Client actively participates in the CBWT program during this reporting period
to improve cognitive/behavioral deficits related to the TBI. Client has accepted
a cognitive work schedule focusing on 12 aspects of cognitive enhancement.
| | |
| I | Learning Styles (Auditory, Visual, Kinetic) |
 |
| Beginning |
| Identification of personal learning styles (auditory, visual kinetic) |
| Grade level: reading, math, spelling |
| Perceptual Memory Test Phase 1 |
| Intermediate |
| Ownership of the tested learning style and academic level |
| Beginning to adapt cognitive therapies around learning style |
| Advanced |
| Continuation of adaptation of cognitive therapies around learning style |
| Integration of other learning styles |
| Generalized other learning styles to other environmental situations |
| | |
| II | Attending Behaviors/Increase Attention Span/Attention Memory Series |
|
| Beginning |
| Michigan Memory Series |
| Attending Exercises |
| Intermediate |
| Attending Stimulus Tapes |
| Advanced |
| Mirror Ready |
| Geometrical Shapes |
| Crossword/Word Search |
| | |
| III | Arousal & Alertness |
|
| Beginning |
| Matching colors & shapes |
| Physical condition, basic stretch exercise, phase 1 |
| Current event basic communication |
| Intermediate |
| Visual comprehension |
| Verbal discussion |
| Light exercise |
| Physical condition, phase 2 |
| Advanced |
| Visual comprehension (note taking) |
| Ready comprehension, answer questions |
| Mapping |
| | |
| IV | Focusing & Vigilance |
|
| Beginning |
| Letter & word recognition |
| Auditory recognition |
| Visual recognition |
| Intermediate |
| Time ready and recall |
| Gamesmanship-checkers |
| Advanced |
| Extended project development to completion over a one week period |
| Gamesmanship-card playing, chess, computer, Chinese Checkers |
| | |
| V | Cognitive Flexibility |
|
| Beginning |
| Changes tasks, pencil/paper, computer exercises phase 1 |
| Intermediate |
| Changes tasks, pencil/paper, computer exercises phase 2 |
| Multiple tasks phase 1 |
| Advanced |
| Stroop test/exercise |
| Multiple tasks phase 2 |
| | |
| VI | Personal Timeline/Journaling |
|
| Beginning |
| Journaling phase 1 |
| Event focus, past & planning |
| Personal timeline, list happiest moments & saddest moments phase 1 |
| Time line day |
| Intermediate |
| Journaling phase 2, feeling focus, current feeling, what an I most grateful for, what am I most ungrateful for |
| Personal timeline, week/month |
| Basic timeline exercises, reading, comprehension, identifying timeline events |
| Advanced |
| Journaling phase 3, following a specific sporting event/soap opera story |
| | |
| VII | Visual Spatial/Spatial Orientation (left/right training) |
|
| Beginning |
| Graphic design reproduction phase 1 |
| Mirror images phase 1 |
| Matching shapes, colors, order by size phase 1 |
| Intermediate |
| Graphic design reproduction phase 2 |
| Mirror images phase 2 |
| Left/right orientation/training phase 1 |
| Advanced |
| Graphic design reproduction phase 3 |
| Mirror images phase 3 |
| Left/right orientation/training phase 2 |
| | |
| VIII | Relationship (Objects/Self/Directions) |
|
| Beginning |
| Auditory relation sequencing |
| Identification of objects |
| Factory computer program phase 1 |
| Intermediate |
| Performance of physical/motor tasks up to 4 steps sequencing |
| Identification of objects 4 part sequencing |
| Factory computer program phase 2 |
| Traffic signs phase 2 |
| Advanced |
| Advance identification 4 or more directional sequencing tasks with objects or illustrations |
| Factory computer program phase 3 |
| Traffic signs phase 3 |
| Give directions such as home, office |
| Plan & take a trip |
| | |
| IX | Memory Echoic/iconic (implying compensating strategies) |
|
| Beginning |
| Memory Building Blocks |
| Memory Castle phase 1 |
| Concentration color/match |
| Kim test |
| Intermediate |
| Memory Castle phase 2 |
| Michigan Memory series phase 2 |
| Soft Tool Odie Bracing phase 2 |
| Memory Group Activities |
| Advanced |
| Memory Castle phase 3 |
| Michigan Memory Series phase 3 |
| | |
| X | Personal Organization (daily schedules, appointments, journaling) |
|
| Beginning |
| Personal daily orientation |
| ADL implementation/orientation |
| Identification of personal addresses |
| Journaling, start, all inhouse |
| Intermediate |
| Know daily therapy schedule |
| Carry calendar |
| Daily journaling, inhouse, may be outside |
| Advanced |
| Franklin/Covey System |
| Utilization of compensation strategies & tools |
| | |
| XI | Behavioral Training Congruency (doing what you say you are going to do) |
|
| Beginning |
| Up to two step tasks |
| Basic ADL to completion |
| Basic cognitive exercise to completion |
| Intermediate |
| Completed single daily tasks |
| Completed daily programming |
| Tracking daily |
| Advanced |
| Completed a week of planned daily tasks |
| Identification by writing tasks |
| Completion on daily basis |
| Begin monthly and quarterly using a computer or Franklin system |
| | |
| XII | Problem Solving (increasing abstract reasoning) |
|
| Beginning |
| Basic problem solving |
| Basic logic exercise phase 1 |
| Intermediate |
| Valpar problem solving |
| Judge exercises phase 2 |
| Logic exercise phase 2 |
| Hands on ADL problem solving exercises phase 2 |
| BRS problem solving challenges phase 1 |
| Advanced |
| Judge exercise phase 3 |
| Logic exercise phase 3 |
| Hands on ADL problem solving exercises phase 3 |
| BRS problem solving challenges phase 2 |
Client CBWT/Neuro-work emphasis is on the following steps of the Core Cognitive Categories:
Client is engaging in specific CBWT exercises in achieving the functional CBWT goals.
