tbis

[please dont ever forget that bucky barnes was diagnosed with severe brain trauma in the comics by the russians who found him, and that because he didnt have any serum or regenerative properties in the comics he suffered with those brain traumas, and that the only reason he became the winter soldier is because the doctors took advantage of that brain trauma to psychologically abuse him. ]

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Taylor, we at TBI have been working over the past month or so to put this little video together as a way to say thank you. Thank you for everything that you have done for us. Thank you for bringing us all together. Thank you for inviting us into your home, sharing your stories, your cookies, your music, and your life with us. Thank you for being you. This video is for you, from all of us at TBI. We love you taylorswift

catcronin shakeitsoff but-im-still-trying-to-find-it iswearillloveyou we-couldnt-quite-forget marc-cast amandatoth13 br0keninfinity youu-took-a-polaroid-of-us andguns heldyourheadlikeahero on-swifts-side swiftly-forevermore almostthefool watchthelightsgowild13 taaylorr94 breakrinalikeapromise anawfulmess inthenameofbeingghonest katieoo87 sugaryswift messofadreamer331 happyfreeconfusedlonelyinthebest fearlessfallon amanderr11 theblameisonme itsbeenwaitingforyou drinkingmaplelattes kayscott810 swiftlyawarrior

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Sam & Dean : "I’ve been following you around my entire life. I mean, I’ve been looking up to you since I was four, Dean. Studying you, trying to be just like my big brother. So yeah, I know you - better than anyone else in the entire world."

A brotp Winchester mix for Harriet [

(cover creds to Cordelia)

vimeo

Taylor, we at TBI have been working over the past month or so to put this little video together as a way to say thank you. Thank you for everything that you have done for us. Thank you for bringing us all together. Thank you for inviting us into your home, sharing your stories, your cookies, your music, and your life with us. Thank you for being you. This video is for you, from all of us at TBI. We love you taylorswift

catcronin shakeitsoff but-im-still-trying-to-find-it iswearillloveyou we-couldnt-quite-forget marc-cast amandatoth13 br0keninfinity youu-took-a-polaroid-of-us andguns heldyourheadlikeahero on-swifts-side swiftly-forevermore almostthefool watchthelightsgowild13 taaylorr94 breakrinalikeapromise anawfulmess inthenameofbeingghonest katieoo87 sugaryswift messofadreamer331 happyfreeconfusedlonelyinthebest fearlessfallon amanderr11 theblameisonme itsbeenwaitingforyou @drinkingmaplelattes kayscott810 swiftlyawarrior

Hve you seen HBOs The Crash Reel? It’s an amazing documentary about Kevin Pearce and the traumatic brain injury (TBI) he survived with the help of doctors, family and friends. He will never be the same and this documentary shows the unvarnished truth about head injuries. This infographic has already saved one life.  If you have any of these symptoms after hitting your head DO NOT WAIT TO SEE A DOCTOR “in the morning” - go to the ER IMMEDIATELY. Don’t let a doctor tell you that if your CT scan is normal and you are not vomiting you are fine. YOU STILL MAY HAVE A CONCUSSION.

Half of homeless men had traumatic brain injury
Study finds almost half of homeless men had traumatic brain injury in their lifetime, vast majority before they lost their homes

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Almost half of all homeless men who took part in a study by St. Michael’s Hospital had suffered at least one traumatic brain injury in their life and 87 per cent of those injuries occurred before the men lost their homes.

While assaults were a major cause of those traumatic brain injuries, or TBIs, (60 per cent) many were caused by potentially non-violent mechanisms such as sports and recreation (44 per cent) and motor vehicle collisions and falls (42 per cent).

The study, led by Dr. Jane Topolovec-Vranic, a clinical researcher in the hospital’s Neuroscience Research Program, was published in the journal CMAJ Open.

Dr. Topolovec-Vranic said it’s important for health care providers and others who work with homeless people to be aware of any history of TBI because of the links between such injuries and mental health issues, substance abuse, seizures and general poorer physical health.

The fact that so many homeless men suffered a TBI before losing their home suggests such injuries could be a risk factor for becoming homeless, she said. That makes it even more important to monitor young people who suffer TBIs such as concussions for health and behavioural changes, she said.

Dr. Topolovec-Vranic looked at data on 111 homeless men aged 27 to 81 years old who were recruited from a downtown Toronto men’s shelter. She found that 45 per cent of these men had experienced a traumatic brain injury, and of these, 70 per cent were injured during childhood or teenage years and 87 per cent experienced an injury before becoming homeless.

In men under age 40, falls from drug/alcohol blackouts were the most common cause of traumatic brain injury while assault was the most common in men over 40 years old.

Recognition that a TBI sustained in childhood or early teenage years could predispose someone to homelessness may challenge some assumptions that homelessness is a conscious choice made by these individuals, or just the result of their addictions or mental illness, said Dr. Topolovec-Vranic.

This study received funding from the Canadian Institutes of Health Research and the Ontario Neurotrauma Foundation.

Separately, a recent study by Dr. Stephen Hwang of the hospital’s Centre for Research on Inner City Health, found the number of people who are homeless or vulnerably housed and who have also suffered a TBI may be as high as 61 per cent—seven times higher than the general population.

Dr. Hwang’s study, published in the Journal of Head Trauma Rehabilitation, is one of the largest studies to date investigating TBI in homeless populations. The findings come from the Health and Housing in Transition Study, which tracks the health and housing status of homeless and vulnerably housed people in Toronto, Vancouver and Ottawa.

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"Veterans need to share the moral burden of war."

(Opinion editorial by Sebastian Junger, originally published in the Washington Post, 24 MAY 2013.)

Sebastian Junger is an author and documentarian whose works include the book “War” and the film “Restrepo,” which tell the story of a platoon of U.S. soldiers in the Korengal Valley in Afghanistan.

Recently I was a guest on a national television show, and the host expressed some indignation when I said that soldiers in Afghanistan don’t much discuss the war they’re fighting. The soldiers are mostly in their teens, I pointed out. Why would we expect them to evaluate U.S. foreign policy?

The host had made the classic error of thinking that war belongs to the soldiers who fight it. That is a standard of accountability not applied to, say, oil-rig workers or police. The environment is collapsing and anti-crime measures can be deeply flawed, but we don’t expect people in those fields to discuss national policy on their lunch breaks.

Soldiers, though, are a special case. Perhaps war is so obscene that even the people who supported it don’t want to hear the details or acknowledge their role. Soldiers face myriad challenges when they return home, but one of the most destructive is the sense that their country doesn’t quite realize that it — and not just the soldiers — went to war. The country approved, financed and justified war — and sent the soldiers to fight it. This is important because it returns the moral burden of war to its rightful place: with the entire nation. If a soldier inadvertently kills a civilian in Baghdad, we all helped kill that civilian. If a soldier loses his arm in Afghanistan, we all lost something.

The growing cultural gap between American society and our military is dangerous and unhealthy. The sense that war belongs exclusively to the soldiers and generals may be one of the most destructive expressions of this gap. Both sides are to blame. I know many soldiers who don’t want to be called heroes — a grotesquely misused word — or told that they did their duty; some don’t want to be thanked. Soldiers know all too well how much killing — mostly of civilians — goes on in war. Congratulations make them feel that people back home have no idea what happens when a human body encounters the machinery of war.

I am no pacifist. I’m glad the police in my home town of New York carry guns, and every war I have ever covered as a journalist has been ended by armed Western intervention. I approved of all of it, including our entry into Afghanistan. (In 2001, U.S. forces effectively ended a civil war that had killed as many as 400,000 Afghans during the previous decade and forced the exodus of millions more. The situation there today is the lowest level of civilian suffering in Afghanistan in 30 years.) But the obscenity of war is not diminished when that conflict is righteous or necessary or noble. And when soldiers come home spiritually polluted by the killing that they committed, or even just witnessed, many hope that their country will share the moral responsibility of such a grave event.

Their country doesn’t. Liberals often say that it’s not their problem because they opposed the war. Conservatives tend to call soldiers “heroes” and pat them on the back. Neither response is honest or helpful. Neither addresses the epidemic of post-traumatic stress disorder afflicting our veterans. Rates of suicide, alcoholism, fatal car accidents and incarceration are far higher for veterans than for most of the civilian population. One study predicted that in the next decade 400,000 to 500,000 veterans will have criminal cases in the courts. Our collective avoidance of this problem is unjust and hypocritical. It is also going to be very costly.

Civilians tend to do things that make them, not the veterans, feel better. Yellow ribbons and parades do little to help with the emotional aftermath of combat. War has been part of human culture for tens of thousands of years, and most tribal societies were engaged in some form of warfare when encountered by Western explorers. It might be productive to study how some societies reintegrated their young fighters after the intimate carnage of Stone Age combat. It is striking, in fact, how rarely combat trauma is mentioned in ethnographic studies of cultures.

Typically, warriors were welcomed home by their entire community and underwent rituals to spiritually cleanse them of the effect of killing. Otherwise, they were considered too polluted to be around women and children. Often there was a celebration in which the fighters described the battle in great, bloody detail. Every man knew he was fighting for his community, and every person in the community knew that their lives depended on these young men. These gatherings must have been enormously cathartic for both the fighters and the people they were defending. A question like the one recently posed to me wouldn’t begin to make sense in a culture such as the Yanomami of Brazil and Venezuela or the Comanche.

Our enormously complex society can’t just start performing tribal rituals designed to diminish combat trauma, but there may be things we can do. The therapeutic power of storytelling, for example, could give combat veterans an emotional outlet and allow civilians to demonstrate their personal involvement. On Memorial Day or Veterans Day, in addition to traditional parades, communities could make their city or town hall available for vets to tell their stories. Each could get, say, 10 minutes to tell his or her experience at war.

Attendance could not be mandatory, but on that day “I support the troops” would mean spending hours listening to our vets. We would hear a lot of anger and pain. We would also hear a lot of pride. Some of what would be said would make you uncomfortable, whether you are liberal or conservative, military or nonmilitary, young or old. But there is no point in having a conversation about war that is not completely honest.

Let them speak. They deserve it. In addition to getting our veterans back, we might get our nation back as well.

[H/T Operation Zeus for bringing this article to my attention. -R]

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Apps For Social Workers/Therapists

  • Waze (free)This is a must have if you do home visits.  It is my favorite GPS app and it finds you the fastest routs and alerts you to hazards/police/weather .
  • Dropbox (free)Dropbox lets you share documents among all of your devices and is an easy way to share files with others.
  • Evernote (free): Evernote is an electronic organizer that allows you to take nots and save web pages, photos, research, articles, etc. It is not HIPPA-compliant so refrain from using for client notes.
  • The Square and Paypal: 
  • Social Work Helper (free): This app provides up to date social work related information.
  • GoogleVoice (free)Google voice lets you create a second phone number/work line for your phone.  This is great if you need to call clients while you are in the field but do not want to disclose your actual cell phone number.
  • Line2 (free):  This app lets you have a separate phone line.  You can port your office number to it, and stop carrying two cell phones. While downloading the app is free, the second phone line costs $9.95/month.
  • Card Munch (free): CardMunch allows you to snap photos of a colleague’s business card and convert it to a digital one which it stores in your contacts.  It also synchs with LinkedIn.
  • Remind 101 (free): This app was created for teachers but would be useful for social workers who want to text clients reminders without disclosing their number.
  • PsychDrugs (free)When a client brings up a medication you aren’t familiar with this is a quick way to determine what they are being prescribed.
  • IbisMail ($3.99): This program allows you to set up automatic filters, so you can sort through mail.  But it also allows you to set up folders for client emails, so that you can have them all in one place.  Then it is up to you to decide when you review your patient communications, rather than have everything coming through one inbox.  Supports multiple email accounts.
  • GoToMeeting (free): This is a good app for therapists who want to do online sessions.  It has both desktop and app versions of videoconferencing software, which is HIPAA-compliant.  
  • iAnnotate ($9.99): iAnnotate allows you to mark up .pdf files on your mobile device.  It also supports highlighting and annotating research articles and synchs with Mendeley and Dropbox so you can store your research library with notes online.
  • Mendeley (free): One part social network, one part research library,  Mendeley allows you to store research articles and annotations online and on your device.  It allows you to network with other colleagues to see what they are researching, share articles, and store all of your articles in one place.  Often it can even pull up the bibliographic entry from the web just by reading the .pdf metatag
  • Paypal (free): This is one option for billing clients and paying vendors.  You can invoice by email, transfer money to your bank account, and keep track of online payments on the website. There is usually a small transaction fee but if your client initiates a direct transfer to you then you can get around that. They recently came out with a credit card reader.
  • Square (free): When you register with Square they send you a free credit card reader that you can connect to your smart phone or tablet.  They charge a 2.75% transaction fee.
  • Google Translate (free): It’s good to have a translation tool handy.  It even translates speech.
  • The Savvy Social Worker (free): This app was created by the UB School of Social Work to help social workers stay current with new developments in best practices.
  • Psychological First Aid Tutorial (free): This is a review for previously changed health professionals.
  • Prezi (free): This presentation software allows you to create dynamic visual presentations on your computer or mobile device.  Prezi supports importation from powerpoint, and provides free online hosting of your prezis as well as tons of templates and tutorials.  You can also upload Prezis to your LinkedIn profile.  They look really cool so check out their website for examples.
  • TED (free): This app allows you to stay inspired and experience innovation daily, by beaming TED talks to your mobile device from the offical TED site.  You can favorite, search, and share your favorite ones, or hit “Inspire me” for random ideas.
  • CamScanner (free):  This ap turns your phone into a portable scanner and would be useful for child welfare social workers who often have to make copies of client documents/paperwork.
  • Co-Occuring Conditions Toolkit (free): A quick reference when treating patients presenting with mild Traumatic Brain Injury (TBI) and common co-morbid conditions.
  • Narrative Therapy QuestionsThis app is interactive and demonstrates narrative therapy questions.
  • 101 Theory ($1.99): This is a social work theory app that contains over 101 theories for practitioners.It allows you to quickly conduct a search and find a description as well as an overview of whatever theory you want to know more about.

Apps for Adult Clients (and clinician self-care)

  • Unfrazzle (free)This is an ap for caregivers that helps them keep track of their day-to-day tasks, and appointments.  They can set remindser and share tasks with others.
  • PTSD Coach (free): Mobile app created by the Department of Veteran Affairs to track PTSD symptoms and provide information and support to sufferers.  Review from a follower: “I can’t speak highly enough of this app, it’s been an instrumental tool in my recovery from PTSD.  It prompts you to do a variety of exercises and activities, allows you to rate the severity of the symptom and makes suggestions based on how severe the symptom is.  It’s very easy to use and I frankly can’t imagine not having it.”
  • PTSD Connect: This app aims to connect people with PTSD to accessible information and support.
  • CBTReferee ($4.99): A useful tool for clients in Cognitive Behavioral Therapy to keep track of their thoughts and become their own “referee.”
  • eCBTCalm ($.99): CBT Calm helps people who are feeling stressed and want to learn relaxation skills. It assesses your stress level, provides relaxation skills, and also includes links to online resources for stress and anxiety.
  • Micromedex (free): Keeping up-to-date on medications is pretty daunting, but this app, with frequent updates, helps you keep track od a medication, its Black Box warnings, contraindications, drug interactions, adverse effects, alternate names, standard dosages and more.
  • Unstuck (free): Unstuck is an ipad app for personal growth, designed to kick-start success for specific kinds of stuck moments
  • DBT Diary Card and Skills Coach ($4.99): THis is a DBT resource manual that provides an easy way to fill out diary cards.
  • eMoods Mood Tracker ($1.99)This ap lets clients track their moods, medication, triggers, etc.
  • Live Happy ($.99): This is a strengths-based ap that draws on principals of positive psychology.  It helps clients to engage in coping tools, exploration and mindfulness.
  • GPS For The Soul (free): This app helps you track and self-regulate your stress.
  • My Pain Diary ($4.99): This is an award-winning app that helps clients manage chronic pain.
  • Gothere ($4.99)This ap provides directions and compares cost and travel time between driving and taking a bus, train or taxi.  There is a free Safari version of this ap.
  • One Love Lite (free): This app helps people detect abusive patterns in their relationship and aids in seeking professional assistance.  Remember that having this kind of app on ones own phone can be dangerous for someone in a current abusive relationship.  
  • Circle Of 6 (free): This app connects abuse victims who are not currently in abusive relationships with a circle of support.
  • Intend (free): The change reminder app for people who are working to create positive change in their lives.
  • Happier (free): This app encourages people to reflect and share a few happy moments each day.

Apps for Child Clients

  • Don’t Feed The Worry Bug ($2.99): This is an interactive story book from the Worry Woos collection that helps kids learn how to manage their anxiety.
  • Calm Counter ($2.99): This is a social story and anger management tool for children with special needs that helps them choose different calm down strategies.
  • The Sesame Street Incarceration App (free): This app provides parents and caregivers with tools to help children ages 3-8 cope with the many transitions related to a parent’s incarceration.
  • Sesame Street For Military Families (free): The Sesame Street for Military Families app puts all of Sesame’s bilingual (English & Spanish) resources for military families right in one place.

This list was compiled from apps featured in a number of articles, on pinterest  and in my phone.  I have not tried many of these apps personally so do your research before downloading.  To view the source articles click herehere, here, and here.  Does anyone have any favorite apps they want to share?

If you are interested in social work related technology then check out this great blog: SocialWorkTech

Music brings memories back to the brain injured

In the first study of its kind, two researchers have used popular music to help severely brain-injured patients recall personal memories. Amee Baird and Séverine Samson outline the results and conclusions of their pioneering research in the recent issue of the journal Neuropsychological Rehabilitation.

Although their study covered a small number of cases, it’s the very first to examine ‘music-evoked autobiographical memories’ (MEAMs) in patients with acquired brain injuries (ABIs), rather than those who are healthy or suffer from Alzheimer’s Disease.

In their study, Baird and Samson played extracts from ‘Billboard Hot 100’ number-one songs in random order to five patients. The songs, taken from the whole of the patient’s lifespan from age five, were also played to five control subjects with no brain injury. All were asked to record how familiar they were with a given song, whether they liked it, and what memories it invoked.

Doctors Baird and Samson found that the frequency of recorded MEAMs was similar for patients (38%–71%) and controls (48%–71%). Only one of the four ABI patients recorded no MEAMs. In fact, the highest number of MEAMs in the whole group was recorded by one of the ABI patients. In all those studied, the majority of MEAMs were of a person, people or a life period and were typically positive. Songs that evoked a memory were noted as more familiar and more liked than those that did not.

As a potential tool for helping patients regain their memories, Baird and Samson conclude that: “Music was more efficient at evoking autobiographical memories than verbal prompts of the Autobiographical Memory Interview (AMI) across each life period, with a higher percentage of MEAMs for each life period compared with AMI scores.”

“The findings suggest that music is an effective stimulus for eliciting autobiographical memories and may be beneficial in the rehabilitation of autobiographical amnesia, but only in patients without a fundamental deficit in autobiographical recall memory and intact pitch perception.”

The authors hope that their ground-breaking work will encourage others to carry out further studies on MEAMs in larger ABI populations. They also call for further studies of both healthy people and those with other neurological conditions to learn more about the clear relationship between memory, music and emotion; they hope that one day we might truly “understand the mechanisms underlying the unique memory enhancing effect of music”.

Mysterious large crop circles appear overnight in the Midwest. Satellite images are immediately taken to get an bird’s eye view of the scene. From what investigators gather it appears to be a strange language foreign to Earth. The only legible piece appearing at the end.

It reads as follows: u got kik?

How our brain networks: Research reveals white matter ‘scaffold’ of human brain

For the first time, neuroscientists have systematically identified the white matter “scaffold” of the human brain, the critical communications network that supports brain function.

Their work, published Feb. 11 in the open-source journal Frontiers in Human Neuroscience, has major implications for understanding brain injury and disease. By detailing the connections that have the greatest influence over all other connections, the researchers offer not only a landmark first map of core white matter pathways, but also show which connections may be most vulnerable to damage.

"We coined the term white matter ‘scaffold’ because this network defines the information architecture which supports brain function," said senior author John Darrell Van Horn of the USC Institute for Neuroimaging and Informatics and the Laboratory of Neuro Imaging at USC.

"While all connections in the brain have their importance, there are particular links which are the major players," Van Horn said.

Using MRI data from a large sample of 110 individuals, lead author Andrei Irimia, also of the USC Institute for Neuroimaging and Informatics, and Van Horn systematically simulated the effects of damaging each white matter pathway.

They found that the most important areas of white and gray matter don’t always overlap. Gray matter is the outermost portion of the brain containing the neurons where information is processed and stored. Past research has identified the areas of gray matter that are disproportionately affected by injury.

But the current study shows that the most vulnerable white matter pathways – the core “scaffolding” – are not necessarily just the connections among the most vulnerable areas of gray matter, helping explain why seemingly small brain injuries may have such devastating effects.

"Sometimes people experience a head injury which seems severe but from which they are able to recover. On the other hand, some people have a seemingly small injury which has very serious clinical effects," says Van Horn, associate professor of neurology at the Keck School of Medicine of USC. "This research helps us to better address clinical challenges such as traumatic brain injury and to determine what makes certain white matter pathways particularly vulnerable and important."

The researchers compare their brain imaging analysis to models used for understanding social networks. To get a sense of how the brain works, Irimia and Van Horn did not focus only on the most prominent gray matter nodes – which are akin to the individuals within a social network. Nor did they merely look at how connected those nodes are.

Rather, they also examined the strength of these white matter connections, i.e. which connections seemed to be particularly sensitive or to cause the greatest repercussions across the network when removed. Those connections which created the greatest changes form the network “scaffold.”

"Just as when you remove the internet connection to your computer you won’t get your email anymore, there are white matter pathways which result in large scale communication failures in the brain when damaged," Van Horn said.

When white matter pathways are damaged, brain areas served by those connections may wither or have their functions taken over by other brain regions, the researchers explain. Irimia and Van Horn’s research on core white matter connections is part of a worldwide scientific effort to map the 100 billion neurons and 1,000 trillion connections in the living human brain, led by the Human Connectome Project and the Laboratory of Neuro Imaging at USC.

Irimia notes that, “these new findings on the brain’s network scaffold help inform clinicians about the neurological impacts of brain diseases such as multiple sclerosis, Alzheimer’s disease, as well as major brain injury. Sports organizations, the military and the US government have considerable interest in understanding brain disorders, and our work contributes to that of other scientists in this exciting era for brain research.”