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