 37. “ In the aftermath of traumatic life events … [the] sense of self has been shattered.” (Herman, 1992, p. 61) “ An existential crisis …” (Hanita Dagan, personal communication, 2005)
  • 39.  
  • 40. OxyContin ™ Research (Dalhousie, March 2005) 783,762 prescriptions for OxyContin ™ dispensed in Canada Nov. 2003 – Oct. 2004 OxyContin ™ is one of Canada’s 3 most-prescribed narcotic painkillers 2003 OxyContin ™ earns Purdue more than $1 billion U.S. 2002 Approved in Canada 1996 Purdue Pharmacy (USA) launches OxyContin ™ – controlled-release formula 1995 Oxycodone ™ developed in Germany Early 1900’s
  • 41.
  • 42. ABI – Measuring Loss “ Pre-morbid intelligence is a crucial variable …” Subjective Report – difficulty retrieving words and communicating ideas Objective Report – above-average performance on neuropsychological measures (Prigatano, 1999, p. 59)
  • 43. Losing My Grip My IWRP August 2004
  • 44.  
  • 45. Rescued in the Valley of Despair Head Injury Program Oct. – Dec. 2004
  • 46.  
  • 47. HIP Oct to Nov – Full-time December – Part-time
  • 49. GRTW – The Plan Jan. 3 – Feb. 7, 2005 (5 weeks)
  • 50. GRTW – The Reality
  • 51. GRTW – The Reality
  • 52. GRTW – The Reality
  • 53. GRTW – The Reality
  • 54. GRTW – The Reality
  • 55. GRTW – The Reality
  • 56. GRTW – The Reality
  • 57. GRTW – The Reality
  • 58. GRTW – The Reality
  • 59. How do we help people transition from acute recovery to community life and work? Key Question
  • 60.
  • 61.
  • 62.
  • 64.
  • 65. Symptom Overlap (co-morbidity) (Michael Sullivan, Centre for Research on Pain and Disability, McGill University, September, 2006) Pain, Trauma, Depression, ABI
  • 66.  
  • 67. Oct. 3 – Dec. 11
  • 68.  
  • 69. Pain Research 1600’s – Rene Descartes (philosopher)
  • 70. Pain Research 1950’s – Wilder Penfield (brain surgeon)
  • 71.  
  • 72. Pain Research Patrick Wall (physiologist) Ronald Melzack (psychologist)
  • 73.
  • 74. Pain – The Future SCN9A (Globe and Mail, March 24, 2007) Poppy Genes (U of Calgary -- Calgary Sun, March 15, 2010) Glia (Scientific American, November, 2009)
  • 75.  
  • 76.  
  • 77.  
  • 78.  
  • 79.
  • 80. “ In every encounter, basic trust is in question.” ( Herman, 1992, p. 92) “ Survivors feel unsafe in their bodies – and in any relationship with other people.” (Herman, 1992, p. 160) Rehab & Recovery
  • 81.
  • 82.
  • 83.  
  • 84.  
  • 85. “… depression [caused by trauma] is not the same as ordinary depression.” ( Herman, 1992, p. 118) Depression
  • 86. “ Emotions are not in the head – they are in every cell in the body.” (Pert (1995), in Bolen, 1996, p. 7) Pscyhoimmunoendocrine Network
  • 87.  
  • 88.  
  • 89.
  • 90. Back to Wilder Penfield – 1950’s ABI Localizationist
  • 91. Paul Bach-y-Rita – 1934 – 2006 Scientist and Rehab Doctor Neuroplasticity - 1969
  • 94.  
  • 95. “ The words and attitudes of others … are potent. They help or hex healing and recovery.” “ Expectations are powerful.” “ Neutrality can be deadly.” (Bolen, 1996, p. 94) Body-Mind Connection
  • 96.
  • 97.  
  • 98.
  • 99. The Rest of My Story
  • 100. “ Loss of identity can evoke a personal crisis, creating a need for change.” (Ornelas, in Smith & Johnson (Eds), 1997, p. 172) The Re-Organization of Self Identity Research
  • 103.  
  • 104.  
  • 105.  
  • 106.  
  • 107. Breast Cancer Reconstructive Surgery March 2006
  • 108. Convocation M.Ed. -- June 2006
  • 109.
  • 111.  
  • 112.
  • 113.
  • 114. Inspired to Servce -- 201 Rehabilitation (habiter – to live inside) “ Rehabilitation is the learning to live inside not only one’s body, however it is after an injury or illness, but inside one’s very being.” (Kabat-Zinn, in Meili, 2003, p. 241)
  • 115. Inspired to Serve - 301 Recovery Crombez, October, 2003 Focus on the person [inside] Healing Focus on the illness/ impairment [outside] Curing
  • 117.
  • 118. Voc Rehab Canada (VRCAN) is a national consortium of experienced regional vocational rehabilitation companies. VRCAN provides customers with single-point access to VR services anywhere they are needed in Canada, whether on an individual service or contract basis. Member companies include: For more information, please feel free to contact us at 1-800-361-4642 Rehabilitation Focus Genesis Rehabilitation Ltd. Diversified Rehabilitation Group Western Rehabilitation Specialists Inc. Occupational Rehabilitation Group of Canada (ORGOC) Northern Lights Canada CVE Inc. OPTIMA Rehabilitation Rehabilitation Alternatives Limited / Vocational Alternatives Software Advantage Rehabilitation Consultants Ltd. Sandra Preeper & Associates Argus Management Consultants, Inc.
  • 119.