Sarah Price HancockPsychiatric Rehabilitation and Recovery
Sarah Price Hancock
MS
Researching long-term consequences of Electrical Injury & chronic exposure to non-ionizing radiation
About
13
Publications
3,247
Reads
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10
Citations
Introduction
Psychiatric Rehabilitation, assessment, electrical injury sequalae (low-voltage/high field strength), Presently working to identify comprehensive rehabilitation assessment and treatment plan for people living with a history of low-voltage/high field strength electrical injury sequalae. Method: Literature Review
Past research: Historical context of vocational rehabilitation and sheltered workshops (literature review); family and peer support in Mental Health services (literature review and RWE).
Additional affiliations
March 2016 - February 2018
Position
- Research Specialist
Description
- Research Specialist for the federally funded Workforce Innovation Technical Assistance Center (WINTAC). Developed 65 hours of asynchronous continuing education coursework for Certified Rehabilitation Counselors on Pre-employment Transition Services, and requirements/implementation of the Workforce Innovation and Opportunity Act (section 511).
June 2014 - December 2018
Position
- Instructor
Description
- Developed and instructed CACREP accredited, recovery-oriented psychiatric rehabilitation curriculum for clinical psychiatric rehabilitation track. ARP 601: Best Practices in Psychiatric Rehabilitation ARP 608: Principles of Psychiatric Rehabilitation ARP 740: Human Development [& Disability] ARP 660: Theory and Practice of Counseling
Education
August 2010 - May 2013
August 1995 - April 2002
Publications
Publications (13)
Original research discussing acquired communication disorders caused by electrical trauma which pose unique communication barriers due to their evolving symptom manifestation. As the person ages away from the initial injury, communication barriers can become more pronounced with age.
This presentation provides details explaining how electrical tr...
This is a working literature review detailing research detailing how repeated exposure to high field strength electricity deteriorates voltage gated ion channels resulting in acquired channelopathies. It provides a window of understanding into the episodic paroxysmal neuromuscular symptoms patients manifest or describe experiencing specific to epis...
This presentation was given at the international "A Disorder for Everyone" annual festival, September 17, 2021. It answers the following questions:
-Is all ECT the same?
-Is ECT Safe? Does ECT work?
-Does ECT cause permanent Brain Damage?
-Does ECT cause permanent memory loss?
-Does ECT cause a repetitive mild traumatic brain injury?
-Does ECT ca...
Twelve key concerns left unaddressed by mainstream psychiatry's research on electroconvulsive therapy based on recent peer-reviewed literature, device manufacturer's user manual and regulatory update, SAMHSA facility directory and US insurance reimbursement practices.
This article details concerns about electroconvulsive therapy's use. Concerns detailed include: legal informed consent, international lack of universal administration methods, rate of use, regulatory measures to in place ensure patient safety, Medicare insurance reimbursements, absence of routine comprehensive ECT outcome tracking, absence of routi...
Testimony opposing CT SB 898 to extend forced electroconvulsive therapy (ECT) based on Long-Term Consequences of Electroconvulsive Therapy/Electrical Injury's neurological sequalae's association with neurodegenerative diseases.
Historical context of legislative measures, court cases, and executive orders leading to the 2014 passage of the Workforce Innovation and Opportunity Act.
Survey of customized employment rates paid by state Vocational Rehabilitation programs across the nation. If you would like to see what other VR agencies are paying for customized employment, you can view the spreadsheet.
Compiled summary of technical assistance reports provided by Rehabilitation Services Administration (RSA) to state vocational rehabilitation agencies in 2016. Includes technical assistance on Competitive Integrated Employment, Pre-employment Transition Services, Supported Employment Services Programs, and Next Steps/Additional Support required for...
Increasing our partnerships with other providers may be part of the answer according to Gerald Monk, formerly a psychologist in New Zealand, and Sarah Hancock who make the case for psychologists and peer support specialists working together to help those recovering from severe mental illness. Their case, in support of both recovery and the recovery...
Identifying possible adverse events, practical implications and rehabilitation needs for people with a history of electroconvulsive therapy (ECT).
Questions
Questions (6)
In an effort to better understand the neurological sequalae of electrical injury, I seek neuro imaging methods for what is historically not seen on standard imaging.
Repeated exposure to high electric fields can theoretically cause acquired channelopathies, perhaps NaMRI combined with mpMRI would work to clarify electrical injury's neural network sequalae.
I've yet to see a study using these mixed methods to look at people with a history of electrical injury. So far I've identified mpMRI coupled with NaMRI as possibilities.
[i] Felker, E. R., Dregely, I., Chung, D. J., Sung, Kyunghyun Osuagwu, Ferdnand C. Lassman, C., Sayre, J., Wu, H., & Lu, D. S. (2017). Irreversible Electroporation: Defining the MRI Appearance of the Ablation Zone With Histopathologic Correlation in a Porcine Liver Model. American Journal of Roentgenology, 208(5), 1141–1146. https://doi.org/10.2214/AJR.16.17207
[ii] Hjouj M, Last D, Guez D, Daniels D et al. MRI study on reversible and irreversible electroporation induced blood brain barrier disruption. PLoS One. 2012;7(8):e42817.
[iii] Hjouj M, Lavee J, Last D, Guez D et al. The effect of blood flow on magnetic resonance imaging of non-thermal irreversible electroporation. Sci Rep. 2013; 3: 3088.
[iv] Madelin, G., Lee, J.-S., Regatte, R. R., & Jerschow, A. (2014). Sodium MRI: Methods and applications. Progress in Nuclear Magnetic Resonance Spectroscopy, 79, 14–47. doi:10.1016/j.pnmrs.2014.02.001
[v] Wimmer T, Srimathveeravalli G, Gutta N, Ezell PC, et al. Comparison of simulation-based treatment planning with imaging and pathology outcomes for percutaneous CT-guided irreversible electroporation of the porcine pancreas: a pilot study. J Vasc Interv Radiol. 2013 Nov;24(11):1709-18.
I'm interested in your thoughts.
I'm working on project to better understand comprehensive rehabilitative needs for people with a history of low-voltage electrical injury. Progressive cellular damage in low-voltage electrical injury sequelae isn't well understood. Providing rehabilitation options for clients with ongoing rehabilitation needs will improve quality of life.
Historically, research indicates that people with a history of electrical injury experience the initial injury and then a unique neurological/neuropsych sequelae (including muscle weakness, arrhythmia, tardive seizures, general motor dysregulation, channelopathies, brainstem dysfunction, cataracts and deficits in memory, executive functioning, visual perceptual, visual spatial, visual processing, auditory processing and sensory integration).
The constellation of electrical injury sequelae symptoms is vast. Presently there is limited information on comprehensive rehabilitative needs. This project is designed to fill a present gap in rehabilitative research to improve quality of life including academic and employment outcomes.
"The long-term sequelae of electrical injury are difficult to study. The strength of the literature is impaired by the necessity of retrospective methods and case studies that typically describe small cohorts. Despite these limitations, there are consistent reports of similar findings of late effects of electrical injury" (Wesner & Hickie, 2013).
"Most of the literature associates these long-term sequelae with a highly diffuse injury ... The appearance of these late consequences of electrical injury might be substantially delayed, with onset 1 to 5 or more years after the electrical injury." (Wesner & Hickie, 2013).
Wesner, M. L., & Hickie, J. (2013). Long-term sequelae of electrical injury. Canadian Family Physician, 59(September), 935–939.
Stockly, O. R., Wolfe, A. E., Espinoza, L. F., Simko, L. C., Kowalske, K., Carrougher, G. J., … Schneider, J. C. (2019). The impact of electrical injuries on long-term outcomes: A Burn Model System National Database study. Burns, 46(2), 352–359. https://doi.org/https://doi.org/10.1016/j.burns.2019.07.030
As part of this project, are you studying:
A. The cumulative effect of repeated exposure to low voltage?
B. DEI's longitudinal progression?
C. To assess for lipid bilayer damage, would an MRA/MRI work to track profusion?
Thanks for your hard work in this important endeavor.
Due to the recent literature linking immunology and severe mental illness, it would be interesting to see if those whom you are working have a history of antibiotic usage precipitating reduced beneficial bacteria in the gut. It would be fascinating to see if there was a correlation between those who benefited the most from probiotics (and those who did not) and their history of antibiotic usage.
I just read a 2006 article entitled "A National Survey of Consumer attitudes towards companies that hire people with disabilities" by Siperstein, Romano, Mohler and Parker.
Although they offer suggestions in helping employers recognize the value in hiring people with disabilities, I am curious to know if you are familiar with any best or promising practices in creating positive attitudinal change among employers.
I am interested in gathering data to create a rehabilitation program for improving quality of life post-electroconvulsive therapy.
