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Community Rehabilitation
Practice
Trauma, Rehabilitation
and Recovery –
~ Keep Your Fork ~

Val Lougheed
Northern Lights Canada
Real Work * Real People * Real
Results
1-800-361-4642 * www.northernlightscanada.ca * vlougheed@northernlightscanada.ca
“You don’t want your
impairments to define
you – you want them
to inform you.”
(Hanita Dagan, personal communication, 2005)
www.slideshare.net/vlougheed

#NLCAN
www.northernlightscanada.ca/about/about-vallougheed/be-still
Agenda
• Beginning …
• Middle …
• End …
Community Rehabilitation
Practice
1. What does it mean to recover?
2. What can I do to recover and
return to a life that includes
work?
3. What can we do to facilitate
recovery and a return to work?
Rated PG-113
People Strongly Cautioned!
May contain bad language, brief nudity,
sexual overtones, and drug usage.
Beginning
1978
Sept. 9, 2003 - morning
Sept. 9 – p.m.
Sept. 15 2003 – Jan. 19 2004
Journey Back to Life
Starting Point
February 2004 – Present
March 2004

The
Re-organization
of Self
“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)
A Foothold
1 st Neuropsychological Assessment
June 2004 -- Results

• Mild – moderate ABI
• Depressed (dysphoria)
• Working memory problems
• Hiding pain
Losing My Grip
My IWRP
August 2004
Rescued in the Valley of
Despair
Head Injury Program
Oct. – Dec. 2004
GRTW – The Plan
Jan. 3 – Feb. 7, 2005
(5 weeks)
3rd Neuropsychological
Assessment
August 2005 -- Calgary

• Mild – moderate ABI
• Good prognosis

• Post-Traumatic amnesia
• Pain?
• Depression?
• “Adjustment Disorder with Anxiety
and Depressed Mood”
Pain, Trauma, Depression, ABI

Symptom Overlap
(co-morbidity)
(Michael Sullivan, Centre for Research on Pain and
Disability, McGill University, September, 2006)
Oct. 3 – Dec. 11
Pain Research
Patrick Wall (physiologist)
Ronald Melzack (psychologist)
Rehab & Recovery
“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)
Trauma
Personal Experience
I trust (love, feel safe with, will
try hard for) people who:
• Listen to me
• Understand me
• Respect me
• Are competent
Psychoimmunoendocrine Network
Candace Pert, 1997; pp. 171 -- 179
VIDEO CLIP Story of Paul
Bach-y-Rita’s dad
Paul Bach-y-rita

Neuroplasticity Video Clip;
link to Neuroplasticity –
YouTube; bren49764
00 – 2:20
Neuroplasticity - 1969
Paul Bach-y-Rita – 1934 – 2006
Scientist and Rehab Doctor
METHODS OF
HELPING
Body-Mind Connection
“The words and attitudes of
others … are potent. They help
or hex healing and recovery.”
“ Expectations are powerful.”
(Bolen, 1996; p. 94)
VIDEO CLIP
Esther
Sternberg

Dr. Esther Sternberg Demo
Reel – YouTube;
00 -- .36
Cortisol and Immune
Cells
Sternberg, 2001; p. 112
Scaling the Canyon
Waskesiu
Sept., 2005
Breast Cancer
Reconstructive Surgery
March 2006
Convocation M.Ed. -- June
2006
Back in “a” Saddle
September 2007

• Officially change role/
title
• Re-organize NL
• Work part-time
Community Rehabilitation
Practice
Resilience



Ability to return to original form after
being bent (bounce back)

Thriving in constant change, ability to be:
• Flexible
• Creative
• Adaptable
• Learn from experience
http://www.resiliencycenter.com/articles/5levels.shtml
Community Rehabilitation Practice
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)
Community Rehabilitation
Practice
Recovery
Curing

Focus on the illness/
impairment [outside]

Healing

Focus on the person
[inside]
Crombez, October; 2003
Be Still
Community Rehabilitation
Practice
1. What does it mean to recover?
2. What can I do to recover and
return to a life that includes
work?
3. What can we do to facilitate
recovery and a return to work?
Keep Your Fork
Northern Lights Canada is a person-centred
organization committed to providing innovative,
responsive links to real work.
We offer 4 major divisions of service:
• Vocational Rehabilitation Services
• Employment Services
• Employer Services
• Corporate Training
For more information, please contact us:
1-800-361-4642
www.northernlightscanada.ca
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:
Argus Management Consultants, Inc.

Sandra Preeper & Associates

Advantage Rehabilitation Consultants
Ltd.

Rehabilitation Alternatives Limited /
Vocational Alternatives Software

OPTIMA Rehabilitation

CVE Inc.

Northern Lights Canada

Occupational Rehabilitation Group of
Canada (ORGOC)

Western Rehabilitation Specialists Inc.

Diversified Rehabilitation Group

Genesis Rehabilitation Ltd.

Rehabilitation Focus

For more information, please feel free to contact us at 1-800-361-4642
Trr anne hughson u of c 2014 prezi format

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