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Course: #2649

A Comprehensive Approach to the Complex Patient with Dual Diagnosis of TBI & SCI Part 1: Functional Impact, Medical Complexity and Neuropsychological and Psychological Approaches to Treatment.

25 Reviews

2 Hours  

Please note: This course is also offered in a series of recordings titled "A Comprehensive Approach to the Complex Patient with Dual Diagnosis of TBI & SCI," course 2696.

Part 1 of the presentation “A Comprehensive Approach to the Complex Patient with Dual Diagnosis of TBI & SCI” discusses incidence, diagnostic issues, medical complexities and functional impact for patients with co-occurring TBI & SCI. This presentation has an inter-disciplinary focus that introduces neuropsychological considerations for treatment; such as testing, family education and goal-setting suggestions for developing a plan of care for this patient population. This is an advanced course. The content is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.

Course created on February 1, 2017

Unlimited CEU Access - $99/year

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Preview Exam

Level: Advanced

Course Learning Outcomes

  • The participant will be able to describe at least three characteristics of individuals with dual diagnosis of SCI & TBI.
  • The participant will be able to identify at least three common issues related to the under diagnosis of SCI & TBI.
  • The participant will be able to list two medical complexities and at least two co-morbid health conditions within the population with SCI & TBI to the development of a plan of care.
  • The participant will be able to describe at least two psychological and at least two neuropsychological concerns related to the patient.
  • The participant will be able to identify at least three psychosocial factors that influence patient outcomes in dual SCI & TBI diagnoses.

Time-ordered Agenda

0-10 Minutes Background & review of learner outcomes
10-60 Minutes Part 1: Literature Review of Incidence of Dual Diagnosis
60-115 Minutes Part 2: Psychological and Neuropsychological Impacts of Dual Diagnosis Injuries
115-120 Minutes Question and Answer Section & Summary

Course Presenters

sarah e caston

Sarah E. Caston, PT, DPT, NCS

Dr. Caston is a physical therapist holding a specialty certification in neurologic physical therapy living in Charlotte, NC. She attended Emory University where she earned her DPT and completed a neurologic residency program through Mercer University in affiliation with Shepherd Center in Atlanta, GA. She has several years of clinical experience treating patients with traumatic neurologic injuries, including patients with dual diagnoses of TBI & SCI and various other neuromuscular disorders. She currently serves as an assistant professor at Wingate University’s Doctor of Physical Therapy program, where she teaches courses in Diagnosis and Management of Neurologic Conditions, as well as Psychosocial Issues in Rehabilitation.



laurie nash

Laurie Nash, PhD, ABPP

Laurie Nash, PhD, ABPP, is the Director of Psychology at the Shepherd Center and is certified in Rehabilitation Psychology by the American Board of Professional Psychologists.  Dr. Nash joined the Shepherd Center in 2009, where she completed a 2-year postdoctoral fellowship in Clinical Neuropsychology, and joined the staff as a Neurorehabilitation Psychologist in 2011. She primarily works with people with spinal cord injury and brain injuries, and their families. Dr. Nash received her BA from Bemidji State University, MN, her MA in Counseling and Community Psychology from Marist College, NY, and her PhD in Clinical Psychology from Yeshiva University and the Albert Einstein College of Medicine, NY.  She completed her internship at the MountSinai School of Medicine, NY.  She has experience in schizophrenia and substance abuse research, cardiovascular disease and rehabilitation, traumatic brain injury, and spinal cord injury rehabilitation.  She earned the American Psychological Association Division 22 Early CareerPractice Award in 2016.

Presenter Disclosure: The presenters received an honorarium to present this course.

Content Disclosure: This learning event does not focus exclusively on any specific product or service.


Course Participation Information

To ensure you are ready to participate, please complete our short Test Drive to prepare your computer to view the course.

Review Technical Requirements

Login and logout times will be recorded and documented.
Passing an online exam will be required to earn continuing education credit, where applicable.

Live Webinars allow presenter and participant interaction. The exam and course evaluation for these courses must be completed within 7 days of the event.

On-demand courses include texts, video and audio recordings of live webinars, and multimedia formats. The exam and course evaluation for on-demand courses must be completed within 30 days of course registration.

To participate in the course, complete the exam, and earn continuing education credit (where applicable), you must be a CEU Total Access member is committed to providing equal opportunities in accordance with all applicable laws. If you are in need of a disability-related accommodation, please contact We will review your request and respond in a timely manner. Please note that we will require a minimum of 2 weeks to provide a reasonable accommodation for your request.

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California is an approval agency for the Physical Therapy Board of California.

International Association for Continuing Education and Training

Allied Health Media, LLC, DBA, is accredited by the International Association for Continuing Education and Training (IACET). Allied Health Media complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, Allied Health Media is authorized to issue the IACET CEU. Allied Health Media, LLC, is authorized by IACET to offer 0.2 CEUs for this program.

IL Physical Therapy Continuing Education Sponsor

This course is offered for 2.0 hours (Advanced level) by the Illinois Department of Professional Regulation (Sponsor License #216000252).


This course is offered for 2.0 hours (Advanced level, Category 2) by the Kentucky Physical Therapy Association (Provider #CS80-2012-KPTA).

New York is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider of physical therapy and physical therapist assistant continuing education.

Texas Physical Therapy Association

This course is offered for 2.0 hours (Advanced level) by the Texas Physical Therapy Association. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. The Texas Physical Therapy Association (TPTA) administers the CCAP on behalf of the Texas Board of Physical Therapy Examiners (Provider #1807033TX).

We recognize that state CE requirements are constantly changing. If you have any questions regarding our courses and your state requirements, please contact us at 866-782-6258 or