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Resources and Services Directory for Head Injury and Other Conditions Injury Prevention Service Oklahoma State Department of Health 1000 N.E. 10th Street Oklahoma City, OK 73117 Phone: (405) 271-3430 or 1-800-522-0204 (Oklahoma Only) Fax: (405) 271-2799 http://ips.health.ok.gov Funded in part by (H21MC06749) from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau Revised July 2011 Resources and Services Directory for Head Injury and Other Conditions Table of Contents and Acknowledgements 1000 NE 10TH ST. OKC, OK 73117 TEL 405.271-3430 OR 800.522.0204 (OK only) FAX 405.271.2799 WEB http://ips.health.ok.gov O K L A H O M A S T A T E D E P A R T M E N T O F H E A L T H Funded in part by (H21MC06749) from the US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Resources and Services Directory for Head Injury and Other Conditions Table of Contents Acknowledgements Section 1. Introduction and Background of Head Injury Purpose and Use of Resources and Services Directory ..............................................1 Definition of Selected Terms ......................................................................................2 Background of Traumatic Brain Injury.....................................................................10 Section 2. Accessing and Paying for TBI and Related Services ...........................................14 Section 3. Scope of Health Care Services in Oklahoma Emergency Medical Services and Trauma System ...................................................18 Acute Care Hospitals ...............................................................................................20 Long Term Acute Care Hospitals .............................................................................27 Acute Rehabilitation Centers ....................................................................................28 OKC Service Area Indian Health Centers and Tribal Health Centers ......................31 County Health Departments ......................................................................................39 Section 4. Selected Health Care Professionals Neurosurgeons .........................................................................................................44 Physical Medicine and Rehabilitation Physicians ....................................................47 Neuropsychologists ...................................................................................................49 Psychologists.............................................................................................................51 Optometrists Who Provide Visual Therapy ..............................................................57 Section 5. State and Local Agencies Oklahoma Department of Mental Health and Substance Abuse Services ................59 Community Mental Health Centers ....................................................................60 Institutions of Higher Education ...............................................................................73 Career and Technology Education ............................................................................78 Section 6. State/Local Agencies that Provide Brain Injury/Disability Services and Resources Oklahoma Department of Human Services ..............................................................83 ABLE Tech ...............................................................................................................85 Oklahoma Areawide Services Information System (OASIS) ...................................86 Disability Law Center ...............................................................................................87 State, Community Resources ....................................................................................88 Health-related Organizations and Systems ...............................................................90 Oklahoma Indian Affairs Commission .....................................................................92 Indian Tribal Offices .................................................................................................93 Section 7. Military and Veterans Health Care in the Nation and Oklahoma United States Department of Veterans Affairs .........................................................96 Veterans Health Administration ...............................................................................97 Organization of Care for Veterans of Current Conflicts ...........................................98 Veterans Affairs Polytrauma System of Care ...........................................................98 Military/VA Health Care in Oklahoma...................................................................102 Oklahoma Department of Veterans Affairs ............................................................107 Oklahoma Veterans Centers ...................................................................................107 Selected Online Resources for Service Members, Veterans, & their Families ......109 Section 8. Work and Employment, Vocational Rehabilitation Office of Personnel Management ...........................................................................114 Office of Disability Concerns .................................................................................115 Client Assistance Program ......................................................................................116 Oklahoma Employment Security Commission .......................................................117 Workforce-Oklahoma/One-Stop Centers Local Offices ...................................118 Other Work-related Programs and Services ...........................................................122 Oklahoma Department of Rehabilitation Services .................................................123 Vocational Rehabilitation Division .........................................................................124 Special Education and Department of Rehabilitation Services ........................126 Job Placement Contracts ...................................................................................128 Employment & Retention Contracts .................................................................130 Support Services for Employment Contracts ....................................................132 Supported Employment Contracts ....................................................................134 American Indian Vocational Rehabilitation Programs ...........................................136 Section 9. Resources for Children and Youth (Less than 22 years of age) Oklahoma State Department of Health Family Health Services .....................................................................................137 Children First Program ...............................................................................137 Screening, Special Services and SoonerStart ..............................................137 Family Support and Prevention Service .....................................................139 Child Guidance ...........................................................................................139 University of Oklahoma Child Study Center ..........................................................141 Department of Human Services-Children with Special Health Care Needs ...........142 Oklahoma Health Care Authority-Behavioral Health Department .........................143 State Department of Education ...............................................................................144 Special Education Services .....................................................................................144 Child Find .........................................................................................................145 Special Education and Department of Rehabilitation Services Vocational Rehabilitation-Transition for Students ........................................146 SoonerStart ........................................................................................................147 Local Regional Contacts –SoonerStart Program and Child Find .....................149 Other State Agencies Serving Children and Youth ................................................151 Cerebral Palsy Commission ..............................................................................151 Commission on Children and Youth.................................................................151 Oklahoma Council for Exceptional Children ...................................................151 Oklahoma Disability Law Center (Children) ...................................................152 Section 10. Housing for People with Disabilities in Oklahoma - Office of Disability Concerns (ODC) ...................................................................153 Section 504 Complaint Process ..............................................................................155 Section 504 Coverage .............................................................................................156 Section 504 Frequently Asked Questions ...............................................................158 Organizations Providing Assistance with Housing Issues ......................................158 HUD Program Offices in Oklahoma .......................................................................160 USDA Rural Housing Program Reference Guide ..................................................164 Housing for People with Disabilities in Oklahoma ................................................165 Protection and Advocacy Organizations .................................................................166 Section 11. Community and Disability Related Services Independent Living Centers ....................................................................................167 Oklahoma Respite Resource Network ....................................................................168 2-1-1 Information System .......................................................................................168 Community Action Agencies ..................................................................................169 Medical Equipment .................................................................................................170 Developmental Disabilities Services Division Group Homes ................................171 Oklahoma Brain Injury Association and Support Groups ......................................174 Section 12. Other Resources/Websites Out-of-State Resources and Facilities for Persons with TBI ..................................175 Federal/Veterans and State Head/Brain Injury Resources/Websites ......................180 Acknowledgements The Resource Directory for Head Injury and Other Conditions was first developed by Ruth Azeredo and the Traumatic Neurologic Injury Advisory Council and other partners in 2007. The original Directory was reviewed by individuals selected for their expertise and differing perspectives representing patients and families, the Oklahoma State Department of Health (OSDH), Oklahoma State Department of Education, Department of Mental Health and Substance Abuse, Department of Human Services, hospitals, and other organizations and agencies. It has been updated in 2011 to reflect current resource availability. Advisory Council members: Dedric Anderson Office of Minority Health, OSDH Liz Langthorn Injury Prevention Service, OSDH Gina Cummins, RN Broken Arrow Rehabilitation St. Francis Hospital Kim Gray The Children’s Center Laura Gamino, RN Injury Prevention OU Trauma Services Chris Wende Kayla Bower, Executive Director Disability Law Center, Inc. Gary Bulmer Linda Thomas Office of Minority Health, OSDH Ginger Castleberry Valir Rehabilitation Hospital Patti Davis Oklahoma Hospital Association Marti Ferreti, MPH, PT Division of Rehabilitation Sciences College of Allied Health Pam Forducey, PhD Integris Neuroscience Institute and TeleHealth Janice Oak Progressive Independence Center Marla Peixotto Smith St. Anthony Hospital Marey Wall Lori McMillan RehabCare St. Mary’s Reg Medical Ctr Melinda Jones Oklahoma Health Care Association Natalie Hartgrave Speech Pathologist Veterans Administration Ronald Ray Ney Program Field Representative ODRS Martha Buchanan OKDMHSAS Susan Haws Comprehensive Community Rehabilitation Resources and Services Directory for Head Injury and Other Conditions Section 1: Introduction and Background of Head Injury 1000 NE 10TH ST. OKC, OK 73117 TEL 405.271-3430 OR 800.522.0204 (OK only) FAX 405.271.2799 WEB http://ips.health.ok.gov O K L A H O M A S T A T E D E P A R T M E N T O F H E A L T H Funded in part by (H21MC06749) from the US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Introduction and Background of Head Injury Purpose and Use of Resources and Services Directory The intent of the directory is to help individuals, families, and providers know what resources and services are available in the state of Oklahoma for head injury and other conditions, and how they may seek referral or obtain them directly. The need for such a document became readily apparent while responding to the many inquiries and requests for information related to head injury, immediate and long term services, and disability-related social and employment issues. Although developed for persons who sustained a brain injury and their families, the directory is useful for persons with other conditions, persons with disabilities, and the general population. The agencies, organizations, and the broad array of health and social services citizens may need are included in the directory. The services are organized by the phases or continuum of care that patients and families may encounter following an injury event, from prehospital to acute and rehabilitative care to the broad array of community life services. Substantial information is devoted to specific populations such as children, Native Americans, veterans, and the organizations that provide basic health and social services to improve daily living. The accessibility and availability of services in Oklahoma vary by geographic region, resources, and the distribution of professionals and other providers. The resource needs of children 18 years and younger were highlighted in a recent follow up study of children with head injury which helped to determine need for short- and long-term rehabilitation, information about special education, and transitional services to higher education and work. The directory was first completed in 2006 after review and input by colleagues and members of the Advisory Council and Task Force. The Directory Committee assisted with distribution of materials. Information in the directory is updated periodically and includes all aspects of care and the services that may be needed and requested by persons with traumatic brain injury and other conditions. Because each individual, family, or provider wants information specific to their area(s) of need, individual sections may be requested by calling the Injury Prevention Service (405/271-3430) or information may be downloaded from the IPS web page (http://ips.health.ok.gov). If there are further questions after reviewing the information, individuals may contact the Traumatic Brain Injury Program. Contact information for direction listings is subject to change. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 1 Definition Of Selected Terms Abbreviated Injury Scale (AIS) – Abbreviated injury scale (AIS) scoring was developed by the Association of Automotive Medicine, initially for the purpose of assessing survival following motor vehicle crashes. It is a standardized system for categorizing injury type and severity. Although AIS is based on anatomical injury, it includes physiologic measures as injury descriptors, such as occurrence and length of loss of consciousness, amount of bleeding, etc. AIS 1 is not consistent with the definition of traumatic brain injury. AIS 2 is moderate injury. AIS is serious injury. AIS 4 severe injury, and AIS 5 critical injury. AIS 6 is a nonsalvageable injury. Americans with Disability Act (ADA) – The ADA is a federal act that was passed in 1990 to prohibit discrimination against persons with disabilities, including brain injury, in the areas of: • Public accommodations such as building and sidewalk accessibility • Employment • Transportation • State and Local Government Services • Telecommunications Assault – An act of violence resulting in injury. Case Management – Facilitating the access of a patient to appropriate medical, rehabilitation and support programs, and coordination of the delivery of services. This role may involve liaison with various professionals and agencies, advocacy on behalf of the patient, and arranging for purchase of services where no appropriate programs are available. Cognitive Ability – The ability to accumulate and retain new knowledge. Cognitive Rehabilitation – Therapy which helps persons in the management of problems in perception, memory, thinking, attention, judgment and problem solving. Skills are practiced and strategies devised/taught to improve function and compensate for deficits. The interventions are based on an assessment and understanding of the person’s brain-behavior deficits. Services are provided by qualified practitioners. Community re-entry/integration – Services to prepare client to enter community knowing where and how needed services may be obtained. Community Resources – Public or private agencies, schools or programs offering services to the public. They are usually funded by government agencies, community initiatives, donations and fees. Community Skills – Those abilities needed to function independently in the community. They may include: telephone skills, money management, pedestrian skills, use of public transportation, meal planning and cooking. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 2 Compensation Technique – A method of working around a functional impairment by using techniques designed to help a person with a disability overcome the impairment (for example, for memory impairment, a person uses a calendar or notebook to record information). Competitive Employment – Work in the competitive labor market that is performed on a full-time or part-time basis in an integrated setting; and for which the individual is compensated at or above, but not less than, the minimum wage. Computed Tomography – CT scanning is the most common imaging modality used initially for the diagnosis and medical management of head-injured patients. CT scan evaluates presence or absence of intracranial hemorrhage and osseous injuries, and has relatively low cost. Day program – A non-residential program of services intended to increase the functional ability of the consumer through therapeutic intervention and supervised activities. These services facilitate community integration. Depression - A state of disorder marked by sadness, inactivity and self-depreciation. Disability (Many medical, economic, and social definitions) - Limitation in performing tasks, activities and roles in the manner or within the range considered normal for persons of the same age, gender, culture, and education. The expression of a physical, mental, or sensory limitation in a social context; the gap between a person's capabilities and the demands of the environment. Includes developmental disability, and disability related to chronic disease, injury and secondary conditions. Disability Rating Scale (DRS) – The DRS evaluates the person on 8 categories of disability and scores his or her functioning areas that include, among others: • Level of arousal, awareness, and responsiveness • Cognitive skills needed for self-care activities • Dependence on others • Psychosocial adaptability, which includes flexibility and the ability to adapt to different people and situations. The highest possible score is 30 points. In this scale, a lower score is better. Evaluation in a Workshop Setting – A process whereby the client’s work potential is assessed in a controlled area using simulated or actual job tasks to assess ability to relate to demands of the work environment and perform adequately. Has the following characteristics: 1) client may not be paid; 2) client is exposed to tasks on which performance can be assessed; 3) client’s performance is supervised and evaluated in coordination with the evaluation staff; and 4) existence of established evaluation program. Emergency medical services system – An organized system that provides personnel, facilities and equipment for the coordinated delivery of health care services in a specific geographical area under emergent conditions. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 3 Epidemiology – The study of the distribution and determinants of health and disease (including injuries) in populations. • It is a component of public health and constitutes the scientific methods used to reason about the cause and natural course of disease or conditions. • Epidemiologic research incorporates statistical techniques with an understanding of biological, behavioral and social mechanisms important in disease occurrence and spread. • Utilizes group/aggregate data; numerator-denominator oriented. Epidemiologic Measures Rate Measures the risk of acquiring the injury/disease (incidence) in a certain time interval: Numerator (New cases in a time interval) Denominator (Population at risk of developing disease or being injured at the beginning of the time interval. Surveillance The ongoing systematic collection, analysis and interpretation of health/injury data needed to plan, implement, and evaluate programs. Incidence Measures risk of disease or injury in a population. Prevalence Measures the burden of disease or injury within a population Evaluation On-The-Job – Has the characteristics: 1) the client is not necessarily paid; 2) it is primarily for the client’s benefit; 3) it will not necessarily result in employment; 4) the employer does not experience immediate gain; 5) the client does not displace or fill any vacant worker slots; and, the client’s performance is supervised and evaluated by the employer and/or the evaluation staff. The client is given the opportunity to experience the specific requirements necessary to do the specific job in an actual job setting. Follow up – Vocational – Supportive assistance during the initial stage of a new program or job placement and which may determine to what degree the past and present program is adequate in meeting client needs and/or ascertain the readiness of clients to benefit from new programs. Family Services – Services provided by a social worker or counselor to assist family (and patient) counseling in coping with the particular disease/condition of a client. Functional Assessment – An evaluation that determines how well a person with a disability can perform specific job-related duties. The assessment may be done at a mock job setting or in an actual job setting during a period of several days. Functional Limitation – Any restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being, which is chronic or permanent in nature, and/or which is judged to be a cultural, social, economic, and/or environmental disadvantage. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 4 Glasgow Coma Score (GCS) – Developed by Teasdale and Jennett Use of three items proven to be the most sensitive measures of severity of head injury and predictors of immediate outcome. (There is no absolute measure of what constitutes a severe injury.) The GCS measures eye opening (4 points), best motor response (6 points), and verbal response (5 points). Response Points Eye opening Opens eyes on own E4 Opens eyes when asked in a loud voice 3 Opens eyes when pinched 2 Does not open eyes 1 Best motor Follows simple commands M6 response Pulls examiner’s hand away when pinched 5 Pulls a part of body away when examiner pinches him 4 Flexes body inappropriately to pain (decorticate posturing) 3 Body becomes rigid in an extended position when examiner pinches person 2 Has no motor response to pinch 1 Verbal response Carries on a conversation correctly and tells examiner V5 (Talking) where he is, who he is, and the month and year Seems confused or disoriented 4 Talks so examiner can understand person but makes no 3 sense Makes sounds that examiner cannot understand 2 Makes no noise 1 Handicap – A condition, barrier, or disadvantage imposed by society, the environment, or by one's self that limits or prevents fulfillment of a (social) role that is "normal" for an individual. Health Service – The delivery of direct, preventive, assessment and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or may be at risk of impairment. Home Modifications – Redesigned staircase, ramps, toilets, new entrances to home to allow passage and movement, etc. Homicide – The killing of one person by another. Impairment – Discrete loss or abnormality of mental, cognitive, emotional, physiological, biochemical, or anatomical structure or function at the organ level, including all losses or abnormalities, not just those attributable to the initial pathophysiology. All pathologies are accompanied by impairments in either the specific functioning of an organ or organ system. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 5 Independent Living Center/Program – A place in the community for persons with disease, injury, or secondary conditions to learn basic self care and daily living skills to live in the community as independently as possible. Community-based services are available to maximize a person’s ability to be self-directed and allow her/him to live at home with the maximum personal control over how services are delivered, combined with the opportunity to work as appropriate. Instrument – A questionnaire, test or other data collection form used to gather information about an opinion, condition or injury and/or knowledge, attitudes, behavior, etc. Job Modification or Accommodation – Any change or adjustment to a work task in order that a person with a disability may perform that task at the highest possible level of independence. Job training - Services to provide client with various skills specific to job types. Long Term Acute Care Hospital/Center – A long term acute care (LTAC) hospital differs from acute care hospitals in three basic ways. First, length of stay (LOS) must be an average of 25 days based on a predetermined Diagnosis Related Group (DRG). Patients are discharged to LTACs as available when they need extended LOS and intensive medical services. Second, reimbursement for patients in LTACs is based on actual costs up to the TEFRA target. The TEFRA rate is determined by Cost Base/Medicare discharge which is controlled by the Balanced Budget Act of 1997. Long term acute care hospitals have an average length of stay (LOS) of 25 days. They provide 6.5 to 8.5 nursing hours per day based on acuity (amount of nursing time needed to assist/teach patients in activities of daily living (ADL) such as eating, grooming, and toileting.) The acuity of therapy is based on diagnosed need and patient tolerance. There are no maximums or minimums by guidelines and not all patients receive therapy. Type of patients served are ventilator dependent and medically complex patients. Long term acute care hospitals have an average length of stay (LOS) of 25 days. They provide 6.5 to 8.5 nursing hours per day based on acuity (amount of nursing time needed to assist/teach patients in activities of daily living (ADL) such as eating, grooming, and toileting.) Patients are usually discharged to home with family or Home Health, nursing home, a skilled nursing facility (SNF), assisted living, or rehabilitation. Long term care facility/nursing home – A facility which provides 24-hour nursing care prescribed by a physician. Medicaid – A medical assistance program that helps people who cannot afford to pay for their medical care. Medicaid is a joint federal/state funded program and covers a majority of people on low incomes, including pregnant women, senior adults, and persons with disabilities. Provided under Title XIX of the Social Security Act of 1966. Magnetic Resonance Imaging (MRI) – MRI is sensitive in identifying parenchymal injuries, brainstem injuries, subdural hematomas of differing age and size, and nonhemorrhagic diffuse brain injuries. Medicare – a health insurance program offered by the Social Security Administration to help people pay for their medical care. Part A helps pay for inpatient hospital care, inpatient care in a Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 6 skilled nursing facility following a hospital stay, and hospice care. Part B helps pay for doctor’s services, outpatient hospital care, diagnostic tests, ambulance services, and medical equipment. The hospital insurance system and the supplementary medical insurance for disabled or aged persons created by the 1965 amendments to the Social Security Act of 1966. Memory – Long Term – Refers to recall thirty minutes or longer after presentation. Requires storage and retrieval of information which exceeds the limit of short-term memory. Memory – Short Term – Primary or “working “ memory; its contents are in conscious awareness. A limited capacity system that holds up to seven chunks of information over periods of 30 seconds to several minutes, depending upon the person’s attention to the task. Natural Work Supports – Assistance provided to a person with a disability through means that already exist in a workplace (for example, a co-worker is a partner to the person with a disability). Outcome – Refers to status of the injured at specific points in time. May refer to survival/no survival, or any measure of physical/mental/emotional/social effects post injury. Psychological Services for TBI survivors that include cognitive retraining, management counseling of behavior, and the development of coping skills by the client and members of the family. Prevention – Primary – Measures to prevent the injury/disease/condition from occurring. Secondary – Measures to treat the injury/disease/condition to prevent further illness and disability. Tertiary – Measures to maintain/enhance status and reduce progression to disability. Pre-vocational – Providing basic training in tasks of specific jobs to individuals as training part of rehabilitation. Program – A set of activities applied to preventing/educating on disease or injury; includes a plan, design, funding, implementation and evaluation. Quality of Life – The total well being of an individual (usually as perceived by the individual), encompassing both physical and psychosocial determinants. A rating of what kind of existence a person experiences. In estimating the quality of life, elements include performance of societal roles, physical status, emotional status, social interactions, intellectual functioning, economic status, support systems and health status. Additional considerations are mobility and activities of daily life, living arrangements, social relationships, work and leisure activities, present satisfaction and future prospects. Reasoning – Problem-Solving – The ability to analyze information related to a given situation and generate appropriate response options. Problem-solving is a sequential process that typically proceeds by: identification of the problem; generation of response options; evaluation of Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 7 response option appropriateness; selection and testing of first option; and analysis as to whether solution has been reached. Referral Source – Person or facility sending a client for services. This includes such service agencies as vocational rehabilitation, physicians, industry, insurance companies, employment agencies, community action groups, and potential clients themselves. Rehabilitation – A comprehensive treatment program has the goal to reduce/overcome deficits following illness or injury, and to assist the individual to attain their optimal level of mental and physical ability; useful and productive activity. The process involves a planned, orderly sequence of multiple, coordinated services related to the total needs of the individual. Services may be delivered within acute care services, a separate hospital unit, separate facility, or on an outpatient basis. The scope of services may include physical therapy, occupational therapy, speech/language therapy, social services, exercise physiology, counseling, recreational therapy, psychological therapy, pain management, self care and, when possible, case management. Rehabilitation Hospital – Either a separate unit/department in an acute care facility or a free-standing facility devoted exclusively to rehabilitation. Rehabilitation Therapies/Services Physical – A treatment program of services to help a patient attain functional independence or attain the level of independence possible. Occupational – Provision of services geared to help the patient attain the highest potential in accomplishing activities of daily living to the level of independence possible. Speech/Language – Services to help a patient learn/relearn ways to improve speech, language, oral, and pharyngeal sensory-motor function. Swallowing – Services to help affected patients swallow normally when eating and talking. Cognitive – Programs which help traumatic and other brain injury survivors in the management of specific problems in thinking and perception. Skills are practiced and strategies taught to help improve function and/or compensate for remaining deficits. Memory – A type of cognitive therapy where skills are taught/learned to compensate or improve short-term memory. Remediation – A method of compensation in which an internal system is created to enable one to function. It assumes that a potential exists to add a repertoire of skills, and that given the appropriate teaching strategies, learning can and will occur. Residential living – Living in a supervised home while learning to function as independently as possible in order to return to one’s own home or live in a place with minimal or no supervision. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 8 Residual Disability Benefit – A provision in an insurance policy that provides benefits in proportion to a reduction of earnings as a result of disability, as opposed to the inability to work full time. Secondary Condition – People with disabling conditions are often at risk of developing secondary conditions that may result in further deterioration in health status, functional capacity, and quality of life. A secondary condition is an impairment, functional limitation, or disability that is causally related to a primary disabling condition and includes contractures, urinary tract infections, depression, cardiopulmonary conditions, decubitus ulcers, etc. Sheltered Work Setting – Employment in a setting that is not community based in order that ongoing, high-level supervision on routine tasks can be provided. Persons who work in sheltered workshops generally have very severe impairments that preclude their working at an independent level. Specialized mobility equipment – Use of limb apparatus, wheelchairs, specially equipped vehicles, etc. to move about. Supervised community residence – This setting is a home similar to neighboring homes in terms of size and number of residents. Clients are provided individualized care, supervision, support and training services to maximize and/or maintain function and self-direction. Staff is present at night and other times when the client is present. Supported or supervised work program – Vocational rehabilitation services designed to lead to an employment goal. On-the-job supports (environmental, special guidance in tasks, etc.) for a person learning to use specific work skills. Transitional care/living – A non-medical residential program providing training for living in a setting of greater independence. The primary focus is on teaching functional skills and compensating for abilities that cannot be restored. Traumatic brain injury – Injury to the brain sustained by blunt or penetrating trauma or from acceleration-deceleration forces, and includes ICD-9-CM codes 800.0-801.9, 803.0-804.9, 850.0- 854.9 and 959.1. Conditions such as stroke, tumors, neurologic disease, or developmental disabilities are not included in this definition. Vocational – Services to assist client in learning tasks usable in various training jobs/activities. Vocational Assessment/Evaluation – To assess previous and present abilities and assist in vocation. The use of medical, psychological, social, vocational, educational, cultural and economic data/information to attain goals in a process which will assist individuals in vocational development. (Multiple sources, including IPS/OSDH studies and publications, TIRR Brain Injury Glossary, Mayo Clinic Proceedings, CDC, and DRS.) Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 9 Background of Traumatic Head Injury Introduction. Injury to the brain has been with us since the beginning of humankind. Despite protection by the skull, the head is vulnerable to injury because of its size and exposure to objects, weapons, and falls. In past centuries, the main causes of head injury were accidents, assaults, conflicts and wars. Care of these injuries was complicated by limited knowledge and the lack of diagnostic and treatment methods. Many people suffered a variety of long-term effects they and their families had to “live with.” Over time the causes and sequelae of brain injury have become prominent among conditions that affect many people. In the 20th and 21st centuries, recreation, sports, and the risks associated with industrialization and technology have contributed to increasing numbers of injuries. Recognition and documentation of the after effects of brain injury have increased dramatically since the Six-day War in the Middle East during the 1960s when cognitive and behavioral long-term effects were studied among persons serving in the military. During the past 20 years, brain injury has evolved as a special focus among policy-makers, agencies, and health professionals. The 1990’s were declared the Decade of the Brain by President Reagan. Background. Traumatic brain injury (TBI) is defined as a physiological disruption of brain function resulting from trauma that is either external, such as an object striking the head or the head striking an object, and/or internal, such as rapid acceleration/deceleration or rotation of the brain within the skull as in a car crash. The injuries may be open (skull penetrated) or closed (skull intact). Damage to the brain may interrupt connections within the brain affecting any part of the body. Present-day conflicts have resulted in thousands of military personnel sustaining severe local penetrating injuries and/or diffuse injuries (affecting all of the brain) that occur during blasts or explosions. The brain and the results of injury are very complex. Problems people may have after injury mainly depend on the part(s) of the brain that was injured, seriousness of the injury, if the person had other body injuries, age, their state of health, and how quickly they received treatment. Number of People Affected. In the United States each year, an estimated one million people with TBI are treated and released from emergency rooms, about 260,000 are hospitalized, 51,000 die, and 80,000 to 90,000 have moderate to severe disabilities. The Centers for Disease Control and Prevention (CDC) estimates that 5.4 million people live with a traumatic brain injury-related disability. The risk of having a traumatic brain injury is substantial among all age groups, particularly adolescents and young adults, affecting relationships, work, school, and daily living. Many families suffer emotional and economic problems because of the costs involved in acute and long term care, rehabilitation, lost productivity, and ongoing health care needs. Presently, the leading causes of traumatic brain injury are motor vehicle crashes, violence, and falls. The increasing numbers of blast and other hearing/vision-related brain injuries sustained by service members in theatres of war are a national and local challenge for veterans health care and the communities the veterans return to following intensive acute and rehabilitative care. Oklahoma is one in a group of states with the highest death rates from traumatic brain injury. According to data collected since 1992, an average of 3400 persons are hospitalized and 850 die from a brain injury each year. The causes of injury include motor vehicle crashed (32%), falls Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 10 (31%), gunshot injuries (11%), assaults (8%), sports (4%) pedestrian (3%) and other causes (11%). An estimated 700 persons are discharged each year from the hospital with short- or long-term limitations and disabilities such as cognitive problems, sensory deficits, physical limitations, or behavior problems. The main factors that determine survival and functional outcome for a person with brain injury are the extent of damage alone or in association with other traumatic injuries, immediate and appropriate medical diagnosis and treatment, and the prevention or control of secondary injuries to the brain such as swelling and infection. The severity of injury is the best predictor of how far a person will move along the continuum of recuperation. Length of coma (LOC) is a reliable marker for judging injury severity and is measured by the time that has elapsed from injury to the time the person wakes up. In cases of minor brain injury, there may be no LOC, but in many cases LOC can last for minutes, hours, days, weeks, or years. Persons may also be confused for periods of time after they become conscious. The length of time they are confused is called post-traumatic amnesia (PTA). PTA is considered the second best marker of the severity of brain injury. With mild injury, the majority of people recover completely in 3 to 9 months without residual effects; however many have problems for a longer time and some for their lifetime. With moderate injury, a large proportion of persons with TBI become independent although many do not return to their level of functioning prior to injury. With severe injury, a small percentage of persons return to school, work, or are able to perform the activities they performed before injury. The majority of persons achieve some level of independence. Residual or After Effects of Traumatic Brain Injury The types of problems people may experience following brain injury largely depends on the part(s) of the brain injured and the severity of injury. The figure below shows functions of the brain that may be affected. Functional Domains of the Brain Cerebellum Brain Stem Frontal Lobe Parietal Lobe Occipital Lobe Temporal Lobe Regulates: Blood pressure Heartbeat Respiration Reflexes Gateway for information to and from the body Coordination and balance Motor skills Visual perception and Input Reading (perception and recognition of printed words) Tactile perception (touch) Awareness of spatial relationships Academic skills (reading) Using information from body senses Memory Expressive and receptive language Comprehension of language Musical awareness Organization and Sequencing skills Motivation Controlling attention Emotional control Guide/Control social behavior Judgment and problem-solving Decision making Expressive language Abstract thinking Motor integration Voluntary movement Inhibition of behavior Cerebrum Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 11 The three main types of problems that may be experienced by a person with traumatic brain injury are: 1) motor (body weakness or paralysis), or sensory deficits (vision, hearing, smell, touch); 2) cognitive such as impairments in language, verbal memory, perception, attention, slow information processing, and poor judgment; and 3) neurobehavioral, that includes impulsivity, agitation, inappropriate emotions, and poor frustration tolerance. Rehabilitation provided in a hospital or rehabilitation center, when the person is in condition to benefit from therapies, helps a person to recover more rapidly. For most people with moderate to severe injuries, major gains are commonly made during the first two years after injury and more slowly after that. The person with the injury and the family should learn as much as possible about therapies and how to assist in recovery, particularly because resources and services needed over the long term are not available, so the family may have to provide ongoing care. The Importance of Prevention The three types of prevention are primary, secondary and tertiary: Primary prevention involves the acquisition of habits and actions that will reduce the possibility of injury including: Use of protective equipment such as safety belts and helmets, Legislative controls related to vehicle condition, speed, roadways and condition of the driver, Knowledge and use of safety behaviors related to risks and hazards, Knowledge and use of appropriate environmental modifications, and Avoiding substance use. Secondary prevention relates to: Prevention of secondary injuries through appropriate prehospital care and minimizing complications during acute hospital care, Prevention of additional brain injuries through knowledge of increased susceptibility (one of seven persons who experience a head injury is likely to suffer one or more head injuries), and use of primary prevention actions, Prevention of secondary conditions associated with the primary condition such as contractures, and treatment and/or education for preventing or controlling secondary conditions. Tertiary prevention is the prevention of further impairment or disability and includes: Maintaining overall health status through good nutrition, exercise, taking care of personal, family and social needs, and using coping and adaptation skills, Assessing functional status periodically to intervene medically as needed, and Maintaining maximum functional independence given injury severity, overall health status and pre-injury level of function. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 12 Disability There are many definitions of disability but they all relate to a limitation in performing tasks, activities, and roles in the manner or within the range considered normal for persons of the same age, gender, culture, and education. Disability may refer to a physical, mental, sensory, or behavioral condition. Approximately 35 million people in the United States have disabling conditions that interfere with their life activities. More than nine million people have physical or mental conditions that keep them from working, attending school, or maintaining a household. Annual disability-related costs to the nation total more than $170 billion. Oklahoma ranks fifth in the nation in the proportion of citizens who report one or more disabilities. A large number of people in Oklahoma are living with traumatic brain injury-related functional limitations or disabilities. We hope that this directory of resources will help many people obtain assistance and the services they need in order to live as close to the level of independence they maintained prior to injury. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 13 Resources and Services Directory for Head Injury and Other Conditions Section 2: Accessing and Paying for TBI and Related Services 1000 NE 10TH ST. OKC, OK 73117 TEL 405.271-3430 OR 800.522.0204 (OK only) FAX 405.271.2799 WEB http://ips.health.ok.gov O K L A H O M A S T A T E D E P A R T M E N T O F H E A L T H Funded in part by (H21MC06749) from the US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Accessing and Paying for TBI and Related Services (Contact information subject to change.) Access Access to services involves referral by a physician/other professional or self referral, the ability to get to the centers, programs or offices that provide services, and the ability to pay for the services by one or more methods. The majority of brain-injured persons enter the care system via emergency medical services or the emergency/trauma department; these assured services are often not paid by people without insurance or with limited resources. In Oklahoma, the Trauma Care Assistance Revolving Fund helps compensate the hospitals for the costs of caring for these individuals. Referral and coordination of brain injury services has improved with increased awareness, information, and maturity of the brain injury services system. Several state and local agencies that serve as points of entry for particular services include the Oklahoma Department of Education/Special Education; Oklahoma Department of Health, Vocational Rehabilitation and employment one-stop centers, tribal health centers, etc.; these agencies are described within specific sections of the directory. Individuals and families wanting to access services need to know the services available, referral sources, and the types of services that are appropriate for their particular case. Payment Methods Each phase of brain injury service delivery - emergent, acute, rehabilitative and ongoing care - contributes to the high costs. Commercial insurance and Medicare are the principal payers of hospital charges for brain injury. Many insured individuals with serious to severe injury find that costs exceed coverage and that personal funds are not adequate for the services needed, so they become dependent upon government sources for further care. Medicare and Medicaid Medicare is a Federal Health Insurance Program for people 65 years of age and older, some people with disabilities under age 65, and people with end-stage renal disease. It provides acute care coverage for persons 65 years and older and for some people who are covered by Social Security Disability (SSDI) benefits. Medicare has two parts: Part A is hospital insurance and Part B is medical insurance. Most people do not have to pay for Part A and the majority of people pay monthly for Part B. In Part A, Medicare coverage is limited to services considered “reasonable and necessary” for the diagnosis and treatment of illness or injury. Services include inpatient hospital stays, critical access hospitals, skilled nursing facility care, home health care services, and hospice care. In Part B, Medicare helps pay for physician services, hospital outpatient services, ambulatory surgery, and diagnostic and laboratory tests. Coverage is also provided for limited outpatient physical, occupational and speech therapy services and medical equipment and supplies. Medicaid is a joint federal and state entitlement program that provides funding for medical benefits to low-income individuals who have inadequate or no health insurance coverage. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 14 Medicaid guarantees coverage for basic health and long-term care services based on income and/or resources. Created as Title XIX of the Social Security Act in 1965, Medicaid is administered at the federal level by the Centers of Medicare and Medicaid Services (CMS) within the Department of Health and Human Services (HHS). CMS establishes and monitors certain requirements concerning funding, eligibility standards, and quality and scope of medical services. States have the flexibility to determine some aspects of their own programs, such as setting provider reimbursement rates and the broadening of the eligibility requirements and benefits offered within certain federal parameters. The Oklahoma Health Care Authority (OHCA) is responsible for administering Medicaid Services in the state of Oklahoma ( 405/522- 7300; www.okhca.org). Eligibility. In exchange for federal financial participation, states agree to cover certain groups of individuals referred to as “mandatory groups” and offer a minimum set of services referred to as “mandatory benefits.” States also can receive federal matching payments to cover additional optional groups of individuals and provide additional optional services. Federal matching payments through Medicaid often allow states to partially finance the cost of services that states have traditionally provided at their expense or to pay for services that otherwise might be written off by providers as bad debt or charity. According to Oklahoma State Statutes Title 63 Sec. 5009, the OHCA contracts with the Oklahoma Department of Human Services (OKDHS) for the determination of Medicaid eligibility. All applications for Oklahoma Medicaid enrollment are processed and approved or denied by OKDHS. Applications and renewals are reviewed by each county of residence OKDHS office for financial and/or medical requirements. After eligibility has been certified or extended, the records are sent to OHCA to coordinate medical services and process payments for services utilized. Title XIX of the Social Security Act requires that in order to receive federal matching funds, certain basic services must be offered to the categorically needy population in any state program. Each state has a plan that describes the groups of individuals who can receive Medicaid services and the services that the state will make available to them. Federally Mandated Services include: Early Periodic Screening, Diagnosis and Treatment (EPSDT) under age 21 years. Family planning services and supplies Inpatient hospital Laboratory and X-ray Emergency transportation Nurse midwife Nurse practitioner Nursing facility/home health (age 21+) Outpatient hospital Physician Prenatal, delivery and postpartum care Rural health clinic and federally qualified health center Non-emergency transportation Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 15 State Optional Covered Services include: Case management Optometrist Chiropractor Personal care Clinic Physical therapy Dental Podiatrist Diagnostics Prescribed drugs Emergency hospital Preventive services Inpatient hospital (age 65+) Private duty nursing (institutions for mental disease) Prosthetic devices Inpatient psychiatric under 21 years Psychologist Intermediate Care Facility for the Mentally Retarded Rehabilitative Nurse anesthetist Respiratory care Nursing facility under 21 years Speech/hearing/language disorders Occupational therapy Tuberculosis related Sometimes you may have to spend down your personal resources before you qualify. Applications for Medicaid are obtained at the county offices in Oklahoma. Home and Community-Based Services Waivers give states the flexibility to develop and implement creative alternatives to placing Medicaid-eligible individuals in institutions such as long-term care hospitals, nursing facilities, or intermediate care facilities for person with mental retardation. The OKDHS is responsible for and administers five Home and Community-Based Services waivers. The two waivers that may relate to persons with TBI are: The Community Waiver serves Medicaid beneficiaries with mental retardation and certain persons with “related conditions.” It covers children and adults, with a minimum age of three years; and The ADvantage waiver serves the frail elderly (65 years and older) and adults 21 years of age or older with physical disabilities who would otherwise qualify for placement in a nursing facility. Social Security Act The Social Security Act passed in 1935 was “an act to provide for the general welfare by establishing a system of Federal old-age benefits, and by enabling the several States to make more adequate provision for aged persons, blind persons, dependent and crippled children, maternal and child welfare, public health, and the administration of their unemployment –compensation laws; to establish a Social Security Board; to raise revenue; and for other purposes.” Social Security Administration Handles retirement and Survivors Disability SSI Benefits General information 800/772-1213 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 16 Social Security Disability Insurance (SSDI) Social Security Disability Insurance is wage replacement income for those who pay FICA taxes when they have a disability meeting Social Security disability rules. SSDI provides a variety of payments to family members when a primary wage earner becomes disabled or dies. SSDI is funded with Social Security taxes paid by workers, employers, and self-employed persons. FICA taxes are withheld from an individual’s salary to fund Social Security and Medicare programs. This federal government insurance provides basic protection against the loss of income due to disability. Benefits may be provided to both the worker with disability and to family members, including children. The number of work credits needed to qualify for SSDI depends on the age of disability onset. There is usually a five-month waiting period after the person has met the requirements for disability. The amount of SSDI payment is based on the person’s lifetime average earnings covered by social security and on other government payment received. SSDI provides a monthly payment to eligible persons with disability defined as: A physical or mental impairment which prevents an individual from performing any substantial gainful activity and which is expected to last at least one year or result in death. Substantial gainful activity is not necessarily the kind of work the individual performed prior to the disability. Supplemental Security Income (SSI) This federal government insurance provides monthly payments to people who are older, disabled or blind and who meet specific income or resources requirements. SSI eligibility considers the individuals’ income and property (homes are not excluded). People who receive SSI may be eligible to apply for Medicaid and food stamps. Workers Compensation Commission Workers compensation law is administered by the Oklahoma Workers’ Compensation Commission. The law was written to protect workers by providing compensation for the loss of earning capacity resulting from accidental injury, disease, or death during employment. The law provides medical and vocational rehabilitation services and other benefits. An employee claim may be filed by any worker who believes an injury should be covered under the law. For information contact: Department of Labor 405/521-6100 State Insurance Department The State Insurance Department serves individuals who need help in filing an appeal or complaint regarding an insurance payer. The agency is responsible for: 1) ensuring that all policies and contracts issued by private insurers are within state insurance law guidelines; 2) educate consumers about insurance; and 3) investigate complaints against insurance brokers, agents, and companies. State Insurance Commissioner’s Office 1-800-522-0071 or (405) 521-2828 www.ok.gov/oid Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 17 Resources and Services Directory for Head Injury and Other Conditions Section 3: Scope of Heath Care Services in Oklahoma (Emergency, Acute Care, Rehabilitation, Indian and Tribal Health) 1000 NE 10TH ST. OKC, OK 73117 TEL 405.271-3430 OR 800.522.0204 (OK only) FAX 405.271.2799 WEB http://ips.health.ok.gov O K L A H O M A S T A T E D E P A R T M E N T O F H E A L T H Funded in part by (H21MC06749) from the US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Emergency Medical Services and Trauma System Emergency medical services (EMS) or prehospital care, are provided in urgent situations at the time and place of event and continue through admittance to the emergency room or hospital, when hospital staff initiate specialized care. Emergency medical and trauma services are organized as a statewide system and network to reach, treat, and transfer patients to the most appropriate facility as soon as possible. Regional field personnel for the EMS Division coordinate services in the eight geographical regions. The four levels of EMS care, corresponding to the training and experience of staff are: basic life support, intermediate life support, paramedic life support, and specialty care. • Basic Life Support indicates the “minimum standard” as set forth by State law. Provision of EMS care is provided on a 24-hour, 365 days per year basis; • Intermediate Life Support indicates that personnel and equipment are at the Intermediate level of care; • Paramedic Life Support indicates that the personnel and equipment are at the Paramedic level of care; • Specialty Care indicates that the personnel and equipment meet specific and special needs required for inter-facility transport of critical care. Specialty Care need not operate on a 24-hour basis. Type of Radio Communication: The three methods of dispatching are: 1) provider – ambulances are dispatched directly by the ambulance service at their base station; 2) central – ambulances are dispatched by a radio utilized for dispatching more than just ambulance vehicles; and 3) regional – ambulances from several different providers are dispatched through a multiple city/county base station. In the majority of communities EMS may be reached by dialing 911. Areas not covered by 911 have a specific number(s) to call in emergencies. There are four levels of trauma system care in Oklahoma, one hospital is classified as Level I (highest), 2 as level II, 29 as Level III and the remainder are classified as Level IV. The higher the level, the more stringent criteria are in place such as 24-hour presence of surgeons, neurosurgeons, and the availability of advanced equipment and diagnostic ability. The following map shows the type of EMS coverage provided across the state. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 18 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 19 Acute Care Hospitals (Contact information subject to change) Acute care hospitals are the principal source of a wide array of services in the community including emergency and hospital care, varying levels of rehabilitation, and outpatient services. Hospital providers are responsible for giving referral to services provided in the hospital after discharge or referral to services in other locations. Acute care hospitals are usually accredited by The Joint Commission. Head injury patients who experience problems or lasting effects should return for care to the hospital where they received treatment, because history of the injury and care received are in the medical records, and physicians can better review the case. Local hospitals also provide basic health care through clinics and programs. Arbuckle Memorial Hospital 2011 W Broadway Sulphur, OK 73086-4221 580/622-2161 Atoka Memorial Hospital 1200 West Liberty Road Atoka, OK 74525 580/889-3333 Beaver County Memorial Hospital PO Box 640/212 E. 8th Street Beaver, OK 73932 580/625-4551 Bone & Joint Hospital 1111 North Dewey Ave. Oklahoma City, OK 73103 405/272-9671 Bristow Medical Center 700 W. 7th Street, Suite 6 Bristow, OK 74010 918/367-2215 Carl Albert Indian Health Facility 1001 N. Country Club Rd. Ada, OK 74820 405/436-3980 Carnegie Tri-County Municipal Hospital 102 N Broadway/P.O. Box 97 Carnegie, OK 73015 580/654-1050 Cherokee Nation Hastings Indian Hospital 100 S Bliss Avenue Tahlequah, OK 74464 918/458-3100 The Children's Hospital/Everett Tower, 1200 Everett Drive Oklahoma City, OK 73104 405/271-4700 Choctaw Memorial Hospital 1405 E Kirk Rd Hugo, OK 74743 580/317-9500 Choctaw Nation Health Care Center One Choctaw Way Talihina, OK 74571 918/567-7000 Cimmaron Memorial Hospital PO Box 1059/100 South Ellis Boise City, OK 73933 580/544-2501 Claremore Regional Hospital 1202 N Muskogee Place Claremore, OK 74017 918/341-2556 Cleveland Area Hospital 1401 W Pawnee Street Cleveland, OK 74020 918/358-2501 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 20 Comanche County Mem Hospital 3401 W. Gore Blvd. Lawton, OK 73502 580/355-8620 Community Hospital Lakeview PO BOX 629 Eufaula, OK 74432 918/ 689-2535 Cordell Memorial Hospital 1220 N Glenn English St Cordell, OK 73632 580/832-3339 Craig General Hospital 735 N. Foreman Vinita, OK 74301 918/256-7551 Creek Nation Community Hospital 309 N 14th Okemah, OK 74859 918/623-1424 Cushing Regional Hospital 1027 East Cherry Street, P.O. Box 1409 Cushing, OK 74023 918/225-2915 Deaconess Hospital 5501 N. Portland Oklahoma City, OK 73112- 405/604-6000 Deaconess at Bethany 7600 NW 23rd St Bethany, OK 73008 405/604-6000 Drumright Regional Hospital 610 W. Bypass Drumright, OK 74030 918/382-2300 Duncan Regional Hospital 1407 Whisenant Dr. Duncan, OK 73533 580/252-5300 Eastern Oklahoma Medical Center PO Box 1148/105 Wall Street Poteau, OK 74953 918/647-8161 Edmond Medical Center One S Bryant Edmond, OK 73034 405/341-6100 Elkview General Hospital 429 W Elm St Hobart, OK 73651 580/726-3324 Fairfax Memorial Hospital PO Box 219 Fairfax, OK 74637 918/642-3291 Fairview Regional Medical Center 523 E State Road Fairview, OK 73737 580/227-3721 Grady Memorial Hospital 2220 Iowa St Chickasha, OK 73018- 405/779-2127 Great Plains Regional Medical Center. PO Box 2339 Elk City, OK 73648-2339 (580) 225-2511 Harmon Memorial Hospital 400 E Chestnut Hollis, OK 73550 580/688-3363 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 21 Harper County Community Hospital PO Drawer 60/1003 U.S. 64 Buffalo, OK 73834 580/735-2555 Haskell County Health Care System PO Box 728/401 N.W. “H” Street Stigler, OK 74462 918/967-4682 Henryetta Medical Center PO Box1269/Dewey Bartlett & Main Street Henryetta, OK 74437 918/652-4463 Hillcrest Medical Center 1120 S Utica Ave Tulsa, OK 74104 918/579-1000 Holdenville General Hospital 100 McDougal Dr. Holdenville, OK 74848 405/379-4200 Integris Baptist Medical Center 3300 NW Expressway Oklahoma City, OK 73112 405/949-3011 Integris Baptist Regional Health Center 200 2nd Ave SW Miami, OK 74354 918/542-6611 Integris Bass Baptist Health Center 600 S Monroe Enid, OK 73701 580/233-2300 Integris Blackwell Regional Hospital 710 S. 13th Street Blackwell, OK 74631 580/363-2311 Integris Canadian Valley Regional Hospital 1201 Health Center Parkway Yukon, OK 73099-6381 405/717-6800 Integris Clinton Regional Hospital 100 N 30th Street Clinton, OK 73601 580/323-2363 Integris Marshall Memorial Hospital PO Box 827/ 1 Hospital Drive Madill, OK 73446 580/795-0191 Integris Mayes County Medical Center 111 N. Bailey Pryor, OK 74361 918/825-1600 Integris Grove Hospital 1001 East 18th Street Grove, OK 74344 918/786-2243 Integris SW Med Center 4401 S Western Ave Oklahoma City, OK 73109- 405/636-7000 Jackson County Memorial Hospital 1200 E Pecan Altus, OK 73521 580/379-5000 Jane Phillips Memorial Med Ctr 3500 S.E. Frank Phillips Blvd Bartlesville, OK 74006 918/333-7200 Jefferson County Hospital US Highway 70 & 81, P.O. Box 90 Waurika, OK 73573 580/228-3108 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 22 Johnston Memorial Hospital 1000 S Byrd Tishomingo, OK 73460 580/371-2327 Kingfisher Regional Hospital 1000 Kingfisher Regional Hospital Drive Kingfisher, OK 73750 405/375-3141 Latimer County General Hospital 806 Hwy 2 North Wilburton, OK 74578 918/465-2391 Logan Hospital & Medical Center P.O. Box 1017/200 South Academy Guthrie, OK 73044 405/282-6700 Mangum Community Hospital 2100 North Louis Tittle Avenue Mangum, OK 73554 580/782-3353 Mary Hurley Hospital PO Box 326/61 North Covington Coalgate, OK 74538-0326 580/927-2028 McAlester Regional Health Center 1 E. Clark Bass Blvd McAlester, OK 74501 918/421-8008 McCurtain Memorial Hospital 1301 E. Lincoln Road Idabel, OK 74745 580/286-7623 Medical Center SE Oklahoma PO Box 1207/1800 University Blvd. Durant, OK 74702 580/924-3080 Memorial Hospital 1401 W Locust St Stilwell, OK 74960 918/696-3101 Memorial Hospital & Physician Group 319 E Josephine Frederick, OK 73542 580/335-7545 Memorial Hospital of Texas County 520 Medical Drive Guymon, OK 73942 580/338-6515 Mercy Health Center 4300 W Memorial Road Oklahoma City, OK 73120 405/755-1515 Mercy Health - Love County 300 Wanda St Marietta, OK 73448 580/276-3347 Mercy Memorial Health Center 1011 14th Avenue North West Ardmore, OK 73401- 580/223-5400 Midwest Regional Medical Center 2825 Parklawn Drive Midwest City, OK 73036-73110 405/610-4411 Muskogee Regional Medical Center 300 Rockefeller Drive Muskogee, OK 74401 918/682-5501 Newman Memorial Hospital 905 S Main St Shattuck, OK 73858 580/938-2551 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 23 Norman Regional Hospital 901 N. Porter Norman, OK 73071 405/307-1000 Okeene Municipal Hospital 207 East "F" Street Okeene, OK 73763 580/822-4417 Okmulgee Memorial Hospital 1401 Morris Dr Okmulgee, OK 74447 918/756-4233 OSU Medical Center 744 W 9th Street Tulsa, OK 74127 918/599-1000 OU Medical Center, University Hospital 711 Stanton L. Young Blvd. Oklahoma City, OK 73104 405/271-4700 Parkview Hospital 2115 Parkview Drive El Reno, OK 73036 405/262-2640 Pauls Valley General Hospital 100 Valley Drive Pauls Valley, OK 73075 405/238-5501 Pawhuska Hospital 1101 E 15th St Pawhuska, OK 74056 918/287-3232 Pawnee Municipal Hospital 1212 4th Street Pawnee, OK 74058 918/762-2577 Perry Memorial Hospital 501 14TH ST Perry, OK 73077 580/336-3541 Physician’s Hospital in Anadarko 1002 E Central Blvd Anadarko, OK 73005 405/247-2551 Ponca City Medical Center 1900 N. 14th Street Ponca City, OK 74601 580/765-3321 Prague Community Hospital 1322 Klabzuba Avenue Prague, OK 74864 405/567-4922 Presbyterian Hospital 700 NE 13th St Oklahoma City, OK 73104- 405/271-5813 Purcell Municipal Hospital 1500 N Green Ave. Purcell, OK 73080- 405/527-6524 Pushmataha Hospital 510 E Main St. Antlers, OK 74523 580/298-3341 Reynolds Army Community Hospital 4301 Wilson Street Fort Sill, OK 73503 580/558-2800 Roger Mills Memorial Hospital 501 S.W. L.L. Males Avenue Cheyenne, OK 73628 580/497-3336 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 24 Sayre Memorial Hospital 911 Hospital Drive Sayre, OK 73662 580/928-5541 Seiling Municipal Hospital U.S. Highway 60 Northeast Seiling, OK 73663 580/922-7361 Seminole Medical Center 2401 W Wrangler Blvd. Seminole, OK 74868 405/303-4000 Sequoyah Memorial Hospital 213 E Redwood Avenue Sallisaw, OK 74955 918/774-1100 Share Medical Center 800 Share Dr Alva, OK 73717 580/327-2800 SouthCrest Hospital 8801 S 101st E Avenue Tulsa, OK 74133 918/294-4000 Southwestern Medical Center 5602 Southwest Lee Blvd Lawton, OK 73505 580/531-4700 St. Anthony Hospital 1000 N Lee Ave. Oklahoma City, OK 73102-1080 405/272-5419 St. Francis Hospital, Inc 6161 South Yale Ave Tulsa, OK 74136 918/494-2200 St. John Medical Center 1923 S Utica Ave Tulsa, OK 74104 918/744-2345 St. John’s at Broken Arrow 1000 W. Boise Circle Broken Arrow, OK 74012 918/994-8000 St. John Sapulpa PO Box 1368/1004 East Bryan Ave. Sapulpa, OK 74067-1368 918/224-4280 St. Mary's Regional Medical Center 305 S. 5th Street Enid, OK 73701 580/233-6100 Stillwater Medical Center. 1323 West 6th Street Stillwater, OK 74074 405/742-5622 Tahlequah City Hospital 1400 E Downing Tahlequah, OK 74464 918/456-0641 Unity Health Center 1102 W MacArthur Street Shawnee, OK 74804- 405/273-2270 Unity Health Center – South Campus 1900 S. Gordon Cooper Drive Shawnee, OK 74801 405/273-2240 USPHS Claremore Indian Hospital 101 S. Moore Ave. Claremore, OK 74017 918/342-6200 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 25 USPHS Clinton Indian Hospital Rt 1, Box 213 Clinton, OK 73601 580/232-2884 USPHS Lawton Indian Hospital 1515 Northeast Lawrie Tatum Rd Lawton, OK 73507 580/353-0350 VA Medical Center 921 NE 13th Street Oklahoma City, OK 73104 405/456-1000 Jack C. Montgomery VA Medical Center 1011 Honor Heights Dr Muskogee, OK 74401 918/557-3000 Valley View Regional Hospital 430 N Monte Vista Ada, OK 74820- 580/332-2323 Wagoner Community Hospital 1200 W. Cherokee Wagoner, OK 74467 918/485-5514 Watonga Municipal Hospital 500 Hook Avenue Watonga, OK 73772 580/623-7211 Weatherford Regional Hospital 215 North Kansas Weatherford, OK 73096 580/772-5551 Woodward Hospital & Health Center 900 17th St Woodward, OK 73801 580/256-5511 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 26 Long Term Acute Care Hospitals (See Definition of Terms) Long term acute care (LTAC) hospitals may be housed within an acute care hospital or free standing. They provide specialized care for medical patients who are critically ill or have multi-system complications that require aggressive and continuous acute care services. Long term acute care hospitals have an average length of stay (LOS) of 25 days. They provide 6.5 to 8.5 nursing hours per day based on acuity (amount of nursing time needed to assist/teach patients in activities of daily living such as eating, grooming, and toileting.) The acuity of therapy is based on diagnosed need and patient tolerance. There are no maximums or minimums by guidelines and not all patients receive therapy. Patients are usually discharged to home with family or Home Health, a nursing home, a skilled nursing facility (SNF), assisted living, or rehabilitation. LTACs in Oklahoma (Contact information subject to change): Select Specialty Hospital-OKC 3524 Northwest 56th Street Oklahoma City, OK 73112 Tel 405/606-6700, FAX 405/606-6100 Kindred Hospital-OKC 1407 North Robinson Avenue Oklahoma City, OK 73103 Tel 405/232-8000, FAX 405/236-3839 Specialty Hospital of Midwest City 8210 National Avenue Midwest City, OK 73110 Tel 405/739-0800, FAX 405/739-6479 Edmond Specialty Hospital 1100 East 9th Street Edmond, OK 73034 Tel 405/341-8150, FAX 405/341-0105 MeadowBrook Specialty Hospital/Tulsa 3219 S. 79th E. Avenue Tulsa, OK 74145 Tel 918/663-8183, FAX 918/660-5376 Select Specialty Hospital 1125 South Trenton, 3rd Floor Tulsa, OK 74120 Tel 918-579-7301 Continuous Care Center of Tulsa St. John’s 1923 South Utica Avenue, 4 South Tulsa, OK 74104 Tel 918/744-3040 FAX 918/744-3043 INTEGRIS Bass Pavilion 401 South 3rd Street Enid, OK 73701 Tel 580/233-2300, FAX 580/233-8802 Continuous Care Center of Bartlesville 3500 East Frank Phillips Boulevard #4 Tower Bartlesville, OK 74006 Tel 918/331-1452, FAX 918/331-1456 Lane Frost Health and Rehabilitation Center 2815 East Jackson Hugo, OK 74743 Tel 580/326-9200, FAX 580/326-8876 Toll Free: 1-877-326-8170 Norman Specialty Hospital 1210 West Robinson Road Norman, OK 73069 Tel 405/321-8824, FAX 405/701-8010 Solara Hospital Shawnee 1900 Gordon Cooper Drive, 2nd Floor Shawnee, OK 74801 Tel 405/395-5800, FAX 405/395-5802 Solara Hospital Muskogee 351 South 40th Street Muskogee, OK 74401-4916 Tel 918/682-6161, FAX 918/682-6164 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 27 Oklahoma Acute Rehabilitation Centers Rehabilitation centers may occupy either a separate unit or department within an acute care hospital or a free-standing facility associated with a hospital devoted exclusively to rehabilitation. Inpatient rehabilitation centers are usually accredited by The Joint Commission and seek accreditation of Certification of Rehabilitation Facilities (CARF). The number and types of services may vary according to patients’ needs. A comprehensive treatment program has the goal to reduce/overcome deficits following illness or injury and to assist individuals to attain their optimal level of mental and physical ability, and useful, productive activity. The process involves a planned, orderly sequence of multiple, coordinated services related to the total needs of the individual. Services may be delivered within acute care services, a separate hospital unit, separate facility, or on an outpatient basis as the patient’s condition improves. The scope of rehabilitation services for individuals with TBI is diverse, requiring careful diagnosis and assessment of physical, cognitive and behavioral impairments. The team of TBI rehabilitation specialists may include a physician, physiatrist, nurse, neuropsychologist, psychologist, recreational therapist, physical therapist, occupational therapist, speech/language pathologist, special educator, exercise physiologist, counselor, social worker, and case manager. When the patient is ready to benefit from rehabilitation, the patient/family and physician attempt to select a center that treats a large number of TBI patients and has the professional staff available. Many for-profit organizations/centers in Oklahoma provide outpatient rehabilitation services. Those centers are not included here. *CARF-accredited (Contact information subject to change) Valir Rehabilitation Hospital 700 NW 7th Street Oklahoma City, OK 73102 Phone: (405) 553-1196 Rehab Services, Deaconess Hospital* 5501 N Portand Oklahoma City, OK 73112 Phone: (405) 951-3400 Jim Thorpe Rehabilitation Hospital* Integris Baptist Medical Center 3300 Northwest Expressway, 3rd Floor Oklahoma City, OK 73112 Phone: (405) 949-3305 Jim Thorpe Rehabilitation Hospital* 4219 S Western Oklahoma City, OK 73109 Phone: (405) 644-5200 Rehab Center, Mercy Hospital 4300 W Memorial Rd Oklahoma City, OK 73120 Phone: (405) 752-3168 Rehab Center St. Anthony's Hospital 1000 N Lee, 6th Floor Oklahoma City, OK 73101 Phone: (405) 272-7386 Children’s Center 6800 NW 39th Expressway Bethany, OK 73008 Phone: 405/789-6711 RehabCare, Norman Regional Hospital* 901 N Porter Street Norman, OK 73070 Phone: (405) 307-3863 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 28 RehabCare Program, Community Hospital 3100 SW 89th Street Oklahoma City, OK 73159 Phone: (405) 602-8100 St. Francis Broken Arrow 3000 S Elm Place Broken Arrow, OK 74012 Phone: (918) 455-3535 Muskogee Regional Hospital Rehabilitation 300 Rockefeller Drive Muskogee, OK 74401 Phone: (918) 682-5501 Broken Arrow Rehab Services* St. Francis Hospital 6161 S Yale Tulsa, OK 74136 Phone: 918/494-2200 FAX: 918/494-4299 Brookhaven 201 S Garnett Tulsa, OK 74128 Phone: (918) 438-4257 Kaiser Rehabilitation Center* Hillcrest Medical Center 1125 S Trenton Tulsa, OK 74120 Phone: (918) 579-7200 Bernson Rehabilitation Center St. John Medical Center 1923 S Utica Tulsa, OK 74101 Phone: (918) 744-2345 Tulsa Regional Medical Center 744 West Ninth Street Tulsa, OK 74127 Phone: (918) 587-2561 Comanche County Memorial Hospital* 3201 West Gore Blvd Lawton, OK 73505 Phone: (580) 355-8620 Fax: (580) 585-5576 Rehabilitation Unit* Southwestern Medical Center 5602 Southwest Lee Blvd Lawton, OK 73505 Phone: (580) 531-4704 George Nigh Rehab Institute 900 E Airport Rd Okmulgee, OK 74447 Phone: (918) 756-9211 RehabCare Unit Jane Phillips Episcopal Memorial Hospital 3500 E Frank Phillips Blvd Bartlesville, OK 74006 Phone: (918) 333-7200 Rehab Unit* McAlester Regional Health Center 1 Clark Bass Blvd McAlester, OK 74501 Phone: (918) 426-1800 Mercy Memorial Hospital of Southern Oklahoma 1011 14th NW Ardmore, OK 73401 Phone: (580) 223-5400 RehabCare Unit, St. Mary's Hospital* 305 S 5th St Enid, OK 73701 Phone: (580) 548-5072 RehabCare Unit, Valley View Hospital* 430 N Monta Vista Ada, OK 74820 Phone: (580) 332-2323 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 29 RehabCare, Stillwater Medical Center 1323 W. Sixth Avenue Stillwater, OK 74074 Phone: (405) 372-1480 Oklahoma NeuroSpecialty 2408 E 81st Street, Ste 2600 Tulsa, OK 74137 Phone: (918) 477-5111 Tahlequah City Hospital Rehabcare 1400 E. Downing Tahlequah, OK 74464 Phone: (918) 453-2175 Oklahoma City Veterans’ Administration Rehabilitation Program 921 NE 13th Street Oklahoma City, OK 73107 Phone: (405) 456-1000 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 30 Oklahoma City Service Area Indian Health Center Locations Tribal Health Center Locations Oklahoma City Service Area includes Holton, Lawrence, and Wichita Kansas, and Dallas Texas Indian and Tribal service units and health centers in Oklahoma provide basic prevention and health services to the majority of Native Americans in the state, and to all individuals who seek care in the facilities. People who suffer more severe injuries or medical problems are often transferred to a larger facility for special care. The Indian centers maintain complete records of patients’ emergency room, clinic visits, and hospital admissions for easy reference and follow up. People who sustain brain injury and are treated in a larger facility are usually followed by the admitting facility and their Indian Center. Indian Health Centers and Tribal Health Centers (*Tribally Operated Facility) (Contact information subject to change) ADA Service Unit Chickasaw Nation Medical Center 1921 Stonecipher Blvd Administrator Judy Goforth Parker Ada, OK 74820 Clinical Director Richard McClein (580) 436-3980 FAX: (580) 332-1421 *Ardmore Chickasaw Health Clinic Chickasaw Nation of Oklahoma 2510 Chickasaw Blvd. Clinic Coordinator Kelly Garrett Ardmore, OK 73401 (580) 226-8181 FAX: (580) 226-4868 *Tishomingo Chickasaw Health Center Chickasaw Nation of Oklahoma 815 E. 6th Street Clinic Coordinator Norman Bradsher Tishomingo, OK 73460 (580) 371-2361 FAX: (580) 371-9584 *Chickasaw/Durant Health Center Chickasaw Nation of Oklahoma 1600 N. Washington Clinic Coordinator Amanda Hicks Durant, OK 74701 (580) 920-2100 FAX: (580) 920-1191 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 31 Claremore Service Unit Claremore Indian Hospital 101 S. Moore Avenue Service Unit Director George Valliere Claremore, OK 74017 Administrative Officer Vicki Snell (918) 342-6200 Clinical Director Vacant FAX: (918) 342-6585 Nurse Executive Melinda Teehee, RN *Sam Hider Jay Community Clinic Cherokee Nation of Oklahoma P.O. Box 350 Facility Director Mike Fisher Jay, OK 74346 (918) 253-4271 FAX: (918) 434-5397 *Northeastern Tribal Health Center P.O. Box 1498 Facility Director Sharon Dawes Miami OK 74355 (918) 542-1655 FAX: (918) 540-1685 *Nowata Indian Health Clinic — Cherokee Nation Of Oklahoma 1020 Lenape Drive Health Systems Administrator Cindy Collins Nowata, OK 74048 (918) 273-0192 FAX: (918) 273-2147 * Cherokee Nation Muskogee Health Center 1001 S. 41st Street East Health Systems Administrator Rhonda Cochran Muskogee, OK 74859 (918) 687-0201 FAX (918) 687-0665 *Creek Nation Community Hospital - Creek Nation of Oklahoma 309 North 14th Street Health Systems Administrator Bradah Littlefield Okemah, OK 74859 (918) 623-1424 FAX: (918) 623-9016 *Okemah Indian Health Center Creek Nation of Oklahoma 309 North 14th Street Administrator Bradah Littlefield Okemah, OK 74859 (918) 623-0555 or (918) 623-2809 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 32 *A-mo Health Center Cherokee Nation P.O Box 490 Health Systems Administrator Charles Smith Salina, OK 74365 (918) 434-8500 FAX: (918) 434-2995 *Sapulpa Health Center — Creek Nation Of Oklahoma 1125 East Cleveland Facility Director Cynthia Tainpeah Sapulpa, OK 74066 (918) 224-9310 FAX: (918) 224-9314 *Bearskin Health Center Wyandotte Nation 1 Turtle Drive Health Services Director Kelly Walker Wyandotte, OK 74370 (918) 678-2282 Tollfree 888-864-0725 FAX: (918) 678-2759 *Okmulgee Health Center Creek Nation of Oklahoma 1313 East 20th Administrator (Acting) Debra Isham Okmulgee, OK 74447 (918) 758-1926 FAX: (918) 758-1944 Clinton Service Unit Clinton Indian Hospital Route 1, Box 3060 Service Unit Director Rebecca Leving Clinton, OK 7360 1-9303 Administrative Officer Comm James Gregory (580) 323-2884 Clinical Director Pedro Lopez, MD FAX: (580) 323-2884 Ext. 211 El Reno Indian Health Center 1631A E. Highway 66 Facility Director (Acting) Travis Watts, PharmD El Reno, OK 73036 (405) 262-7631 FAX: (405) 262-8099 Watonga Indian Health Center Rt. 1, Box 34-A Facility Director Pat Gonzalez, RN Watonga, OK 73772 (580) 623-4991 FAX: (580) 623-5490 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 33 Haskell Service Unit Haskell Indian Health Center 2415 Massachusetts Avenue Acting Service Unit Director Paula Foster Lawrence, KS 66044-4808 Clinical Director James Werner (785) 843-3750 Nurse Executive Shannon Tuckwin FAX: (785) 843-8815 *Kickapoo Health Center — Kickapoo Tribe Of Kansas 1117 Goldfinch Road Acting Facility Director Betty Nioce Horton, KS 66439 (785) 486-2154 FAX: (785) 486-2158 Holton Service Unit Whitecloud Health Station 3313-B Thrasher Road Chief Executive Officer (Acting) Kelly Battese Whitecloud, KS 66094 (785) 595-3450 Lawton Service Unit Lawton Indian Hospital 1515 Lawrie Tatum Road Service Unit Director (Acting) Greg Ketcher Lawton, OK 73501 Administrative Officer John Bear (580) 353-0350 Clinical Director (Acting) Scott Trapp, MD FAX: (580) 353-0350 Ext. 206 Nurse Executive Sandra Miller, RN Anadarko Indian Health Center P.O. Box 828 Facility Director Kelly Factor Anadarko, OK 73005 (405) 247-2458 FAX: (405) 247-7052 Carnegie Indian Health Center P.O. Box 1120 Facility Director (Acting) Linda Bailey Carnegie, OK 73015 (580) 654-1100 FAX:(580) 654-2533 Pawnee Service Unit Pawnee Indian Health Center 1201 Heritage Circle Chief Executive Officer Travis Scott Pawnee, OK 74058-3744 Administrative Officer (Acting) Pearl Dry (918) 762-2517 FAX: (918) 762-2517 Ext 200 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 34 Pawhuska Indian Health Center 715 Grandview Facility Director Vacant Pawhuska, OK 74056 Clinical Director (for Pawnee SU) Gerard Shea (918) 287-4491 Nurse Executive (for Pawnee SU) Michael Shackelford FAX: (918) 287-4491 * White Eagle Indian Health Center Ponca Tribe 200 White Eagle Drive Health Director Vacant Ponca City, OK 74601 (580) 765-2501 FAX: (580) 765-6348 *Kanza Health Clinic Kaw Nation P.O. Box 474 Health Director Jackie Dodson 3151 E. River Road Newkirk, OK 74647 (58) 362-1039 FAX (580) 362-2988 Shawnee Service Unit *Kickapoo Health Center P.O. Box 1059 Health Director Janette Mahtapeni McLoud, OK 74851 (405) 964-2081 FAX: (405) 964-2722 *Absentee Shawnee Tribal Clinic 15702 E. Highway 9 Director of Health Services Beverly Felton Norman, OK 73071 (405) 447-0300 FAX (405) 447-2250 * Citizen Potawatomi Nation Health Clinic 2307 S. Gordon Cooper Drive Director, Health Services Tim Tall Chief Shawnee, OK 74801 (405) 273-5236 *Black Hawk Health Center — Sac And Fox Nation Of Oklahoma 356110 E. 930 Road Health Director Marilyn Spoon Stroud, OK 74079 (918) 968-9531 FAX: (918) 968-4453 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 35 Tahlequah Service Unit W. W Hastings Indian Hospital 100 S. Bliss Service Unit Director Charles Grimm Tahlequah, OK 74464 Administrative Officer Mitchell Thornbrugh (918) 458-3100 Clinical Director Douglass Nolan FAX: (918) 458-3262 Nurse Executive Valerie Rogers, RN *Sallisaw-Redbird Smith Health Center 301 JT Stites Avenue Facility Director David Fivekiller Sallisaw, OK 74955 (918) 775-9159 FAX: (918) 775-4778 Wilma O. Mankiller Health Center – Cherokee Nation Health Center Route 6, Box 840 Facility Director Christy Harris Stilwell, OK 74960 (918) 696-8800 FAX: (918) 696-8840 *Eufaula Health Center Creek Nation of Oklahoma Health Systems Administrator Judith Pickering 800 Forest Avenue Eufaula, OK 74432 (918) 689-2547 FAX (918) 689-3643 Talihina *Choctaw Nation Health Care Center 1 Choctaw Way Administrator Teresa Jackson Talihina, OK 74571 Chief of Staff Marie Cole, MD (918) 567-7000 or 1-800-349-7026 FAX: (918) 567-2631 *Broken Bow Choctaw Nation Indian Health Clinic 1300 MLK Drive Facility Director Irene Farris Broken Bow, OK 74728 (580) 584-2740 FAX: (580) 584-2073 *Hugo Choctaw Nation Indian Health Clinic P.O. Box 340 Facility Director Sandra Julene Carter Hugo, OK 74743 (580) 326-7561 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 36 *McAlester — Choctaw Nation Indian Health Clinic 1127 S George Nigh Expy Facility Director Jill Anderson McAlester, OK 74501 (918) 423-8440 *Poteau Choctaw Nation Indian Health Clinic 109 Kerr Avenue Facility Director Brian Wren Poteau, OK 74953 (918) 649-1100 *Diabetes Treatment Center Choctaw Nation of Oklahoma One Choctaw Way Facility Director Tammy Kennedy Talihina, OK 74571 (918) 567-7000 Wewoka Service Unit Wewoka Indian Health Center P.O. Box 1475 Service Unit Director Mildred Blackmon Wewoka, OK 74884 Administrative Officer Nathan Wyatt (405) 257-6281 Clinical Director Ron Fried, DO FAX: (405) 257-2696 Nurse Executive Tina Smith, RN Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 37 URBAN HEALTH CENTERS Oklahoma City Indian Clinic Executive Director Robyn Sunday-Allen Central Oklahoma American Indian Health Council, Inc. 4913W. Reno Oklahoma City, OK 73127 (405) 948-4900 FAX: (405) 948-4932 Indian Health Care Resource Center of Tulsa Inc. 550 S. Peoria Avenue Executive Director Carmelita Skeeter Tulsa, OK 74120 (918) 588-1900 FAX: (918) 582-6405 Dallas Inter-Tribal Council 209 E. Jefferson Executive Director Rodney Stapp Dallas, TX 75203 (214) 941-1050 FAX: (214) 941-6537 Hunter Health Center 2318 E. Central Executive Director Suzette Schwartz Wichita, KS 67214 (316) 262-2415 FAX: (316) 262-0741 OTHER TRIBAL LOCATIONS *Kickapoo Traditional Tribe of Texas HCR 1, Box 9700 Health Director Nick Gonzalez Eagle Pass, TX 78852 (830) 757-0322 FAX: (830) 757-9228 *Tribally Operated Facility Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 38 County Health Departments, Oklahoma County health departments (CHDs) provide a wide array of basic health and public health services and social services such as immunizations, education to prevent disease and injury, women/infant/child (WIC) nutrition program, injury prevention programs, therapies and counseling, Child Guidance and other children’s services, treatment of minor conditions, and referral to needed services. Many persons with head injury need a variety of services in the community as well as care specific for the injury’s long-term effects. Services provided by each CHD are available to all residents in the county according to program guidelines. Services may include early intervention, speech/language/physical/occupational therapy, behavior modification, housing assistance, assistive devices, HIV referral, TB testing, family planning, home health safety, and disease prevention. (Contact information subject to change) Adair County Health Department 600 W. Hickory Stilwell, OK 74960 (918) 696-7292 Alfalfa County Health Department C/O Garfield County 2501 Mercer Drive Enid, OK 73701 (580) 233-0650 Atoka County Health Department 1006 W. 13th Street Atoka, OK 74525 (580) 889-2116 Beaver County Health Department PO Box 520 Hwy 270 South Beaver, OK 73932 (580) 625-3693 Beckham County Health Department 115 S. 4th Street Sayre, OK 73662 (580) 928-5551 Blaine County Health Department 521 W 4th Street Watonga, OK 73772 (580) 623-7977 Bryan County Health Department PO Box 598 1524 W. Chuckwa Durant, OK 74702 (580) 924-4285 Caddo County Health Department 216 W Broadway Anadarko, OK 73005 (405) 247-2507 Canadian County Health Department 100 S. Rock Island El Reno, OK 73036 (405) 262-0042 Carter County Health Department 405 S Washington Ardmore, OK 73401 (580) 223-9705 Cherokee County Health Department 912 S College Tahlequah, OK 74464 (918) 456-8826 Choctaw County Health Department 103 S 4th Street Hugo, OK 74743 (580) 326-8821 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 39 Cimarron County Health Department C/O Texas CHD 1410 N East Street Guymon, OK 73942 (580) 338-8544 Cleveland County Health Department 250 12th Ave NE Norman, OK 73071 (405) 321-4048 Coal County Health Department PO Box 365 1404 S. Hwy 75 Coalgate, OK 74538 (580) 927-2367 Comanche County Health Department PO Box 87 1010 S. Sheridan Road Lawton, OK 73502 (580) 248-5890 Cotton County Health Department 1501-A South 7th Walters, OK 73572 (580) 875-6121 Craig County Health Department 115 E Delaware Vinita, OK 74301 (918) 256-7531 Creek County Health Department 1808 S Hickory Sapulpa, OK 74066 (918) 224-5531 Custer County Health Department 3030 Custer Clinton, OK 73601 (580) 323-2100 Delaware County Health Department PO Drawer 370 Hwy 59 West Jay, OK 74346 (918) 253-4511 Dewey County Health Department C/O Blaine CHD 521 W 4th Street Watonga, OK 73772 (580) 623-7977 Ellis County Health Department C/O Texas CHD 1410 N East Street Guymon, OK 73942 (580) 338-8544 Garfield County Health Department PO Box 3266 2501 Mercer Drive Enid, OK 73702 (580) 233-0650 Garvin County Health Department 1809 S. Chickasaw Pauls Valley, OK 73075 (405) 238-7346 Grady County Health Department 2116 W. Iowa Street Chickasha, OK 73018 (405) 224-2022 Grant County Health Department 115 N. Main Medford, OK 73759 (580) 395-2906 Greer County Health Department 2100 N Louis Tittle PO Box 1 Mangum, OK 73554 (580) 782-5531 Harmon County Health Department 1104 N 7th St Hollis, OK 73550 (580) 688-3348 Harper County Health Department PO Box 290 7th & Oklahoma, Ste 9 Laverne, OK 73848 (580) 921-2029 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 40 Haskell County Health Department 1407 NE "D" Street Stigler, OK 74462 (918) 967-3304 Hughes County Health Department 200 McDougal Drive Holdenville, OK 74848 (405) 379-3313 Jackson County Health Department 401 W Tamarack Rd Altus, OK 73521 (580) 482-7308 Jefferson County Health Department 107 E Anderson Waurika, OK 73573 (580) 228-2313 Johnston County Health Department 1080 S. Byrd Street Tishomingo, OK 73460 (580) 371-2470 Kay County Health Department 433 Fairview Ponca City, OK 74601 (580) 762-1641 Kingfisher County Health Department 124 E Sheridan, Room 101 Kingfisher, OK 73750 (405) 375-3008 Kiowa County Health Department 431 W Elm Street Hobart, OK 73651 (580) 726-3316 Latimer County Health Department 201 W Main Wilburton, OK 74578 (918) 465-5673 LeFlore County Health Department PO Box 37 1212 Reynolds Poteau, OK 74953 (918) 647-8601 Lincoln County Health Department 101 Meadow Lane Chandler, OK 74834 (405) 258-2640 Logan County Health Department 215 Fairgrounds Road, Suite A Guthrie, OK 73044 (405) 282-3485 Love County Health Department 200 CE Colston Drive Marietta, OK 73448 (580) 276-2531 Major County Health Department 501 E. Broadway Fairview, OK 73737 (580) 227-3362 Marshall County Health Department PO Box 476 310 W. Lillie Blvd. Madill, OK 73446 (580) 795-3705 Mayes County Health Department 111 NE First Pryor, OK 74361 (918) 825-4224 McClain County Health Department 919 N Ninth Street Purcell, OK 73080 (405) 527-6541 McCurtain County Health Department 1400 Lynn Lane Idabel, OK 74745 (580) 286-6620 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 41 McIntosh County Health Department 29 Hospital Road PO Box 71 Eufaula, OK 74432 (918) 689-7774 Murray County Health Department 730 Cambridge Sulphur, OK 73086 (580) 622-3716 Muskogee County Health Department 530 S 34th Street Muskogee, OK 74401 (918) 683-0321 Noble County Health Department 300 E Fir Street Perry, OK 73077 (580) 336-2257 Nowata County Health Department C/O Rogers CHD 2664 N Highway 88, Unit A Claremore, OK 74017 (918) 341-3166 Okfuskee County Health Department 125 N Second Okemah, OK 74859 (918) 623-1800 Oklahoma City-County Health Department 921 NE 23rd Oklahoma City, OK 73105 (405) 427-8651 Okmulgee County Health Department 1304 R.D. Miller Drive Okmulgee, OK 74447 (918) 756-1883 Osage County Health Department 535 Leahy, Suite 103 Pawhuska, OK 74056 (918) 287-3740 Ottawa County Health Department 1930 N Elm Miami, OK 74354 (918) 540-2481 Pawnee County Health Department 639 Seventh Street Pawnee, OK 74058 (918) 762-3643 Payne County Health Department 1321 W. 7th Ave Stillwater, OK 74074 (405) 372-8200 Pittsburg County Health Department 1400 E. College Ave McAlester, OK 74501 (918) 423-1267 Pontotoc County Health Department 2330 Arlington Street Ada, OK 74820-2656 (580) 332-2011 Pottawatomie County Health Department 1904 Gordon Cooper Dr. Shawnee, OK 74801 (405) 273-2157 Pushmataha County Health Department 318 W Main St Antlers, OK 74523 (580) 298-6624 Roger Mills County Health Department C/O Jackson CHD 401 W. Tamarak Road Altus, OK 73651 (580) 482-7308 Rogers County Health Department 2664 N Highway 88, Unit A Claremore, OK 74017 (918) 341-3166 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 42 Seminole County Health Department 200 S Brown Wewoka, OK 74884 (405) 257-5401 Sequoyah County Health Department 612 N. Oak Street Sallisaw, OK 74955 (918) 775-6201 Stephens County Health Department 1401 Bois D'Arc Duncan, OK 73533 (580) 252-0270 Texas County Health Department 1410 N East Street Guymon, OK 73942 (580) 338-8544 Tillman County Health Department 1500 N Main Street Frederick, OK 73542 (580) 335-2163 Tulsa City-County Health Department 5051 South 129th East Avenue Tulsa, OK 74134 (918) 582-9355 Wagoner County Health Department 212 N Pierce Wagoner, OK 74467 (918) 485-3022 Washington County Health Department 5121 S.E. Jacquelyn Lane Bartlesville, OK 74006 (918) 335-3005 Washita County Health Department 1121 N Market Cordell, OK 73632 (580) 832-5062 Woods County Health Department 901 - 14th Street Alva, OK 73717 (580) 327-3192 Woodward County Health Department 1631 Texas Ave Woodward, OK 73801 (580) 256-6416 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 43 Resources and Services Directory for Head Injury and Other Conditions Section 4: Selected Health Care Professionals 1000 NE 10TH ST. OKC, OK 73117 TEL 405.271-3430 OR 800.522.0204 (OK only) FAX 405.271.2799 WEB http://ips.health.ok.gov O K L A H O M A S T A T E D E P A R T M E N T O F H E A L T H Funded in part by (H21MC06749) from the US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Neurosurgeons in Oklahoma Neurosurgeons are one specialty of a team of physicians involved in the accurate diagnosis and treatment of head injuries as soon as possible after the injury event. They perform surgery as indicated, follow the patient through the hospital stay, and recommend follow up care. Persons who have injury-related problems after discharge or experience problems weeks or months after discharge should contact the neurosurgeon to determine the possiblity of complications or referral to another physician/professional for appropriate treatment. (Contact information subject to change J. Michael Alvis, MD 2412 Palmer Circle Norman, OK 73069 405-321-6347 Benjamin Benner, MD 6767-A South Yale Tulsa, OK 74136-3303 918-492-7587 Christopher Boxell, MD 9001 S. 101st E. Ave, Ste 190 Tulsa, OK 74133 918-392-9670 Christopher Covington, MD 6802 S. Olympia Ave, Ste 300 Tulsa, OK 74132 918-749-0762 Karl Detwiler, MD 6767-A South Yale Tulsa, OK 74136-3302 918-492-7587 Johnny Duncan, DO 110 N.W. 31st - 2nd Floor Lawton, OK 73505 580-248-5255 Mark Duncan, DO 110 N.W. 31st - 2nd Floor Lawton, OK 73505 580-248-5255 Charles Engles Jr, MD 4120 W Memorial Rd, Ste 208 Oklahoma City, OK 73120-9322 405-755-3540 David Fell, MD 6767-A South Yale Tulsa, OK 74136-3302 918-492-7587 Allan S Fielding, MD 2000 S. Wheeling Ave, Ste 1110 Tulsa, OK 74133 918-294-0080 Eric Friedman, MD 4120 W Memorial Rd, Ste 300 Oklahoma City, OK 73120-9322 405-748-3300 Charles Fullenwider, MD 333 S 38th, Ste F Muskogee, OK 74401-4937 918-682-8087 Steven Gaede, MD 6802 S. Olympia Ave, Ste 300 Tulsa, OK 74132 918-749-0762 Mary Gumerlock, MD 1000 N. Lincoln Blvd., Ste 400 Oklahoma City, OK 73104-5023 405-271-4912 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 44 Michael Hahn, MD 4120 West Memorial Road, Ste 300 Oklahoma City, OK 73120-9322 405-748-3300 Brent Neal Hisey, MD 14100 Parkway Commons Drive, Ste 201 Oklahoma City, OK 73134 405-945-4720 Donald D Horton, MD 14100 Parkway Commons Drive, Ste 201 Oklahoma City, OK 73134 405-945-4720 Douglas Koontz, MD 6767-A S Yale Tulsa, OK 74136 918-492-7587 David G Malone, MD 1919 S Wheeling, Ste 706 Tulsa, OK 74104-5635 918-794-5542 Kyle J Mangels, MD 6802 S. Olympia Ave, Ste 300 Tulsa, OK 74132 918-749-0762 John Marouk, DO 2128 S Atlanta Place Tulsa, OK 74114-1709 918-583-5131 Jeffrey Paul Nees, MD 3400 W. Tecumseh Road, Ste 305 Norman, OK 73072-1812 405-701-8582 Stephen Ofori-Kwakye, MD 3201 West Gore Blvd, Ste 303 Lawton, OK 73505 580-353-6000 David Pagnanelli, DO 5604 SW Lee Blvd, Ste 357 Lawton, OK 73505 580-531-4600 Stanley Pelofsky, MD 4120 W Memorial Rd, Ste 300 Oklahoma City, OK 73120-9322 405-748-3300 Bruce D Pendleton, MD 620 S. Madison Street, Ste 202 Enid, OK 73701 580-616-7605 Barry Pollard, MD 102 S Van Buren Enid, OK 73703-5866 580-242-7030 Robert Remondino, MD 4120 W Memorial Rd, Ste 300 Oklahoma City, OK 73120-9322 405-748-3300 W Emery Reynolds, MD 4120 W Memorial Rd, Ste 208 Oklahoma City, OK 73120 405-755-3540 Scott Robertson, MD 9060 Harmony Drive, Ste E Midwest City, OK 73130 405-737-0203 James Allen Rodgers, MD 6565 South Yale Ave, Ste 709 Tulsa, OK 74136 918-481-4965 Samuel Shaddock, MD 13205 Glad Acres Dr Dallas, TX 75234-5202 972-484-408 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 45 Richard V Smith, MD 4120 W Memorial Rd, Ste 205 Oklahoma City, OK 73120 405-749-7080 Stewart Smith, MD 3705 N.W. 63rd Street, Ste 212 Oklahoma City, OK 73116 405-608-4300 John Richard Smithson JR, MD 2000 S. Wheeling Avenue Tulsa, OK 74104 918-748-7854 Robert E Tibbs Jr, MD 4120 W Memorial Rd, Ste 300 Oklahoma City, OK 73120-9322 405-748-3300 Frank Tomecek, MD 6802 S. Olympic Ave, Ste 300 Tulsa, OK 74132 918-749-0762 Gregory Wilson, DO 9709 E. 79th Street South Tulsa, OK 74133 918-994-4000 Ronald Woosley, MD 2000 S. Wheeling Avenue Tulsa, OK 74104 918-748-7854 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 46 Physical Medicine and Rehabilitation Physicians Physicians in this specialty are Board-certified to practice physical medicine and rehabilitation. They are responsible to evaluate and diagnose an individual’s physical status in relation to rehabilitative needs, direct the rehabilitation services plan and direct staff who are implementing the services, including physical therapy, occupational therapy, swallowing therapy, speech/language therapy, and counseling. The specialty provides rehabilitative care for medical and surgical conditions. Referral for services may be made through professionals or self-referral. (Contact information subject to change) Donald E. Adams, MD St. Anthony North 6205 N Santa Fe, Ste 200 Oklahoma City, OK 73118 (405) 427-6776 Archana Barve, MD 5701 N Portland, Ste 210 Oklahoma City, OK 73112 (405) 949-6481 Jean Bernard, MD 1809 E. 13th, Ste 100 Tulsa, OK 74104-4419 (918) 582-6800 Albert Bisson, MD 4120 W Memorial Road, Ste 118 Oklahoma City, OK 73120 (405) 748-4700 Christopher Bouvette, MD 4120 W Memorial Rd, Ste 118 Oklahoma City, OK 73120 (405) 748-4700 Kimberly Bouvette, MD 4120 W Memorial Rd, Ste 118 Oklahoma City, OK 73120 (405) 748-4700 Andrew Briggeman, DO 701 W. Queens Street, Ste 100 Broken Arrow, OK 74012 (918) 994-4810 Michael Brown, MD 4120 West Memorial Rd, Ste 118 Oklahoma City, OK 73120 (405) 748-4700 Michael Carl, MD 105 S. Bryant, Ste 301 Edmond, OK 73034 (405) 509-6241 Donald Chadwell, MD 1015 N Shartel Ave Oklahoma City, OK 73102-1021 (405) 605-1400 Perri Craven, MD 1125 S. Trenton Avenue Tulsa, OK 74120 (918) 579-7100 Rita Hancock, MD 1020 24th Ave NW, Ste 100 Norman, OK 73069-6341 (405) 447-4999 James D. Harris, DO Veterans Agency 1011 Honor Heights Dr Muskogee, OK 74401 (918) 683-3261 x 3396 Ashok Kache, MD 1145 S Utica, Ste 403 Tulsa, OK 74104-4015 (918) 584-3548 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 47 Sanjiv M. Kaul, DO Tomlinson Med Complex 3201 W Gore Blvd, Ste G1 Lawton, OK 73505 (580) 250-6659 James Lee, MD 4802 N.W. 10th Street Oklahoma City, OK 73127 (405) 702-1667 Andrew Olshen, MD Rehab Associates of Muskogee 3502 W. Broadway Muskogee, OK 74401 (918) 682-2815 Timothy Pettingell, MD 1621 S Eucalyptus Ave, Ste 204 Broken Arrow, OK 74012 (918) 252-7952 James Rascoe, DO 1119 E. Wade Watts Avenue McAlester, OK 74501 (918) 426-2026 Anil Reddy, MD 9725 E. 79th Street, Ste A Tulsa, OK 74133 (918) 252-0112 Srikanth Reddy, MD 8803 S 101st East Ave, Ste 290 Tulsa, OK 74133-5716 (918) 459-9500 Darryl Robinson, MD 3110 S.W. 89th, Ste 102 Oklahoma City, OK 73159 (405) 703-4950 Gary Schick, MD 3406 S. Boulevard Edmond, OK 73013 (405) 230-9450 Kristi Self, MD 721 NW 6th St, Ste 201 Oklahoma City, OK 73102-1205 (405) 235-5135 Charles Shields, MD 330 S Fifth St, Ste 305 Enid, OK 73701 (580) 242-1224 Kathleen M. Sisler, MD 6585 S. Yale Ave, Ste 200 Tulsa, OK 74136 918-481-2767 M. Shawn Smith, MD 5100 N Brookline, Ste 500 Oklahoma City, OK 73112 (405) 605-8780 Surichi Tanejo, MD & Steve Yost, PA J.C. Montgomery Veterans Affairs Med Ctr 1011 Honor Heights Drive Muskogee, OK 74401 (918) 683-3261 D. Brent Tipton, MD 5100 N Brookline, Ste 530 Oklahoma City, OK 73112 (405) 604-6652 Kumudini Vaidya, MD 2222 W. Iowa Avenue Chickasha, OK 73108 405-224-8111 Annie Venugopal, MD 1705 E 19th, Ste 501 Tulsa, OK 74104-5416 (918) 744-8110 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 48 Neuropsychologists, Oklahoma Neuropsychology is a relatively new field where clinicians investigate the relationship between human behavior and how the brain works. They use several tests to measure the person’s skills by evaluating strengths and weaknesses following brain injury, which helps in planning appropriate rehabilitation and vocational (work or school) activity. (Contact information subject to change) (Children and adults) James Scott, Ph.D., ABPP-CN Psychiatry & Behavioral Sciences University of Oklahoma Health Sciences Center Oklahoma City, OK Tel: 405/271-5251, ext 47653 Jim-scott@ouhsc.edu Jan Culbertson, PhD Dept of Pediatrics University of Oklahoma Health Sciences Center Tel: 405/271-5700 Oklahoma City, OK Jan-culbertson@ouhsc.edu Lori Holmquist, Ph.D. 3330 N.W. 56th Street, Ste 305 Oklahoma City, OK 73112 Tel: 405/713-7065 Russell Adams, Ph.D., ABPP-CN Psychiatry & Behavioral Sciences University of Oklahoma Health Sciences Center Oklahoma City, OK Tel: 405/271-5251, ext 47680 russell-adams@ouhsc.edu Ernest Beckham, PhD, ABPP 6406-A N Santa Fe Oklahoma City, OK 73116 Tel: 405/840-3793 edbechkam@att.net Jerry Duncan, PhD, ABPP 119 N. Broadway Avenue, Suite 104 Ada, OK 74820 Tel: 580-310-9588 Herman Jones, Ph.D. Dean of Student Affairs University of Oklahoma Health Sciences Center Oklahoma City, OK Tel: 405/271-2316 Herman-jones@ouhsc.edu William Leber, Ph.D. Psychiatry & Behavioral Sciences University of Oklahoma Health Sciences Center Oklahoma City, OK Tel: 405/456-1000, Ext 63140 William-leber@ouhsc.edu Stephen Miller, PhD, ABPP 1900 NW Expressway, Site 900 Oklahoma City, OK 73118 Tel: 405/810-1133 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 49 Mickey Ozolins, PhD, ABPP Neuropsychology Associates 4140 W Memorial Rd, Ste 601 Oklahoma City, OK 73120 Tel: 405/749-2870 Bill Rowe, Psy.D, Ph.D. Neuro Resources 3441 W. Memorial Road, Ste 7 Oklahoma City, OK 73134 (405) 286-6000 Terry Shaw, PhD, ABPN 7146 South Braden Avenue, Ste 500 Tulsa, OK 74136 Tel: 918/488-6165 terrys@health.ok.gov Janet Spradlin, PhD, ABPP 1000 N Lee, Rm 5143 Oklahoma City, OK 73101 Tel: 405/272-6554 Janet_spradlin@ssmhc.com Richard E Sternlof, PhD, ABPP 3035 NW 63rd St., Ste 227 Oklahoma City, OK 73116-3631 Tel: 405/848-8489 Thomas Vaughn, PhD, ABPP Unity Health Center Hospital 3200 Medical Park Drive Shawnee, OK 74804 Tel: 405/878-3432 tvaughn@sbcglobal.net Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 50 Geographical Listing of Health Service Psychologists Licensed psychologists provide testing, assessment, diagnostic and counseling services (2005). Ada Burk, John, PhD Heitland, William Carl, EdD Lynd, Robert Sterling, PhD Maxwell, Roy T, EdD Randleman, Randy, PhD Wigdor, Reubin, PhD Bartlesville Bowen, Peggy Cooper, PhD Dohne, Thomas Wayne, PhD Fisher, Laura Emily, PhD Harpole, Carolyn Annetta, PhD Bethany Budd, Philip R, PsyD Wright, Ronald, PhD Broken Arrow Chronister, Gary L, PhD Goulden, Lisa, PhD Robineete, Kerstin, PhD Sellen, Z Faith, PhD Catoosa Bost, Diana E, PhD Claremore Rogers, Clayton Wayne, EdD Drumright Lively, KL, PhD Duncan Bonner, Donald Wayne, EdD Earslboro Beesley, Denis, PhD Edmond Beasley, Ron, PhD Cochran, Randy L, PsyD Cook, Bruce, EdD Davis, Walter R, PhD Doan, Jr, Robert Eugene J, PhD Elam, Joseph D, PhD France, Gary A, PhD Gerrity, Kathleen M, PhD Holmes, Deborah H, PhD Letchworth, Frances Everett, PhD Marotta, Lisa Lynn, PhD Scott, Jill MacKay, PhD Shadid, Tom F, PhD Swink, Richard H, PhD Tobin, Paul G, PhD Walker, C Eugene, PhD Youll, Lorraine, PhD El Reno Danaher, Robert, PsyD Scott, Eddie K, EdD Enid Betz, Wendi, PhD Close, Stephen R, PhD Cotton, Catherine M, PsyD May, Deborah Duncan, PhD Miller, Sarah, PhD Sorey, Kenneth E, EdD Ft. Sill, Lawton Bryant, Roger Allen, PsyD Goodwell Burns, Cecil W, PhD Shafer, L Loyet, PhD Grove Abernathy, Steven R, PhD McDougall, Hugh M. PhD Petrick, Sandra, PhD Hominy Ekenstam, Carolyn, PhD Hunter Betz, Wendi, PhD Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 51 Jenks Shackelford, Julia Brassfield, PhD Lawton Brady, Douglas O, PhD Brady, Sharon Smith, PhD Clanton, Marc, PsyD Dick, Kenneth E, PhD Dick, Leah D, PhD Dodd, David, PhD Ferguson, Dennis, PhD Hollwege, Dennis Ray, PhD Lynch, Darrell Lee, PhD Lynch, Jana Beth, PhD Stephens, Ted W, MS Wahl, Jane Aurell, PhD Lexington Keithley, James W, PhD Little, Ernest L, PhD Steen, Annice Jo, PhD McAlester Shaw, Terry Glen, PhD Miami Long, Judith A, PhD Midwest City Night, Linda Jane, PhD Moore Roach, Rachel Lynn, PhD Muskogee Graybill, B Todd, PhD Lee, James M, PhD Noble Kritzberg, Samuel, PhD Norman Acree, Patricia Cox, PhD Adkins, David S, PhD Argentos, Mary Jane, PhD Ashby, Rachel, PhD Bower, Dian, PhD Boyd, Harry S, PhD Boyd, Kathryn Ann, PhD Britz, Darren Ernest, EdD Burchfield, Deborah, PhD Chioco, Cynthia W, PsyD Cummings, Ronald, PhD Danback, Karen, PsyD Daves, Michael Frank, PhD Dilley, Nancy Hiatt, PhD Dupell, Julie Cocklin, PhD Elisens, Merrie, PhD Farwell, Kit, PhD Featherston, Jamie K, PhD Gatch, Vera M, PhD Hamil, Wade L, PhD Holt, Rebecca Roddey, PhD Howe, Allison C, PhD Hume, Don W, PhD Jacobs, Mildred O, PhD Kendall, Karen Sloulin, PhD Koch, Russell, PhD Lindsay, Gary Roger, PhD Marcus-Mendoza, Susan Taft, PhD McCaffrey, Candace Krause, PhD McCaffrey, Jr, Raymond Henry, PhD McClanahan, Walter Val, PhD McCullough, Mona, PhD McKinney, Margaret, PhD Miske, Paul, PhD Mobley, Diana G, PhD Olson, Margaret Edith, PhD Pace, Terry Mac, PhD Palmer, Roland L, PhD Perkins, Vicki J, PhD Ragland, Edith Keeton, PhD Ragland, Robert E, PhD Rosko, Charlotte K, PhD Sharp, Bill, PhD Spencer, Herbert L, PhD Stoltenberg, Calvin Dale, PhD Taber, S Kay, PhD Tedder, Sandra Lee, PhD Terry, Carol A Sweeney, PhD Trousdale, Jean B, PhD Washington, Aubrey Owen, PhD Wayne, William R, PhD Willis, Diane J, PhD Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 52 Nowata Jones-Hackworth, Janet, PhD Oklahoma City Abbott, Catharine, PhD Adams, Russell L, PhD Adcock, Rebecca, PhD Ahluwalia, Ekta “Wally”, PhD Allbright, Karen E, PhD Allen, Sandra F, PhD Austin, Elizabeth, PhD Ayers, Michael R, PhD Baird, Teresa Davis, PhD Baumann, Karen S, EdD Baumberger, Theodor S, PhD Beasley, Jr, Stewart R, PhD Beckham, Ernest Edward, PhD Blackwood, Jr, Grady L, PhD Boland, Jr, John Louis, PhD Bonner, Barbara L, PhD Boyer, JD, Jenny L, PhD Brandon, Patricia, PhD Brandt, Ruth A, PhD Bright, Katrina H, PhD Britt, Betty Jean, PhD Broadway, Clifford M, PhD Burke, Celia A, PhD Call, JD John Arnold, PhD Capra, Patricia, PhD Carella, Stephen D, PhD Carlson, David K, PsyD Carothers, Richard A, PhD Chaffin, Mark, PhD Clark, Pamela, PhD Coburn, Thurman E, PhD Corrigan, Susan, PhD Couch, Joseph B, PhD Coyle, II, Edward Louis, PhD Cruse, J Ronald, PhD Culbertson, Jan, PhD Curry, Judith R, PhD Danker, Pamela, PhD Dlugokinskim, Eric, PhD Dlugokinski, Lesley J, PhD Dye, Larry, PhD Edgar, Max M, PhD Enlow, R Vernon, PhD Evans, Thomas E, PhD Ferguson, Nelda M, PhD Fischer, Pamela Correia, PhD Fishkin, Steven M, PhD Foley, Dana Deardeuff, PhD Friedman, Joyce, PhD Funderburk, Beverly, PhD Galloway, Rita J, PhD Goebel, Kay, PhD Goodrich, Carolyn Collins, PhD Gray, Libbe, PhD Green, R Keith, PhD Gurwitch, Robin Hilary, PhD Hand, Ray, PhD Hartley, Deborah K, PhD Hawkins, Gene A, PhD Heath, Paul A, EdD Hobson, Gale L, PhD Holland, Christa, PhD Holloway, Joan A, PhD Huszti, Heather C, PhD Hyde, Diane Hoehn, PhD Hyde, Philip Carlton, PhD Isenberg, Roy M, PhD Johnsen, David E, PhD Johnson, Mark, PsyD Jones, Dan Elkins, PhD Jones, Herman E, PhD Jones, Thomas, EdD Kampschaefer, Cynthia M, PsyD Kampschaefer, George Michael, PsyD Kates, Janet, PhD Keller, James, PhD King, Edith G, PhD Kragh, Jeffrey, PhD Krimsky, Martin , PhD Kuekes, Edward G, PhD Kuperman, Bernard David, PhD Langsdorf, Richard, PhD Leber, William Roger, PhD Leveridge, Marci, PhD Logue, Mary Beth, PhD Lottinville, Elinor, PhD Mason, Patrick J, Phd McCauley, Larry, EdD McCurdy, Susan, PhD Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 53 Oklahoma City continued McKee, Kieth D, PhD McMorrow, Mary Ann, PsyD Mertens, Ruth Ann, PhD Miller, Stephen, PhD Moore, Marcia S, PhD Moran, Dennis John, PhD Morgan, Barbara Jean Scott, PhD Morgan, Catherine N, PhD Morris, Hoyt, PhD Murphy, Philip J, PhD Nye, Patricia N, PhD O’Donnell, John L, PhD Olson, Roberta Ann, Phd Ozolins, Delmar A, PhD Ozolins, Mickey S, PhD Phillips, Faith, PhD Pokorny, Lois J, PhD Post, Timothy A, PsyD Preisz, Melvyn G, PhD Price, B Max, PhD Ramseyer, Susan Sundari, PhD Rasmussen, Elizabeth A, PhD Rouse, Gary A, PhD Russell, Warren Keith, PhD Schaefer, Arlene B, PhD Schmid, William F, PhD Schoell, John, PhD Scott, James Glenn, PhD Shaw, Catherine Jarvis, PsyD Shaw, William F, PhD Sherman, Michelle, PhD Shewmaker, Kenneth L, PhD Silovsky, Jane, PhD Simpson, Sharon, PhD Sisney, Vernon V, PhD Smallwood, RE, PhD Smith, Harrison Morton, PhD Sneed, Mark McCallon, PhD Speed, Liliana F, PhD Spradlin, Janet M, PhD Stephen, Michael, PhD Sternlof, Richard Edward, PhD Sturgis, James E, PhD Tassey, John Richard, PhD Thomas, W Brian, PsyD Trapp, Maria, PhD Trombley, Robert, PhD Tyndall, Karen Yopp, PhD VanHorn, Laurel A, PhD Varga, Terrie, PhD Waters, Diana G, PhD Weaver, Carrol R, PhD Whatley, Philip R, PhD White, Jerry, PhD Wood, Arlis G, PhD Zamberlin, Jeanette L, PhD Okmulgee Berryhill, Elise, PhD Bryant, William T, PhD Choney, Sandra Kaye, PhD Pauls Valley Pearce, Burnard L, PhD Perry Reed, Gregory W, PhD Ponca City Hassell, Perry L, PhD Ravella, Neil, PhD Smith, Dan M, PhD Sapulpa Geyer, Michele Ann, EdD Shawnee Ball, M Gerald, PhD Cargill, Jonathan D, PhD Dilley, Jim, PhD Petrin, Elizabeth, PhD Vaughn, Thomas J, PhD Stillwater Boswell, Donald L, PhD Burks, Linda Kaye, PhD Burns, Larry Wayne, PhD Campbell, Alan Carl, PhD Carlozzi, Alfred F, EdD Carlson, John, PhD Chaney, John, PhD Clemens, Laurie, PhD Fulgenzi, Lawrence B, PhD Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 54 Stillwater continued Garabedian, Krikor (Greg)B, PhD Gentry, William C, PhD Griffith, Kelly, PhD Lindsey, Ralph, PhD Long, Patricia J, PhD Miville, Marie, PhD Mullins, Larry L, PhD Oehler-Stinnett, Judy, PhD Ray, Stanley Richard, PhD Romans, John Stanley Charles, PhD Sandvold, Kenneth, PhD Schlottman, Robert S, PhD Stinnett, Terry A, PhD Sullivan, Maureen A, PhD Taraldson, Bonnie J, PhD Thomas, Kathy Helpinstill, PhD Waller, Robert R, PhD Winterowd, Carrie, PhD Taft Hansen, David, PhD Vinsant, Terry Neal, PhD Tahlequah LaGrand, Denis, PsyD Locke, Sandy, PhD Paris, Kenny, PhD Reese, Linda, EdD Tecumseh Fuchs, Raymond Marcus, PhD Tulsa Adams, Judith K, PhD Adams-Westcott, Janet, PhD Armentrout, David P, PhD Atwood, John T, PhD Barnes, Leslie E. PhD Basso, Michael R, PhD Bear, Teresa Marie, PhD Beard, Jo Ellen, PhD Bedwell, H Wade, PhD Berman, William Bruce, PhD Bianco, Faust, PhD Blankenship, Bryan K, PhD Bond, Leslie Bear, PhD Booth, Kerry G, PhD Bost, Richard, PhD Bramble, Fred B, PhD Brian, Tommie J, EdD Butler, Beatrice Elizabeth, EdD Cage, James W, PhD Capehart, Janet, EdD Carter, Ann L, PhD Casler, Jacqueline, PhD Clapp, Robert K, PhD Cleary, John William, PhD Cohn, Miramar Garcia, PhD Coldwell, Geralann K, MA Conger, Alan PsyD Cooper, Paul, PhD Cooper, William L, PhD Crews, Sandy Angus, PhD Dafforn, Thomas Alan, PhD Daniell, Jennifer Lynn, PhD Drummond, Carol Ann K, PhD Duffield, Beverly, PhD Duncan, Jerry N, PhD England, Toni, PhD Epperley, Jane Riemer, PhD Eyer, Jerry Carl, PhD Feller, Randall D, PhD Fonkalsrud, A Owen, MA Friedman, Michael A, PhD Fritsch, Joseph P, PhD Fritz, Jeri Louise, PhD Fritz, Karen Sue, PhD Furlong, Cathy Lynn, PhD Gentz, Douglas, PhD Gordon, Minor W, PhD Govaerts, Kathryn A, PhD Grannis, Pamela Dillard, EdD Greenwood, E Ann Miles, PhD Gruenau, Steven Powell, Phd Hall, Terese, PhD Harkness, Allan R, PhD Hayes, Nancy, PhD Hewett, Barbara Burton, PhD Hickman, John William, PhD Hinkelman, Jeanne, PhD Hodson, Bruce Richard, PhD Hoffman, Thomas A, PhD Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 55 Tulsa continued Hogan, Robert, PhD Howard, Susan S, PhD Hurlburt, John David, PhD Jarman, Randall Wayne, PhD Jeffus, E Dale, PhD Jernigan, Duie R, PhD Johnson, Bonnie B, PhD Johnson, Craig L, PhD Jones, J Richard, PhD Kaul, Manju, PhD Kemp, Sarah “Sally” L, PhD Kilpatrick, Cheryl A, Phd Kranau, Edgar J, PhD Kugler, Karen E, PhD LaFortune, JD, Kathryn, PhD Leslie, Carol L, EdD Lewis, Mary Anne, EdD Lock, Michael L, PhD Love, Angela S Cole, PhD Lukens, Jr, Horca C, PhD Magee, Mary Ross, PhD Martin, Michael, PhD McCarty, Dow Greg, PhD McCoy, George F, PhD McGraw, Deborah, PhD Miles, Robert Edwin, PhD Millican, Dorothy, PhD Monroe, Paula R, PhD Montgomery Jr, Dean P, PhD Murphy, Cynthia Macielski, PhD Nelson, R Eric, PhD Newman, Elana, PhD Newman, Patrick, PhD Nicholas, Rebecca, EdD Nicholson, Robert A, PhD Parker, Mary Llewellyn, PhD Patterson, George Howard, PhD Patterson, Lindsay A, PhD Phillips, Susan M, PhD Price, Reese E, PhD Rawlings, Dennis A, PhD Redwood, Susan K, PhD Reynolds, A Eugene, PhD Reynolds, Cynthia Lewis, PhD Rich, Melanie S, PhD Rineer, Mary Elizabeth, PhD Sadler, Mark S, PhD Schwartz, Joseph Michael, PhD Schwartz, Paul Jan, PhD Scruggs, Joe B, PhD Shafer, James K, PhD Sherman, Adam G, PhD Sherman, Samuel J, PhD Shoemaker, Stephen Forrest, PhD Smith, David G, EdD Smith, Janice B, PhD Spanier, Maribeth, PhD Sperle, Mark A, PhD Stevens, Vivian Mancini, PhD Stockley, Daniel M, PhD Sweet, Allen W, PhD Sweet, Marcella H, PhD Taylor, Gladys J (Ann), PhD Tomlinson, Dennis A, PhD Trentham, Bart, PhD Vantine, Jerry Odell, PhD Vanzetti, Nelly A, PhD Vaught, Larry, PhD Wakefield, David Ray, PhD Walton, Richard Allyn, PhD Ward, Julie Powell, PhD Welch, Thomas, PsyD Williamson, Diane H, EdD Willis, Janet Gayle, PhD Vinita Grundy, Curtis Todd, PhD Grundy, Elizabeth Mollette, PhD Russell, Anita Jeanne, EdD Weatherford Wolff, Michael W, PhD Wewoka Moore, Darwin Glen, PhD Woodward Kahoe, Richard D, PhD Yukon Glass, Vincent A, PsyD Whittenberg, Linda K, PhD Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 56 Optometrists Who Provide Visual Therapy, Oklahoma Vision therapy is provided by optometrists who practice preventive and rehabilitative optometry by first seeking the cause of visual dysfunction and treating those causes, not just the symptoms that include headaches, blurred or double vision, poor comprehension, or “not working to potential.” Although the majority of people may benefit from this care, it is especially effective for the following groups: Individuals who have suffered a brain injury or other cerebral trauma, Students diagnosed as “learning disabled,” Computer users, Athletes, Persons labeled as “juvenile delinquents,” Persons who use their near vision a great deal at work or in recreation. Vision is the dominant sense in the process of deriving meaning from what is seen. It is a learned and developed set of functions that involves many skills. It is estimated that 80%- 85% of our perception, learning, cognition and activities are made possible through vision. More than 50% of people with neurologic impairments such as traumatic brain injury, stroke, multiple sclerosis, etc., have visual and visual-cognitive disorders. The three main visual problems resulting from brain injury and stroke are visual field loss, intractable double vision, and visual/balance disorders. In many cases, a poorly developed visual system, or one that has been damaged, leads to processing difficulties for these individuals. A complete visual evaluation can determine if the problem is visually related and if the person can benefit from specific vision therapies. Optometrists who provide Visual Therapy in Oklahoma: *Board certified. Contact information subject to change Alva Trina Piper-Hughbanks, O.D. 515 College Ave. Alva, OK 73717-2221 Tel: 580/327-3335 Email: ktrh@yahoo.com Edmond *Damon White, O.D., FCOVD 1300 E 15th Street, Ste 170 Edmond, OK 73013-5042 Tel: 405/216-0707 FAX: 405/216-0777 Fort Gibson Debbie Coy, O.D. 330 W. Hwy 62 Fort Gibson, OK 74434 Tel: 918/478-8888 Email: dcoyyeyes@sbcglobal.net Guthrie *Doug Cook, O.D., FCOVD 2114 W Noble Ave. Guthrie, OK 73044-2116 Tel: 405/260-2020 Email: twoeyedox@aol.com Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 57 Lisa M. Cook, O.D. 2114 W Noble Ave. Guthrie, OK 73044-2116 Tel: 405/260-2020 FAX: 405/282-8886 Email: twoeyedox@aol.com Lawton Monique Leong, O.D. 3414 N.W. Cache Road, Suite B, 73505 Or 1415 W. Gore Blvd., 73501 Lawton, OK Tel: 580/458-9756 FAX: 580/536-4325 Email: moniquewleong@yahoo.com Oklahoma City Ralph Latimer, O.D. 8800 S. Pennsylvania Oklahoma City, OK 73159 Tel: 405/684-9448 Samuel C. Oliphant, O.D. 14000 Quailbrook Drive Oklahoma City, OK 73134 Tel: 405/751-7727 FAX: 405/755-1875 Email: soliphant@cox.net George Shields, O.D. Shields Family Eye Care 3545 W Memorial Oklahoma City, OK 73134 Tel: 405/749-8300 Email: gshiledsod@hotmail.com Park Hill Stephanie Rice, O.D. 24295 Highway 82 Park Hill, OK 74451 Tel: 918/207-0700 Email: smrod@hotmail.com Sapulpa Margo Hagen, O.D. 741 S. Mission Sapulpa, OK 74066-4659 Tel: 918/227-3927 FAX: 918\696-8882 Email: visualsens@aol.com Tahlequah Lynn Cyert, O.D. NSU College of Optometry 1001 N Grand Ave. Tahlequah, OK 74464-7017 Tel: 918/458-2109 FAX: 918/458-9603 Email: cyert@nsuok.edu Wesley Joseph DeRosier, O.D. NSU College of Optometry 1001 N. Grand Ave. Tahlequah, OK 74464-7017 Tel: 918/458-2109 FAX: 918/458-2104 Email: derosier@nsuok.edu Heidi Thoden, O.D. NSU College of Optometry 1001 N Grand Ave. Tahlequah, OK 74464-7017 Tel: 918/744-1480 FAX: 918/458-2104 thoden@nsuok.edu Tulsa *Monte Harrel, O.D. 4520 S Harvard, Ste 135 Tulsa, OK 74135-2916 Tel: 918/745-9662 FAX: 918/745-9663 drharrel@oklahomavision.com *Carol L. Sweet, O.D., FCOVD 6913 S Canton Ave., Ste 200 Tulsa, OK 74136-3426 Tel: 918/491-7396 FAX: 918/491-7399 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 58 Resources and Services Directory for Head Injury and Other Conditions Section 5: State and Loca
Object Description
Description
Title | head injury Resource Manual |
OkDocs Class# | H845.5 R434s 2011 |
Digital Format | PDF, Adobe Reader required |
ODL electronic copy | Downloaded from agency website: http://www.ok.gov/health/documents/Resource%20Manual.pdf |
Rights and Permissions | This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders. |
Language | English |
Full text | Resources and Services Directory for Head Injury and Other Conditions Injury Prevention Service Oklahoma State Department of Health 1000 N.E. 10th Street Oklahoma City, OK 73117 Phone: (405) 271-3430 or 1-800-522-0204 (Oklahoma Only) Fax: (405) 271-2799 http://ips.health.ok.gov Funded in part by (H21MC06749) from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau Revised July 2011 Resources and Services Directory for Head Injury and Other Conditions Table of Contents and Acknowledgements 1000 NE 10TH ST. OKC, OK 73117 TEL 405.271-3430 OR 800.522.0204 (OK only) FAX 405.271.2799 WEB http://ips.health.ok.gov O K L A H O M A S T A T E D E P A R T M E N T O F H E A L T H Funded in part by (H21MC06749) from the US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Resources and Services Directory for Head Injury and Other Conditions Table of Contents Acknowledgements Section 1. Introduction and Background of Head Injury Purpose and Use of Resources and Services Directory ..............................................1 Definition of Selected Terms ......................................................................................2 Background of Traumatic Brain Injury.....................................................................10 Section 2. Accessing and Paying for TBI and Related Services ...........................................14 Section 3. Scope of Health Care Services in Oklahoma Emergency Medical Services and Trauma System ...................................................18 Acute Care Hospitals ...............................................................................................20 Long Term Acute Care Hospitals .............................................................................27 Acute Rehabilitation Centers ....................................................................................28 OKC Service Area Indian Health Centers and Tribal Health Centers ......................31 County Health Departments ......................................................................................39 Section 4. Selected Health Care Professionals Neurosurgeons .........................................................................................................44 Physical Medicine and Rehabilitation Physicians ....................................................47 Neuropsychologists ...................................................................................................49 Psychologists.............................................................................................................51 Optometrists Who Provide Visual Therapy ..............................................................57 Section 5. State and Local Agencies Oklahoma Department of Mental Health and Substance Abuse Services ................59 Community Mental Health Centers ....................................................................60 Institutions of Higher Education ...............................................................................73 Career and Technology Education ............................................................................78 Section 6. State/Local Agencies that Provide Brain Injury/Disability Services and Resources Oklahoma Department of Human Services ..............................................................83 ABLE Tech ...............................................................................................................85 Oklahoma Areawide Services Information System (OASIS) ...................................86 Disability Law Center ...............................................................................................87 State, Community Resources ....................................................................................88 Health-related Organizations and Systems ...............................................................90 Oklahoma Indian Affairs Commission .....................................................................92 Indian Tribal Offices .................................................................................................93 Section 7. Military and Veterans Health Care in the Nation and Oklahoma United States Department of Veterans Affairs .........................................................96 Veterans Health Administration ...............................................................................97 Organization of Care for Veterans of Current Conflicts ...........................................98 Veterans Affairs Polytrauma System of Care ...........................................................98 Military/VA Health Care in Oklahoma...................................................................102 Oklahoma Department of Veterans Affairs ............................................................107 Oklahoma Veterans Centers ...................................................................................107 Selected Online Resources for Service Members, Veterans, & their Families ......109 Section 8. Work and Employment, Vocational Rehabilitation Office of Personnel Management ...........................................................................114 Office of Disability Concerns .................................................................................115 Client Assistance Program ......................................................................................116 Oklahoma Employment Security Commission .......................................................117 Workforce-Oklahoma/One-Stop Centers Local Offices ...................................118 Other Work-related Programs and Services ...........................................................122 Oklahoma Department of Rehabilitation Services .................................................123 Vocational Rehabilitation Division .........................................................................124 Special Education and Department of Rehabilitation Services ........................126 Job Placement Contracts ...................................................................................128 Employment & Retention Contracts .................................................................130 Support Services for Employment Contracts ....................................................132 Supported Employment Contracts ....................................................................134 American Indian Vocational Rehabilitation Programs ...........................................136 Section 9. Resources for Children and Youth (Less than 22 years of age) Oklahoma State Department of Health Family Health Services .....................................................................................137 Children First Program ...............................................................................137 Screening, Special Services and SoonerStart ..............................................137 Family Support and Prevention Service .....................................................139 Child Guidance ...........................................................................................139 University of Oklahoma Child Study Center ..........................................................141 Department of Human Services-Children with Special Health Care Needs ...........142 Oklahoma Health Care Authority-Behavioral Health Department .........................143 State Department of Education ...............................................................................144 Special Education Services .....................................................................................144 Child Find .........................................................................................................145 Special Education and Department of Rehabilitation Services Vocational Rehabilitation-Transition for Students ........................................146 SoonerStart ........................................................................................................147 Local Regional Contacts –SoonerStart Program and Child Find .....................149 Other State Agencies Serving Children and Youth ................................................151 Cerebral Palsy Commission ..............................................................................151 Commission on Children and Youth.................................................................151 Oklahoma Council for Exceptional Children ...................................................151 Oklahoma Disability Law Center (Children) ...................................................152 Section 10. Housing for People with Disabilities in Oklahoma - Office of Disability Concerns (ODC) ...................................................................153 Section 504 Complaint Process ..............................................................................155 Section 504 Coverage .............................................................................................156 Section 504 Frequently Asked Questions ...............................................................158 Organizations Providing Assistance with Housing Issues ......................................158 HUD Program Offices in Oklahoma .......................................................................160 USDA Rural Housing Program Reference Guide ..................................................164 Housing for People with Disabilities in Oklahoma ................................................165 Protection and Advocacy Organizations .................................................................166 Section 11. Community and Disability Related Services Independent Living Centers ....................................................................................167 Oklahoma Respite Resource Network ....................................................................168 2-1-1 Information System .......................................................................................168 Community Action Agencies ..................................................................................169 Medical Equipment .................................................................................................170 Developmental Disabilities Services Division Group Homes ................................171 Oklahoma Brain Injury Association and Support Groups ......................................174 Section 12. Other Resources/Websites Out-of-State Resources and Facilities for Persons with TBI ..................................175 Federal/Veterans and State Head/Brain Injury Resources/Websites ......................180 Acknowledgements The Resource Directory for Head Injury and Other Conditions was first developed by Ruth Azeredo and the Traumatic Neurologic Injury Advisory Council and other partners in 2007. The original Directory was reviewed by individuals selected for their expertise and differing perspectives representing patients and families, the Oklahoma State Department of Health (OSDH), Oklahoma State Department of Education, Department of Mental Health and Substance Abuse, Department of Human Services, hospitals, and other organizations and agencies. It has been updated in 2011 to reflect current resource availability. Advisory Council members: Dedric Anderson Office of Minority Health, OSDH Liz Langthorn Injury Prevention Service, OSDH Gina Cummins, RN Broken Arrow Rehabilitation St. Francis Hospital Kim Gray The Children’s Center Laura Gamino, RN Injury Prevention OU Trauma Services Chris Wende Kayla Bower, Executive Director Disability Law Center, Inc. Gary Bulmer Linda Thomas Office of Minority Health, OSDH Ginger Castleberry Valir Rehabilitation Hospital Patti Davis Oklahoma Hospital Association Marti Ferreti, MPH, PT Division of Rehabilitation Sciences College of Allied Health Pam Forducey, PhD Integris Neuroscience Institute and TeleHealth Janice Oak Progressive Independence Center Marla Peixotto Smith St. Anthony Hospital Marey Wall Lori McMillan RehabCare St. Mary’s Reg Medical Ctr Melinda Jones Oklahoma Health Care Association Natalie Hartgrave Speech Pathologist Veterans Administration Ronald Ray Ney Program Field Representative ODRS Martha Buchanan OKDMHSAS Susan Haws Comprehensive Community Rehabilitation Resources and Services Directory for Head Injury and Other Conditions Section 1: Introduction and Background of Head Injury 1000 NE 10TH ST. OKC, OK 73117 TEL 405.271-3430 OR 800.522.0204 (OK only) FAX 405.271.2799 WEB http://ips.health.ok.gov O K L A H O M A S T A T E D E P A R T M E N T O F H E A L T H Funded in part by (H21MC06749) from the US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Introduction and Background of Head Injury Purpose and Use of Resources and Services Directory The intent of the directory is to help individuals, families, and providers know what resources and services are available in the state of Oklahoma for head injury and other conditions, and how they may seek referral or obtain them directly. The need for such a document became readily apparent while responding to the many inquiries and requests for information related to head injury, immediate and long term services, and disability-related social and employment issues. Although developed for persons who sustained a brain injury and their families, the directory is useful for persons with other conditions, persons with disabilities, and the general population. The agencies, organizations, and the broad array of health and social services citizens may need are included in the directory. The services are organized by the phases or continuum of care that patients and families may encounter following an injury event, from prehospital to acute and rehabilitative care to the broad array of community life services. Substantial information is devoted to specific populations such as children, Native Americans, veterans, and the organizations that provide basic health and social services to improve daily living. The accessibility and availability of services in Oklahoma vary by geographic region, resources, and the distribution of professionals and other providers. The resource needs of children 18 years and younger were highlighted in a recent follow up study of children with head injury which helped to determine need for short- and long-term rehabilitation, information about special education, and transitional services to higher education and work. The directory was first completed in 2006 after review and input by colleagues and members of the Advisory Council and Task Force. The Directory Committee assisted with distribution of materials. Information in the directory is updated periodically and includes all aspects of care and the services that may be needed and requested by persons with traumatic brain injury and other conditions. Because each individual, family, or provider wants information specific to their area(s) of need, individual sections may be requested by calling the Injury Prevention Service (405/271-3430) or information may be downloaded from the IPS web page (http://ips.health.ok.gov). If there are further questions after reviewing the information, individuals may contact the Traumatic Brain Injury Program. Contact information for direction listings is subject to change. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 1 Definition Of Selected Terms Abbreviated Injury Scale (AIS) – Abbreviated injury scale (AIS) scoring was developed by the Association of Automotive Medicine, initially for the purpose of assessing survival following motor vehicle crashes. It is a standardized system for categorizing injury type and severity. Although AIS is based on anatomical injury, it includes physiologic measures as injury descriptors, such as occurrence and length of loss of consciousness, amount of bleeding, etc. AIS 1 is not consistent with the definition of traumatic brain injury. AIS 2 is moderate injury. AIS is serious injury. AIS 4 severe injury, and AIS 5 critical injury. AIS 6 is a nonsalvageable injury. Americans with Disability Act (ADA) – The ADA is a federal act that was passed in 1990 to prohibit discrimination against persons with disabilities, including brain injury, in the areas of: • Public accommodations such as building and sidewalk accessibility • Employment • Transportation • State and Local Government Services • Telecommunications Assault – An act of violence resulting in injury. Case Management – Facilitating the access of a patient to appropriate medical, rehabilitation and support programs, and coordination of the delivery of services. This role may involve liaison with various professionals and agencies, advocacy on behalf of the patient, and arranging for purchase of services where no appropriate programs are available. Cognitive Ability – The ability to accumulate and retain new knowledge. Cognitive Rehabilitation – Therapy which helps persons in the management of problems in perception, memory, thinking, attention, judgment and problem solving. Skills are practiced and strategies devised/taught to improve function and compensate for deficits. The interventions are based on an assessment and understanding of the person’s brain-behavior deficits. Services are provided by qualified practitioners. Community re-entry/integration – Services to prepare client to enter community knowing where and how needed services may be obtained. Community Resources – Public or private agencies, schools or programs offering services to the public. They are usually funded by government agencies, community initiatives, donations and fees. Community Skills – Those abilities needed to function independently in the community. They may include: telephone skills, money management, pedestrian skills, use of public transportation, meal planning and cooking. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 2 Compensation Technique – A method of working around a functional impairment by using techniques designed to help a person with a disability overcome the impairment (for example, for memory impairment, a person uses a calendar or notebook to record information). Competitive Employment – Work in the competitive labor market that is performed on a full-time or part-time basis in an integrated setting; and for which the individual is compensated at or above, but not less than, the minimum wage. Computed Tomography – CT scanning is the most common imaging modality used initially for the diagnosis and medical management of head-injured patients. CT scan evaluates presence or absence of intracranial hemorrhage and osseous injuries, and has relatively low cost. Day program – A non-residential program of services intended to increase the functional ability of the consumer through therapeutic intervention and supervised activities. These services facilitate community integration. Depression - A state of disorder marked by sadness, inactivity and self-depreciation. Disability (Many medical, economic, and social definitions) - Limitation in performing tasks, activities and roles in the manner or within the range considered normal for persons of the same age, gender, culture, and education. The expression of a physical, mental, or sensory limitation in a social context; the gap between a person's capabilities and the demands of the environment. Includes developmental disability, and disability related to chronic disease, injury and secondary conditions. Disability Rating Scale (DRS) – The DRS evaluates the person on 8 categories of disability and scores his or her functioning areas that include, among others: • Level of arousal, awareness, and responsiveness • Cognitive skills needed for self-care activities • Dependence on others • Psychosocial adaptability, which includes flexibility and the ability to adapt to different people and situations. The highest possible score is 30 points. In this scale, a lower score is better. Evaluation in a Workshop Setting – A process whereby the client’s work potential is assessed in a controlled area using simulated or actual job tasks to assess ability to relate to demands of the work environment and perform adequately. Has the following characteristics: 1) client may not be paid; 2) client is exposed to tasks on which performance can be assessed; 3) client’s performance is supervised and evaluated in coordination with the evaluation staff; and 4) existence of established evaluation program. Emergency medical services system – An organized system that provides personnel, facilities and equipment for the coordinated delivery of health care services in a specific geographical area under emergent conditions. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 3 Epidemiology – The study of the distribution and determinants of health and disease (including injuries) in populations. • It is a component of public health and constitutes the scientific methods used to reason about the cause and natural course of disease or conditions. • Epidemiologic research incorporates statistical techniques with an understanding of biological, behavioral and social mechanisms important in disease occurrence and spread. • Utilizes group/aggregate data; numerator-denominator oriented. Epidemiologic Measures Rate Measures the risk of acquiring the injury/disease (incidence) in a certain time interval: Numerator (New cases in a time interval) Denominator (Population at risk of developing disease or being injured at the beginning of the time interval. Surveillance The ongoing systematic collection, analysis and interpretation of health/injury data needed to plan, implement, and evaluate programs. Incidence Measures risk of disease or injury in a population. Prevalence Measures the burden of disease or injury within a population Evaluation On-The-Job – Has the characteristics: 1) the client is not necessarily paid; 2) it is primarily for the client’s benefit; 3) it will not necessarily result in employment; 4) the employer does not experience immediate gain; 5) the client does not displace or fill any vacant worker slots; and, the client’s performance is supervised and evaluated by the employer and/or the evaluation staff. The client is given the opportunity to experience the specific requirements necessary to do the specific job in an actual job setting. Follow up – Vocational – Supportive assistance during the initial stage of a new program or job placement and which may determine to what degree the past and present program is adequate in meeting client needs and/or ascertain the readiness of clients to benefit from new programs. Family Services – Services provided by a social worker or counselor to assist family (and patient) counseling in coping with the particular disease/condition of a client. Functional Assessment – An evaluation that determines how well a person with a disability can perform specific job-related duties. The assessment may be done at a mock job setting or in an actual job setting during a period of several days. Functional Limitation – Any restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being, which is chronic or permanent in nature, and/or which is judged to be a cultural, social, economic, and/or environmental disadvantage. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 4 Glasgow Coma Score (GCS) – Developed by Teasdale and Jennett Use of three items proven to be the most sensitive measures of severity of head injury and predictors of immediate outcome. (There is no absolute measure of what constitutes a severe injury.) The GCS measures eye opening (4 points), best motor response (6 points), and verbal response (5 points). Response Points Eye opening Opens eyes on own E4 Opens eyes when asked in a loud voice 3 Opens eyes when pinched 2 Does not open eyes 1 Best motor Follows simple commands M6 response Pulls examiner’s hand away when pinched 5 Pulls a part of body away when examiner pinches him 4 Flexes body inappropriately to pain (decorticate posturing) 3 Body becomes rigid in an extended position when examiner pinches person 2 Has no motor response to pinch 1 Verbal response Carries on a conversation correctly and tells examiner V5 (Talking) where he is, who he is, and the month and year Seems confused or disoriented 4 Talks so examiner can understand person but makes no 3 sense Makes sounds that examiner cannot understand 2 Makes no noise 1 Handicap – A condition, barrier, or disadvantage imposed by society, the environment, or by one's self that limits or prevents fulfillment of a (social) role that is "normal" for an individual. Health Service – The delivery of direct, preventive, assessment and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or may be at risk of impairment. Home Modifications – Redesigned staircase, ramps, toilets, new entrances to home to allow passage and movement, etc. Homicide – The killing of one person by another. Impairment – Discrete loss or abnormality of mental, cognitive, emotional, physiological, biochemical, or anatomical structure or function at the organ level, including all losses or abnormalities, not just those attributable to the initial pathophysiology. All pathologies are accompanied by impairments in either the specific functioning of an organ or organ system. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 5 Independent Living Center/Program – A place in the community for persons with disease, injury, or secondary conditions to learn basic self care and daily living skills to live in the community as independently as possible. Community-based services are available to maximize a person’s ability to be self-directed and allow her/him to live at home with the maximum personal control over how services are delivered, combined with the opportunity to work as appropriate. Instrument – A questionnaire, test or other data collection form used to gather information about an opinion, condition or injury and/or knowledge, attitudes, behavior, etc. Job Modification or Accommodation – Any change or adjustment to a work task in order that a person with a disability may perform that task at the highest possible level of independence. Job training - Services to provide client with various skills specific to job types. Long Term Acute Care Hospital/Center – A long term acute care (LTAC) hospital differs from acute care hospitals in three basic ways. First, length of stay (LOS) must be an average of 25 days based on a predetermined Diagnosis Related Group (DRG). Patients are discharged to LTACs as available when they need extended LOS and intensive medical services. Second, reimbursement for patients in LTACs is based on actual costs up to the TEFRA target. The TEFRA rate is determined by Cost Base/Medicare discharge which is controlled by the Balanced Budget Act of 1997. Long term acute care hospitals have an average length of stay (LOS) of 25 days. They provide 6.5 to 8.5 nursing hours per day based on acuity (amount of nursing time needed to assist/teach patients in activities of daily living (ADL) such as eating, grooming, and toileting.) The acuity of therapy is based on diagnosed need and patient tolerance. There are no maximums or minimums by guidelines and not all patients receive therapy. Type of patients served are ventilator dependent and medically complex patients. Long term acute care hospitals have an average length of stay (LOS) of 25 days. They provide 6.5 to 8.5 nursing hours per day based on acuity (amount of nursing time needed to assist/teach patients in activities of daily living (ADL) such as eating, grooming, and toileting.) Patients are usually discharged to home with family or Home Health, nursing home, a skilled nursing facility (SNF), assisted living, or rehabilitation. Long term care facility/nursing home – A facility which provides 24-hour nursing care prescribed by a physician. Medicaid – A medical assistance program that helps people who cannot afford to pay for their medical care. Medicaid is a joint federal/state funded program and covers a majority of people on low incomes, including pregnant women, senior adults, and persons with disabilities. Provided under Title XIX of the Social Security Act of 1966. Magnetic Resonance Imaging (MRI) – MRI is sensitive in identifying parenchymal injuries, brainstem injuries, subdural hematomas of differing age and size, and nonhemorrhagic diffuse brain injuries. Medicare – a health insurance program offered by the Social Security Administration to help people pay for their medical care. Part A helps pay for inpatient hospital care, inpatient care in a Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 6 skilled nursing facility following a hospital stay, and hospice care. Part B helps pay for doctor’s services, outpatient hospital care, diagnostic tests, ambulance services, and medical equipment. The hospital insurance system and the supplementary medical insurance for disabled or aged persons created by the 1965 amendments to the Social Security Act of 1966. Memory – Long Term – Refers to recall thirty minutes or longer after presentation. Requires storage and retrieval of information which exceeds the limit of short-term memory. Memory – Short Term – Primary or “working “ memory; its contents are in conscious awareness. A limited capacity system that holds up to seven chunks of information over periods of 30 seconds to several minutes, depending upon the person’s attention to the task. Natural Work Supports – Assistance provided to a person with a disability through means that already exist in a workplace (for example, a co-worker is a partner to the person with a disability). Outcome – Refers to status of the injured at specific points in time. May refer to survival/no survival, or any measure of physical/mental/emotional/social effects post injury. Psychological Services for TBI survivors that include cognitive retraining, management counseling of behavior, and the development of coping skills by the client and members of the family. Prevention – Primary – Measures to prevent the injury/disease/condition from occurring. Secondary – Measures to treat the injury/disease/condition to prevent further illness and disability. Tertiary – Measures to maintain/enhance status and reduce progression to disability. Pre-vocational – Providing basic training in tasks of specific jobs to individuals as training part of rehabilitation. Program – A set of activities applied to preventing/educating on disease or injury; includes a plan, design, funding, implementation and evaluation. Quality of Life – The total well being of an individual (usually as perceived by the individual), encompassing both physical and psychosocial determinants. A rating of what kind of existence a person experiences. In estimating the quality of life, elements include performance of societal roles, physical status, emotional status, social interactions, intellectual functioning, economic status, support systems and health status. Additional considerations are mobility and activities of daily life, living arrangements, social relationships, work and leisure activities, present satisfaction and future prospects. Reasoning – Problem-Solving – The ability to analyze information related to a given situation and generate appropriate response options. Problem-solving is a sequential process that typically proceeds by: identification of the problem; generation of response options; evaluation of Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 7 response option appropriateness; selection and testing of first option; and analysis as to whether solution has been reached. Referral Source – Person or facility sending a client for services. This includes such service agencies as vocational rehabilitation, physicians, industry, insurance companies, employment agencies, community action groups, and potential clients themselves. Rehabilitation – A comprehensive treatment program has the goal to reduce/overcome deficits following illness or injury, and to assist the individual to attain their optimal level of mental and physical ability; useful and productive activity. The process involves a planned, orderly sequence of multiple, coordinated services related to the total needs of the individual. Services may be delivered within acute care services, a separate hospital unit, separate facility, or on an outpatient basis. The scope of services may include physical therapy, occupational therapy, speech/language therapy, social services, exercise physiology, counseling, recreational therapy, psychological therapy, pain management, self care and, when possible, case management. Rehabilitation Hospital – Either a separate unit/department in an acute care facility or a free-standing facility devoted exclusively to rehabilitation. Rehabilitation Therapies/Services Physical – A treatment program of services to help a patient attain functional independence or attain the level of independence possible. Occupational – Provision of services geared to help the patient attain the highest potential in accomplishing activities of daily living to the level of independence possible. Speech/Language – Services to help a patient learn/relearn ways to improve speech, language, oral, and pharyngeal sensory-motor function. Swallowing – Services to help affected patients swallow normally when eating and talking. Cognitive – Programs which help traumatic and other brain injury survivors in the management of specific problems in thinking and perception. Skills are practiced and strategies taught to help improve function and/or compensate for remaining deficits. Memory – A type of cognitive therapy where skills are taught/learned to compensate or improve short-term memory. Remediation – A method of compensation in which an internal system is created to enable one to function. It assumes that a potential exists to add a repertoire of skills, and that given the appropriate teaching strategies, learning can and will occur. Residential living – Living in a supervised home while learning to function as independently as possible in order to return to one’s own home or live in a place with minimal or no supervision. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 8 Residual Disability Benefit – A provision in an insurance policy that provides benefits in proportion to a reduction of earnings as a result of disability, as opposed to the inability to work full time. Secondary Condition – People with disabling conditions are often at risk of developing secondary conditions that may result in further deterioration in health status, functional capacity, and quality of life. A secondary condition is an impairment, functional limitation, or disability that is causally related to a primary disabling condition and includes contractures, urinary tract infections, depression, cardiopulmonary conditions, decubitus ulcers, etc. Sheltered Work Setting – Employment in a setting that is not community based in order that ongoing, high-level supervision on routine tasks can be provided. Persons who work in sheltered workshops generally have very severe impairments that preclude their working at an independent level. Specialized mobility equipment – Use of limb apparatus, wheelchairs, specially equipped vehicles, etc. to move about. Supervised community residence – This setting is a home similar to neighboring homes in terms of size and number of residents. Clients are provided individualized care, supervision, support and training services to maximize and/or maintain function and self-direction. Staff is present at night and other times when the client is present. Supported or supervised work program – Vocational rehabilitation services designed to lead to an employment goal. On-the-job supports (environmental, special guidance in tasks, etc.) for a person learning to use specific work skills. Transitional care/living – A non-medical residential program providing training for living in a setting of greater independence. The primary focus is on teaching functional skills and compensating for abilities that cannot be restored. Traumatic brain injury – Injury to the brain sustained by blunt or penetrating trauma or from acceleration-deceleration forces, and includes ICD-9-CM codes 800.0-801.9, 803.0-804.9, 850.0- 854.9 and 959.1. Conditions such as stroke, tumors, neurologic disease, or developmental disabilities are not included in this definition. Vocational – Services to assist client in learning tasks usable in various training jobs/activities. Vocational Assessment/Evaluation – To assess previous and present abilities and assist in vocation. The use of medical, psychological, social, vocational, educational, cultural and economic data/information to attain goals in a process which will assist individuals in vocational development. (Multiple sources, including IPS/OSDH studies and publications, TIRR Brain Injury Glossary, Mayo Clinic Proceedings, CDC, and DRS.) Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 9 Background of Traumatic Head Injury Introduction. Injury to the brain has been with us since the beginning of humankind. Despite protection by the skull, the head is vulnerable to injury because of its size and exposure to objects, weapons, and falls. In past centuries, the main causes of head injury were accidents, assaults, conflicts and wars. Care of these injuries was complicated by limited knowledge and the lack of diagnostic and treatment methods. Many people suffered a variety of long-term effects they and their families had to “live with.” Over time the causes and sequelae of brain injury have become prominent among conditions that affect many people. In the 20th and 21st centuries, recreation, sports, and the risks associated with industrialization and technology have contributed to increasing numbers of injuries. Recognition and documentation of the after effects of brain injury have increased dramatically since the Six-day War in the Middle East during the 1960s when cognitive and behavioral long-term effects were studied among persons serving in the military. During the past 20 years, brain injury has evolved as a special focus among policy-makers, agencies, and health professionals. The 1990’s were declared the Decade of the Brain by President Reagan. Background. Traumatic brain injury (TBI) is defined as a physiological disruption of brain function resulting from trauma that is either external, such as an object striking the head or the head striking an object, and/or internal, such as rapid acceleration/deceleration or rotation of the brain within the skull as in a car crash. The injuries may be open (skull penetrated) or closed (skull intact). Damage to the brain may interrupt connections within the brain affecting any part of the body. Present-day conflicts have resulted in thousands of military personnel sustaining severe local penetrating injuries and/or diffuse injuries (affecting all of the brain) that occur during blasts or explosions. The brain and the results of injury are very complex. Problems people may have after injury mainly depend on the part(s) of the brain that was injured, seriousness of the injury, if the person had other body injuries, age, their state of health, and how quickly they received treatment. Number of People Affected. In the United States each year, an estimated one million people with TBI are treated and released from emergency rooms, about 260,000 are hospitalized, 51,000 die, and 80,000 to 90,000 have moderate to severe disabilities. The Centers for Disease Control and Prevention (CDC) estimates that 5.4 million people live with a traumatic brain injury-related disability. The risk of having a traumatic brain injury is substantial among all age groups, particularly adolescents and young adults, affecting relationships, work, school, and daily living. Many families suffer emotional and economic problems because of the costs involved in acute and long term care, rehabilitation, lost productivity, and ongoing health care needs. Presently, the leading causes of traumatic brain injury are motor vehicle crashes, violence, and falls. The increasing numbers of blast and other hearing/vision-related brain injuries sustained by service members in theatres of war are a national and local challenge for veterans health care and the communities the veterans return to following intensive acute and rehabilitative care. Oklahoma is one in a group of states with the highest death rates from traumatic brain injury. According to data collected since 1992, an average of 3400 persons are hospitalized and 850 die from a brain injury each year. The causes of injury include motor vehicle crashed (32%), falls Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 10 (31%), gunshot injuries (11%), assaults (8%), sports (4%) pedestrian (3%) and other causes (11%). An estimated 700 persons are discharged each year from the hospital with short- or long-term limitations and disabilities such as cognitive problems, sensory deficits, physical limitations, or behavior problems. The main factors that determine survival and functional outcome for a person with brain injury are the extent of damage alone or in association with other traumatic injuries, immediate and appropriate medical diagnosis and treatment, and the prevention or control of secondary injuries to the brain such as swelling and infection. The severity of injury is the best predictor of how far a person will move along the continuum of recuperation. Length of coma (LOC) is a reliable marker for judging injury severity and is measured by the time that has elapsed from injury to the time the person wakes up. In cases of minor brain injury, there may be no LOC, but in many cases LOC can last for minutes, hours, days, weeks, or years. Persons may also be confused for periods of time after they become conscious. The length of time they are confused is called post-traumatic amnesia (PTA). PTA is considered the second best marker of the severity of brain injury. With mild injury, the majority of people recover completely in 3 to 9 months without residual effects; however many have problems for a longer time and some for their lifetime. With moderate injury, a large proportion of persons with TBI become independent although many do not return to their level of functioning prior to injury. With severe injury, a small percentage of persons return to school, work, or are able to perform the activities they performed before injury. The majority of persons achieve some level of independence. Residual or After Effects of Traumatic Brain Injury The types of problems people may experience following brain injury largely depends on the part(s) of the brain injured and the severity of injury. The figure below shows functions of the brain that may be affected. Functional Domains of the Brain Cerebellum Brain Stem Frontal Lobe Parietal Lobe Occipital Lobe Temporal Lobe Regulates: Blood pressure Heartbeat Respiration Reflexes Gateway for information to and from the body Coordination and balance Motor skills Visual perception and Input Reading (perception and recognition of printed words) Tactile perception (touch) Awareness of spatial relationships Academic skills (reading) Using information from body senses Memory Expressive and receptive language Comprehension of language Musical awareness Organization and Sequencing skills Motivation Controlling attention Emotional control Guide/Control social behavior Judgment and problem-solving Decision making Expressive language Abstract thinking Motor integration Voluntary movement Inhibition of behavior Cerebrum Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 11 The three main types of problems that may be experienced by a person with traumatic brain injury are: 1) motor (body weakness or paralysis), or sensory deficits (vision, hearing, smell, touch); 2) cognitive such as impairments in language, verbal memory, perception, attention, slow information processing, and poor judgment; and 3) neurobehavioral, that includes impulsivity, agitation, inappropriate emotions, and poor frustration tolerance. Rehabilitation provided in a hospital or rehabilitation center, when the person is in condition to benefit from therapies, helps a person to recover more rapidly. For most people with moderate to severe injuries, major gains are commonly made during the first two years after injury and more slowly after that. The person with the injury and the family should learn as much as possible about therapies and how to assist in recovery, particularly because resources and services needed over the long term are not available, so the family may have to provide ongoing care. The Importance of Prevention The three types of prevention are primary, secondary and tertiary: Primary prevention involves the acquisition of habits and actions that will reduce the possibility of injury including: Use of protective equipment such as safety belts and helmets, Legislative controls related to vehicle condition, speed, roadways and condition of the driver, Knowledge and use of safety behaviors related to risks and hazards, Knowledge and use of appropriate environmental modifications, and Avoiding substance use. Secondary prevention relates to: Prevention of secondary injuries through appropriate prehospital care and minimizing complications during acute hospital care, Prevention of additional brain injuries through knowledge of increased susceptibility (one of seven persons who experience a head injury is likely to suffer one or more head injuries), and use of primary prevention actions, Prevention of secondary conditions associated with the primary condition such as contractures, and treatment and/or education for preventing or controlling secondary conditions. Tertiary prevention is the prevention of further impairment or disability and includes: Maintaining overall health status through good nutrition, exercise, taking care of personal, family and social needs, and using coping and adaptation skills, Assessing functional status periodically to intervene medically as needed, and Maintaining maximum functional independence given injury severity, overall health status and pre-injury level of function. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 12 Disability There are many definitions of disability but they all relate to a limitation in performing tasks, activities, and roles in the manner or within the range considered normal for persons of the same age, gender, culture, and education. Disability may refer to a physical, mental, sensory, or behavioral condition. Approximately 35 million people in the United States have disabling conditions that interfere with their life activities. More than nine million people have physical or mental conditions that keep them from working, attending school, or maintaining a household. Annual disability-related costs to the nation total more than $170 billion. Oklahoma ranks fifth in the nation in the proportion of citizens who report one or more disabilities. A large number of people in Oklahoma are living with traumatic brain injury-related functional limitations or disabilities. We hope that this directory of resources will help many people obtain assistance and the services they need in order to live as close to the level of independence they maintained prior to injury. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 13 Resources and Services Directory for Head Injury and Other Conditions Section 2: Accessing and Paying for TBI and Related Services 1000 NE 10TH ST. OKC, OK 73117 TEL 405.271-3430 OR 800.522.0204 (OK only) FAX 405.271.2799 WEB http://ips.health.ok.gov O K L A H O M A S T A T E D E P A R T M E N T O F H E A L T H Funded in part by (H21MC06749) from the US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Accessing and Paying for TBI and Related Services (Contact information subject to change.) Access Access to services involves referral by a physician/other professional or self referral, the ability to get to the centers, programs or offices that provide services, and the ability to pay for the services by one or more methods. The majority of brain-injured persons enter the care system via emergency medical services or the emergency/trauma department; these assured services are often not paid by people without insurance or with limited resources. In Oklahoma, the Trauma Care Assistance Revolving Fund helps compensate the hospitals for the costs of caring for these individuals. Referral and coordination of brain injury services has improved with increased awareness, information, and maturity of the brain injury services system. Several state and local agencies that serve as points of entry for particular services include the Oklahoma Department of Education/Special Education; Oklahoma Department of Health, Vocational Rehabilitation and employment one-stop centers, tribal health centers, etc.; these agencies are described within specific sections of the directory. Individuals and families wanting to access services need to know the services available, referral sources, and the types of services that are appropriate for their particular case. Payment Methods Each phase of brain injury service delivery - emergent, acute, rehabilitative and ongoing care - contributes to the high costs. Commercial insurance and Medicare are the principal payers of hospital charges for brain injury. Many insured individuals with serious to severe injury find that costs exceed coverage and that personal funds are not adequate for the services needed, so they become dependent upon government sources for further care. Medicare and Medicaid Medicare is a Federal Health Insurance Program for people 65 years of age and older, some people with disabilities under age 65, and people with end-stage renal disease. It provides acute care coverage for persons 65 years and older and for some people who are covered by Social Security Disability (SSDI) benefits. Medicare has two parts: Part A is hospital insurance and Part B is medical insurance. Most people do not have to pay for Part A and the majority of people pay monthly for Part B. In Part A, Medicare coverage is limited to services considered “reasonable and necessary” for the diagnosis and treatment of illness or injury. Services include inpatient hospital stays, critical access hospitals, skilled nursing facility care, home health care services, and hospice care. In Part B, Medicare helps pay for physician services, hospital outpatient services, ambulatory surgery, and diagnostic and laboratory tests. Coverage is also provided for limited outpatient physical, occupational and speech therapy services and medical equipment and supplies. Medicaid is a joint federal and state entitlement program that provides funding for medical benefits to low-income individuals who have inadequate or no health insurance coverage. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 14 Medicaid guarantees coverage for basic health and long-term care services based on income and/or resources. Created as Title XIX of the Social Security Act in 1965, Medicaid is administered at the federal level by the Centers of Medicare and Medicaid Services (CMS) within the Department of Health and Human Services (HHS). CMS establishes and monitors certain requirements concerning funding, eligibility standards, and quality and scope of medical services. States have the flexibility to determine some aspects of their own programs, such as setting provider reimbursement rates and the broadening of the eligibility requirements and benefits offered within certain federal parameters. The Oklahoma Health Care Authority (OHCA) is responsible for administering Medicaid Services in the state of Oklahoma ( 405/522- 7300; www.okhca.org). Eligibility. In exchange for federal financial participation, states agree to cover certain groups of individuals referred to as “mandatory groups” and offer a minimum set of services referred to as “mandatory benefits.” States also can receive federal matching payments to cover additional optional groups of individuals and provide additional optional services. Federal matching payments through Medicaid often allow states to partially finance the cost of services that states have traditionally provided at their expense or to pay for services that otherwise might be written off by providers as bad debt or charity. According to Oklahoma State Statutes Title 63 Sec. 5009, the OHCA contracts with the Oklahoma Department of Human Services (OKDHS) for the determination of Medicaid eligibility. All applications for Oklahoma Medicaid enrollment are processed and approved or denied by OKDHS. Applications and renewals are reviewed by each county of residence OKDHS office for financial and/or medical requirements. After eligibility has been certified or extended, the records are sent to OHCA to coordinate medical services and process payments for services utilized. Title XIX of the Social Security Act requires that in order to receive federal matching funds, certain basic services must be offered to the categorically needy population in any state program. Each state has a plan that describes the groups of individuals who can receive Medicaid services and the services that the state will make available to them. Federally Mandated Services include: Early Periodic Screening, Diagnosis and Treatment (EPSDT) under age 21 years. Family planning services and supplies Inpatient hospital Laboratory and X-ray Emergency transportation Nurse midwife Nurse practitioner Nursing facility/home health (age 21+) Outpatient hospital Physician Prenatal, delivery and postpartum care Rural health clinic and federally qualified health center Non-emergency transportation Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 15 State Optional Covered Services include: Case management Optometrist Chiropractor Personal care Clinic Physical therapy Dental Podiatrist Diagnostics Prescribed drugs Emergency hospital Preventive services Inpatient hospital (age 65+) Private duty nursing (institutions for mental disease) Prosthetic devices Inpatient psychiatric under 21 years Psychologist Intermediate Care Facility for the Mentally Retarded Rehabilitative Nurse anesthetist Respiratory care Nursing facility under 21 years Speech/hearing/language disorders Occupational therapy Tuberculosis related Sometimes you may have to spend down your personal resources before you qualify. Applications for Medicaid are obtained at the county offices in Oklahoma. Home and Community-Based Services Waivers give states the flexibility to develop and implement creative alternatives to placing Medicaid-eligible individuals in institutions such as long-term care hospitals, nursing facilities, or intermediate care facilities for person with mental retardation. The OKDHS is responsible for and administers five Home and Community-Based Services waivers. The two waivers that may relate to persons with TBI are: The Community Waiver serves Medicaid beneficiaries with mental retardation and certain persons with “related conditions.” It covers children and adults, with a minimum age of three years; and The ADvantage waiver serves the frail elderly (65 years and older) and adults 21 years of age or older with physical disabilities who would otherwise qualify for placement in a nursing facility. Social Security Act The Social Security Act passed in 1935 was “an act to provide for the general welfare by establishing a system of Federal old-age benefits, and by enabling the several States to make more adequate provision for aged persons, blind persons, dependent and crippled children, maternal and child welfare, public health, and the administration of their unemployment –compensation laws; to establish a Social Security Board; to raise revenue; and for other purposes.” Social Security Administration Handles retirement and Survivors Disability SSI Benefits General information 800/772-1213 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 16 Social Security Disability Insurance (SSDI) Social Security Disability Insurance is wage replacement income for those who pay FICA taxes when they have a disability meeting Social Security disability rules. SSDI provides a variety of payments to family members when a primary wage earner becomes disabled or dies. SSDI is funded with Social Security taxes paid by workers, employers, and self-employed persons. FICA taxes are withheld from an individual’s salary to fund Social Security and Medicare programs. This federal government insurance provides basic protection against the loss of income due to disability. Benefits may be provided to both the worker with disability and to family members, including children. The number of work credits needed to qualify for SSDI depends on the age of disability onset. There is usually a five-month waiting period after the person has met the requirements for disability. The amount of SSDI payment is based on the person’s lifetime average earnings covered by social security and on other government payment received. SSDI provides a monthly payment to eligible persons with disability defined as: A physical or mental impairment which prevents an individual from performing any substantial gainful activity and which is expected to last at least one year or result in death. Substantial gainful activity is not necessarily the kind of work the individual performed prior to the disability. Supplemental Security Income (SSI) This federal government insurance provides monthly payments to people who are older, disabled or blind and who meet specific income or resources requirements. SSI eligibility considers the individuals’ income and property (homes are not excluded). People who receive SSI may be eligible to apply for Medicaid and food stamps. Workers Compensation Commission Workers compensation law is administered by the Oklahoma Workers’ Compensation Commission. The law was written to protect workers by providing compensation for the loss of earning capacity resulting from accidental injury, disease, or death during employment. The law provides medical and vocational rehabilitation services and other benefits. An employee claim may be filed by any worker who believes an injury should be covered under the law. For information contact: Department of Labor 405/521-6100 State Insurance Department The State Insurance Department serves individuals who need help in filing an appeal or complaint regarding an insurance payer. The agency is responsible for: 1) ensuring that all policies and contracts issued by private insurers are within state insurance law guidelines; 2) educate consumers about insurance; and 3) investigate complaints against insurance brokers, agents, and companies. State Insurance Commissioner’s Office 1-800-522-0071 or (405) 521-2828 www.ok.gov/oid Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 17 Resources and Services Directory for Head Injury and Other Conditions Section 3: Scope of Heath Care Services in Oklahoma (Emergency, Acute Care, Rehabilitation, Indian and Tribal Health) 1000 NE 10TH ST. OKC, OK 73117 TEL 405.271-3430 OR 800.522.0204 (OK only) FAX 405.271.2799 WEB http://ips.health.ok.gov O K L A H O M A S T A T E D E P A R T M E N T O F H E A L T H Funded in part by (H21MC06749) from the US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Emergency Medical Services and Trauma System Emergency medical services (EMS) or prehospital care, are provided in urgent situations at the time and place of event and continue through admittance to the emergency room or hospital, when hospital staff initiate specialized care. Emergency medical and trauma services are organized as a statewide system and network to reach, treat, and transfer patients to the most appropriate facility as soon as possible. Regional field personnel for the EMS Division coordinate services in the eight geographical regions. The four levels of EMS care, corresponding to the training and experience of staff are: basic life support, intermediate life support, paramedic life support, and specialty care. • Basic Life Support indicates the “minimum standard” as set forth by State law. Provision of EMS care is provided on a 24-hour, 365 days per year basis; • Intermediate Life Support indicates that personnel and equipment are at the Intermediate level of care; • Paramedic Life Support indicates that the personnel and equipment are at the Paramedic level of care; • Specialty Care indicates that the personnel and equipment meet specific and special needs required for inter-facility transport of critical care. Specialty Care need not operate on a 24-hour basis. Type of Radio Communication: The three methods of dispatching are: 1) provider – ambulances are dispatched directly by the ambulance service at their base station; 2) central – ambulances are dispatched by a radio utilized for dispatching more than just ambulance vehicles; and 3) regional – ambulances from several different providers are dispatched through a multiple city/county base station. In the majority of communities EMS may be reached by dialing 911. Areas not covered by 911 have a specific number(s) to call in emergencies. There are four levels of trauma system care in Oklahoma, one hospital is classified as Level I (highest), 2 as level II, 29 as Level III and the remainder are classified as Level IV. The higher the level, the more stringent criteria are in place such as 24-hour presence of surgeons, neurosurgeons, and the availability of advanced equipment and diagnostic ability. The following map shows the type of EMS coverage provided across the state. Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 18 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 19 Acute Care Hospitals (Contact information subject to change) Acute care hospitals are the principal source of a wide array of services in the community including emergency and hospital care, varying levels of rehabilitation, and outpatient services. Hospital providers are responsible for giving referral to services provided in the hospital after discharge or referral to services in other locations. Acute care hospitals are usually accredited by The Joint Commission. Head injury patients who experience problems or lasting effects should return for care to the hospital where they received treatment, because history of the injury and care received are in the medical records, and physicians can better review the case. Local hospitals also provide basic health care through clinics and programs. Arbuckle Memorial Hospital 2011 W Broadway Sulphur, OK 73086-4221 580/622-2161 Atoka Memorial Hospital 1200 West Liberty Road Atoka, OK 74525 580/889-3333 Beaver County Memorial Hospital PO Box 640/212 E. 8th Street Beaver, OK 73932 580/625-4551 Bone & Joint Hospital 1111 North Dewey Ave. Oklahoma City, OK 73103 405/272-9671 Bristow Medical Center 700 W. 7th Street, Suite 6 Bristow, OK 74010 918/367-2215 Carl Albert Indian Health Facility 1001 N. Country Club Rd. Ada, OK 74820 405/436-3980 Carnegie Tri-County Municipal Hospital 102 N Broadway/P.O. Box 97 Carnegie, OK 73015 580/654-1050 Cherokee Nation Hastings Indian Hospital 100 S Bliss Avenue Tahlequah, OK 74464 918/458-3100 The Children's Hospital/Everett Tower, 1200 Everett Drive Oklahoma City, OK 73104 405/271-4700 Choctaw Memorial Hospital 1405 E Kirk Rd Hugo, OK 74743 580/317-9500 Choctaw Nation Health Care Center One Choctaw Way Talihina, OK 74571 918/567-7000 Cimmaron Memorial Hospital PO Box 1059/100 South Ellis Boise City, OK 73933 580/544-2501 Claremore Regional Hospital 1202 N Muskogee Place Claremore, OK 74017 918/341-2556 Cleveland Area Hospital 1401 W Pawnee Street Cleveland, OK 74020 918/358-2501 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 20 Comanche County Mem Hospital 3401 W. Gore Blvd. Lawton, OK 73502 580/355-8620 Community Hospital Lakeview PO BOX 629 Eufaula, OK 74432 918/ 689-2535 Cordell Memorial Hospital 1220 N Glenn English St Cordell, OK 73632 580/832-3339 Craig General Hospital 735 N. Foreman Vinita, OK 74301 918/256-7551 Creek Nation Community Hospital 309 N 14th Okemah, OK 74859 918/623-1424 Cushing Regional Hospital 1027 East Cherry Street, P.O. Box 1409 Cushing, OK 74023 918/225-2915 Deaconess Hospital 5501 N. Portland Oklahoma City, OK 73112- 405/604-6000 Deaconess at Bethany 7600 NW 23rd St Bethany, OK 73008 405/604-6000 Drumright Regional Hospital 610 W. Bypass Drumright, OK 74030 918/382-2300 Duncan Regional Hospital 1407 Whisenant Dr. Duncan, OK 73533 580/252-5300 Eastern Oklahoma Medical Center PO Box 1148/105 Wall Street Poteau, OK 74953 918/647-8161 Edmond Medical Center One S Bryant Edmond, OK 73034 405/341-6100 Elkview General Hospital 429 W Elm St Hobart, OK 73651 580/726-3324 Fairfax Memorial Hospital PO Box 219 Fairfax, OK 74637 918/642-3291 Fairview Regional Medical Center 523 E State Road Fairview, OK 73737 580/227-3721 Grady Memorial Hospital 2220 Iowa St Chickasha, OK 73018- 405/779-2127 Great Plains Regional Medical Center. PO Box 2339 Elk City, OK 73648-2339 (580) 225-2511 Harmon Memorial Hospital 400 E Chestnut Hollis, OK 73550 580/688-3363 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 21 Harper County Community Hospital PO Drawer 60/1003 U.S. 64 Buffalo, OK 73834 580/735-2555 Haskell County Health Care System PO Box 728/401 N.W. “H” Street Stigler, OK 74462 918/967-4682 Henryetta Medical Center PO Box1269/Dewey Bartlett & Main Street Henryetta, OK 74437 918/652-4463 Hillcrest Medical Center 1120 S Utica Ave Tulsa, OK 74104 918/579-1000 Holdenville General Hospital 100 McDougal Dr. Holdenville, OK 74848 405/379-4200 Integris Baptist Medical Center 3300 NW Expressway Oklahoma City, OK 73112 405/949-3011 Integris Baptist Regional Health Center 200 2nd Ave SW Miami, OK 74354 918/542-6611 Integris Bass Baptist Health Center 600 S Monroe Enid, OK 73701 580/233-2300 Integris Blackwell Regional Hospital 710 S. 13th Street Blackwell, OK 74631 580/363-2311 Integris Canadian Valley Regional Hospital 1201 Health Center Parkway Yukon, OK 73099-6381 405/717-6800 Integris Clinton Regional Hospital 100 N 30th Street Clinton, OK 73601 580/323-2363 Integris Marshall Memorial Hospital PO Box 827/ 1 Hospital Drive Madill, OK 73446 580/795-0191 Integris Mayes County Medical Center 111 N. Bailey Pryor, OK 74361 918/825-1600 Integris Grove Hospital 1001 East 18th Street Grove, OK 74344 918/786-2243 Integris SW Med Center 4401 S Western Ave Oklahoma City, OK 73109- 405/636-7000 Jackson County Memorial Hospital 1200 E Pecan Altus, OK 73521 580/379-5000 Jane Phillips Memorial Med Ctr 3500 S.E. Frank Phillips Blvd Bartlesville, OK 74006 918/333-7200 Jefferson County Hospital US Highway 70 & 81, P.O. Box 90 Waurika, OK 73573 580/228-3108 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 22 Johnston Memorial Hospital 1000 S Byrd Tishomingo, OK 73460 580/371-2327 Kingfisher Regional Hospital 1000 Kingfisher Regional Hospital Drive Kingfisher, OK 73750 405/375-3141 Latimer County General Hospital 806 Hwy 2 North Wilburton, OK 74578 918/465-2391 Logan Hospital & Medical Center P.O. Box 1017/200 South Academy Guthrie, OK 73044 405/282-6700 Mangum Community Hospital 2100 North Louis Tittle Avenue Mangum, OK 73554 580/782-3353 Mary Hurley Hospital PO Box 326/61 North Covington Coalgate, OK 74538-0326 580/927-2028 McAlester Regional Health Center 1 E. Clark Bass Blvd McAlester, OK 74501 918/421-8008 McCurtain Memorial Hospital 1301 E. Lincoln Road Idabel, OK 74745 580/286-7623 Medical Center SE Oklahoma PO Box 1207/1800 University Blvd. Durant, OK 74702 580/924-3080 Memorial Hospital 1401 W Locust St Stilwell, OK 74960 918/696-3101 Memorial Hospital & Physician Group 319 E Josephine Frederick, OK 73542 580/335-7545 Memorial Hospital of Texas County 520 Medical Drive Guymon, OK 73942 580/338-6515 Mercy Health Center 4300 W Memorial Road Oklahoma City, OK 73120 405/755-1515 Mercy Health - Love County 300 Wanda St Marietta, OK 73448 580/276-3347 Mercy Memorial Health Center 1011 14th Avenue North West Ardmore, OK 73401- 580/223-5400 Midwest Regional Medical Center 2825 Parklawn Drive Midwest City, OK 73036-73110 405/610-4411 Muskogee Regional Medical Center 300 Rockefeller Drive Muskogee, OK 74401 918/682-5501 Newman Memorial Hospital 905 S Main St Shattuck, OK 73858 580/938-2551 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 23 Norman Regional Hospital 901 N. Porter Norman, OK 73071 405/307-1000 Okeene Municipal Hospital 207 East "F" Street Okeene, OK 73763 580/822-4417 Okmulgee Memorial Hospital 1401 Morris Dr Okmulgee, OK 74447 918/756-4233 OSU Medical Center 744 W 9th Street Tulsa, OK 74127 918/599-1000 OU Medical Center, University Hospital 711 Stanton L. Young Blvd. Oklahoma City, OK 73104 405/271-4700 Parkview Hospital 2115 Parkview Drive El Reno, OK 73036 405/262-2640 Pauls Valley General Hospital 100 Valley Drive Pauls Valley, OK 73075 405/238-5501 Pawhuska Hospital 1101 E 15th St Pawhuska, OK 74056 918/287-3232 Pawnee Municipal Hospital 1212 4th Street Pawnee, OK 74058 918/762-2577 Perry Memorial Hospital 501 14TH ST Perry, OK 73077 580/336-3541 Physician’s Hospital in Anadarko 1002 E Central Blvd Anadarko, OK 73005 405/247-2551 Ponca City Medical Center 1900 N. 14th Street Ponca City, OK 74601 580/765-3321 Prague Community Hospital 1322 Klabzuba Avenue Prague, OK 74864 405/567-4922 Presbyterian Hospital 700 NE 13th St Oklahoma City, OK 73104- 405/271-5813 Purcell Municipal Hospital 1500 N Green Ave. Purcell, OK 73080- 405/527-6524 Pushmataha Hospital 510 E Main St. Antlers, OK 74523 580/298-3341 Reynolds Army Community Hospital 4301 Wilson Street Fort Sill, OK 73503 580/558-2800 Roger Mills Memorial Hospital 501 S.W. L.L. Males Avenue Cheyenne, OK 73628 580/497-3336 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 24 Sayre Memorial Hospital 911 Hospital Drive Sayre, OK 73662 580/928-5541 Seiling Municipal Hospital U.S. Highway 60 Northeast Seiling, OK 73663 580/922-7361 Seminole Medical Center 2401 W Wrangler Blvd. Seminole, OK 74868 405/303-4000 Sequoyah Memorial Hospital 213 E Redwood Avenue Sallisaw, OK 74955 918/774-1100 Share Medical Center 800 Share Dr Alva, OK 73717 580/327-2800 SouthCrest Hospital 8801 S 101st E Avenue Tulsa, OK 74133 918/294-4000 Southwestern Medical Center 5602 Southwest Lee Blvd Lawton, OK 73505 580/531-4700 St. Anthony Hospital 1000 N Lee Ave. Oklahoma City, OK 73102-1080 405/272-5419 St. Francis Hospital, Inc 6161 South Yale Ave Tulsa, OK 74136 918/494-2200 St. John Medical Center 1923 S Utica Ave Tulsa, OK 74104 918/744-2345 St. John’s at Broken Arrow 1000 W. Boise Circle Broken Arrow, OK 74012 918/994-8000 St. John Sapulpa PO Box 1368/1004 East Bryan Ave. Sapulpa, OK 74067-1368 918/224-4280 St. Mary's Regional Medical Center 305 S. 5th Street Enid, OK 73701 580/233-6100 Stillwater Medical Center. 1323 West 6th Street Stillwater, OK 74074 405/742-5622 Tahlequah City Hospital 1400 E Downing Tahlequah, OK 74464 918/456-0641 Unity Health Center 1102 W MacArthur Street Shawnee, OK 74804- 405/273-2270 Unity Health Center – South Campus 1900 S. Gordon Cooper Drive Shawnee, OK 74801 405/273-2240 USPHS Claremore Indian Hospital 101 S. Moore Ave. Claremore, OK 74017 918/342-6200 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 25 USPHS Clinton Indian Hospital Rt 1, Box 213 Clinton, OK 73601 580/232-2884 USPHS Lawton Indian Hospital 1515 Northeast Lawrie Tatum Rd Lawton, OK 73507 580/353-0350 VA Medical Center 921 NE 13th Street Oklahoma City, OK 73104 405/456-1000 Jack C. Montgomery VA Medical Center 1011 Honor Heights Dr Muskogee, OK 74401 918/557-3000 Valley View Regional Hospital 430 N Monte Vista Ada, OK 74820- 580/332-2323 Wagoner Community Hospital 1200 W. Cherokee Wagoner, OK 74467 918/485-5514 Watonga Municipal Hospital 500 Hook Avenue Watonga, OK 73772 580/623-7211 Weatherford Regional Hospital 215 North Kansas Weatherford, OK 73096 580/772-5551 Woodward Hospital & Health Center 900 17th St Woodward, OK 73801 580/256-5511 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 26 Long Term Acute Care Hospitals (See Definition of Terms) Long term acute care (LTAC) hospitals may be housed within an acute care hospital or free standing. They provide specialized care for medical patients who are critically ill or have multi-system complications that require aggressive and continuous acute care services. Long term acute care hospitals have an average length of stay (LOS) of 25 days. They provide 6.5 to 8.5 nursing hours per day based on acuity (amount of nursing time needed to assist/teach patients in activities of daily living such as eating, grooming, and toileting.) The acuity of therapy is based on diagnosed need and patient tolerance. There are no maximums or minimums by guidelines and not all patients receive therapy. Patients are usually discharged to home with family or Home Health, a nursing home, a skilled nursing facility (SNF), assisted living, or rehabilitation. LTACs in Oklahoma (Contact information subject to change): Select Specialty Hospital-OKC 3524 Northwest 56th Street Oklahoma City, OK 73112 Tel 405/606-6700, FAX 405/606-6100 Kindred Hospital-OKC 1407 North Robinson Avenue Oklahoma City, OK 73103 Tel 405/232-8000, FAX 405/236-3839 Specialty Hospital of Midwest City 8210 National Avenue Midwest City, OK 73110 Tel 405/739-0800, FAX 405/739-6479 Edmond Specialty Hospital 1100 East 9th Street Edmond, OK 73034 Tel 405/341-8150, FAX 405/341-0105 MeadowBrook Specialty Hospital/Tulsa 3219 S. 79th E. Avenue Tulsa, OK 74145 Tel 918/663-8183, FAX 918/660-5376 Select Specialty Hospital 1125 South Trenton, 3rd Floor Tulsa, OK 74120 Tel 918-579-7301 Continuous Care Center of Tulsa St. John’s 1923 South Utica Avenue, 4 South Tulsa, OK 74104 Tel 918/744-3040 FAX 918/744-3043 INTEGRIS Bass Pavilion 401 South 3rd Street Enid, OK 73701 Tel 580/233-2300, FAX 580/233-8802 Continuous Care Center of Bartlesville 3500 East Frank Phillips Boulevard #4 Tower Bartlesville, OK 74006 Tel 918/331-1452, FAX 918/331-1456 Lane Frost Health and Rehabilitation Center 2815 East Jackson Hugo, OK 74743 Tel 580/326-9200, FAX 580/326-8876 Toll Free: 1-877-326-8170 Norman Specialty Hospital 1210 West Robinson Road Norman, OK 73069 Tel 405/321-8824, FAX 405/701-8010 Solara Hospital Shawnee 1900 Gordon Cooper Drive, 2nd Floor Shawnee, OK 74801 Tel 405/395-5800, FAX 405/395-5802 Solara Hospital Muskogee 351 South 40th Street Muskogee, OK 74401-4916 Tel 918/682-6161, FAX 918/682-6164 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 27 Oklahoma Acute Rehabilitation Centers Rehabilitation centers may occupy either a separate unit or department within an acute care hospital or a free-standing facility associated with a hospital devoted exclusively to rehabilitation. Inpatient rehabilitation centers are usually accredited by The Joint Commission and seek accreditation of Certification of Rehabilitation Facilities (CARF). The number and types of services may vary according to patients’ needs. A comprehensive treatment program has the goal to reduce/overcome deficits following illness or injury and to assist individuals to attain their optimal level of mental and physical ability, and useful, productive activity. The process involves a planned, orderly sequence of multiple, coordinated services related to the total needs of the individual. Services may be delivered within acute care services, a separate hospital unit, separate facility, or on an outpatient basis as the patient’s condition improves. The scope of rehabilitation services for individuals with TBI is diverse, requiring careful diagnosis and assessment of physical, cognitive and behavioral impairments. The team of TBI rehabilitation specialists may include a physician, physiatrist, nurse, neuropsychologist, psychologist, recreational therapist, physical therapist, occupational therapist, speech/language pathologist, special educator, exercise physiologist, counselor, social worker, and case manager. When the patient is ready to benefit from rehabilitation, the patient/family and physician attempt to select a center that treats a large number of TBI patients and has the professional staff available. Many for-profit organizations/centers in Oklahoma provide outpatient rehabilitation services. Those centers are not included here. *CARF-accredited (Contact information subject to change) Valir Rehabilitation Hospital 700 NW 7th Street Oklahoma City, OK 73102 Phone: (405) 553-1196 Rehab Services, Deaconess Hospital* 5501 N Portand Oklahoma City, OK 73112 Phone: (405) 951-3400 Jim Thorpe Rehabilitation Hospital* Integris Baptist Medical Center 3300 Northwest Expressway, 3rd Floor Oklahoma City, OK 73112 Phone: (405) 949-3305 Jim Thorpe Rehabilitation Hospital* 4219 S Western Oklahoma City, OK 73109 Phone: (405) 644-5200 Rehab Center, Mercy Hospital 4300 W Memorial Rd Oklahoma City, OK 73120 Phone: (405) 752-3168 Rehab Center St. Anthony's Hospital 1000 N Lee, 6th Floor Oklahoma City, OK 73101 Phone: (405) 272-7386 Children’s Center 6800 NW 39th Expressway Bethany, OK 73008 Phone: 405/789-6711 RehabCare, Norman Regional Hospital* 901 N Porter Street Norman, OK 73070 Phone: (405) 307-3863 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 28 RehabCare Program, Community Hospital 3100 SW 89th Street Oklahoma City, OK 73159 Phone: (405) 602-8100 St. Francis Broken Arrow 3000 S Elm Place Broken Arrow, OK 74012 Phone: (918) 455-3535 Muskogee Regional Hospital Rehabilitation 300 Rockefeller Drive Muskogee, OK 74401 Phone: (918) 682-5501 Broken Arrow Rehab Services* St. Francis Hospital 6161 S Yale Tulsa, OK 74136 Phone: 918/494-2200 FAX: 918/494-4299 Brookhaven 201 S Garnett Tulsa, OK 74128 Phone: (918) 438-4257 Kaiser Rehabilitation Center* Hillcrest Medical Center 1125 S Trenton Tulsa, OK 74120 Phone: (918) 579-7200 Bernson Rehabilitation Center St. John Medical Center 1923 S Utica Tulsa, OK 74101 Phone: (918) 744-2345 Tulsa Regional Medical Center 744 West Ninth Street Tulsa, OK 74127 Phone: (918) 587-2561 Comanche County Memorial Hospital* 3201 West Gore Blvd Lawton, OK 73505 Phone: (580) 355-8620 Fax: (580) 585-5576 Rehabilitation Unit* Southwestern Medical Center 5602 Southwest Lee Blvd Lawton, OK 73505 Phone: (580) 531-4704 George Nigh Rehab Institute 900 E Airport Rd Okmulgee, OK 74447 Phone: (918) 756-9211 RehabCare Unit Jane Phillips Episcopal Memorial Hospital 3500 E Frank Phillips Blvd Bartlesville, OK 74006 Phone: (918) 333-7200 Rehab Unit* McAlester Regional Health Center 1 Clark Bass Blvd McAlester, OK 74501 Phone: (918) 426-1800 Mercy Memorial Hospital of Southern Oklahoma 1011 14th NW Ardmore, OK 73401 Phone: (580) 223-5400 RehabCare Unit, St. Mary's Hospital* 305 S 5th St Enid, OK 73701 Phone: (580) 548-5072 RehabCare Unit, Valley View Hospital* 430 N Monta Vista Ada, OK 74820 Phone: (580) 332-2323 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 29 RehabCare, Stillwater Medical Center 1323 W. Sixth Avenue Stillwater, OK 74074 Phone: (405) 372-1480 Oklahoma NeuroSpecialty 2408 E 81st Street, Ste 2600 Tulsa, OK 74137 Phone: (918) 477-5111 Tahlequah City Hospital Rehabcare 1400 E. Downing Tahlequah, OK 74464 Phone: (918) 453-2175 Oklahoma City Veterans’ Administration Rehabilitation Program 921 NE 13th Street Oklahoma City, OK 73107 Phone: (405) 456-1000 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 30 Oklahoma City Service Area Indian Health Center Locations Tribal Health Center Locations Oklahoma City Service Area includes Holton, Lawrence, and Wichita Kansas, and Dallas Texas Indian and Tribal service units and health centers in Oklahoma provide basic prevention and health services to the majority of Native Americans in the state, and to all individuals who seek care in the facilities. People who suffer more severe injuries or medical problems are often transferred to a larger facility for special care. The Indian centers maintain complete records of patients’ emergency room, clinic visits, and hospital admissions for easy reference and follow up. People who sustain brain injury and are treated in a larger facility are usually followed by the admitting facility and their Indian Center. Indian Health Centers and Tribal Health Centers (*Tribally Operated Facility) (Contact information subject to change) ADA Service Unit Chickasaw Nation Medical Center 1921 Stonecipher Blvd Administrator Judy Goforth Parker Ada, OK 74820 Clinical Director Richard McClein (580) 436-3980 FAX: (580) 332-1421 *Ardmore Chickasaw Health Clinic Chickasaw Nation of Oklahoma 2510 Chickasaw Blvd. Clinic Coordinator Kelly Garrett Ardmore, OK 73401 (580) 226-8181 FAX: (580) 226-4868 *Tishomingo Chickasaw Health Center Chickasaw Nation of Oklahoma 815 E. 6th Street Clinic Coordinator Norman Bradsher Tishomingo, OK 73460 (580) 371-2361 FAX: (580) 371-9584 *Chickasaw/Durant Health Center Chickasaw Nation of Oklahoma 1600 N. Washington Clinic Coordinator Amanda Hicks Durant, OK 74701 (580) 920-2100 FAX: (580) 920-1191 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 31 Claremore Service Unit Claremore Indian Hospital 101 S. Moore Avenue Service Unit Director George Valliere Claremore, OK 74017 Administrative Officer Vicki Snell (918) 342-6200 Clinical Director Vacant FAX: (918) 342-6585 Nurse Executive Melinda Teehee, RN *Sam Hider Jay Community Clinic Cherokee Nation of Oklahoma P.O. Box 350 Facility Director Mike Fisher Jay, OK 74346 (918) 253-4271 FAX: (918) 434-5397 *Northeastern Tribal Health Center P.O. Box 1498 Facility Director Sharon Dawes Miami OK 74355 (918) 542-1655 FAX: (918) 540-1685 *Nowata Indian Health Clinic — Cherokee Nation Of Oklahoma 1020 Lenape Drive Health Systems Administrator Cindy Collins Nowata, OK 74048 (918) 273-0192 FAX: (918) 273-2147 * Cherokee Nation Muskogee Health Center 1001 S. 41st Street East Health Systems Administrator Rhonda Cochran Muskogee, OK 74859 (918) 687-0201 FAX (918) 687-0665 *Creek Nation Community Hospital - Creek Nation of Oklahoma 309 North 14th Street Health Systems Administrator Bradah Littlefield Okemah, OK 74859 (918) 623-1424 FAX: (918) 623-9016 *Okemah Indian Health Center Creek Nation of Oklahoma 309 North 14th Street Administrator Bradah Littlefield Okemah, OK 74859 (918) 623-0555 or (918) 623-2809 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 32 *A-mo Health Center Cherokee Nation P.O Box 490 Health Systems Administrator Charles Smith Salina, OK 74365 (918) 434-8500 FAX: (918) 434-2995 *Sapulpa Health Center — Creek Nation Of Oklahoma 1125 East Cleveland Facility Director Cynthia Tainpeah Sapulpa, OK 74066 (918) 224-9310 FAX: (918) 224-9314 *Bearskin Health Center Wyandotte Nation 1 Turtle Drive Health Services Director Kelly Walker Wyandotte, OK 74370 (918) 678-2282 Tollfree 888-864-0725 FAX: (918) 678-2759 *Okmulgee Health Center Creek Nation of Oklahoma 1313 East 20th Administrator (Acting) Debra Isham Okmulgee, OK 74447 (918) 758-1926 FAX: (918) 758-1944 Clinton Service Unit Clinton Indian Hospital Route 1, Box 3060 Service Unit Director Rebecca Leving Clinton, OK 7360 1-9303 Administrative Officer Comm James Gregory (580) 323-2884 Clinical Director Pedro Lopez, MD FAX: (580) 323-2884 Ext. 211 El Reno Indian Health Center 1631A E. Highway 66 Facility Director (Acting) Travis Watts, PharmD El Reno, OK 73036 (405) 262-7631 FAX: (405) 262-8099 Watonga Indian Health Center Rt. 1, Box 34-A Facility Director Pat Gonzalez, RN Watonga, OK 73772 (580) 623-4991 FAX: (580) 623-5490 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 33 Haskell Service Unit Haskell Indian Health Center 2415 Massachusetts Avenue Acting Service Unit Director Paula Foster Lawrence, KS 66044-4808 Clinical Director James Werner (785) 843-3750 Nurse Executive Shannon Tuckwin FAX: (785) 843-8815 *Kickapoo Health Center — Kickapoo Tribe Of Kansas 1117 Goldfinch Road Acting Facility Director Betty Nioce Horton, KS 66439 (785) 486-2154 FAX: (785) 486-2158 Holton Service Unit Whitecloud Health Station 3313-B Thrasher Road Chief Executive Officer (Acting) Kelly Battese Whitecloud, KS 66094 (785) 595-3450 Lawton Service Unit Lawton Indian Hospital 1515 Lawrie Tatum Road Service Unit Director (Acting) Greg Ketcher Lawton, OK 73501 Administrative Officer John Bear (580) 353-0350 Clinical Director (Acting) Scott Trapp, MD FAX: (580) 353-0350 Ext. 206 Nurse Executive Sandra Miller, RN Anadarko Indian Health Center P.O. Box 828 Facility Director Kelly Factor Anadarko, OK 73005 (405) 247-2458 FAX: (405) 247-7052 Carnegie Indian Health Center P.O. Box 1120 Facility Director (Acting) Linda Bailey Carnegie, OK 73015 (580) 654-1100 FAX:(580) 654-2533 Pawnee Service Unit Pawnee Indian Health Center 1201 Heritage Circle Chief Executive Officer Travis Scott Pawnee, OK 74058-3744 Administrative Officer (Acting) Pearl Dry (918) 762-2517 FAX: (918) 762-2517 Ext 200 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 34 Pawhuska Indian Health Center 715 Grandview Facility Director Vacant Pawhuska, OK 74056 Clinical Director (for Pawnee SU) Gerard Shea (918) 287-4491 Nurse Executive (for Pawnee SU) Michael Shackelford FAX: (918) 287-4491 * White Eagle Indian Health Center Ponca Tribe 200 White Eagle Drive Health Director Vacant Ponca City, OK 74601 (580) 765-2501 FAX: (580) 765-6348 *Kanza Health Clinic Kaw Nation P.O. Box 474 Health Director Jackie Dodson 3151 E. River Road Newkirk, OK 74647 (58) 362-1039 FAX (580) 362-2988 Shawnee Service Unit *Kickapoo Health Center P.O. Box 1059 Health Director Janette Mahtapeni McLoud, OK 74851 (405) 964-2081 FAX: (405) 964-2722 *Absentee Shawnee Tribal Clinic 15702 E. Highway 9 Director of Health Services Beverly Felton Norman, OK 73071 (405) 447-0300 FAX (405) 447-2250 * Citizen Potawatomi Nation Health Clinic 2307 S. Gordon Cooper Drive Director, Health Services Tim Tall Chief Shawnee, OK 74801 (405) 273-5236 *Black Hawk Health Center — Sac And Fox Nation Of Oklahoma 356110 E. 930 Road Health Director Marilyn Spoon Stroud, OK 74079 (918) 968-9531 FAX: (918) 968-4453 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 35 Tahlequah Service Unit W. W Hastings Indian Hospital 100 S. Bliss Service Unit Director Charles Grimm Tahlequah, OK 74464 Administrative Officer Mitchell Thornbrugh (918) 458-3100 Clinical Director Douglass Nolan FAX: (918) 458-3262 Nurse Executive Valerie Rogers, RN *Sallisaw-Redbird Smith Health Center 301 JT Stites Avenue Facility Director David Fivekiller Sallisaw, OK 74955 (918) 775-9159 FAX: (918) 775-4778 Wilma O. Mankiller Health Center – Cherokee Nation Health Center Route 6, Box 840 Facility Director Christy Harris Stilwell, OK 74960 (918) 696-8800 FAX: (918) 696-8840 *Eufaula Health Center Creek Nation of Oklahoma Health Systems Administrator Judith Pickering 800 Forest Avenue Eufaula, OK 74432 (918) 689-2547 FAX (918) 689-3643 Talihina *Choctaw Nation Health Care Center 1 Choctaw Way Administrator Teresa Jackson Talihina, OK 74571 Chief of Staff Marie Cole, MD (918) 567-7000 or 1-800-349-7026 FAX: (918) 567-2631 *Broken Bow Choctaw Nation Indian Health Clinic 1300 MLK Drive Facility Director Irene Farris Broken Bow, OK 74728 (580) 584-2740 FAX: (580) 584-2073 *Hugo Choctaw Nation Indian Health Clinic P.O. Box 340 Facility Director Sandra Julene Carter Hugo, OK 74743 (580) 326-7561 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 36 *McAlester — Choctaw Nation Indian Health Clinic 1127 S George Nigh Expy Facility Director Jill Anderson McAlester, OK 74501 (918) 423-8440 *Poteau Choctaw Nation Indian Health Clinic 109 Kerr Avenue Facility Director Brian Wren Poteau, OK 74953 (918) 649-1100 *Diabetes Treatment Center Choctaw Nation of Oklahoma One Choctaw Way Facility Director Tammy Kennedy Talihina, OK 74571 (918) 567-7000 Wewoka Service Unit Wewoka Indian Health Center P.O. Box 1475 Service Unit Director Mildred Blackmon Wewoka, OK 74884 Administrative Officer Nathan Wyatt (405) 257-6281 Clinical Director Ron Fried, DO FAX: (405) 257-2696 Nurse Executive Tina Smith, RN Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 37 URBAN HEALTH CENTERS Oklahoma City Indian Clinic Executive Director Robyn Sunday-Allen Central Oklahoma American Indian Health Council, Inc. 4913W. Reno Oklahoma City, OK 73127 (405) 948-4900 FAX: (405) 948-4932 Indian Health Care Resource Center of Tulsa Inc. 550 S. Peoria Avenue Executive Director Carmelita Skeeter Tulsa, OK 74120 (918) 588-1900 FAX: (918) 582-6405 Dallas Inter-Tribal Council 209 E. Jefferson Executive Director Rodney Stapp Dallas, TX 75203 (214) 941-1050 FAX: (214) 941-6537 Hunter Health Center 2318 E. Central Executive Director Suzette Schwartz Wichita, KS 67214 (316) 262-2415 FAX: (316) 262-0741 OTHER TRIBAL LOCATIONS *Kickapoo Traditional Tribe of Texas HCR 1, Box 9700 Health Director Nick Gonzalez Eagle Pass, TX 78852 (830) 757-0322 FAX: (830) 757-9228 *Tribally Operated Facility Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 38 County Health Departments, Oklahoma County health departments (CHDs) provide a wide array of basic health and public health services and social services such as immunizations, education to prevent disease and injury, women/infant/child (WIC) nutrition program, injury prevention programs, therapies and counseling, Child Guidance and other children’s services, treatment of minor conditions, and referral to needed services. Many persons with head injury need a variety of services in the community as well as care specific for the injury’s long-term effects. Services provided by each CHD are available to all residents in the county according to program guidelines. Services may include early intervention, speech/language/physical/occupational therapy, behavior modification, housing assistance, assistive devices, HIV referral, TB testing, family planning, home health safety, and disease prevention. (Contact information subject to change) Adair County Health Department 600 W. Hickory Stilwell, OK 74960 (918) 696-7292 Alfalfa County Health Department C/O Garfield County 2501 Mercer Drive Enid, OK 73701 (580) 233-0650 Atoka County Health Department 1006 W. 13th Street Atoka, OK 74525 (580) 889-2116 Beaver County Health Department PO Box 520 Hwy 270 South Beaver, OK 73932 (580) 625-3693 Beckham County Health Department 115 S. 4th Street Sayre, OK 73662 (580) 928-5551 Blaine County Health Department 521 W 4th Street Watonga, OK 73772 (580) 623-7977 Bryan County Health Department PO Box 598 1524 W. Chuckwa Durant, OK 74702 (580) 924-4285 Caddo County Health Department 216 W Broadway Anadarko, OK 73005 (405) 247-2507 Canadian County Health Department 100 S. Rock Island El Reno, OK 73036 (405) 262-0042 Carter County Health Department 405 S Washington Ardmore, OK 73401 (580) 223-9705 Cherokee County Health Department 912 S College Tahlequah, OK 74464 (918) 456-8826 Choctaw County Health Department 103 S 4th Street Hugo, OK 74743 (580) 326-8821 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 39 Cimarron County Health Department C/O Texas CHD 1410 N East Street Guymon, OK 73942 (580) 338-8544 Cleveland County Health Department 250 12th Ave NE Norman, OK 73071 (405) 321-4048 Coal County Health Department PO Box 365 1404 S. Hwy 75 Coalgate, OK 74538 (580) 927-2367 Comanche County Health Department PO Box 87 1010 S. Sheridan Road Lawton, OK 73502 (580) 248-5890 Cotton County Health Department 1501-A South 7th Walters, OK 73572 (580) 875-6121 Craig County Health Department 115 E Delaware Vinita, OK 74301 (918) 256-7531 Creek County Health Department 1808 S Hickory Sapulpa, OK 74066 (918) 224-5531 Custer County Health Department 3030 Custer Clinton, OK 73601 (580) 323-2100 Delaware County Health Department PO Drawer 370 Hwy 59 West Jay, OK 74346 (918) 253-4511 Dewey County Health Department C/O Blaine CHD 521 W 4th Street Watonga, OK 73772 (580) 623-7977 Ellis County Health Department C/O Texas CHD 1410 N East Street Guymon, OK 73942 (580) 338-8544 Garfield County Health Department PO Box 3266 2501 Mercer Drive Enid, OK 73702 (580) 233-0650 Garvin County Health Department 1809 S. Chickasaw Pauls Valley, OK 73075 (405) 238-7346 Grady County Health Department 2116 W. Iowa Street Chickasha, OK 73018 (405) 224-2022 Grant County Health Department 115 N. Main Medford, OK 73759 (580) 395-2906 Greer County Health Department 2100 N Louis Tittle PO Box 1 Mangum, OK 73554 (580) 782-5531 Harmon County Health Department 1104 N 7th St Hollis, OK 73550 (580) 688-3348 Harper County Health Department PO Box 290 7th & Oklahoma, Ste 9 Laverne, OK 73848 (580) 921-2029 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 40 Haskell County Health Department 1407 NE "D" Street Stigler, OK 74462 (918) 967-3304 Hughes County Health Department 200 McDougal Drive Holdenville, OK 74848 (405) 379-3313 Jackson County Health Department 401 W Tamarack Rd Altus, OK 73521 (580) 482-7308 Jefferson County Health Department 107 E Anderson Waurika, OK 73573 (580) 228-2313 Johnston County Health Department 1080 S. Byrd Street Tishomingo, OK 73460 (580) 371-2470 Kay County Health Department 433 Fairview Ponca City, OK 74601 (580) 762-1641 Kingfisher County Health Department 124 E Sheridan, Room 101 Kingfisher, OK 73750 (405) 375-3008 Kiowa County Health Department 431 W Elm Street Hobart, OK 73651 (580) 726-3316 Latimer County Health Department 201 W Main Wilburton, OK 74578 (918) 465-5673 LeFlore County Health Department PO Box 37 1212 Reynolds Poteau, OK 74953 (918) 647-8601 Lincoln County Health Department 101 Meadow Lane Chandler, OK 74834 (405) 258-2640 Logan County Health Department 215 Fairgrounds Road, Suite A Guthrie, OK 73044 (405) 282-3485 Love County Health Department 200 CE Colston Drive Marietta, OK 73448 (580) 276-2531 Major County Health Department 501 E. Broadway Fairview, OK 73737 (580) 227-3362 Marshall County Health Department PO Box 476 310 W. Lillie Blvd. Madill, OK 73446 (580) 795-3705 Mayes County Health Department 111 NE First Pryor, OK 74361 (918) 825-4224 McClain County Health Department 919 N Ninth Street Purcell, OK 73080 (405) 527-6541 McCurtain County Health Department 1400 Lynn Lane Idabel, OK 74745 (580) 286-6620 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 41 McIntosh County Health Department 29 Hospital Road PO Box 71 Eufaula, OK 74432 (918) 689-7774 Murray County Health Department 730 Cambridge Sulphur, OK 73086 (580) 622-3716 Muskogee County Health Department 530 S 34th Street Muskogee, OK 74401 (918) 683-0321 Noble County Health Department 300 E Fir Street Perry, OK 73077 (580) 336-2257 Nowata County Health Department C/O Rogers CHD 2664 N Highway 88, Unit A Claremore, OK 74017 (918) 341-3166 Okfuskee County Health Department 125 N Second Okemah, OK 74859 (918) 623-1800 Oklahoma City-County Health Department 921 NE 23rd Oklahoma City, OK 73105 (405) 427-8651 Okmulgee County Health Department 1304 R.D. Miller Drive Okmulgee, OK 74447 (918) 756-1883 Osage County Health Department 535 Leahy, Suite 103 Pawhuska, OK 74056 (918) 287-3740 Ottawa County Health Department 1930 N Elm Miami, OK 74354 (918) 540-2481 Pawnee County Health Department 639 Seventh Street Pawnee, OK 74058 (918) 762-3643 Payne County Health Department 1321 W. 7th Ave Stillwater, OK 74074 (405) 372-8200 Pittsburg County Health Department 1400 E. College Ave McAlester, OK 74501 (918) 423-1267 Pontotoc County Health Department 2330 Arlington Street Ada, OK 74820-2656 (580) 332-2011 Pottawatomie County Health Department 1904 Gordon Cooper Dr. Shawnee, OK 74801 (405) 273-2157 Pushmataha County Health Department 318 W Main St Antlers, OK 74523 (580) 298-6624 Roger Mills County Health Department C/O Jackson CHD 401 W. Tamarak Road Altus, OK 73651 (580) 482-7308 Rogers County Health Department 2664 N Highway 88, Unit A Claremore, OK 74017 (918) 341-3166 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 42 Seminole County Health Department 200 S Brown Wewoka, OK 74884 (405) 257-5401 Sequoyah County Health Department 612 N. Oak Street Sallisaw, OK 74955 (918) 775-6201 Stephens County Health Department 1401 Bois D'Arc Duncan, OK 73533 (580) 252-0270 Texas County Health Department 1410 N East Street Guymon, OK 73942 (580) 338-8544 Tillman County Health Department 1500 N Main Street Frederick, OK 73542 (580) 335-2163 Tulsa City-County Health Department 5051 South 129th East Avenue Tulsa, OK 74134 (918) 582-9355 Wagoner County Health Department 212 N Pierce Wagoner, OK 74467 (918) 485-3022 Washington County Health Department 5121 S.E. Jacquelyn Lane Bartlesville, OK 74006 (918) 335-3005 Washita County Health Department 1121 N Market Cordell, OK 73632 (580) 832-5062 Woods County Health Department 901 - 14th Street Alva, OK 73717 (580) 327-3192 Woodward County Health Department 1631 Texas Ave Woodward, OK 73801 (580) 256-6416 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 43 Resources and Services Directory for Head Injury and Other Conditions Section 4: Selected Health Care Professionals 1000 NE 10TH ST. OKC, OK 73117 TEL 405.271-3430 OR 800.522.0204 (OK only) FAX 405.271.2799 WEB http://ips.health.ok.gov O K L A H O M A S T A T E D E P A R T M E N T O F H E A L T H Funded in part by (H21MC06749) from the US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Neurosurgeons in Oklahoma Neurosurgeons are one specialty of a team of physicians involved in the accurate diagnosis and treatment of head injuries as soon as possible after the injury event. They perform surgery as indicated, follow the patient through the hospital stay, and recommend follow up care. Persons who have injury-related problems after discharge or experience problems weeks or months after discharge should contact the neurosurgeon to determine the possiblity of complications or referral to another physician/professional for appropriate treatment. (Contact information subject to change J. Michael Alvis, MD 2412 Palmer Circle Norman, OK 73069 405-321-6347 Benjamin Benner, MD 6767-A South Yale Tulsa, OK 74136-3303 918-492-7587 Christopher Boxell, MD 9001 S. 101st E. Ave, Ste 190 Tulsa, OK 74133 918-392-9670 Christopher Covington, MD 6802 S. Olympia Ave, Ste 300 Tulsa, OK 74132 918-749-0762 Karl Detwiler, MD 6767-A South Yale Tulsa, OK 74136-3302 918-492-7587 Johnny Duncan, DO 110 N.W. 31st - 2nd Floor Lawton, OK 73505 580-248-5255 Mark Duncan, DO 110 N.W. 31st - 2nd Floor Lawton, OK 73505 580-248-5255 Charles Engles Jr, MD 4120 W Memorial Rd, Ste 208 Oklahoma City, OK 73120-9322 405-755-3540 David Fell, MD 6767-A South Yale Tulsa, OK 74136-3302 918-492-7587 Allan S Fielding, MD 2000 S. Wheeling Ave, Ste 1110 Tulsa, OK 74133 918-294-0080 Eric Friedman, MD 4120 W Memorial Rd, Ste 300 Oklahoma City, OK 73120-9322 405-748-3300 Charles Fullenwider, MD 333 S 38th, Ste F Muskogee, OK 74401-4937 918-682-8087 Steven Gaede, MD 6802 S. Olympia Ave, Ste 300 Tulsa, OK 74132 918-749-0762 Mary Gumerlock, MD 1000 N. Lincoln Blvd., Ste 400 Oklahoma City, OK 73104-5023 405-271-4912 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 44 Michael Hahn, MD 4120 West Memorial Road, Ste 300 Oklahoma City, OK 73120-9322 405-748-3300 Brent Neal Hisey, MD 14100 Parkway Commons Drive, Ste 201 Oklahoma City, OK 73134 405-945-4720 Donald D Horton, MD 14100 Parkway Commons Drive, Ste 201 Oklahoma City, OK 73134 405-945-4720 Douglas Koontz, MD 6767-A S Yale Tulsa, OK 74136 918-492-7587 David G Malone, MD 1919 S Wheeling, Ste 706 Tulsa, OK 74104-5635 918-794-5542 Kyle J Mangels, MD 6802 S. Olympia Ave, Ste 300 Tulsa, OK 74132 918-749-0762 John Marouk, DO 2128 S Atlanta Place Tulsa, OK 74114-1709 918-583-5131 Jeffrey Paul Nees, MD 3400 W. Tecumseh Road, Ste 305 Norman, OK 73072-1812 405-701-8582 Stephen Ofori-Kwakye, MD 3201 West Gore Blvd, Ste 303 Lawton, OK 73505 580-353-6000 David Pagnanelli, DO 5604 SW Lee Blvd, Ste 357 Lawton, OK 73505 580-531-4600 Stanley Pelofsky, MD 4120 W Memorial Rd, Ste 300 Oklahoma City, OK 73120-9322 405-748-3300 Bruce D Pendleton, MD 620 S. Madison Street, Ste 202 Enid, OK 73701 580-616-7605 Barry Pollard, MD 102 S Van Buren Enid, OK 73703-5866 580-242-7030 Robert Remondino, MD 4120 W Memorial Rd, Ste 300 Oklahoma City, OK 73120-9322 405-748-3300 W Emery Reynolds, MD 4120 W Memorial Rd, Ste 208 Oklahoma City, OK 73120 405-755-3540 Scott Robertson, MD 9060 Harmony Drive, Ste E Midwest City, OK 73130 405-737-0203 James Allen Rodgers, MD 6565 South Yale Ave, Ste 709 Tulsa, OK 74136 918-481-4965 Samuel Shaddock, MD 13205 Glad Acres Dr Dallas, TX 75234-5202 972-484-408 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 45 Richard V Smith, MD 4120 W Memorial Rd, Ste 205 Oklahoma City, OK 73120 405-749-7080 Stewart Smith, MD 3705 N.W. 63rd Street, Ste 212 Oklahoma City, OK 73116 405-608-4300 John Richard Smithson JR, MD 2000 S. Wheeling Avenue Tulsa, OK 74104 918-748-7854 Robert E Tibbs Jr, MD 4120 W Memorial Rd, Ste 300 Oklahoma City, OK 73120-9322 405-748-3300 Frank Tomecek, MD 6802 S. Olympic Ave, Ste 300 Tulsa, OK 74132 918-749-0762 Gregory Wilson, DO 9709 E. 79th Street South Tulsa, OK 74133 918-994-4000 Ronald Woosley, MD 2000 S. Wheeling Avenue Tulsa, OK 74104 918-748-7854 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 46 Physical Medicine and Rehabilitation Physicians Physicians in this specialty are Board-certified to practice physical medicine and rehabilitation. They are responsible to evaluate and diagnose an individual’s physical status in relation to rehabilitative needs, direct the rehabilitation services plan and direct staff who are implementing the services, including physical therapy, occupational therapy, swallowing therapy, speech/language therapy, and counseling. The specialty provides rehabilitative care for medical and surgical conditions. Referral for services may be made through professionals or self-referral. (Contact information subject to change) Donald E. Adams, MD St. Anthony North 6205 N Santa Fe, Ste 200 Oklahoma City, OK 73118 (405) 427-6776 Archana Barve, MD 5701 N Portland, Ste 210 Oklahoma City, OK 73112 (405) 949-6481 Jean Bernard, MD 1809 E. 13th, Ste 100 Tulsa, OK 74104-4419 (918) 582-6800 Albert Bisson, MD 4120 W Memorial Road, Ste 118 Oklahoma City, OK 73120 (405) 748-4700 Christopher Bouvette, MD 4120 W Memorial Rd, Ste 118 Oklahoma City, OK 73120 (405) 748-4700 Kimberly Bouvette, MD 4120 W Memorial Rd, Ste 118 Oklahoma City, OK 73120 (405) 748-4700 Andrew Briggeman, DO 701 W. Queens Street, Ste 100 Broken Arrow, OK 74012 (918) 994-4810 Michael Brown, MD 4120 West Memorial Rd, Ste 118 Oklahoma City, OK 73120 (405) 748-4700 Michael Carl, MD 105 S. Bryant, Ste 301 Edmond, OK 73034 (405) 509-6241 Donald Chadwell, MD 1015 N Shartel Ave Oklahoma City, OK 73102-1021 (405) 605-1400 Perri Craven, MD 1125 S. Trenton Avenue Tulsa, OK 74120 (918) 579-7100 Rita Hancock, MD 1020 24th Ave NW, Ste 100 Norman, OK 73069-6341 (405) 447-4999 James D. Harris, DO Veterans Agency 1011 Honor Heights Dr Muskogee, OK 74401 (918) 683-3261 x 3396 Ashok Kache, MD 1145 S Utica, Ste 403 Tulsa, OK 74104-4015 (918) 584-3548 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 47 Sanjiv M. Kaul, DO Tomlinson Med Complex 3201 W Gore Blvd, Ste G1 Lawton, OK 73505 (580) 250-6659 James Lee, MD 4802 N.W. 10th Street Oklahoma City, OK 73127 (405) 702-1667 Andrew Olshen, MD Rehab Associates of Muskogee 3502 W. Broadway Muskogee, OK 74401 (918) 682-2815 Timothy Pettingell, MD 1621 S Eucalyptus Ave, Ste 204 Broken Arrow, OK 74012 (918) 252-7952 James Rascoe, DO 1119 E. Wade Watts Avenue McAlester, OK 74501 (918) 426-2026 Anil Reddy, MD 9725 E. 79th Street, Ste A Tulsa, OK 74133 (918) 252-0112 Srikanth Reddy, MD 8803 S 101st East Ave, Ste 290 Tulsa, OK 74133-5716 (918) 459-9500 Darryl Robinson, MD 3110 S.W. 89th, Ste 102 Oklahoma City, OK 73159 (405) 703-4950 Gary Schick, MD 3406 S. Boulevard Edmond, OK 73013 (405) 230-9450 Kristi Self, MD 721 NW 6th St, Ste 201 Oklahoma City, OK 73102-1205 (405) 235-5135 Charles Shields, MD 330 S Fifth St, Ste 305 Enid, OK 73701 (580) 242-1224 Kathleen M. Sisler, MD 6585 S. Yale Ave, Ste 200 Tulsa, OK 74136 918-481-2767 M. Shawn Smith, MD 5100 N Brookline, Ste 500 Oklahoma City, OK 73112 (405) 605-8780 Surichi Tanejo, MD & Steve Yost, PA J.C. Montgomery Veterans Affairs Med Ctr 1011 Honor Heights Drive Muskogee, OK 74401 (918) 683-3261 D. Brent Tipton, MD 5100 N Brookline, Ste 530 Oklahoma City, OK 73112 (405) 604-6652 Kumudini Vaidya, MD 2222 W. Iowa Avenue Chickasha, OK 73108 405-224-8111 Annie Venugopal, MD 1705 E 19th, Ste 501 Tulsa, OK 74104-5416 (918) 744-8110 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 48 Neuropsychologists, Oklahoma Neuropsychology is a relatively new field where clinicians investigate the relationship between human behavior and how the brain works. They use several tests to measure the person’s skills by evaluating strengths and weaknesses following brain injury, which helps in planning appropriate rehabilitation and vocational (work or school) activity. (Contact information subject to change) (Children and adults) James Scott, Ph.D., ABPP-CN Psychiatry & Behavioral Sciences University of Oklahoma Health Sciences Center Oklahoma City, OK Tel: 405/271-5251, ext 47653 Jim-scott@ouhsc.edu Jan Culbertson, PhD Dept of Pediatrics University of Oklahoma Health Sciences Center Tel: 405/271-5700 Oklahoma City, OK Jan-culbertson@ouhsc.edu Lori Holmquist, Ph.D. 3330 N.W. 56th Street, Ste 305 Oklahoma City, OK 73112 Tel: 405/713-7065 Russell Adams, Ph.D., ABPP-CN Psychiatry & Behavioral Sciences University of Oklahoma Health Sciences Center Oklahoma City, OK Tel: 405/271-5251, ext 47680 russell-adams@ouhsc.edu Ernest Beckham, PhD, ABPP 6406-A N Santa Fe Oklahoma City, OK 73116 Tel: 405/840-3793 edbechkam@att.net Jerry Duncan, PhD, ABPP 119 N. Broadway Avenue, Suite 104 Ada, OK 74820 Tel: 580-310-9588 Herman Jones, Ph.D. Dean of Student Affairs University of Oklahoma Health Sciences Center Oklahoma City, OK Tel: 405/271-2316 Herman-jones@ouhsc.edu William Leber, Ph.D. Psychiatry & Behavioral Sciences University of Oklahoma Health Sciences Center Oklahoma City, OK Tel: 405/456-1000, Ext 63140 William-leber@ouhsc.edu Stephen Miller, PhD, ABPP 1900 NW Expressway, Site 900 Oklahoma City, OK 73118 Tel: 405/810-1133 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 49 Mickey Ozolins, PhD, ABPP Neuropsychology Associates 4140 W Memorial Rd, Ste 601 Oklahoma City, OK 73120 Tel: 405/749-2870 Bill Rowe, Psy.D, Ph.D. Neuro Resources 3441 W. Memorial Road, Ste 7 Oklahoma City, OK 73134 (405) 286-6000 Terry Shaw, PhD, ABPN 7146 South Braden Avenue, Ste 500 Tulsa, OK 74136 Tel: 918/488-6165 terrys@health.ok.gov Janet Spradlin, PhD, ABPP 1000 N Lee, Rm 5143 Oklahoma City, OK 73101 Tel: 405/272-6554 Janet_spradlin@ssmhc.com Richard E Sternlof, PhD, ABPP 3035 NW 63rd St., Ste 227 Oklahoma City, OK 73116-3631 Tel: 405/848-8489 Thomas Vaughn, PhD, ABPP Unity Health Center Hospital 3200 Medical Park Drive Shawnee, OK 74804 Tel: 405/878-3432 tvaughn@sbcglobal.net Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 50 Geographical Listing of Health Service Psychologists Licensed psychologists provide testing, assessment, diagnostic and counseling services (2005). Ada Burk, John, PhD Heitland, William Carl, EdD Lynd, Robert Sterling, PhD Maxwell, Roy T, EdD Randleman, Randy, PhD Wigdor, Reubin, PhD Bartlesville Bowen, Peggy Cooper, PhD Dohne, Thomas Wayne, PhD Fisher, Laura Emily, PhD Harpole, Carolyn Annetta, PhD Bethany Budd, Philip R, PsyD Wright, Ronald, PhD Broken Arrow Chronister, Gary L, PhD Goulden, Lisa, PhD Robineete, Kerstin, PhD Sellen, Z Faith, PhD Catoosa Bost, Diana E, PhD Claremore Rogers, Clayton Wayne, EdD Drumright Lively, KL, PhD Duncan Bonner, Donald Wayne, EdD Earslboro Beesley, Denis, PhD Edmond Beasley, Ron, PhD Cochran, Randy L, PsyD Cook, Bruce, EdD Davis, Walter R, PhD Doan, Jr, Robert Eugene J, PhD Elam, Joseph D, PhD France, Gary A, PhD Gerrity, Kathleen M, PhD Holmes, Deborah H, PhD Letchworth, Frances Everett, PhD Marotta, Lisa Lynn, PhD Scott, Jill MacKay, PhD Shadid, Tom F, PhD Swink, Richard H, PhD Tobin, Paul G, PhD Walker, C Eugene, PhD Youll, Lorraine, PhD El Reno Danaher, Robert, PsyD Scott, Eddie K, EdD Enid Betz, Wendi, PhD Close, Stephen R, PhD Cotton, Catherine M, PsyD May, Deborah Duncan, PhD Miller, Sarah, PhD Sorey, Kenneth E, EdD Ft. Sill, Lawton Bryant, Roger Allen, PsyD Goodwell Burns, Cecil W, PhD Shafer, L Loyet, PhD Grove Abernathy, Steven R, PhD McDougall, Hugh M. PhD Petrick, Sandra, PhD Hominy Ekenstam, Carolyn, PhD Hunter Betz, Wendi, PhD Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 51 Jenks Shackelford, Julia Brassfield, PhD Lawton Brady, Douglas O, PhD Brady, Sharon Smith, PhD Clanton, Marc, PsyD Dick, Kenneth E, PhD Dick, Leah D, PhD Dodd, David, PhD Ferguson, Dennis, PhD Hollwege, Dennis Ray, PhD Lynch, Darrell Lee, PhD Lynch, Jana Beth, PhD Stephens, Ted W, MS Wahl, Jane Aurell, PhD Lexington Keithley, James W, PhD Little, Ernest L, PhD Steen, Annice Jo, PhD McAlester Shaw, Terry Glen, PhD Miami Long, Judith A, PhD Midwest City Night, Linda Jane, PhD Moore Roach, Rachel Lynn, PhD Muskogee Graybill, B Todd, PhD Lee, James M, PhD Noble Kritzberg, Samuel, PhD Norman Acree, Patricia Cox, PhD Adkins, David S, PhD Argentos, Mary Jane, PhD Ashby, Rachel, PhD Bower, Dian, PhD Boyd, Harry S, PhD Boyd, Kathryn Ann, PhD Britz, Darren Ernest, EdD Burchfield, Deborah, PhD Chioco, Cynthia W, PsyD Cummings, Ronald, PhD Danback, Karen, PsyD Daves, Michael Frank, PhD Dilley, Nancy Hiatt, PhD Dupell, Julie Cocklin, PhD Elisens, Merrie, PhD Farwell, Kit, PhD Featherston, Jamie K, PhD Gatch, Vera M, PhD Hamil, Wade L, PhD Holt, Rebecca Roddey, PhD Howe, Allison C, PhD Hume, Don W, PhD Jacobs, Mildred O, PhD Kendall, Karen Sloulin, PhD Koch, Russell, PhD Lindsay, Gary Roger, PhD Marcus-Mendoza, Susan Taft, PhD McCaffrey, Candace Krause, PhD McCaffrey, Jr, Raymond Henry, PhD McClanahan, Walter Val, PhD McCullough, Mona, PhD McKinney, Margaret, PhD Miske, Paul, PhD Mobley, Diana G, PhD Olson, Margaret Edith, PhD Pace, Terry Mac, PhD Palmer, Roland L, PhD Perkins, Vicki J, PhD Ragland, Edith Keeton, PhD Ragland, Robert E, PhD Rosko, Charlotte K, PhD Sharp, Bill, PhD Spencer, Herbert L, PhD Stoltenberg, Calvin Dale, PhD Taber, S Kay, PhD Tedder, Sandra Lee, PhD Terry, Carol A Sweeney, PhD Trousdale, Jean B, PhD Washington, Aubrey Owen, PhD Wayne, William R, PhD Willis, Diane J, PhD Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 52 Nowata Jones-Hackworth, Janet, PhD Oklahoma City Abbott, Catharine, PhD Adams, Russell L, PhD Adcock, Rebecca, PhD Ahluwalia, Ekta “Wally”, PhD Allbright, Karen E, PhD Allen, Sandra F, PhD Austin, Elizabeth, PhD Ayers, Michael R, PhD Baird, Teresa Davis, PhD Baumann, Karen S, EdD Baumberger, Theodor S, PhD Beasley, Jr, Stewart R, PhD Beckham, Ernest Edward, PhD Blackwood, Jr, Grady L, PhD Boland, Jr, John Louis, PhD Bonner, Barbara L, PhD Boyer, JD, Jenny L, PhD Brandon, Patricia, PhD Brandt, Ruth A, PhD Bright, Katrina H, PhD Britt, Betty Jean, PhD Broadway, Clifford M, PhD Burke, Celia A, PhD Call, JD John Arnold, PhD Capra, Patricia, PhD Carella, Stephen D, PhD Carlson, David K, PsyD Carothers, Richard A, PhD Chaffin, Mark, PhD Clark, Pamela, PhD Coburn, Thurman E, PhD Corrigan, Susan, PhD Couch, Joseph B, PhD Coyle, II, Edward Louis, PhD Cruse, J Ronald, PhD Culbertson, Jan, PhD Curry, Judith R, PhD Danker, Pamela, PhD Dlugokinskim, Eric, PhD Dlugokinski, Lesley J, PhD Dye, Larry, PhD Edgar, Max M, PhD Enlow, R Vernon, PhD Evans, Thomas E, PhD Ferguson, Nelda M, PhD Fischer, Pamela Correia, PhD Fishkin, Steven M, PhD Foley, Dana Deardeuff, PhD Friedman, Joyce, PhD Funderburk, Beverly, PhD Galloway, Rita J, PhD Goebel, Kay, PhD Goodrich, Carolyn Collins, PhD Gray, Libbe, PhD Green, R Keith, PhD Gurwitch, Robin Hilary, PhD Hand, Ray, PhD Hartley, Deborah K, PhD Hawkins, Gene A, PhD Heath, Paul A, EdD Hobson, Gale L, PhD Holland, Christa, PhD Holloway, Joan A, PhD Huszti, Heather C, PhD Hyde, Diane Hoehn, PhD Hyde, Philip Carlton, PhD Isenberg, Roy M, PhD Johnsen, David E, PhD Johnson, Mark, PsyD Jones, Dan Elkins, PhD Jones, Herman E, PhD Jones, Thomas, EdD Kampschaefer, Cynthia M, PsyD Kampschaefer, George Michael, PsyD Kates, Janet, PhD Keller, James, PhD King, Edith G, PhD Kragh, Jeffrey, PhD Krimsky, Martin , PhD Kuekes, Edward G, PhD Kuperman, Bernard David, PhD Langsdorf, Richard, PhD Leber, William Roger, PhD Leveridge, Marci, PhD Logue, Mary Beth, PhD Lottinville, Elinor, PhD Mason, Patrick J, Phd McCauley, Larry, EdD McCurdy, Susan, PhD Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 53 Oklahoma City continued McKee, Kieth D, PhD McMorrow, Mary Ann, PsyD Mertens, Ruth Ann, PhD Miller, Stephen, PhD Moore, Marcia S, PhD Moran, Dennis John, PhD Morgan, Barbara Jean Scott, PhD Morgan, Catherine N, PhD Morris, Hoyt, PhD Murphy, Philip J, PhD Nye, Patricia N, PhD O’Donnell, John L, PhD Olson, Roberta Ann, Phd Ozolins, Delmar A, PhD Ozolins, Mickey S, PhD Phillips, Faith, PhD Pokorny, Lois J, PhD Post, Timothy A, PsyD Preisz, Melvyn G, PhD Price, B Max, PhD Ramseyer, Susan Sundari, PhD Rasmussen, Elizabeth A, PhD Rouse, Gary A, PhD Russell, Warren Keith, PhD Schaefer, Arlene B, PhD Schmid, William F, PhD Schoell, John, PhD Scott, James Glenn, PhD Shaw, Catherine Jarvis, PsyD Shaw, William F, PhD Sherman, Michelle, PhD Shewmaker, Kenneth L, PhD Silovsky, Jane, PhD Simpson, Sharon, PhD Sisney, Vernon V, PhD Smallwood, RE, PhD Smith, Harrison Morton, PhD Sneed, Mark McCallon, PhD Speed, Liliana F, PhD Spradlin, Janet M, PhD Stephen, Michael, PhD Sternlof, Richard Edward, PhD Sturgis, James E, PhD Tassey, John Richard, PhD Thomas, W Brian, PsyD Trapp, Maria, PhD Trombley, Robert, PhD Tyndall, Karen Yopp, PhD VanHorn, Laurel A, PhD Varga, Terrie, PhD Waters, Diana G, PhD Weaver, Carrol R, PhD Whatley, Philip R, PhD White, Jerry, PhD Wood, Arlis G, PhD Zamberlin, Jeanette L, PhD Okmulgee Berryhill, Elise, PhD Bryant, William T, PhD Choney, Sandra Kaye, PhD Pauls Valley Pearce, Burnard L, PhD Perry Reed, Gregory W, PhD Ponca City Hassell, Perry L, PhD Ravella, Neil, PhD Smith, Dan M, PhD Sapulpa Geyer, Michele Ann, EdD Shawnee Ball, M Gerald, PhD Cargill, Jonathan D, PhD Dilley, Jim, PhD Petrin, Elizabeth, PhD Vaughn, Thomas J, PhD Stillwater Boswell, Donald L, PhD Burks, Linda Kaye, PhD Burns, Larry Wayne, PhD Campbell, Alan Carl, PhD Carlozzi, Alfred F, EdD Carlson, John, PhD Chaney, John, PhD Clemens, Laurie, PhD Fulgenzi, Lawrence B, PhD Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 54 Stillwater continued Garabedian, Krikor (Greg)B, PhD Gentry, William C, PhD Griffith, Kelly, PhD Lindsey, Ralph, PhD Long, Patricia J, PhD Miville, Marie, PhD Mullins, Larry L, PhD Oehler-Stinnett, Judy, PhD Ray, Stanley Richard, PhD Romans, John Stanley Charles, PhD Sandvold, Kenneth, PhD Schlottman, Robert S, PhD Stinnett, Terry A, PhD Sullivan, Maureen A, PhD Taraldson, Bonnie J, PhD Thomas, Kathy Helpinstill, PhD Waller, Robert R, PhD Winterowd, Carrie, PhD Taft Hansen, David, PhD Vinsant, Terry Neal, PhD Tahlequah LaGrand, Denis, PsyD Locke, Sandy, PhD Paris, Kenny, PhD Reese, Linda, EdD Tecumseh Fuchs, Raymond Marcus, PhD Tulsa Adams, Judith K, PhD Adams-Westcott, Janet, PhD Armentrout, David P, PhD Atwood, John T, PhD Barnes, Leslie E. PhD Basso, Michael R, PhD Bear, Teresa Marie, PhD Beard, Jo Ellen, PhD Bedwell, H Wade, PhD Berman, William Bruce, PhD Bianco, Faust, PhD Blankenship, Bryan K, PhD Bond, Leslie Bear, PhD Booth, Kerry G, PhD Bost, Richard, PhD Bramble, Fred B, PhD Brian, Tommie J, EdD Butler, Beatrice Elizabeth, EdD Cage, James W, PhD Capehart, Janet, EdD Carter, Ann L, PhD Casler, Jacqueline, PhD Clapp, Robert K, PhD Cleary, John William, PhD Cohn, Miramar Garcia, PhD Coldwell, Geralann K, MA Conger, Alan PsyD Cooper, Paul, PhD Cooper, William L, PhD Crews, Sandy Angus, PhD Dafforn, Thomas Alan, PhD Daniell, Jennifer Lynn, PhD Drummond, Carol Ann K, PhD Duffield, Beverly, PhD Duncan, Jerry N, PhD England, Toni, PhD Epperley, Jane Riemer, PhD Eyer, Jerry Carl, PhD Feller, Randall D, PhD Fonkalsrud, A Owen, MA Friedman, Michael A, PhD Fritsch, Joseph P, PhD Fritz, Jeri Louise, PhD Fritz, Karen Sue, PhD Furlong, Cathy Lynn, PhD Gentz, Douglas, PhD Gordon, Minor W, PhD Govaerts, Kathryn A, PhD Grannis, Pamela Dillard, EdD Greenwood, E Ann Miles, PhD Gruenau, Steven Powell, Phd Hall, Terese, PhD Harkness, Allan R, PhD Hayes, Nancy, PhD Hewett, Barbara Burton, PhD Hickman, John William, PhD Hinkelman, Jeanne, PhD Hodson, Bruce Richard, PhD Hoffman, Thomas A, PhD Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 55 Tulsa continued Hogan, Robert, PhD Howard, Susan S, PhD Hurlburt, John David, PhD Jarman, Randall Wayne, PhD Jeffus, E Dale, PhD Jernigan, Duie R, PhD Johnson, Bonnie B, PhD Johnson, Craig L, PhD Jones, J Richard, PhD Kaul, Manju, PhD Kemp, Sarah “Sally” L, PhD Kilpatrick, Cheryl A, Phd Kranau, Edgar J, PhD Kugler, Karen E, PhD LaFortune, JD, Kathryn, PhD Leslie, Carol L, EdD Lewis, Mary Anne, EdD Lock, Michael L, PhD Love, Angela S Cole, PhD Lukens, Jr, Horca C, PhD Magee, Mary Ross, PhD Martin, Michael, PhD McCarty, Dow Greg, PhD McCoy, George F, PhD McGraw, Deborah, PhD Miles, Robert Edwin, PhD Millican, Dorothy, PhD Monroe, Paula R, PhD Montgomery Jr, Dean P, PhD Murphy, Cynthia Macielski, PhD Nelson, R Eric, PhD Newman, Elana, PhD Newman, Patrick, PhD Nicholas, Rebecca, EdD Nicholson, Robert A, PhD Parker, Mary Llewellyn, PhD Patterson, George Howard, PhD Patterson, Lindsay A, PhD Phillips, Susan M, PhD Price, Reese E, PhD Rawlings, Dennis A, PhD Redwood, Susan K, PhD Reynolds, A Eugene, PhD Reynolds, Cynthia Lewis, PhD Rich, Melanie S, PhD Rineer, Mary Elizabeth, PhD Sadler, Mark S, PhD Schwartz, Joseph Michael, PhD Schwartz, Paul Jan, PhD Scruggs, Joe B, PhD Shafer, James K, PhD Sherman, Adam G, PhD Sherman, Samuel J, PhD Shoemaker, Stephen Forrest, PhD Smith, David G, EdD Smith, Janice B, PhD Spanier, Maribeth, PhD Sperle, Mark A, PhD Stevens, Vivian Mancini, PhD Stockley, Daniel M, PhD Sweet, Allen W, PhD Sweet, Marcella H, PhD Taylor, Gladys J (Ann), PhD Tomlinson, Dennis A, PhD Trentham, Bart, PhD Vantine, Jerry Odell, PhD Vanzetti, Nelly A, PhD Vaught, Larry, PhD Wakefield, David Ray, PhD Walton, Richard Allyn, PhD Ward, Julie Powell, PhD Welch, Thomas, PsyD Williamson, Diane H, EdD Willis, Janet Gayle, PhD Vinita Grundy, Curtis Todd, PhD Grundy, Elizabeth Mollette, PhD Russell, Anita Jeanne, EdD Weatherford Wolff, Michael W, PhD Wewoka Moore, Darwin Glen, PhD Woodward Kahoe, Richard D, PhD Yukon Glass, Vincent A, PsyD Whittenberg, Linda K, PhD Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 56 Optometrists Who Provide Visual Therapy, Oklahoma Vision therapy is provided by optometrists who practice preventive and rehabilitative optometry by first seeking the cause of visual dysfunction and treating those causes, not just the symptoms that include headaches, blurred or double vision, poor comprehension, or “not working to potential.” Although the majority of people may benefit from this care, it is especially effective for the following groups: Individuals who have suffered a brain injury or other cerebral trauma, Students diagnosed as “learning disabled,” Computer users, Athletes, Persons labeled as “juvenile delinquents,” Persons who use their near vision a great deal at work or in recreation. Vision is the dominant sense in the process of deriving meaning from what is seen. It is a learned and developed set of functions that involves many skills. It is estimated that 80%- 85% of our perception, learning, cognition and activities are made possible through vision. More than 50% of people with neurologic impairments such as traumatic brain injury, stroke, multiple sclerosis, etc., have visual and visual-cognitive disorders. The three main visual problems resulting from brain injury and stroke are visual field loss, intractable double vision, and visual/balance disorders. In many cases, a poorly developed visual system, or one that has been damaged, leads to processing difficulties for these individuals. A complete visual evaluation can determine if the problem is visually related and if the person can benefit from specific vision therapies. Optometrists who provide Visual Therapy in Oklahoma: *Board certified. Contact information subject to change Alva Trina Piper-Hughbanks, O.D. 515 College Ave. Alva, OK 73717-2221 Tel: 580/327-3335 Email: ktrh@yahoo.com Edmond *Damon White, O.D., FCOVD 1300 E 15th Street, Ste 170 Edmond, OK 73013-5042 Tel: 405/216-0707 FAX: 405/216-0777 Fort Gibson Debbie Coy, O.D. 330 W. Hwy 62 Fort Gibson, OK 74434 Tel: 918/478-8888 Email: dcoyyeyes@sbcglobal.net Guthrie *Doug Cook, O.D., FCOVD 2114 W Noble Ave. Guthrie, OK 73044-2116 Tel: 405/260-2020 Email: twoeyedox@aol.com Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 57 Lisa M. Cook, O.D. 2114 W Noble Ave. Guthrie, OK 73044-2116 Tel: 405/260-2020 FAX: 405/282-8886 Email: twoeyedox@aol.com Lawton Monique Leong, O.D. 3414 N.W. Cache Road, Suite B, 73505 Or 1415 W. Gore Blvd., 73501 Lawton, OK Tel: 580/458-9756 FAX: 580/536-4325 Email: moniquewleong@yahoo.com Oklahoma City Ralph Latimer, O.D. 8800 S. Pennsylvania Oklahoma City, OK 73159 Tel: 405/684-9448 Samuel C. Oliphant, O.D. 14000 Quailbrook Drive Oklahoma City, OK 73134 Tel: 405/751-7727 FAX: 405/755-1875 Email: soliphant@cox.net George Shields, O.D. Shields Family Eye Care 3545 W Memorial Oklahoma City, OK 73134 Tel: 405/749-8300 Email: gshiledsod@hotmail.com Park Hill Stephanie Rice, O.D. 24295 Highway 82 Park Hill, OK 74451 Tel: 918/207-0700 Email: smrod@hotmail.com Sapulpa Margo Hagen, O.D. 741 S. Mission Sapulpa, OK 74066-4659 Tel: 918/227-3927 FAX: 918\696-8882 Email: visualsens@aol.com Tahlequah Lynn Cyert, O.D. NSU College of Optometry 1001 N Grand Ave. Tahlequah, OK 74464-7017 Tel: 918/458-2109 FAX: 918/458-9603 Email: cyert@nsuok.edu Wesley Joseph DeRosier, O.D. NSU College of Optometry 1001 N. Grand Ave. Tahlequah, OK 74464-7017 Tel: 918/458-2109 FAX: 918/458-2104 Email: derosier@nsuok.edu Heidi Thoden, O.D. NSU College of Optometry 1001 N Grand Ave. Tahlequah, OK 74464-7017 Tel: 918/744-1480 FAX: 918/458-2104 thoden@nsuok.edu Tulsa *Monte Harrel, O.D. 4520 S Harvard, Ste 135 Tulsa, OK 74135-2916 Tel: 918/745-9662 FAX: 918/745-9663 drharrel@oklahomavision.com *Carol L. Sweet, O.D., FCOVD 6913 S Canton Ave., Ste 200 Tulsa, OK 74136-3426 Tel: 918/491-7396 FAX: 918/491-7399 Resources & Services Directory for Head Injury, Injury Prevention Service, OSDH 58 Resources and Services Directory for Head Injury and Other Conditions Section 5: State and Loca |
Date created | 2011-09-21 |
Date modified | 2011-09-21 |