That time of year again that Brain Injury Services is looking for clients to volunteer to be part of a research project of interest. There are two studies below for client involvement: Educational Routines and Applied Behaviour Analysis. All studies have been approved by McMaster University, Board of Ethics. The following outlines the studies offered:

Educational Routines Study

The purpose of this study is to observe and assess the efficacy of staff using educative routines to increase daily living skills of clients in residential group homes at Brain Injury Services. The procedures involve house managers, the clinical coordinator and behaviour therapists, who will implement the Educative Routines in selected residences. Data will be collected and analyzed to see how well staff learn to follow effective teaching techniques as well as to evaluate how well the clients learn the functional activity when staff are given optimal teaching.

Safe Management Staff Training Study

The purpose of this study is to evaluate the effectiveness of crisis intervention training on staff knowledge and performance. Data will be gathered through pre and post knowledge tests as well as through videotaped performance testing. The aim of the study is to determine the level of knowledge and skills gained by new staff as well as the level of knowledge and skills retained by staff completing annual refreshers. The result will inform the effectiveness of the training, and inform the need for enhanced training procedures.

Group-based ABA Training Study

The purpose of this study is to evaluate the effectiveness of a group based skill acquisition training program for individuals with acquired brain injury. The group trainers will utilize Applied Behaviour Analysis (ABA) based approaches to teach functional skills to clients.

Applied Behaviour Analysis (ABA) Student Practicum (non-research project)

The ABA project is designed to teach students how to design and implement applied behaviour analysis (ABA) and discrete trial training (DTT) programs for adults with acquired brain injury (ABI) at Brain Injury Services. Students are enrolled in the Department of Psychology and Neuroscience undergraduate program at McMaster University. They meet with clients three times weekly to teach functional skills, under the supervisor of the agency clinical director.

Should you have any questions about the above projects please contact Liana McLeod 905-523-8852 X119

Client Safety Committee Report
First Quarter 2016-17

The Client Safety Committee convened for its quarter two review. Once again a downward trend in staff medication errors during the first quarter (April to June) of the 2016-17 fiscal repeated itself in the second quarter (July to September). Medication errors continues as a topic of discussion at the client safety committee meetings with committee members looking to make further improvements in medication administration and documentation errors.

Overall, observed client falls (falls witnessed by staff) remained flat although self-reported falls showed an increase. This is thought to be due to a change in data collection processes and increased education to clients around reporting their falls to staff. Root cause analyses (RCA) were completed on all falls that exceeded identified thresholds. Recommendations implemented from the RCAs included investigation into the impact of lighting on seizures as well as the correlation of fatigue with exercise and falls. Also recommended were assessments by occupational therapists and physiotherapists along with investigation into assistive devices for some individuals.

The client “Good Catch” initiative kicked off to a successful start. There were 16 client good catches ranging from trip and slip hazards to a covered smoke detector and broken hinges on cupboards. A client from the TLS was chosen for the good catch of the quarter and will receive a certificate of recognition.

All activities of the client safety committee are tracked in the organization’s Quality Plan which can be reviewed by clicking this link.

For more information about the client safety committee and/or the Quality Plan, please contact Steve Dawn, manager, behavioral residential services at
September 2016.


Brain Injury Services is in the process of formalizing our person-centred care framework. We have been gathering in-put from employees, clients and families.  We hope this approach will support better access to care and services, more coordinated and comprehensive care, safer care, more efficient use of resources, enhanced knowledge and skills, improved provider and recipient satisfaction, and improved individual rehabilitation outcomes.

To summarize the framework, we understand that individual engagement occurs on a scale (from consultation to shared partnership and shared leadership) depending on the each individual’s ability and desire. Brain Injury Services’ draft framework incorporates the following core values:

  • Dignity/Respect: By honouring all persons’ perspectives, choices and confidentiality. All persons’ knowledge, values, beliefs and cultural backgrounds are incorporated into the planning and delivery of services.
  • Information Sharing: Communicate and share complete and unbiased information with all persons in ways that are affirming and useful. All persons receive timely, complete and accurate information in order to effectively participate in decision-making.
  • Participation: Ensure opportunities for all persons to provide input into all aspects of service delivery and decision-making to the extent that they wish.
  • Collaboration: Involve all persons in policy and program development, implementation and evaluation, facility design, professional education, and delivery of service.

For our policy document on person centred care, please click here.

September 19, 2016

In a recent survey, the majority of client families involved in the Virtual Family Advisory Council indicated that the disclosure practices at Brain Injury Services are appropriate and sufficiently transparent.

The survey was conducted in connection with the Virtual Family Advisory Council, an online forum that allows families of clients to provide input into our operations.

Some respondents asked that they be provided a summary of all incidents that occurred with their family members, not just the more serious incidents. There was also some indication that staff could be more informed about the details of the incident before contacting families.

These suggestions will be brought to the management team and opportunities for improvement explored.


In another survey conducted under the auspices of the Virtual Family Advisory Council, 100% of respondents agreed that Brain Injury Services does an excellent job protecting clients’ personal health information.

However, almost half of the respondents did not know that the clients (or their decision maker) can access/view their own file.

The Virtual Family Advisory Council is an online forum that allows families of clients to provide input on a variety of topics and issues related to client care. If you are a family member of a client and would like to participate, please contact the Virtual Family Advisory Council at:

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