The Calgary Brain Injury Program

Program Lead: Dr. Rodney Li Pi Shan

The Calgary Brain Injury Program (CBIP) addresses the rehabilitation needs of individuals with acquired brain injuries (ABI) which may arise from trauma, infection, aneurysm rupture, hypoxia, tumour resection or other causes. The affected individuals cross the spectrum from mild to severe levels of injury.

Service

The service includes both an inpatient and an outpatient component. The inpatient service includes a physiatry consultation service for individuals in acute care, as well as 15-16 inpatient beds on a tertiary neurorehabilitation unit at the Foothills Hospital. The patient experience team continues to provide one-on-one peer support on the neurorehabilitation unit. There is also a facilitated group meeting every two weeks for individuals as well as their families to provide an opportunity for connection and support. The music therapy program on the neurorehabilitation unit has also been well received and funding to continue the program has been established.

The Early Supported Discharge (ESD) Program is a home based program where people discharged from hospital can receive interdisciplinary rehabilitation. This service allows them to leave hospital earlier and apply their rehabilitation to practical goals that are immediately relevant to affected individuals and their families. Evaluation of the program showed it was equally effective to tertiary inpatient rehabilitation and saved a significant number of inpatient bed days and associated costs. The program is now ongoing, in association with the stroke early supported discharge program.

The outpatient service is based upon a centralized referral system which provides triage and advice from our community case manager for access to several different services, including:

  • Sub-acute concussion education sessions delivered approximately every two weeks. This consists of symptom management advice in a group format to individuals affected by concussion within three months of injury. An early concussion education module for patients has been created: https://myhealth.alberta.ca/learning/modules/Early-Concussion
  • A Brain Injury Rehabilitation Clinic provides assessment and treatment by physiatrists. Social workers are also associated with the clinic.
  • Liaising with the Community Accessible Rehabilitation (CAR) program in order to arrange interdisciplinary rehabilitation for individuals as required.
  • Contracting for services with the Association for Rehabilitation of the Brain Injured (ARBI), a community-based program, to provide rehabilitation services for appropriate individuals.

Education

We continue to be actively involved in teaching at many different levels. We support learning by medical students, residents, graduate students, Allied Health students, and nursing students. 

Grants and Research

The CBIP research program, led by Dr. Chantel Debert, allows residents, graduate students, and undergraduate students to participate in clinical and basic science research. Researchers lead and collaborate on grants funded by the Cumming School of Medicine, Hotchkiss Brain Institute (HBI), and the Canadian Institute of Health Research. We have a relationship with the Integrative Concussion Research Program. We are actively involved in the non-invasive neurostimulation (N3) initiative and the Brain and Mental Health Research Clinics, both HBI funded research initiatives. Multiple personnel in the Calgary Brain injury Program are also involved with the HBI TBI neuroteam.

Members

Managers: Jason Knox, Lisa Patel, Kim Kennedy

Community Case Manager: Heather Murison, Alison Barnfather

Inpatient Brain Injury Nurse Clinician: Jill Congram

Physiatrists: Dr. Christine McGovern, Dr. Rodney Li Pi Shan, Dr. Chantel Debert, Dr. Christopher Grant, Dr. George Francis, Dr. Ranita Manocha

Psychiatrist: Dr. Jeremy Quickfall

Clinic Social Workers: Valerie Bunz, Leianne Bouillet

Neuropsychologists: Dr. Stewart Longman, Dr. Amy Siegenthaler, Dr. Ashley Fischer

Administration Support: Kendra McDonald, Susan Morson, Ashley Derksen, Marj Moon, Shelby O’Connell, Charmaine McLean, Kristie Chow

(Updated Dec. 2018)