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TRAINING
Dr. Abreu presents two day, twelve hour workshops and in-service training programs on a variety of subjects in brain injury rehabilitation. Programs can be constructed based on a departmental needs assessment.
DIRECT CARE
Dr. Abreu provides consultations on direct care for systems servicing clients with mild, moderate and severe cognitive disabilities. She will analyze the current clinical operation and facilitate systematic, standardized evaluation systems for clients with attentional deficits, visual neglect and executive function issues (planning, problem solving, self-monitoring). In addition, Dr. Abreu will help you to design combinations of motor skills with cognitive skills, functional activities and community participation for treatment and interventions to improve the health and satisfaction of your clients.
RESEARCH
Dr. Abreu provides objective, thoughtful, and experienced advice on evidence-based practice. She will help you build your knowledge base of basic research skills that you can use to evaluate your programs and practice. Examples will be provided to re-frame research as a practical activity that you can use to enhance your knowledge, skills and attitude toward supporting evaluation and treatment in the rehabilitation process.
FACULTY
Beatriz C. Abreu, Ph.D., OTR, FAOTA, (Betty ah-BRAY-oh) is an educator, researcher and master clinician with over forty-two years of experience and widely recognized for her expertise on cognitive rehabilitation. She is an independent consultant and was the Director of Occupational Therapy at the Transitional Learning Center in Galveston, a center specializing in services for persons with brain injury. She is a Clinical Professor at the University of Texas Medical Branch at Galveston where she assisted in the development of an interdisciplinary Ph.D. in Rehabilitation Science. She has mentored doctoral and postdoctoral occupational therapists, physical therapists, engineers, and physiologists. Dr. Abreu was formerly associated with the USC-University Hospital and the University of Southern California, New York University and Downstate Brooklyn New York State University. Dr. Abreu has presented numerous workshops and conferences throughout the United States, Canada, Europe, Asia and South America. She has received multiple awards nationally and internationally for her publications, direct care, research and educational endeavors. Dr. Abreu received the Eleanor Clarke Slagle Lectureship for 2010.
SAMPLE TRAINING PROGRAM
THE QUADRAPHONIC APPROACH
Dr. Abreu designed this interactive cognitive rehabilitation course to provide information for use across the continuum of recovery from coma to community re-entry. She will provide an approach that employs a team concept to coordinate the resources of therapists, clients and their family groups for the evaluation and treatment of stroke, traumatic brain injury, brain tumors, cerebral palsy and other neurologic conditions. Dr. Abreu will present "The Quadraphonic Approach," a program that she designed and refined over many years. The Quadraphonic Approach employs both a medical (micro) and social (macro) perspective for evaluation and treatment through the continuum of recovery. The micro perspective refers to the management of performance components or sub-skills. The macro perspective refers to the analysis of functional performance or real life occupations.
The Quadraphonic Approach is based on the assumptions that:
- Integration of cognitive-perceptual and postural control analysis is crucial for cognitive rehabilitation
- Continuous analysis of occupational performance from both a micro and macro perspective is required for effective rehabilitation
- The narrative process of story telling and story making is integral to the rehab process
Guidelines and protocols for both quantitative and qualitative evaluation and treatment of cognitive-perceptual and postural control dysfunction will be provided based on a seven-point functional evaluation scale.
The Quadraphonic Approach is a frame of reference that incorporates four theories: information processing, teaching/learning, neurodevelopmental and biomechanical. The performance components will include attention, visual perception, memory, problem solving, motor planning, initiation and safety. The Quadraphonic Approach also provides guidelines for interaction among the therapist/teacher, client/learner and the environment. In addition, an interview protocol is provided for awareness, and four evaluation tests are provided for each of the attention, visual perception, memory, problem solving, motor planning and initiation and safety components. Treatment strategies for remediation and compensation are also presented. For the macro analysis, the Quadraphonic Approach employs a functional analysis based on four personal factors affecting the client's overall independence status. These four factors are disability, health, life-stage and lifestyle. This functional analysis is used to guide the interaction of the client's will, goals, opportunities for action and capacity for action.
Please note that micro and macro perspectives are not mutually exclusive. There will be a continual shift from one perspective to another depending on the requirements of the situation.
Each participant will receive an extensive series of handouts, which they will be able to use in clinical and educational settings. The handouts will combine both quantitative and qualitative methods for evaluation and treatment. Each individual handout may serve as the basis for an individualized in-service training program.
QUADRAPHONIC APPROACH COURSE OBJECTIVES
Upon completion this course, participants will be able to:
- Describe the principles, theories and application of the cognitive rehabilitation program called The Quadraphonic Approach.
- Integrate movement and cognitive skills in evaluation and treatment for persons with acquired brain injury.
- Administer tests and treatment for attention, visual perception, memory, problem solving, motor planning, initiation and safety and grade the tests on a seven-point scale.
- Perform functional analysis and synthesis for evaluation and treatment in personal management, shopping, cooking, individual meal preparation, mobility, and money management.
FEE FOR SERVICE
The fee for on-site training and consultation services is $6,000 for a twelve hour (two day) program or $4,000 for a six hour (one day) program in the United States and Canada. This fee includes all expenses (travel, lodging, course and consultation materials). All options include a pre-program, one-hour, needs assessment telephone consultation that is conducted after execution of contract. A one-hour, post-operational telephone review is also offered. The training fee covers 30 participants. Additional participants are $200 per person. Two day programs are also offered in Europe and South America for $7,000 plus $200 per person over 30 and in all other locations for $8,000 plus $200 per person over 30.
Direct Care and Research are based upon negotiations and include written reports on the findings and recommendations.
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