2009 COMMONWEALT
H NEUROTRAUMA
INITIATIVEYouth with Brain Injury Project
presented by: William D. Brock, PhD
2009 the Department of Juvenile Justice entered into the Commonwealth Neurotrauma Initative, Youth with Brain Injury Project.
Championed by Delegate Scott, this was a multi-agency effort that included:Department of Juvenile JusticeVirginia Commonwealth UniversityDepartment of Correctional EducationDepartment of Aging and Rehabilitative
ServicesBrain Injury Association of VirginiaDepartment of Education
OBJECTIVES OF THE PROJECT 1) Create a standardized assessment
protocol to identify youth with brain injury.
2) Study the prevalence of brain injury among youth committed to the DJJ.
COMPONENTS OF THE ASSESSMENT VCU Brain Injury Screening Tool
VCU Brain Injury Screening Tool
COMPONENTS OF THE ASSESSMENT VCU Brain Injury Screening Tool Medical Record Review
Medical Record Review
COMPONENTS OF THE ASSESSMENT VCU Brain Injury Screening Tool Medical Record Review Neuropsychological Testing
Symbol Digit Modalities Test
Neuropsychological Testing Symbol Digit Modalities Test
COMPONENTS OF THE ASSESSMENT VCU Brain Injury Screening Tool Medical Record Review Neuropsychological Testing
Symbol Digit Modalities Test Trail Making Test ( Parts A & B)
Neuropsychological Testing Trail Making Test ( Part A)
Neuropsychological Testing Trail Making (Part B)
COMPONENTS OF THE ASSESSMENT VCU Brain Injury Screening Tool Medical Record Review Neuropsychological Testing
Symbol Digit Modalities Test Trail Making Test ( Parts A & B) Rey Complex Figure Test (Copy & Recall)
Neuropsychological Testing Rey Complex Figure Test (Copy & Recall)
COMPONENTS OF THE ASSESSMENT VCU Brain Injury Screening Tool Medical Record Review Neuropsychological Testing
Symbol Digit Modalities Test Neuropsychological Testing
Trail Making Test ( Parts A & B) Rey Complex Figure Test (Copy & Recall) Rey Auditory Learning Test
Neuropsychological Testing Rey Auditory Learning Test
BETWEEN APRIL 2010 AND JUNE 2013
1,310 Juveniles evaluated (92% male)
VCU BRAIN INJURY SCREENING TOOL
Hit or Hurt Head? - 52.5% Of This 52.5%
Felt Dazed or confused? - 70%Experienced Headaches? - 68%Lost Consciousness? - 29%Memory Problems? - 27%Poor Frustration Tolerance? - 25%Concentration Problems? - 21%
MEDICAL RECORD REVIEW
Incidents of Hypoxia - 17%
Prenatal Drug/Alcohol Exposure - 13%
Other Perinatal Trauma - 11%
NEUROPSYCHOLOGICAL TESTING
Clinician Conclusion that Testing was Suggestive of Brain Injury
35.7% of youth tested
TESTING SUGGESTIVE OF BRAIN INJURY AND… Medical Record Indicates History of:
Hypoxia - 28.6%
Prenatal Drug/Alcohol Exposure - 43.7%
Other Perinatal Trauma - 44.8%
INSTITUTIONAL BEHAVIORAL CORRELATES
Positive Findings for Both Testing Indicators Suggestive of Brain Injury and/or Prenatal Drug/Alcohol Exposure were Positively Correlated With Higher Rates of Institutional Offenses
UTILIZATION OF RESULTS
Inform Treatment Services
Inform Educational Services
Staff TrainingBrain Injury Education Videos courtesy of
The Brain Injury Association of Virginia: Introduction to Brain Injury Behavioral Implications and Strategies Project Overview
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