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Psychological Support Instructional Course:

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Erato
Thursday, November 7, 2019
8:50 AM - 10:20 AM
Erato

Overview

Managing distress in people with SCI in inpatient and community settings: best evidence and effective strategies.


Speaker

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Prof Ashley Craig
Professor Of Rehabilitation Studies
The University Of Sydney

Managing distress in people with SCI in inpatient and community settings: best evidence and effective strategies.

Abstract

Speakers
Ashley Craig, PhD, Professor of Rehabilitation Studies, JWCRR, Faculty of Medicine and Health, The University of Sydney, Kolling Institute of Medical Research, NSW, Australia; Fellow, College of Clinical Psychologists, Australian Psychological Society.

Jane Duff, PhD, Consultant Clinical Psychologist and National Spinal Injuries Centre Head of Clinical Psychology, Department of Clinical Psychology, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Mandeville Road, Aylesbury, UK

James Middleton, PhD, Professor of Rehabilitation Medicine, JWCRR, Faculty of Medicine and Health, The University of Sydney; NSW, Australia; Clinical Director, State SCI Service, NSW, Senior Medical Specialist, Spinal Outreach Service, NSW.

Learning objectives
1. Review the latest evidence on the extent of psychological distress and disorder in people with SCI
2. Describe sources and triggers of distress and strategies used to manage them.
3. Describe translational strategies for managing distress in the UK and NSW, Australia

Outline of the Course
Speaker 1: Ashley Craig: (20 minutes plus 5 minutes questions)
1. Evidence from meta-analysis and prospective data on extent of psychological distress in adults with a SCI will be presented, including information on psychological disorder and co-morbidities.
2. Based on the SCI Adjustment Model, strategies for managing distress will be discussed that can be used by multi-disciplinary staff working in SCI rehabilitation/community settings.

Speaker 2: Jane Duff (20 minutes plus 5 minutes questions)
Evidence for strategies used in UK and presentation will include:
1. A case study of psychological assessment of mood and appraisals with cognitive intervention supporting an individual’s and family adjustment during inpatient SCI.
2. The presentation will include group data and interim results from community follow-up psychological assessments up to 2-years post injury. Recommendations for enhancing psychological preparedness and transition support from inpatient admission will be included.

Speaker 3: James Middleton: (20 minutes plus 5 minutes questions)
1. Evidence from an extensive national survey will be presented to describe the lived experience and how people are managing their SCI.
2. Expanding on this evidence, strategies employed by the New South Wales Spinal Outreach Service (covering urban and rural areas) to assist in managing distress will be explored.

Summary (15 minutes)
Discussion will focus on when strategies can best be used, with takeaway tips for managing distress.

The following papers are recommended:
Craig, A., et al. (2015). A prospective study of the occurrence of psychological disorders and co-morbidities following spinal cord injury. Archives Physical Medicine Rehabilitation, 96, 1426-1434.
Duff, J. and Kennedy, P. (2003). Spinal Cord Injury. In S. Llewelyn & P. Kennedy Handbook of Clinical Health Psychology. (pp 251-275). Chichester: Wiley and Sons.
Eaton, R., et al., (2018). Cognitive appraisals and emotional status following a spinal cord injury in post-acute rehabilitation. Spinal Cord, 56, 1151–1157

Material for participants
Any level is suitable

Target audience
This instructional workshop will be of interest to health professionals who are involved in the rehabilitation of people with SCI, in inpatient or community settings.

Biography

Dr Ashley Craig is a senior clinical psychologist and the Professor of Rehabilitation in the John Walsh Centre for Rehabilitation Research (JWCRR), Faculty of Medicine and Health in The University of Sydney, He has an international reputation in the field of injury and recovery, and has been involved in SCI research for over 25 years. He has won over $15 million in competitive funding for research and has published over 200 publications. He has substantial experience in assisting people with SCI to adjust and manage their grief, mood and anxiety as well as conditions like chronic pain, fatigue, and social isolation associated with the injury, the goal being to promote resilience and growth. Dr Jane Duff has worked in SCI rehabilitation for over 23 years, as a Consultant Clinical Psychologist at the National Spinal Injuries Centre, Stoke Mandeville and is now Head of the NSIC Clinical Psychology Department in 2016. She works with people with SCI to assist them managing their distress, and is also a qualified workplace coach, helping them cope adjust to their injury and healthcare. Her main clinical and research interests are coping and adjustment, quality of life, rehabilitation/goal planning and promoting the development of lifelong self-management skills. James Middleton is the Professor of Rehabilitation Medicine in the JWCRR, Faculty of Medicine and Health, The University of Sydney; NSW, and the Clinical Director, State SCI Service, NSW, Spinal Outreach Service, NSW. James has translated research evidence into practice, service development and quality health system improvements based on the life challenges he sees confronting people with SCI. He undertakes collaborative interdisciplinary research aimed at improving systems of care; assessing health, function and participation, as well as associated psychological outcomes, including self efficacy; pain management; health service delivery and utilization, knowledge translation; quality of life, and life expectancy.
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