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Drill-based Practice for Persons with TBI

Angela Hein Ciccia, PhD, CCC-SLP

July 9, 2012

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Question

Are drill‑based practices ever appropriate for TBI patients?  

Answer

Yes.  There is a movement away from just drill-based treatment but drill-based therapy does seem to help with post acute patients.  Especially if you are looking at attention and problem-solving, that highly intense, repeated practice of those things is effective when you include the self-regulatory or self-monitoring technique.  It goes beyond just a drill-based practice but includes the person monitoring themselves while they're doing it.  This is most appropriate for more chronic patients at a high-level of intensity.

Angela Hein Ciccia, Ph.D., CCC-SLP is an Assistant Professor in the Communication Sciences Program, Department of Psychological Sciences at Case Western Reserve University. Her research focuses on the area of social information processing, or social cognition, in the school-age and adolescent TBI population. Clinically Dr. Ciccia sees patients with a variety of neurogenic communication disorders across the lifespan.


angela hein ciccia

Angela Hein Ciccia, PhD, CCC-SLP

 Angela Hein Ciccia, Ph.D., CCC-SLP is an assistant professor in the Department of Psychological Sciences. Dr. Ciccia's research focuses on factors that impact children's ability to recover/develop in the presence of a diagnosis of an acquired (i.e., new onset) and/or developmental neurogenic communication disorder. Dr. Ciccia is also interested in the use of novel service delivery models (including telemedicine) to enhance access to rehabilitation/support services for these children. She is the current Co-Chair of the Pediatric Networking Group of ACRM and a member of the Pediatric/Adolescent TBI Task Force of ACRM. 


Related Courses

20Q: Addressing the Needs of Children and Teens with Traumatic Brain Injury
Presented by Angela Hein Ciccia, PhD, CCC-SLP
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Course: #9302Level: Intermediate1 Hour
  'This course was excellent because the information was completely new to me'   Read Reviews
This course will focus on the prevalence of traumatic brain injury (TBI) and concussion in children and teens, the communication issues that can occur as a result, and recovery patterns. Current treatment guidelines - including return-to-learn protocols - and the role of the speech-language pathologist in the rehabilitation process will also be discussed.

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This is Part 1 of the five-part series, Adverse Childhood Experiences (ACE): The Effects of Childhood Trauma on Communication. This course will provide a brief review of conventional and expanded adverse childhood experiences and discuss their implications. Specifically, the impact of ACEs on brain and behavior and the importance of this information to clinical practice for speech-language pathologists will be described. This course is presented in partnership with the American Board of Child Language and Language Disorders (ABCLLD). (Part 2: Course 8981, Part 3: Course 8984, Part 4: Course 8986, Part 5: Course 8992)

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