Previously Organized DoC-SIG Webinars

There was a DoC-SIG webinar that took place on September 16, 2020 at 2pm eastern and featured Dr. Joseph Giacino and Dr. Douglas Katz; the title of the webinar was Minimum Competency Recommendations for Programs That Provide Rehabilitation Services for Persons With Disorders of Consciousness: A Position Statement of the American Congress of Rehabilitation Medicine and the National Institute on Disability, Independent Living and Rehabilitation Research Traumatic Brain Injury Model Systems, from an article recently published in the June 2020 issue of the Archives of Physical Medicine and Rehabilitation.

Summary of Webinar

Persons who have disorders of consciousness (DoC) require care from multidisciplinary teams with specialized training and expertise in management of the complex needs of this clinical population. The recent promulgation of practice guidelines for patients with prolonged DoC by the American Academy of Neurology, American Congress of Rehabilitation Medicine (ACRM), and National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) represents a major advance in the development of care standards in this area of brain injury rehabilitation. Implementation of these practice guidelines requires explication of the minimum competencies of clinical programs providing services to persons who have DoC. The Brain Injury Interdisciplinary Special Interest Group of the ACRM, in collaboration with the Disorders of Consciousness Special Interest Group of the NIDILRR-Traumatic Brain Injury Model Systems convened a multidisciplinary panel of experts to address this need through the present position statement. Content area-specific workgroups reviewed relevant peer-reviewed literature and drafted recommendations which were then evaluated by the expert panel using a modified Delphi voting process. The process yielded 21 recommendations on the structure and process of essential services required for effective DoC-focused rehabilitation, organized into 4 categories: diagnostic and prognostic assessment (4 recommendations), treatment (11 recommendations), transitioning care/long-term care needs (5 recommendations), and management of ethical issues (1 recommendation). With few exceptions, these recommendations focus on infrastructure requirements and operating procedures for the provision of DoC-focused neurorehabilitation services across subacute and post-acute settings.

About Speakers

Joseph T. Giacino, PhD

Joseph T. Giacino, PhD is the Director of Rehabilitation Neuropsychology at Spaulding Rehabilitation Hospital in Boston. He is Consulting Neuropsychologist in the Department of Psychiatry at Massachusetts General Hospital, and he is a Professor of Physical Medicine and Rehabilitation at Harvard Medical School. He led the expert panels that established the diagnostic criteria for the minimally conscious state and developed the 2018 Practice Guideline on Disorders of Consciousness.

Douglas I. Katz, MD

Douglas I. Katz, MD is Professor of Neurology at Boston University School of Medicine, a member of the neurology staff at Boston Medical Center and Medical Director of the Brain Injury Program at Encompass Health Braintree Rehabilitation Hospital. Dr. Katz is a recognized leader in the field of traumatic brain injury rehabilitation with over 30 years of experience in TBI clinical care, research, education and program development and served as President of the American Congress of Rehabilitation Medicine (ACRM) from 2015-2017.

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