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