October 30, 2018 by Angela

Occupational Therapy at Schurig Center – A Rehabilitation Tool Changing Lives

Occupational Therapy (OT) is an effective rehabilitation therapy for survivors of brain injury, concussion or stroke that is offered at Schurig Center in group classes and in individual sessions. We realize that many survivors and their families are unaware of what OT is and the benefits it offers. Let’s learn more about OT, who can benefit from it, and the services offered at Schurig Center.

Maggie Smida, OTR-L is Schurig Center’s Occupational Therapist. Maggie received her Master’s Degree in Occupational Therapy at San Jose State University and is a member of the American Occupational Therapy Association. She came to us from UCSF Medical Center where she gained valuable experience in acute care setting. Maggie has created tailored OT protocols specific to brain injury rehabilitation for survivors who are no longer receiving insurance covered OT and who benefit from continued rehabilitation.

What is Occupational Therapy?

Occupational Therapy (OT) is one of three main rehabilitation therapies: Physical, Speech, and Occupational. The therapy name can be misleading since the purpose is not to help the client get back to work (though some OT’s can do that!). OT’s purpose is to maximize independent living and facilitate a productive fulfilling lifestyle. It’s called “occupational” therapy because the word “occupation” refers to any task a person performs which “occupies” their time. These can be fun hobbies or necessary activities for daily living.

The scope of practice is quite broad! OT’s are trained to address basic skills, such as brushing teeth or getting dressed (i.e. after stroke, living with neurodegenerative disease, etc.) all the way to managing a checkbook and supporting socializing with others. However, most OT’s end up specializing in a specific practice area.

Maggie’s specialization here at Schurig Center is considered non-traditional OT. She focuses on training people living with brain injury to use new “lifestyle systems” that will help them live fuller, more satisfying lives. These systems are devised to support management of daily routine and schedule, help organize personal business and household management tasks, sort out priorities, and facilitate participation in meaningful activities. Typically, these are areas not addressed during traditional rehabilitation stays.

Who could benefit from Occupational Therapy?

A joke in OT training school is that “everyone can benefit from a little OT.” However, it is mostly directed toward anyone who is having difficulty participating in activities they need or want to do because of injury, disease, or disability. An OT’s focus is always to support greater independence. Sometimes the way OT facilitates the accomplishment of a client’s goal for independence is through rehabilitative steps. Other times, it is by teaching adaptive strategies, work arounds, or a different way to complete an activity.

What do you work on in an Occupational Therapy session?

That very much depends on a client’s goal. Typically, OT sessions start with the OT learning about what activities a client wants to get better at doing. Then they determine his or her barriers to participating in or completing the activity. Finally, a plan is created that includes education and training for the client. Each session we work towards the goal.

What is CogSmart?

CogSmart is a 10-week compensatory cognitive training class for people with post concussive symptoms and/or mild TBI. The curriculum was developed by a team in neuro-rehabilitation at the San Diego VA. The course teaches lifestyle management, trains students in coping strategies, and introduces external aids and mental strategies all designed to support cognition function. Here at Schurig Center, Maggie adapted the curriculum to benefit the specific needs of our clients living with symptoms of a concussion.

As the facilitator, what is Maggie’s favorite thing about CogSMART?

Maggie shared that she really enjoys teaching in a small group setting, and she loves the practicality of the course content. Students regularly share what strategies have worked or not worked for them, their own ideas, and complete in class exercises in pairs. It is great to see how the support of those who understand each other can make a difference in the human condition. The peer support seems to have such a positive impact on motivation and facing the challenge of a brain injury with resilience.

Do you think you would benefit from Occupational Therapy?

Schurig Center offers one-on-one Occupational Therapy sessions as well as CogSMART 1 and CogSMART 2 classes based on Dr. Elizabeth Twamley’s protocol from UC San Diego.

For more information and to enroll, contact Schurig Center’s Resource Specialist at resources@schurigcenter.org or (415) 461-6771 ext 100.

September 26, 2018 by Angela

Volunteer Betty Schrohe Helps Survivors Rediscover Their Voice

Volunteer Betty listens on as John practices his reading and speech skills with a book about Albert Einstein

At Schurig Center, “it takes a village” isn’t just a cliché, it’s the key to our success. We are deeply grateful for Betty Schrohe, one of the caring members of our active community of volunteers and donors whose contributions of time and talent power our programs.

Betty’s training in speech therapy and experience working with stroke survivors and children with disabilities were a natural fit for volunteering at Schurig Center, so she decided to jump in. For almost 10 years, Betty has assisted weekly in classes and worked individually with clients who have aphasia to help them improve their reading and speech skills by reading books aloud together. In a recent interview, Betty expressed that she has found it very gratifying to be able to assist people on their journey to recovery. She also mentioned particularly enjoying her work with stroke survivor John Nelson and shared:

“It’s exciting to watch John’s progress over time. Some days are quite challenging for him, so it’s especially exciting to be with him to celebrate on days when his speech and reading seem to be more effortless. You can really feel how much it means to him.”

Ongoing rehabilitation, like speech therapy, is critical to rebuilding skills after a stroke. Our center relies on the support of people like Betty, and you, to offer an array of services, which are designed specifically to help brain injury survivors improve their abilities. You help provide innovative, high-quality services that are not available anywhere else in our area. YOU truly are the difference that makes a difference. Thank you!

Did you know?

About 25 to 40% of stroke survivors acquire aphasia.

What is aphasia?

Aphasia is an acquired communication disorder that impairs a person’s ability to process language, speak, understand others, read, and/or write.

June 11, 2018 by Angela

Let’s Talk About Aphasia

June is National Aphasia Awareness Month

According to the National Aphasia Association, aphasia is an acquired communication disorder that impairs a person’s ability to process language, but does not affect intelligence. Aphasia impairs the ability to speak and understand others, and most people with aphasia experience difficulty reading and writing.

Aphasia affects about two million Americans. The most common cause of aphasia is stroke. About 25-40% of stroke survivors acquire aphasia. However, any type of head injury or other neurological causes can cause aphasia.

There are many types of aphasia. Some people have difficulty speaking while others may struggle to follow a conversation. In some people, aphasia is fairly mild and you might not notice it right away. In other cases, it can be very severe, affecting speaking, writing, reading, and listening. While specific symptoms can vary greatly, what all people with aphasia have in common are difficulties in communicating.

Communicating with People Affected by Aphasia

Below are a few helpful tips on how to communicate with a person who has aphasia. To download a free copy of the “Communicating Through the Barriers” poster below, visit the National Aphasia Associations website here.

Improve Your Communications Skills at Schurig Center

If you or a loved one is experiencing aphasia after a stroke or other neurological impairment, there is a place to go to improve your communication skills! We are pleased to offer a 10-week Aphasia Communication Group. Taught by a license speech therapist, this class provides the opportunity to practice and develop communication and cognitive skills in a supportive environment. Topics covered include: engaging in conversation, body language, communication strategies, listening skills, connections with friends, family, and your community. To get more info about this group, please visit our classes page here.