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Improving Treatment Outcomes With Computers
Candace J. Gordon
Portland State University
Computer Treatment to Improve Cognitive Skills
Traumatic Brain Injury (TBI)
Rancho Levels of Cognitive Functioning - Revised
Level 1No Response
Levle 2GeneralizedResponse
Level 3LocalizedResponse
Level 4Confused-Agitated
Level 5Confused-InappropriateNon-Agitated
Level 6ConfusedAppropriate
Rancho Levels of Cognitive Functioning - Revised ContinuedLevel 7Automatic-Appropriate
Level 8PurposefulandAppropriateStand-byAssistance
Level 9PurposefulandAppropriateStand-byAssistance onRequest
Common Characteristics of Traumatic Brain Injury
• Attention/Concentration
• Memory
• Problem solving/reasoning
Benefits of Computer Treatment for TBI Clients
• Adult activity
• Gives the client control
• Clinician and client work together
• Clinician in neutral position
• Clients work longer
• Independent practice
• Train in use of strategies
Benefits of Computer Treatment Continued
• Record performance
• Times responses
• Document progress
• Objective feedback
• Clinician is free to observe cognitive behaviors
One of One Treatment
• Pragmatic skills
• Generalizing skills
• Real life executive functions
• Interactions with others
• Carry over activities
• Functional tasks
Attention/Concentration
• Locu Tour
• Attention, Perception and Discrimination Plus
• Hierarchical Attention Training – HAT
• Visual Scanning/Cancellation
Memory
• Word Memory
• Memory for Directions
• Remembering Names
• Concentration
Problem Solving/Reasoning
• Conditional Statements
• Deductive Reasoning
• Completion of Partial Information
• Time Management
• Mind Benders
• Advanced Verbal Reasoning
• Checkbook Skills