BrainSTEPS Return to School Concussion Management Teams (CMT)
BrainSTEPS Return to School Concussion Management Teams (CMT)
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Transcript of BrainSTEPS Return to School Concussion Management Teams (CMT)
BrainSTEPS
Return to School Concussion Management Teams
(CMT)
Brenda Eagan Brown, M.S.Ed., CBISProgram Coordinatorwww.brainsteps.net
BrainSTEPS
Brain Injury
School Re-Entry ModelProgram
• Strategies• Teaching • Educators• Parents• Students
BrainSTEPS
The BrainSTEPS Program
Funded by: 1. PA Department of Health
2. PA Department of Education
Implemented by: 1. Brain Injury Association of
Pennsylvania - Beginning our 5th academic year
What is BrainSTEPS?
• Brain injury consulting teams available to families and schools throughout Pennsylvania.
• Teams are extensively trained in the educational needs of students returning to school following brain injury.
• Teams work with local school staff to develop educational programs, academic interventions, strategy implementation, and monitoring of students.
BrainSTEPS Encompasses Acquired Brain Injuries
• Traumatic Brain Injury (includes Concussions)
• Non-Traumatic Brain Injury (Any child who has a brain injury that
occurs AFTER the birth process can be referred!)
BrainSTEPS Provides Services to:• All public schools in PA• All cyber charter schools in PA• All cyber online schools in PA
30 BrainSTEPS Teams27 Intermediate Unit teams & 3 large school
district teams
300+ Active Team Members
All Colored Areas = Trained BrainSTEPS TeamsWhite = Intermediate Unit regions without BrainSTEPS
teams
What BrainSTEPS Can Do:
1. Conduct observations of the student
2. Communicate with the LEA and medical professionals/physicians to ensure a smooth re-entry and ongoing communication through recovery.
3. Gather medical, rehabilitation, & educational reports to assist in making educational recommendations.
What BrainSTEPS Can Do:
4. Create & provide a training for the school on the educational impact of the student’s specific brain injury. Educate and support district staff & family.
5. Provide Peer Trainings, so peers understand how brain injury has impacted their classmate.
6. Consult on all aspects of the student’s educational plan & make recommendations to the district team.
7. Assist in transitioning a student from grade to grade or school to school by training new teachers
BrainSTEPS Teams monitor students annually until
graduation.
Concussions in Pennsylvania:
Annually, approx. 22,000children ages 0-21 years sustain concussions.
Concussion: Incidence
Centers for Disease Control: 3.8 million sports and recreation related
concussions are estimated to occur in the United States each year.
Concussion: Definition
• A concussion is a type of TBI, caused by a bump, blow, or jolt to the head that can change the way your brain normally works.
• Concussions can also occur from a blow to the body that causes the head to move rapidly back and forth.
The majority will recover within the first
3-4 weeks.
Until recovered, students should receive
accommodations in all settings topromote cognitive rest.
• There is no set timeline for concussion recovery
• Typically a child can fully recover from a concussion as long as their brain has had time to FULLY HEAL.
Concussion management within school:
Communication MUST flow between:
– School team– Physician – Family– Student– Coaches, & athletic department (if
athlete)– BrainSTEPS team
Return to Learn
While it is true that an athlete must be 100% symptom-free before Return to Play, they do NOT need to be 100% symptom-free to Return to Learn.
Striking a balancebetween the need for rest while keeping up with academic content is the biggeststruggle for districts and students.
LEA Concussion Management
Is there a recommended protocol to help districts manage the Return to Academics for students with concussions?
YES!
Concussion Management Team (CMT)
CMTLEA or individual
school building team(s)
Symptom Monitor
Academic Monitor
1st week Post-Concussion: LEA
CMT will:
Share physician instructions provided
by parents
Share student symptoms and
accommodations for classwork until all symptoms resolve
Excuse student from PE, sports, and all
physical activity until cleared
Notify the athletic department and coach if student plays sports
1-4 Weeks Post-Concussion: LEA
Symptom Monitor
Academic Monitor
Monitors academic progress/behaviors
weekly with teachers
CMT monitors student symptoms & academic progress• CMT meets weekly to review & adjust accommodations,
notifying relevant staff of any updates.• Offers support and educational resources to parent/guardian
Monitors symptoms 3-5 days per week
via student interview
1-4 Weeks Post-Concussion: LEA Symptom
MonitorAcademic Monitor
1. Have student’s symptoms subsided?2. Has student been cleared by a physician to return to full physical and cognitive activity?3. Do teacher weekly reports display no academic or behavior concerns?
If YES was answered for ALL 3 questions: LEA will formally conclude concussion accommodations. CMT monitoring will end. Concussion will be documented in student’s education file and student should return to full activity.
If NO was answered to any 1 of the 3 questions: CMT continues to monitor student’s academics and symptoms until concussion resolves or student reaches 4 weeks post-concussion. At that time a referral to The BrainSTEPS Program is warranted.
4 weeks Post-Concussion: BrainSTEPS
CMT makes a referral to the BrainSTEPS TeamReferrals can be made earlier if the student’s symptoms are not progressively getting
better or if student has had multiple concussions in past
BrainSTEPS: offers concussion training to school staff
CMT: Sets up meeting to create BrainSTEPS Brain Injury Support Framework. School team, CMT, BrainSTEPS, parent/guardian & student are invited. Copies of
monitoring tools from CMT will be shared with BrainSTEPS prior to meeting.
BrainSTEPS Brain Injury Support Framework is created with input from all parties.
Schedule follow up meeting in 1 month to review.
CMT provides copies of BrainSTEPS Brain Injury Support Framework to relevant staff, parents/guardian. CMT continues to monitor student.
4-8 Weeks Post-Concussion: LEAFor those students who need ongoing accommodations
Academic Monitor
Symptom Monitor
Continues to monitor academic
progress/behaviors weekly with teachers
CMT monitors student symptoms & academic progress• CMT continues to meet weekly to review & adjust accommodations,
notifying relevant staff of any updates.
Continues to monitor symptoms 3-5 days
per week via student interview
4-8 weeks Post-ConcussionKey Questions CMT must discuss during
weekly CMT meeting:
1. Have student’s symptoms subsided?2. Has student been cleared by a physician to return to full physical and cognitive activity?3. Do teacher weekly reports display no academic or behavioral concerns?
If the answer is YES to all 3…
4 – 8 weeks Post-Concussion
1. LEA should formally conclude the accommodations set forth in the Brain Injury Supports Framework.
2. CMT & BrainSTEPS monitoring will end.
3. Concussion will be documented in student’s educational file and student will return to full activity
If YES to all 3…
4 – 8 weeks Post-Concussion
Key Questions CMT must discuss during weekly CMT meeting:
1. Have student’s symptoms subsided?2. Has student been cleared by a physician to return to full physical and cognitive activity?3. Do teacher weekly reports display no academic or behavioral concerns?
If the answer was NO to any 1 question…
4 – 8 weeks Post-Concussion
1. BrainSTEPS, CMT and the school team should continue to monitor symptoms and accommodate the student until symptoms resolve. 2. Discussion should take place as to whether an evaluation should be conducted by LEA to determine need for more formal intensive accommodations/modifications. 3. If a referral for a multipurpose evaluation is not deemed necessary, then continued monitoring by the CMT and monthly review of the Brain Injury Support Framework in partnership with BrainSTEPS will continue.
If NO to any 1…
Concussion Management Team(s) (CMTs) will be Trained
for FREE:
BrainSTEPS Concussion Return to School Videoconference Training
January 15, 2012
9:00 am-12:00 pmIf they are registered at
www.brainsteps.net
How to Establish and Register Your Concussion Management Team(s):
1. LEAs should identify 2 individuals per district or
per school building (preferred). LEAs may also choose to have one CMT per grade (i.e., 9th, 10th, 11th, 12th). o Academic Monitoro Symptom Monitor
2. LEAs are to register each CMT by clicking the link at www.brainsteps.net. By registering each CMT, they will receive information on the upcoming CMT training.
3. BrainSTEPS will support students at 4 weeks post concussion and continually offer update training and resources to the CMTs.
www.brainsteps.net
Register Your Concussion Management Team(s) ASAP:
The Jan. 15, 2013 training objectives :
• Pediatric concussions and concussion etiology• Concussion impact on classroom performance• Strategies to reduce student symptom
severity and promote recovery • Matching of accommodations to specific
symptoms• How to fully implement the BrainSTEPS
Concussion Return to School Protocol• Specific responsibilities that the Academic
Monitor and Symptom Monitor hold while serving on the CMT
Teacher’s Desk Reference:Concussion
This will beIN PRINT &Available fromPaTTAN KOP shortly!
BrainSTEPS Concussion/mTBI Return to School Protocol
This will bein print &available from KOPPaTTAN shortly!
BrainSTEPS Concussion Return to School Protocol FLOW CHART
Instructions for Administrators regarding how to establish & register Concussion Management Teams (CMT)
For More Information on the
BrainSTEPS ProgramFor more information – please contact:
Brenda Eagan Brown, M.S.Ed., CBISProgram CoordinatorBrainSTEPS - Brain Injury School Re-Entry
ProgramBrain Injury Association of Pennsylvania
Phone: 724-944-6542Email: [email protected] Register: www.brainsteps.net