DOCSLIB.ORG

Assessing the Potential Benefits of Recreational Therapy on Functioning Outcomes Samantha R

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Assessing the Potential Benefits of Recreational Therapy on Functioning Outcomes Samantha R Grand Valley State University ScholarWorks@GVSU Masters Theses Graduate Research and Creative Practice 8-10-2017 Assessing the Potential Benefits of Recreational Therapy on Functioning Outcomes Samantha R. Lamkin Grand Valley State University Follow this and additional works at: http://scholarworks.gvsu.edu/theses Part of the Public Health Commons Recommended Citation Lamkin, Samantha R., "Assessing the Potential Benefits of Recreational Therapy on Functioning Outcomes" (2017). Masters Theses. 859. http://scholarworks.gvsu.edu/theses/859 This Thesis is brought to you for free and open access by the Graduate Research and Creative Practice at ScholarWorks@GVSU. It has been accepted for inclusion in Masters Theses by an authorized administrator of ScholarWorks@GVSU. For more information, please contact [email protected]. Assessing the Potential Benefits of Recreational Therapy on Functioning Outcomes Samantha Rae Lamkin A Thesis Submitted to the Graduate Faculty of GRAND VALLEY STATE UNIVERSITY In Partial Fulfillment of the Requirements For the Degree of Master of Public Health Department of Public Health August 2017 Acknowledgments I would like to extend a special thanks to all those that have aided me during the thesis process. I was privileged to be able to work with amazing committee members, Jeffrey Wing, Heather Wallace, Kelly Strutz, and Andrew Haig, who provided me with exceptional guidance and invaluable support and encouragement. I would also like to extend my gratitude to my hospital data liaison, Lisa, who committed numerous hours of voluntary data collection for this project. Without the dedication of these individuals, this thesis would not have been possible. I would also like to share a thank you to my family, specifically my parents who provided a system of support through this process. Through all the tears, frustration, and drafts, they encouraged me to keep moving forward and reminded me that all things worth doing take hard work and dedication. 3 Abstract Background: The aim of recreational therapy, like all rehabilitation therapies, is to promote the functionality and well-being of a person with disability. However, unlike other forms of therapy, recreational therapy utilizes a unique approach to rehabilitation by incorporating meaningful daily life activities into the patient’s individualized rehabilitation plan. Gains in functionality can be quantified using a Likert scale measurement Functional Independence Measures (FIM®). Previously conducted research shows a positive association between recreational therapy services and functionality gains in specific populations of persons with disability with stroke, traumatic brain injury, and spinal cord injury being most heavily represented. Problem: Research gaps exist pertaining to the association between therapy services and functionality (change between admission and discharge) in the all-cause disability population. Purpose: To determine the association between therapy services received by persons with disabilities and the magnitude of change in functionality outcomes observed in a broader population of disabled individuals. Results: A positive association between recreational therapy and functionality outcomes was observed with a 5.48 higher average improvement in overall FIM® score in patients having received recreational therapy services. Conclusions: The addition of recreational therapy to the rehabilitation standard is important in improvement of physical functionality and reduction of physical barriers for daily living. Keywords: Disability, Functionality, Therapeutic Recreation, FIM® 4 Table of Contents Abstract ............................................................................................................................... 4 I. Introduction ..................................................................................................................... 7 Introduction ......................................................................................................................... 7 Purpose ................................................................................................................................ 9 Scope ................................................................................................................................. 10 Hypothesis......................................................................................................................... 10 Significance....................................................................................................................... 10 II. Literature Review ..........................................................................................................11 Background ........................................................................................................................11 Functional Independence Measures .................................................................................. 12 Standard of Care ............................................................................................................... 14 Literature Review.............................................................................................................. 17 Problem Statement ............................................................................................................ 22 III. Methodology ............................................................................................................... 23 Introduction ....................................................................................................................... 23 Participants ........................................................................................................................ 23 Data Collection ................................................................................................................. 24 Measures ........................................................................................................................... 25 Data Analysis .................................................................................................................... 27 5 Secondary Data Analyses .................................................................................................. 28 IV. Results ......................................................................................................................... 29 Demographics ................................................................................................................... 29 Regression Analysis .......................................................................................................... 29 Secondary Analysis ........................................................................................................... 30 V. Discussion ..................................................................................................................... 32 Limitations ........................................................................................................................ 36 Conclusions ....................................................................................................................... 37 Future Directions and Implications ................................................................................... 37 Appendix A ....................................................................................................................... 39 Appendix B ....................................................................................................................... 40 Appendix C ....................................................................................................................... 43 Appendix D ....................................................................................................................... 45 Appendix E ....................................................................................................................... 50 References ......................................................................................................................... 51 6 Assessing the Potential Benefits of Recreational Therapy on Functioning Outcomes I. Introduction Introduction Recreational therapy aims to rehabilitate persons with disabilities through a specialized alternative approach that focuses on psychological and physical health as a means to individual well-being (American Therapeutic Recreation Association [ATRA], 2017). The goal of recreational therapy is to enhance overall health of the rehabilitating individual, not solely the physical aspect (ATRA, 2017). Certified recreational therapists incorporate daily life activities and community and social events into treatment planning in order to focus on the elimination of barriers that might prohibit patients from participating in activities that they find meaningful. From this planning, therapy tasks can be tailored to the specific motions that would enhance the patient’s ability to participate in these meaningful life activities. Sharing similar attributes, recreational therapy and occupational therapy take similar approaches to the rehabilitation process. Early history of occupational therapy utilized everyday meaningful life activities as an approach to therapeutic rehabilitation (DeLany et al., 2010). As occupational therapy developed and evolved, occupation became the meaningful life activity that this therapy modality focused on for the rehabilitation process. The American Occupational Therapy
Load more

Recommended publications
  • A Study Op the Occupational Therapy Program of Aidmors Convalescent Home
    A STUDY OP THE OCCUPATIONAL THERAPY PROGRAM OF AIDMORS CONVALESCENT HOME ATLANTA, GEORGIA A THESIS SUBMITTED TO THE FACULTY OF THE ATLANTA UNIVERSITY SCHOOL OF SOCIAL WORK IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SOCIAL WORK BY THEODOSIA RUSSELL JOHNSTON ATLANTA, GEORGIA AUGUST 1948 il TABLE OF CONTENTS Chapter Page I. INTRODUCTION 1 Purpose of this Study 4 Scope 4 Method of Procedure 4 II. THE HISTORY AND DEVELOPMENT OF OCCUPATIONAL THERAPY.. 5 III. THE HISTORY AND DEVELOPMENT OF AIDMORE 13 IV. THE OCCUPATIONAL THERAPY PROGRAM OF AIDMORE 21 V. SUMMARY AND CONCLUSION 31 APPENDIX 35 Schedule • 3 6 BIBLIOGRAPHY 38 CHAPTER I INTRODUCTION "An organic disability becomes an actual disability only when the individual senses a defect and feels a consciousness of that defect reflected in his environment."^ If we look around us, we see many fine persons who have some physical handicap which we fail to note after a first acquaintance because their engaging personalities erase their physiques from our minds. If we acquaint ourselves with the childhood of these individuals, we would perhaps find that they as children received the kind of love, attention and understanding which enabled them to take advantage of opportunities and substitute for handicaps. At one time or another, most normal children go through a period when they feel lonely, bitter and suspicious because of physical attributes which make them appear different from other children - a long nose, chubbiness, gawkiness or large ears. The personalities of these children are not permanently damaged, however, because these handicaps are not sufficient to cause continuous frustration, or because the children, in time, acquire a sense of values in which slight differences do not matter.2 ^Georgia Ball, "Case Work With Crippled Children," The Family.
    [Show full text]
  • Understanding Inpatient Brain Injury Rehabilitation
    Understanding Inpatient Brain Injury Rehabilitation At the 18-bed Brain Injury Recovery Center (BIRC) at Penn Rehab, we help patients after they have been discharged from acute care, but before they are ready to return home. Our Brain Injury Recovery Center patients come from all walks of life and have experienced variety of conditions. Everyday we call attention to strategies to help prevent brain injury, advocate for the rights of those living with brain injury, and honor those who have traveled the long road to recovery following brain injury. As a Certified Brain Injury Specialist, I’ve walked that road with my patients, and believe me, it is a long one. At Penn Rehab, therapists make a big effort to get to the core of who that person is and we try to let that come through no matter what. If we can let that shine through and design interventions around what the core of that person is, then we can bring them back even when they have limitations once their inner self has emerged. Coaching is being able to see the big picture when the player doesn’t always. Through inpatient rehabilitation, people who have experienced a brain injury work alongside an entire team dedicated to helping them regain their independence so that they can return home and go back to doing the things they love. Our patients are beginning to respond to their environments and are on the road to recovery from conditions such as: Concussion Contusion Complicated Stroke Cerebral Hemorrhage Traumatic Brain Injury Spontaneous Hemorrhage Brain Tumor Anoxic Encephalopathy From the staff providing around-the-clock care on the unit, to the equipment used with patients, to the layout of the unit, the BIRC is designed to meet the unique cognitive, behavioral, medical, and mobility needs of patients following brain injury.
    [Show full text]
  • 2Nd Quarter 2001 Medicare Part a Bulletin
    In This Issue... From the Intermediary Medical Director Medical Review Progressive Corrective Action ......................................................................... 3 General Information Medical Review Process Revision to Medical Record Requests ................................................ 5 General Coverage New CLIA Waived Tests ............................................................................................................. 8 Outpatient Hospital Services Correction to the Outpatient Services Fee Schedule ................................................................. 9 Skilled Nursing Facility Services Fee Schedule and Consolidated Billing for Skilled Nursing Facility (SNF) Services ............. 12 Fraud and Abuse Justice Recovers Record $1.5 Billion in Fraud Payments - Highest Ever for One Year Period ........................................................................................... 20 Bulletin Medical Policies Use of the American Medical Association’s (AMA’s) Current Procedural Terminology (CPT) Codes on Contractors’ Web Sites ................................................................................. 21 Outpatient Prospective Payment System January 2001 Update: Coding Information for Hospital Outpatient Prospective Payment System (OPPS) ......................................................................................................................... 93 he Medicare A Bulletin Providers Will Be Asked to Register Tshould be shared with all to Receive Medicare Bulletins and health care
    [Show full text]
  • LCD for Outpatient Physical and Occupational Therapy Services (L29833) Contractor Information Contractor Name NHIC, Corp
    LCD for Outpatient Physical and Occupational Therapy Services (L29833) Contractor Information Contractor Name NHIC, Corp. Contractor Number 14102 Contractor Type MAC - Part B LCD Information LCD ID Number L29833 LCD Title Outpatient Physical and Occupational Therapy Services Contractor's Determination Number AMA CPT / ADA CDT Copyright Statement CPT codes, descriptions and other data only are copyright 2009 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Clauses Apply. Current Dental Terminology, (CDT) (including procedure codes, nomenclature, descriptors and other data contained therein) is copyright by the American Dental Association. © 2002, 2004 American Dental Association. All rights reserved. Applicable FARS/DFARS apply. CMS National Coverage Policy Language quoted from Centers for Medicare and Medicaid Services (CMS). National Coverage Determinations (NCDs) and coverage provisions in interpretive manuals is italicized throughout the policy. NCDs and coverage provisions in interpretive manuals are not subject to the Local Coverage Determination (LCD) Review Process (42 CFR 405.860[b] and 42 CFR 426 [Subpart D]). In addition, an administrative law judge may not review an NCD. See Section 1869(f)(1)(A)(i) of the Social Security Act. Unless otherwise specified, italicized text represents quotation from one or more of the following CMS sources: Title XVIII of the Social Security Act (SSA): Section 1833(e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim Sections 1861(g), 1861(p), 1861(s)(2) and 1862(a)(14) of Title XVIII of the Social Security Act define the services of non-physician practitioners.. Section 1862(a)(1)(A) excludes expenses incurred for items or services which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.
    [Show full text]
  • Icd-9-Cm (2010)
    ICD-9-CM (2010) PROCEDURE CODE LONG DESCRIPTION SHORT DESCRIPTION 0001 Therapeutic ultrasound of vessels of head and neck Ther ult head & neck ves 0002 Therapeutic ultrasound of heart Ther ultrasound of heart 0003 Therapeutic ultrasound of peripheral vascular vessels Ther ult peripheral ves 0009 Other therapeutic ultrasound Other therapeutic ultsnd 0010 Implantation of chemotherapeutic agent Implant chemothera agent 0011 Infusion of drotrecogin alfa (activated) Infus drotrecogin alfa 0012 Administration of inhaled nitric oxide Adm inhal nitric oxide 0013 Injection or infusion of nesiritide Inject/infus nesiritide 0014 Injection or infusion of oxazolidinone class of antibiotics Injection oxazolidinone 0015 High-dose infusion interleukin-2 [IL-2] High-dose infusion IL-2 0016 Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance Pressurized treat graft 0017 Infusion of vasopressor agent Infusion of vasopressor 0018 Infusion of immunosuppressive antibody therapy Infus immunosup antibody 0019 Disruption of blood brain barrier via infusion [BBBD] BBBD via infusion 0021 Intravascular imaging of extracranial cerebral vessels IVUS extracran cereb ves 0022 Intravascular imaging of intrathoracic vessels IVUS intrathoracic ves 0023 Intravascular imaging of peripheral vessels IVUS peripheral vessels 0024 Intravascular imaging of coronary vessels IVUS coronary vessels 0025 Intravascular imaging of renal vessels IVUS renal vessels 0028 Intravascular imaging, other specified vessel(s) Intravascul imaging NEC 0029 Intravascular
    [Show full text]
  • Recreational Therapy Services and the Functional Independence Of
    Abstract Recreational Therapy Services and the Functional Independence of Inpatient Pediatric Population By Heather M. Phillips December, 2009 Chair: Dr. Richard Williams Major Department: Recreation and Leisure Studies Recreational Therapy (RT) is a relatively new and growing profession with an expanding body of literature. The benefits of RT services have been demonstrated through research studies for several decades. However; there is a lack of significant studies examining the efficacy of RT services in clinical settings; specifically in pediatric rehabilitation settings. In an effort to promote efficacy based research studies in the RT field, the American Therapeutic Recreation Association (ATRA) published a research agenda in 2003. This agenda highlighted the need for specific research areas in the field, including: (a) effects of leisure functioning on various aspects of health, (b) effect of leisure education on quality of life, (c) the effect of RT on overall independent functioning, and (d) effect of frequency and duration of contact with clients on RT outcomes. The current study aims to explore each of those impacts on the pediatric population. The purpose of the study is to determine if amount of recreational therapy services received during treatment significantly predicts changes in functional independence of pediatric patients in an in-patient rehabilitation setting. The study will be an examination of existing evaluation data from patients of an in-patient rehabilitation hospital who received RT services over a eight year period (2000-2008). The data analyzed in this study will utilize formerly collected electronic medical records data from an existing research study titled Effects of Recreational Therapy on Functional Independence Measure (FIM Scores and Patient Satisfaction (RW 06-01-05).
    [Show full text]
  • Recreational THERAPY an Introduction Fourth Edition
    Recreational THERAPY An Introduction fourth edition David R. Austin Michael E. Crawford Bryan P. McCormick Marieke Van Puymbroeck More about this book: http://www.sagamorepub.com/products/recreational-therapy-4th-ed?src=fdpil ©2015 Sagamore Publishing LLC All rights reserved. Publishers: Joseph J. Bannon and Peter L. Bannon Director of Sales and Marketing: William A. Anderson Sales Manager: Misti Gilles Director of Development and Production: Susan M. Davis Production Coordinator: Amy S. Dagit Graphic Designer: Julie Schechter ISBN print edition: 978-1-57167-738-9 ISBN e-book: 978-1-57167-739-6 Library of Congress Control Number: 2014950426 1807 N. Federal Dr. Urbana, IL 61801 www.sagamorepublishing.com More about this book: http://www.sagamorepub.com/products/recreational-therapy-4th-ed?src=fdpil CONTENTS Dedication .......................................................................................................... v Preface ��������������������������������������������������������������������������������������������������������������� vi Contributors ......................................................................................................vii SECTION 1: THEORETICAL OVERVIEW ������������������������������������ 1 Chapter 1: Introduction and Overview David R. Austin ....................................................................................................3 Chapter 2: The History of Therapeutic Recreation: A History of Two Professions David R. Austin and Michael E. Crawford ....................................................
    [Show full text]
  • Glossary of Recreation Therapy and Occupational Therapy
    Glossary of Recreation Therapy and Occupational Therapy ✍ David R. Austin Glossary of Recreation Therapy and Occupational Therapy Venture Publishing, Inc. Copyright © 2001 Venture Publishing, Inc. 1999 Cato Avenue State College, PA 16801 (814) 234-4561; Fax (814) 234-1651 No part of the material protected by this copyright notice may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the copyright owner. Trademarks: All brand names and product names used in this book are trademarks, registered trademarks, or trade names of their respective holders. Production Manager: Richard Yocum Manuscript Editing: Valerie Paukovits, Richard Yocum, and Julie F. Klein Cover Design: Venture Publishing, Inc. Library of Congress Catalogue Card Number 00-111038 ISBN 1-892132-19-2 Preface This glossary of recreation therapy and occupational therapy terms is meant to serve as a study guide for students and a reference book for practitioners. It may also be a valuable aid to those preparing for comprehensive examinations, such as national certification exams or graduate school comprehensive exams. Recreation therapy and occupational therapy encompass a wide scope of activity. Therefore, I have attempted to be eclectic in developing the glossary in order to reflect a full range of approaches to these professions. I would like to thank my colleagues, Professors Youngkhill Lee, Ph.D., CTRS, and Bryan McCormick, Ph.D., CTRS, for their thoughtful reviews of the glossary. I would also like to thank Karen Scott, M.S., OTR, of Bloomington Hospital, for her thorough review of the glossary and Professor Celestine Hamant, M.S., OTR, SAOTA , of Indiana University, for identifying historical figures in occupational therapy.
    [Show full text]
  • SHARE Military Initiative: [email protected]
    What is the SHARE Military Initiative? REFERRAL AND ADMISSIONS INFORMATION Shepherd Center is a recognized Humana The SHARE Military Initiative at Shepherd Military Healthcare/Services/TRICARE Center is a comprehensive rehabilitation program provider. This allows for a smooth referral, that focuses on assessment and treatment for admission and treatment process. Timely and active duty or separated service members who efficient care coordination permits the injured have served in the U.S. military since September service member to receive specialty care and 11, 2001 and who are experiencing symptoms education. SHARE will cover all costs not of or have a diagnosis of mild to moderate brain covered by an insurance company or the injury, or concussions and any co-occurring VA through the generosity of donors to psychological or behavioral health concerns, Shepherd Center’s SHARE Military Initiative. including post-traumatic stress. To initiate a referral to the SHARE Military Initiative SHARE Military Initiative provides hope, assistance, at Shepherd Center, please download and support and education to service members and complete the SHARE Referral Form and Release their families during their recovery treatment and of Information Form at shepherd.org/share. beyond. If you have questions about this process or need assistance, please call the SHARE Admissions What are the criteria for admission to the Coordinator at 404-603-4314. SHARE Military Initiative? If you have additional questions about ■■ Symptoms of traumatic brain injury or concussion the program, call 404-603-4314 or email SHARE Military Initiative: [email protected]. ■■ Co-occurring diagnosis of behavioral health issues – anxiety, depression and/or PTS For military service members with mild brain ■■ Commitment to rehabilitation How can I support SHARE Military Initiative? injury and co-occurring behavioral and/or psychological symptoms To make a donation in support of SHARE, call 404-350-7314 or give online at shepherd.org/give.
    [Show full text]
  • Special Care Unit Rehabilitation for Cognitively Impaired
    Special Care Unit Rehabilitation for Cognitively Impaired OUR MISSION The Benedictine Health System is a Catholic, faith-based organization entrusted with advancing the life-enhancing senior care ministry of the Benedictine Sisters of Duluth, Minnesota. We witness to God’s love by creating compassionate communities providing support to those we serve to live fully and live well with special concern for the underserved and those in need. OUR CORE VALUES INSURANCE WE ACCEPT • Hospitality We process most major insurance • Stewardship providers, including these and others: • Respect • Justice • Blue Cross/Blue Shield • Medica • Preferred One • Medicare • Medicare Advantage Plans • Private insurance • Medicaid 1850 SARAZIN STREET • Workers’ compensation SHAKOPEE, MN 55379 • UCare PHONE (952) 233-4400 • Health Partners WWW.STGERTRUDESSHAKOPEE.ORG • UHC • Humana ©BENEDICTINE HEALTH SYSTEM 2019 034-012 SCU Broch v3.indd 1 8/19/19 12:49 PM Individualized care with compassion The Special Care Transitional Physical Therapy Unit at St. Gerturde’s Health and Our therapists work with you to increase strength, balance, coordination and flexibility Rehabilitation Center is a program and decrease pain. In addition the therapists will specializing in short-term work with you to improve mobility in transfers rehabilitative services for patients and ambulation, while preparing you for your home environment. with cognitive impairments. Our team assists patients that Occupational Therapy require a TCU stay for physical, The therapists will work with you to assess safety, cognition and self-care skills. occupational and/or speech Occupational therapy promotes the highest therapy, as well as discharge level of independence possible in grooming, ST. GERTRUDE’S TEAM OFFERS and toileting, dressing and bathing, as well as home planning special medical management and meal preparation skills.
    [Show full text]
  • Recreation Therapy School of Health & Applied Human Sciences College of Health and Human Services
    RECREATION THERAPY SCHOOL OF HEALTH & APPLIED HUMAN SCIENCES COLLEGE OF HEALTH AND HUMAN SERVICES STRONG FACULTY WHAT DO RECREATION THERAPISTS DO? Our faculty are highly qualified, professionally active, Recreation therapists use evidence- and activity-based interventions internationally recognized, with people with disabilities and diseases to increase their physical, nationally certified by NCTRC, social and emotional functioning, as well as their health and state licensed by NCBRTL and committed to student success. quality of life. ACCREDITATION Our program is undergoing accreditation through the Committee on Accreditation of Recreational Therapy Education (a committee of the Commission on Accreditation of Allied Health Education). CURRICULUM Our program exceeds national and state standards. CAREER OPPORTUNITIES BA in Recreation Therapy • Certified Therapeutic Recreation Specialist • Licensed Recreational Therapist • Life Enrichment Coordinator/Activities Professional • Adapted Sports Specialist • Inclusion Specialist • Expressive Arts Therapist BA in Recreation Therapy Our mission is to prepare students to successfully enter ever-changing health and with an Advanced Degree human service systems with the knowledge and skills necessary to be competent • Child Life Specialist (extra practitioners and leaders in the field of recreation therapy and health care. courses only) • Occupational Therapist • Physical Therapist @uncwshahs Modified: 7/20 RECREATION THERAPY RECREATION THERAPY CORE CURRICULUM Course # Course Title Course # Course
    [Show full text]
  • Impact of Long Term Acquired Brain Injury Rehabilitation on Community Reintegration
    Eastern Kentucky University Encompass Online Theses and Dissertations Student Scholarship January 2018 Return to Self: Impact of Long Term Acquired Brain Injury Rehabilitation on Community Reintegration Mary Rowe Eastern Kentucky University Follow this and additional works at: https://encompass.eku.edu/etd Part of the Rehabilitation and Therapy Commons Recommended Citation Rowe, Mary, "Return to Self: Impact of Long Term Acquired Brain Injury Rehabilitation on Community Reintegration" (2018). Online Theses and Dissertations. 489. https://encompass.eku.edu/etd/489 This Open Access Thesis is brought to you for free and open access by the Student Scholarship at Encompass. It has been accepted for inclusion in Online Theses and Dissertations by an authorized administrator of Encompass. For more information, please contact [email protected]. RETURN TO SELF: IMPACT OF LONG TERM ACQUIRED BRAIN INJURY REHABILITATION ON COMMUNITY REINTEGRATION BY MARY KATHERINE ROWE, CTRS THESIS APPROVED: RETURN TO SELF: IMPACT OF LONG TERM ACQUIRED BRAIN INJURY REHABILITATION ON COMMUNITY REINTEGRATION BY MARY KATHERINE ROWE, CTRS Submitted to the Faculty of the Graduate School of Eastern Kentucky University in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE 2018 © Copyright by MARY KATHERINE ROWE 2018 All Rights Reserved. ii DEDICATION This thesis is dedicated to my co-author and mentor, Dr. Lindsey Jasinski. Without you, the ABI Program and this thesis would not be possible. Thank you for all the ways that you have inspired me, led me, and challenged me. I am lucky to work alongside you and to continue to learn from you every day! iii ACKNOWLEDGEMENTS This study is part of larger ongoing research on the outcomes of the Eastern State Hospital Long-Term Care Acquired Brain Injury program (LTC ABI).
    [Show full text]