Mark Ylvisaker's research while affiliated with College of St. Rose and other places

Publications (64)

Article
Errorless learning (EL) procedures have been shown to be effective in teaching new information and new procedures to individuals with severe memory impairment. The published studies have been based on comparatively short-term interventions delivered to individuals with relatively circumscribed impairments. In this single case study, we explore the...
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Success for children and adults alike in educational, vocational, and social pursuits depends heavily on effective self-regulation of cognitive and social behaviour. Our goal in this article has been to summarize recent literature on executive self-regulatory functions, their importance, their development during childhood, the types of disability a...
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In many settings, including schools and other community settings, an increasing number of individuals are identified with relatively weak self-regulation. This article describes an apprenticeship approach to serving children, adolescents and adults with self-regulation problems. The approach highlights antecedent supports for successful participati...
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Difficulty re-establishing an organised and compelling sense of personal identity has increasingly been identified as a critical theme in outcome studies of individuals with severe traumatic brain injury (TBI) and a serious obstacle to active engagement in rehabilitation. There exists little empirical support for approaches to identity reconstructi...
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This article examines the instructional research literature pertinent to teaching procedures or information to individuals with acquired memory impairments due to brain injury or related conditions. The purpose is to evaluate the available evidence in order to generate practice guidelines for clinicians working in the field of cognitive rehabilitat...
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There is a lack of empirical evidence of effectiveness for instructional interventions for children with traumatic brain injury (TBI). This article addresses this issue by providing an in-depth examination of instructional methodologies validated with other populations of students (with and without disability) and their potential for teaching child...
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A systematic review of studies that focused on the executive functions of problem solving, planning, organising and multitasking by adults with traumatic brain injury (TBI) was performed through 2004. Qualitative and quantitative methods were used to evaluate the 15 studies that met inclusion criteria. Demographic variables, design and intervention...
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This study produced a second replication of an investigation of the effects of a multicomponent cognitive-behavioral intervention on the challenging behavior of young children with growing behavioral concerns after traumatic brain injury (TBI). The participants were two young elementary-age children with escalating behavior problems after severe TB...
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O utcome studies have established that successful community living is com-promised in the population of individuals with traumatic brain injury and chronic behavioural difficulties along with a co-occurring diagnosis of substance abuse and/or mental health disorder. Two studies are presented. The first was aimed at describing long-term outcome of a...
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Objective: To systematically review the evidence for the effectiveness of behavioural interventions for children and adults with behaviour disorders after TBI. Design: Using a variety of search procedures, 65 studies were identified. This literature was reviewed using a set of questions about participants, interventions, outcomes and research meth...
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Communication-related disability is common after childhood traumatic brain injury. In most cases, the problems are secondary to executive function, cognitive, or behavioral impairments. Many of the problems persist and have been documented in children with mild and severe injuries. Persistent disability tends to be more severe in children injured a...
Article
Unsuccessful social communication after traumatic brain injury (TBI) is often a consequence of self-regulatory (executive function) impairments. The primary goal of this article is to describe an approach to intervention for individuals with self-regulatory impairments that is individualised, sensitive to context and to the role of everyday communi...
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To replicate an investigation of the effects of a multi-component cognitive-behavioural intervention on the challenging behaviour of two young children with growing behavioural concerns after TBI. Single-subject reversal designs used to document the effects of the combined behavioural, cognitive and executive function intervention on the following...
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Nonstandardized assessment procedures serve a variety of purposes, including determining competencies in domains for which there are no standardized tests, describing performance in the context of real-world settings and activities, and exploring the effects of systematic changes in communication and cognitive demands and partner supports. This art...
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The assessment of individuals with cognitive-communication disorders after traumatic brain injury can present a major challenge to speech-language pathologists. For this reason, the Academy of Neurologic Communication Disorders and Sciences Practice Guidelines Group dedicated a specific writing committee to this topic. This article summarizes the w...
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Specialists in communication disorders who work with individuals who have traumatic brain injury (TBI) often focus their rehabilitative efforts on the cognitive, social, and behavioral dimensions of disability. These domains of functioning are included in the scope of practice of the American Speech-Language and Hearing Association because of their...
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To explore the relative effectiveness of clinician-delivered vs family-supported interventions for children with chronic impairment after TBI. Randomized controlled clinical trial. Children aged 5-12 years in the chronic phase of their recovery were randomly assigned to the clinician-delivered or to the family-supported intervention group; both sam...
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This article summarizes major developments of the past 20 years in both acute and chronic management of children with traumatic brain injury. The article begins with brief summaries of developments in acute and rehabilitative medical management and physical rehabilitation. Because long-term cognitive, behavioral, academic, and family issues tend to...
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The goal of this article is to describe and offer a rationale for an approach to cognitive rehabilitation labelled “context sensitive”. This approach stands in contrast to the modern tradition of cognitive rehabilitation that features massed and decontextualized process-specific cognitive exercises. The paper begins with theoretical considerations,...
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To investigate the effects of a multicomponent cognitive-behavioral intervention on the challenging behavior of two young children with growing behavioral concerns after traumatic brain injury. Single-subject reversal designs were used to document the effects of the intervention on the specific dependent variables. In addition, qualitative data wer...
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Background: Behavioral and cognitive problems are among the most common and troubling consequences of traumatic brain injury. Furthermore, behavioral and cognitive challenges typically interact in complex ways, necessitating an integrated approach to intervention and support. Objectives: This article reviews literature on behavioral outcome in c...
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The frequency of cognitive impairment associated with traumatic brain injury (TBI) has led to the widespread use of cognitive rehabilitation as a discrete rehabilitative service. This service has become controversial in part because of disagreements regarding its theoretical base and implementation procedures, and in part because of insufficient ex...
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To articulate a framework for supporting individuals with behavioral challenges following brain injury, to describe a state-funded clinical intervention program established to provide community support to individuals with challenging behaviors following brain injury using such a framework, to present data from which it can be concluded that such a...
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Ten educational consultants and researchers, each with extensive experience working with children with traumatic brain injury (TBI) in school settings, identified seven themes related to serving this population in public schools. These themes are discussed under the headings (1) incidence of TBI and prevalence of persistent educational disability,...
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Ten educational consultants and researchers, each with extensive experience working with children with traumatic brain injury (TBI) in school settings, identified seven themes related to serving this population in public schools. These themes are discussed under the headings (1) incidence of TBI and prevalence of persistent educational disability,...
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In a study of the degree to which theoretical understanding of ADHD as a disorder of executive function influences school-based intervention, the most commonly used curricular materials produced and distributed for use with ADHD students were reviewed. In addition, school psychologists were surveyed regarding typical intervention practices. School...
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Following severe traumatic brain injury, difficulty with behavioural adjustment and community reintegration is common. A potential contributor to this difficulty is a sense of personal identity that is inconsistent with the restrictions on activity and need for effortful compensation imposed by persistent impairment. We summarise an information pro...
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: Neuropsychological investigations of traumatic brain injury and attention deficit/hyperactivity disorder increasingly highlight the frequency of frontal lobe pathology and associated impairment of executive functions. Social success in adolescence and competence with increasingly demanding discourse tasks presuppose adequate maturation of these s...
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We congratulate the developers of SCEMA for creating a manual that is at the same time practical, theoretically sound, and based on available research in neuropsychology, rehabilitation, and teaching methodology. Investigators at Oregon Teaching Research, including Ann Glang and Bonnie Todis, have been the primary contributors over the past decade...
Article
The authors locate this work within a specific theoretical framework and call attention to an impressive body of research that supports the application of this framework to brain injury rehabilitation. They describe experimental procedures used to identify effective interventions. Their primary theme is that rehabilitation for people with chronic c...
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Describes a conceptual framework, captured in 11 basic premises, that supports effective school reentry after traumatic brain injury (TBI). Highlighted in this framework are the enormous variability among students with TBI as an educational disability, the need for flexible educational planning, a contextualized approach to assessment and intervent...
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Following traumatic brain injury, the most troubling issues are often those associated with executive system impairment caused by prefrontal injury. In this article, the cognitive, behavioral and communication challenges typically associated with executive system impairment are briefly reviewed, followed by discussion and illustration of an approac...
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The primary purpose of this article is to present a conceptual framework designed to guide educational planning for students returning to school after severe traumatic brain injury (TBI). Eleven basic principles are offered that derive educational implications from important characteristics of many students with TBI. The article concludes with spec...
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Mild traumatic brain injury (TBI) in children is generally associated with excellent long-term outcome. In rare cases sequelae persist indefinitely. More commonly, cognitive and behavioral symptoms persist for a few days to a few weeks, possibly resulting in academic and social failure that could generate consequences that outlive the neurological...
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Objective: To investigate the effectiveness of an antecedent intervention in reducing aggressive behavior. Design: Three single-subject A-B-C-A (changing treatment) designs. Setting: High school and prevocational settings. Patients: Three adolescent males whose behavior had deteriorated badly over several years after severe traumatic brain injury....
Article
In many cases, traumatic brain injury (TBI) is associated with personal injury litigation requiring rehabilitation professionals to serve as expert witnesses. Increasingly, speech-language pathologists have been called on to play this role. Because of the nature of communication impairment after TBI, the testimony of speech-language pathologists of...
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Communication challenges after TBI are often associated with weak self-regulation of behavior. This article presents an intervention framework within which speech-language pathologists and behavioral psychologists occupy a similar scope of practice in relation to challenging behaviors that are a component of the individual's communication system. W...
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This article gives a brief review of investigations of speech and language impairment after paediatric traumatic brain injury (TBI) and describes possible effects of frontal lobe injury on non-aphasic disorders of communication. The relation between age and outcome after brain injury in children is also considered. Procedures for overcoming chronic...
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Traumatic brain injury (TBI) does not initially appear to be a useful category for purposes of designing rehabilitation or special education programs. Unlike other disability and special education categories in childhood, traumatic brain injury identifies a cause of potential disability, not the disability itself. Given variation in the nature and...
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This article explores factors related to successful school reentry for students following traumatic brain injury. Despite substantial variability in needs of the students and capabilities of hospitals and schools providing transitional services, there are principles and guidelines that deserve careful attention. Given the differences between trauma...
Article
Throughout this book, emphasis has been placed on serving children and adolescents with traumatic brain injury (TBI) in meaningful contexts and working to improve everyday routines in those everyday contexts. Because context includes the people who interact reg-ularly with a child, the places in which they interact, and the activities in those plac...
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discuss a variety of approaches to intervention for students whose academic and social functioning is impeded by cognitive weakness following traumatic brain injury (TBI) / present a functional and integrative approach to cognitive rehabilitation that is thoroughly integrated within the student's educational program / present specific intervention...

Citations

... Standardized screening tools and assessments examining cognitive impairments may help to establish a diagnosis (or prognosis); however, they were not designed to inform compensatory treatment planning (Hickey & Bourgeois, 2018). Unfortunately, professionals continue to rely on administration of impairment-based tools to develop interventions, although researchers and clinicians have acknowledged the problematic nature of these assessments, including their lack of ecological validity, sensitivity, and specificity (Brown & Hux, 2016;Turkstra et al., 2005;Ylvisaker et al., 1998Ylvisaker et al., , 2001. Exploring these types of tools in further detail may help us understand where modifications are needed to provide the desired information about compensatory strategies. ...
... Initieel was ook de literatuur, het assessment-en het therapiemateriaal strikt gescheiden. Ylvisaker et al. (2008) wijzen er terecht op dat door de interactie en overlap tussen de talige en niet-talige cognitieve domeinen het samenwerken van verschillende disciplines bij deze populatie zowel op vlak van assessment als behandeling noodzakelijk is. In wat volgt illustreren we dat voortschrijdend inzicht duidelijk maakte dat niet-talige cognitie onlosmakelijk verbonden is met het werkveld van de neurologopedist. ...
... Context-sensitive intervention programs aim to optimize postinjury outcome by placing the family unit at the center of the rehabilitative process (Braga et al., 2005). Grounded in the developmental context that is unique to pediatric brain injury, this context-sensitive family based approach adopts a holistic, individualized focus that involves training parents and teachers to stimulate motor, cognitive, sensorial, and language development within the context of the child's everyday routines and environment (Braga et al., 2006). This methodology involves a 2-week intensive family-focused training program that is delivered alongside an individualized family manual to reinforce learned strategies. ...
... The FAB-PBS program is based on principles of familydirected intervention, and principles of PBS (27), which is the theoretical and procedural lens recommended by Feeney and Ylvisaker (28) for supporting individuals with ABI who exhibit challenging behaviors. PBS uses educational and systems change methods to expand an individual's behavior repertoire, enhance the individual's quality of life, and minimize challenging behaviors (27). ...
... One suitable intervention method to facilitate cognitive performance is cognitive rehabilitation (CR), which focuses on improving a person's functioning in their everyday life by increasing their ability to do what they need and like, but find difficult or impossible due to their cognitive disability [22,23]. Cicerone et al. [24] concludes that in order to contribute to the generalization effect, the training should be addressed to specific attention functions and teaching strategies. ...
... Nuanced social and communication skills are required for intimate interactions, including when and how often to contact someone, interpreting subtle positive or negative cues in response to sexual advances or appraising when a date has been positive (17). These difficulties may link to the common, but often unmet desire to engage in typical, intimate interactions (18). Among other neuro-atypical populations difficulties with dating and intimate relationships have been linked to risks of abuse (19) and interventions can be targeted at reducing this risk (20). ...
... Some data have addressed the relation between frontal lobe damage and executive function subdomains. Children frequently exhibit neuropsychological difficulties associated with damage to the prefrontal regions with specific deficits in the executive functions such as planning, cognitive flexibility [8], behavioural inhibition, and poor organization of learning, memory, and language formulation [9]. Severity of TBI is related to specific deficits in executive functioning, such as planning, whereas injury to different regions of the frontal lobes results in different patterns of performance [7]. ...
... Standardised aphasia assessments gave limited information when the goal was to establish what was possible for these young men and women in their everyday lives. It was at this time that I became aware of the work of Dr Mark Ylvisaker and his colleagues, which gave me clear direction regarding what to do (Haarbauer-Krupa, Henry, Szekeres, & Ylvisaker, 1985;Ylvisaker, 1992;Ylvisaker, Feeney, & Urbanczyk, 1993a, 1993bYlvisaker, Urbanczyk, & Feeney, 1992). I was particularly drawn to this work, because it was not typical of the way speech pathologists were writing about TBI at the time. ...
... RTL protocols provide procedures for supporting students during recovery from concussion, 11 but implementation of RTL guidelines is inconsistent, with few well-defined policies or legislation. 12,13 Many experts have proposed RTL recommendations, [14][15][16][17][18][19] but empirical work measuring application and impact of such recommendations has lagged. This has led to a reliance on expert literature, such as expert opinion or tutorial articles, to propose best practices based on what little evidence does exist, or draw from related fields to suggest solutions to meet needs of students. ...
... [22][23][24] In the effort to demonstrate the connections of each approach, we provide a revised summary of the principles guiding an ABA/PBS framework for behavioral support from previous descriptions related to brain injury rehabilitation in the following sections. [25][26][27] This summary was developed based on the seminal descriptions of ABA by Baer, Wolf, and Risley 1 and PBS by Carr and colleagues. 2 The framework includes consequence-oriented or operant procedures and environmental and preventive procedures with principles that are common to both: ...