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Cognitive Rehabilitation: Therapy … Therapy … Therapy!


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Format: DVD Video (4+ hours)   Instructions
Details: Multi-disc DVD recording (5 hours, 42 minutes) with electronic manual and instructions.



Approximately 6.5 million people in the United States have an intellectual disability diagnosis and that number is growing dramatically. Whether the impairment is developmental, due to normal aging, or the result of an acquired or progressive disease, the World Health Organization estimates that approximately 27 million people will present with some type of cognitive impairment by the year 2050. Successful cognitive rehabilitation is crucial to improving a patient’s overall quality of life and should be at the heart of any and all intervention programs.

Join Jane Yakel, MS, CCC-SLP, for this informative and interactive seminar presenting over 100 evidence-based techniques, strategies, and interventions for all levels of cognitive loss. Whether a patient presents with high-level (mild) cognitive impairments, requiring a cognitive structural change, or low-level (severe) cognitive deficits requiring a skilled enhancement approach, this class offers successful, practical treatment techniques that are easy to implement in any care setting. This seminar also emphasizes the importance and effectiveness of creating highly individualized treatment strategies, and provides participants with the needed skills to choose and adapt techniques into tailored, personalized therapy plans. Active case studies are examined, and participants are encouraged during the seminar to design a patient profile with therapy interventions and goal documentation.



At the completion of this self-study package, you should be able to:


  1. Discuss how to bridge the gap from philosophy to practice, and from paper-pencil therapeutic task to daily functioning activity, by identifying the underpinnings of the different systems and processes of cognition.
  2. Discuss specific “Art of Memory” techniques and strategies (utilized by World Memory Championship competitors) to design specific therapeutic tasks that can create a structural change in memory.
  3. Identify the critical role that awareness deficits play in contributing to rehabilitation outcomes and discuss the interventions and techniques that facilitate awareness and guide the patient to independent functioning.
  4. Summarize the components of executive functions and discuss how these components are contingent upon other cognitive processes that manifest cognitive and behavioral disorders.
  5. Define step-by-step therapeutic intervention techniques specifically designed for progressive neurological diseases and low-level cognitive patients.
  6. Identify the components of a defendable skilled goal and discuss what medically defines a skilled from a non-skilled intervention.
  7. Evaluate the role of self-efficacy and ownership and the principles needed to have the patient ultimately responsible for the treatment program.
  8. Discuss caregiver training techniques, communication strategies and guidelines for patient intervention ultimately affecting therapeutic outcomes.
  9. Recall specific therapeutic approaches for cognitive intervention with respect to specific medical diagnosis.

Program Outline:

  1. Therapy: The “First” Half
    1. Self-Awareness: Levels of Awareness and Interventions
    2. Self-Efficacy: Sources and Interventions
    3. Ownership: Increasing Patient Participation
  2. Models of Care/Approaches to Therapy
  3. Direct Therapy/Indirect Therapy
  4. Therapy via Medical Diagnosis: High-Level Cognition
  5. High-Level Cognition Intervention: Structural Change
    1. Attention Systems
      1. Selective Attention
      2. Focused Attention
      3. Sustained Attention
      4. Divided Attention
      5. Directed Attention
      6. Shifting Attention
    2. Visual Processing Systems
      1. Visual Cognition
      2. Visual Memory
      3. Pattern Recognition
      4. Scanning
      5. Visual Attention
      6. Oculomotor Skills
      7. Visual Fields
      8. Visual Acuity
    3. Information Processing Systems
      1. Processing Speed
      2. Processing Control
      3. Processing Capacity
    4. Memory: Declarative Memory System
      1. Method of Loci
      2. Visual Imagery
      3. Chunking
      4. Association
      5. Mental Organization
      6. Linking
      7. Elaboration
      8. Acronyms, Acrostics
      9. Rhymes, Rhythms, Rote
      10. Rehearsal and the Curve of Forgetting
  6. Executive Functions
    1. Self-Regulation: Behavioral & Verbal
    2. Initiation/Inhibiting
    3. Time Management
    4. Planning/Organization
    5. Problem Solving
  7. Therapy via Medical Diagnosis: Low-Level Cognition
  8. Low-Level Cognition Intervention: Guidelines for Intervention
    1. Errorless Learning
    2. Cognitive Loss and Abilities
  9. Low-Level Cognition Intervention: Skilled Enhancement
    1. Non-declarative Memory System
      1. Spaced Retrieval Therapy
      2. Montessori-Based Therapy
      3. Ability-Based Approaches / Therapy
      4. Validation Therapy
      5. Redirecting Therapy
      6. Reminiscence Therapy
  10. Caregiver Training
    1. FOCUSED: Communication Enhancement Program
    2. Allen’s Cognitive Disability Theory / Therapy
  11. Documentation: Goals and Skilled Intervention
    1. Components of a Defendable Skilled Goal
    2. Skilled Terminology / Skilled Intervention
  12. Bridging the Gap: Interactive Case Studies

About the Speaker:

Jane Yakel is a licensed and certified Speech-Language Pathologist with over 40 years of experience. Jane is a private contractor and consultant in Virginia and has worked in a variety of settings including acute care, outpatient clinics, home health agencies, skilled nursing facilities, hospitals and school districts. She has taught at the University of Wyoming, Utah State University and DeVry University (Phoenix). Her diverse background in both the health care and academic arenas has given her the opportunity to develop strong clinical skills in patient assessment, evaluation and treatment, and patient/family education. She has also shared her expertise as an author and presenter of national and state board continuing educational courses on various topics including the Prospective Payment System, ethics and professionalism, comprehensive assessment of the patient, and cognitive communication. 

Jane has been the director of a community re-entry program for traumatic brain injury survivors and has served as a national and regional trainer for rehabilitation program directors. Jane is a member of the American Speech-Language-Hearing Association, has served as a representative for the People to People Ambassador Program for the American Speech-Language-Hearing Association and is a prior member of the Wyoming Board of Examiners for Speech-Language Pathology and Audiology. She completed her undergraduate and graduate studies at the University of Wyoming, specializing in neuropathology. 

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