COGNITIVE COMMUNICATION DISORDERS: CSD 597G Instructor: Michael Fraas, PhD; Assistant Professor; OH 9:30-10:45 MW Meeting Time: MW 1:00-3:00; AIC-W 406 REQUIRED READINGS: Haskins, E.C. (2012). Cognitive rehabilitation manual: Translating evidence-based recommendations into practice. Reston, VA: ACRM Publishing. Scott, J. (2013). More than a speed bump. Portsmouth, NH: River Run Press. ISBN-13: 9780988537071. (Available at www.Amazon.com or http://www.morethanaspeedbump.org/) Cicerone, K.D., Langenbahn, D.M., Braden, C., Malec, J.F., Kalmar, K., Fraas, M., Felicetti, T., Laatsch, L., Harley, J.P., Bergquist, T. (2011). Evidence-based cognitive rehabilitation: Updated review of the literature from 2003 through 2008. Archives of Physical Medicine and Rehabilitation, 92 (4), 519-530. (To be posted on Canvas) Fraas, M. & Calvert, M. (2009). The use of narratives to identify characteristics leading to a productive life following acquired brain injury. American Journal of Speech-Language Pathology, 18, 315-328. (To be posted on Canvas) ASHA CERTIFICATION STANDARDS: Standard IV-B: The applicant must have demonstrated knowledge of basic human communication and swallowing processes, including the appropriate biological, neurological, acoustic, psychological, developmental, and linguistic and cultural bases. The applicant must have demonstrated the ability to integrate information pertaining to normal and abnormal human development across the lifespan. Standard IV-C: The applicant must have demonstrated knowledge of communication and swallowing disorders and differences, including the appropriate etiologies, characteristics, anatomical/physiological, acoustic, psychological, developmental, and linguistic and cultural correlates in the following areas: cognitive aspects of communication (attention, memory, sequencing, problem-solving, executive functioning); social aspects of communication (including challenging behavior, ineffective social skills, and lack of communication opportunities) Standard IV-D: The applicant must have demonstrated current knowledge of the principles and methods of prevention, assessment, and intervention for people with communication and swallowing disorders, including consideration of anatomical/physiological, psychological, developmental, and linguistic and cultural correlates. Standard IV-F: The applicant must have demonstrated knowledge of processes used in research and of the integration of research principles into evidence-based clinical practice. STUDENT LEARNING OUTCOMES (SLO): 1. Students will demonstrate mastery of course content. a. Students will identify and describe the neurological substrates that control cognitive processing, e.g. attention, memory, executive function, visual perception, and social communication; 1 i. ASHA Standard: IV-B, IV-C ii. Evidence Source: Mid-term, final, reflective writing assignments, project; b. Students will describe the theoretical frameworks for attention, memory, executive function, visual perception, and social communication; i. ASHA Standard: IV-B, IV-C ii. Evidence Source: Mid-term, final, project c. Students will describe the psychosocial-emotional factors involved in the rehabilitation of acquired brain injuries; i. ASHA Standard: IV-B, IV-C ii. Evidence Source: Mid-term, final, project 2. Students will demonstrate the knowledge of processes used in research and of the integration of research principles into evidence-based clinical practice; a. Students will synthesize research related to the psychosocial-emotional and cognitive deficits following acquired brain injury i. ASHA Standard: IV-F ii. Evidence Source: Reading and discussing evidence-based research articles, Oral history project 3. Students will demonstrate the knowledge and skills necessary for conducting evaluations of cognitive function; a. Clinical Evaluations i. ASHA Standard: IV-D ii. Evidence Source: Mid-term, final, project 4. Students will make recommendations for appropriate interventions to manage cognitive deficits, and demonstrate effective implementation these treatments; a. Behavioral and compensatory management strategies, counseling and education i. ASHA Standard: IV-D ii. Evidence Source: Mid-term, final, project Students will develop interpersonal and group skills by engaging in team-based discussions, written reflections, and projects. EVALUATION: Students will be evaluated on the following criteria: 2 Participation in class discussion (10% of final grade): In order to gain knowledge of the complex concepts associated with this course it is important that students read the material before coming to class and actively participate in class discussions. You are embarking on a career in which communication skills are vitally important; therefore, it is essential for you to develop the confidence and capacity to speak in front of your peers. Exams (40% of final grade combined): The mid-term and final will test students’ knowledge of previously discussed concepts. Questions will be in multiple choice, T/F, short answer, and case-study analysis format. Treatment Presentation (20% of final grade): Working in pairs, students will identify a peer-reviewed research article published after 2008 that describes a specific treatment approach for addressing a cognitive or behavioral deficit related to acquired brain injury. Students will lead a discussion of the article and provide a demonstration of the treatment technique when applicable. Articles will need to be approved by Dr. Fraas and then emailed to the entire class one week prior to presentation so that everyone has an opportunity to read it. The article selected and the date of presentation should be congruent with the topic being covered in lectures. A sign-up sheet will be provided in class. Your presentation should include the following: 1. A description of the treatment and a demonstration, if applicable; 2. Some justification for selecting the article; 3. The populations that may benefit from the treatment; 4. An explanation of the relevance of the treatment; 5. Three specific questions related to the article (can be in any form). Analysis of “More Than a Speed Bump” (30% of final grade): You will be required to analyze the story written by Jim Scott, a survivor of a traumatic brain injury. You will examine Jim’s story for major themes discussed throughout. 1. Identify 3 major themes or issues of relative importance that are elicited in his story and write a 3-5 page paper that ties these themes to literature in the field of acquired brain injury and cognitive rehabilitation; 2. At least 2 articles should be referenced for each theme; 3. Themes may include: emotional issues (e.g. anger, anxiety, depression); social issues (e.g. friends, dating, interacting with others); quality of life; support (e.g. friends, family); vocation; spirituality. However, themes may be given arbitrary titles, which you deem appropriate for the issues being discussed by the subject. The article by Fraas & Calvert (2009) will provide an example of how to approach this assignment; 4. Your identification and interpretation of these themes/issues will be aided by a Skype conversation that we will have with the author. Your preparedness (i.e. having completed the reading) and development of poignant questions prior to our discussion with the author will help you further develop your analysis. Papers are due Wednesday June 3rd. Oral History Analysis Grading Rubric: General Details Content: complete, accurate Brief description of subject Who was he? What happened? Major Themes (3-4 minimum) Relevant Points 10 15 3 Related to injury Supporting literature Complete (min. 2/theme) Appropriate (e.g., recent) APA format Paper Spelling, syntax, grammar Organization, clarity TOTAL POSSIBLE POINTS = 50 15 5 5 PROPOSED COURSE OUTLINE (Tentative): Week 1: Introduction to course; review of syllabus and Canvas LMS Week 2: Chapter 1: Principles of Cognitive Rehabilitation Begin reading “More Than a Speed Bump” Week 3: Chapter 4: Attention Attention treatments Week 4: Chapter 3: Memory Memory treatments Week 5: Chapter 2: Executive Function Executive function treatments Week 6: Mid-term examination Wednesday May 6th, Skype with Jim Scott; You should have completed reading “More Than a Speed Bump” and be prepared to ask Jim questions. Week 7: Chapter 5: Hemispatial Neglect Treatments for hemispatial neglect Week 8: Chapter 6: Social Communication Treatments of social communication Week 9: Psycho-Social-Emotion Aspects of ABI; Impact on the Family A multidisciplinary approach; A Norwegian perspective Week 10: Wrap up the quarter; “More Than a Speed Bump” papers are due. 4