Publications by authors named "Carolyn Lemsky"
Much has been written about the interplay between mental health and substance use disorders. However, there is a third dimension, which often complicates the provision of care and renders many mainstream approaches less effective. Cognitive impairments, including those that arise from traumatic brain injury, are increasingly being recognized as an important consideration in addictions programming.
View Article and Find Full Text PDFBackground: The COVID-19 pandemic created new difficulties for people living with brain injury, their families, and caregivers while amplifying the challenges of community-based associations that support them. We aimed to understand the effects of the pandemic on clients who live with brain injury, as well as on the provision of community brain injury services/programs in Canada.
Methods: Online cross-sectional survey conducted in January 2022.
Objectives: This study aimed to investigate the feasibility of implementing an assistive technology for meal preparation called COOK within a supported community residence for a person with an acquired brain injury.
Methods: Using a mixed-methods approach, a multiple baseline single-case experimental design and a descriptive qualitative study were conducted. The participant was a 47-year-old woman with cognitive impairments following a severe stroke.
Background: Misperceptions regarding persons with brain injuries (PWBI) can lead to stigmatization, workplace discrimination and, in turn, influence PWBIs full vocational integration.
Objective: In this study we explored how stigma may influence return-to-work processes, experiences of stigma and discrimination at the workplace for persons with (moderate to severe) brain injuries, and strategies that can be employed to manage disclosure.
Methods: Exploratory qualitative study; used in-depth interviews and an inductive thematic analytical approach in data analysis.
Objectives: To understand how employment services (ES) are provided to persons with brain injuries (PWBIs) in Ontario, Canada, and the impact service delivery has on competitive-employment outcomes.
Design And Methods: A mixed-method case study of one community-based agency that provides specialized services to PWBIs. Relationships between demographic, service-related variables and employment outcomes (2009-2014) were analysed using chi-squares and analyses of variance.
Objective: To evaluate, before undertaking a larger trial, feasibility of the study processes to determine the effectiveness of occupation-based strategy training for producing changes on trained real-world behaviors, and to determine whether far transfer of training effects to measures of real-world impact, including participation in everyday life, could be achieved.
Design: Partially randomized controlled trial with pre- and postintervention assessments done by assessors masked to the treatment arm.
Setting: Testing occurred at a research institute, interventions at participants' homes.
Background: Meta-cognitive strategies have a positive effect on the rehabilitation of executive dysfunction. However, achieving generalization to daily life remains a challenge. We believe that providing rehabilitation in the person's own physical environment and using self-identified tasks will enhance the benefits of meta-cognitive training and promote generalization.
View Article and Find Full Text PDFObjective: To identify best practices and promising practices to enhance participation in meaningful and productive activities.
Method: An electronic search of the ABI rehabilitation research literature since 1990 yielded 974 articles of which 30 focused on interventions that targeted participation and evaluated effectiveness using direct measures of participation. Three reviewers rated these articles according to the standards set out by the Centre for Reviews and Dissemination.