Publications by authors named "Lance E Trexler"

Owing to major progress in the survivorship following acquired brain injury (ABI), there exists a pressing need for the development of systems of care and rehabilitation tailored to ABI. One of the supportive systems is brain injury resource facilitation (brain injury RF), which focuses on having therapeutic, social, and financial resources readily available and easily accessible for persons with ABI. Brain injury RF comprises identification of a person's strengths and challenges, goal setting, resource identification, coordination, access, utilization, monitoring, evaluation, and advocacy.

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This article identified rates of traumatic brain injury (TBI) and recidivism among people incarcerated or exiting incarceration in Indiana using data from different sectors of the incarcerated population. This article was a collaboration between the rehabilitation hospital of Indiana and both the Indiana Department of Correction (IDOC) and the problem-solving courts of Marion County, resulting in two distinct screening samples. Participants in the IDOC sample ( = 2,791) were screened over a period of 2 years and 4 months.

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Objective: Research has shown that as many as 60% of adults in the criminal justice system have a history of traumatic brain injury (TBI), but the examination of effective interventions to reduce recidivism has only just begun. The present study explored the extent to which resource facilitation (RF) may decrease recidivism among those individuals with TBI.

Methods: Over a 2-year period, a prospective, non-randomized controlled study was conducted that included 1,504 justice-involved individuals exiting the Indiana Department of Corrections (IDOC).

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Our objective was to make recommendations intended to reduce the rate of opioid misuse and overdose for a particularly high-risk group of people with traumatic brain injury (TBI). A consensus process conducted with TBI researchers and expert practitioners developed practical recommendations to inform prescribing of opioids for people with TBI. After determining key general principles for prescribing opioids for people with TBI, 6 TBI-specific recommendations were developed, 1 for acute pain in the agitated patient with TBI, 3 recommendations to be considered before prescribing an opioid, and 2 for follow-up and use by mental health and substance use disorder providers.

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Studies have shown reduced life expectancy following moderate-severe traumatic brain injury (TBI) with death from unintentional poisoning (UP) being 11 times higher following TBI than in the general population. The characteristics of those who die of unintentional poisoning are compared with the characteristics of those who die of other causes (OC) in a retrospective cohort who received inpatient rehabilitation following TBI and enrolled in the TBI Model Systems National Database between 1989 and 2017 ( = 15,835 cases with 2,238 deaths recorded). Seventy-eight cases (3.

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Background: Resource Facilitation (RF) is an intervention developed to improve return to work (RTW) following brain injury. RF is an individualized treatment specializing in connecting patients and caregivers with community-based resources and services to mitigate barriers to return to work.

Objectives: Examine the effectiveness of the RHI RF program for a clinical prospective cohort of participants referred to this program from the State Vocational Rehabilitation agency.

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Objective: To determine the extent to which previous findings on the effectiveness of resource facilitation to impact return to work and school could be replicated.

Design: Randomized controlled trial.

Setting: Outpatient rehabilitation clinic.

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Objective: To determine whether training in coping strategies will improve psychologic functioning and self-efficacy in survivors of brain injury (BI) and caregivers.

Design: Randomized controlled pilot study with measurements at baseline, postintervention, and 3-month follow-up.

Setting: Postacute rehabilitation clinic.

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Objective: To examine the impact of resource facilitation (RF) on return to work, participation in home and community activities, and depression.

Participants: Twenty-two people with acquired brain injury (mean age = 43 years; mean education = 13.3 years).

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Primary Objective: To examine the relationship between self-awareness, goal setting ability (i.e. ability to set realistic goals) and performance/outcome in a cognitive task and for rehabilitation.

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The aim of this study was to compare the accuracy of performance predictions in experimental tasks with patients' awareness of activity limitations. Participants were 24 patients with brain injuries (i.e.

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Objective: To develop a survey instrument that assesses implementation of key components of outpatient neurorehabilitation programs and test the capacity of this instrument to differentiate between rehabilitation approaches.

Design: The Neurorehabilitation Program Styles Survey (NPSS) was administered to 18 outpatient facilities: 10 specialized and 8 discipline-specific outpatient neurorehabilitation programs. Scores were compared between types of programs using independent samples t tests.

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