ESU 10 is a part of the Central Region Brain Injury School Support Team (BIRSST). This team is available to provide consultative services to schools that teach students who have sustained a brain injury. The teams can provide Nebraska educators with information, materials, training and consultative services to support those students.
Brain injury is a leading cause of death and disability for children in the U.S. (Dise-Lewis, Calvery, & Lewis, 2002). Brain injuries can be acquired or traumatic, and may involve loss of oxygen to the brain, bleeding in the brain, tearing of brain cells, or neurochemical disruptions. “Acquired” brain injuries occur as a result of acute health difficulties, such as stroke, substance inhalation, near drowning, or illnesses such as meningitis or encephalitis. Common causes of “traumatic” injuries include motor vehicle accidents, auto/pedestrian accidents, child abuse, falls, or sports related injuries.
About 85% of traumatic injuries are classified as MILD, and up to 80% of these are not initially identified (Terryberry-Spohr, 2007). Mild traumatic brain injuries include concussion, brief loss of consciousness, or amnesia without loss of consciousness, but only 15% of mild injuries involve obvious symptoms, and those often result in negative routine neurological evaluations. On the other hand, 85% of mild injuries involve microscopic injuries that do not appear on CT scans or MRI reports (Terryberry-Spohr, 2007). MODERATE traumatic injuries include loss of consciousness for less than 24 hours, while SEVERE injuries involve loss of consciousness for longer than 24 hours.
Unfortunately, the strongest predictor of a head injury is a previous head injury, and 90% of repeat injuries occur within ten days of a previous injury due to subtle changes in balance and reaction time (Terryberry-Spohr, 2007). Recovery time for a mild injury with no loss of consciousness may last four to eight weeks; while for a more severe injury, the recovery time may extend a full year or longer.
Observable changes in students who have experienced brain injury include changes in attention, memory, and personality. Sometimes students become more restless, more easily confused, or more easily upset. Sometimes they experience physical symptoms, such as headache or fatigue. They may have more difficulty learning, completing school work, and maintaining interest in school. Students who have suffered a brain injury may benefit from a variety of instructional strategies and accommodations, dependent on their particular symptoms. Students who have suffered a brain injury may be eligible for accommodations and instruction through an Individualized Education Plan or through a Section 504 Plan.
March is Brain Injury Awareness Month. Additional information for educators and parents is available through Nebraska’s Brain Injury Resource Network: NEBrainstorm at
http://www.braininjury.ne.gov/ or on the Central Region BIRSST website
http://sites.esu10.org/BIRSST. Your Central Region BIRSST contact is Patrice Feller, ESU 10 School Psychologist. You can email her for information about available supports at
pfeller@esu10.org.
References:
Dise-Lewis, J. E., Calvery, M. L., & Lewis, H. (2002). BrainSTARS Brain Injury: Strategies for Teams And Re-education for Students. Denver, CO.
Terryberry-Spohr, L. (2007). Mild Traumatic Brain Injury and Sports Related Concussions. Nebraska Brain Injury Conference. Grand Island, NE.