Showing posts with label expertise. Show all posts
Showing posts with label expertise. Show all posts

Thursday, July 5, 2012

Congrats, Grads!

It’s been a busy season of graduation celebrations for staff and clients at Special Tree's residential homes!  The Royal Oak staff held a graduation Open House for Cody M. who earned is diploma from Royal Oak High School on May 31st.    

At Williams, staff celebrated client Stephanie H. graduation from Oakland Community College on May 12th with her associate’s degree in General Studies with a concentration in pre-pharmacy, as well as client Webb D’s graduation from Truman High School on June 7th. 

Congratulations to these hard-working graduates and a big shout out to the staff and therapists who provided the encouragement and expertise to help them accomplish their goals!  Go team!

Cody M. proudly displays his diploma at his commencement ceremony at Royal Oak High School

Tuesday, June 5, 2012

A Job Well Done

Midland Administrative Assistant Kim Campbell needed an extra box Kleenex on her desk when she came into work on May 24th.  That was her last official day of being a job mentor to Jordon, a 23-year-old student from Midland Public School’s Post-secondary Transition Program for students with special needs. 

Since September, Kim has worked closely with Jordan two mornings a week at Special Tree on developing skills to help her transition to a paying job in the community.  Jordan impressed Kim right away by how quickly she got her work routine down, which includes light clerical work like filing, faxing, and Xeroxing, “Jordan took her responsibilities at Special Tree very seriously and did an amazing job,” said Kim.  

More importantly, Kim saw tremendous growth in Jordan’s self-confidence as she learned to work independently and communicate with staff and clients more easily.  “Kim helped me a lot,” said Jordan.  Kim was especially thrilled when Jordan recently shared the good news that she was hired for a part-time position in a daycare.  “I’m so happy for her. It makes me feel like I did my job as a role model,” said Kim.  Jordan is the second student Kim has mentored from the program and she’s looking forward to working with a new student in the fall.  “It’s a good feeling to help these kids grow.”   

Kim and Jordon take a break from working on Jordon's last day

Thursday, May 24, 2012

I Thought He Walked on Water...


Many years ago my mother was on her front porch which faces a lake.  My father was down by the lake doing work.  A few moments had passed when my mom heard my father shout up to her “Look Syl, I told you I could walk on water.”  As my mother turned, sure enough, there was my father walking across the lake.  

What I have left out of this story is the fact that it was the dead of winter.  His ability to walk on water was just an illusion.  My mother was actually on the porch to watch over my father as he needed to walk on our lake for one reason or another.  Being a good partner, my mother watched, intently taking care of her own needs on the porch yet, at the ready to provide support to my father if need be.   Having been in relationship with my father for many, many years my mother came to know a few things:  She believed in her heart my dad could walk on water.  She knew the importance of showing and telling him that she believed in him.  Having seen him “fall” into the very water he walked on she knew he was human – had disappointed her in the past and would likely do it again in the future.  She knew that accepting him for who he was while maintaining a sense of who she was is what kept her with the man who still gave her goose bumps after all their years together.  She also knew she wanted to throttle him about 200 times a day.

So why is that?  Why do we fall in love with and/or attract people who drive us completely crazy?  Why do we begin with Superman or Superwoman only to end up with Clark Kent or Lois Lane?   One source of answers comes from Imago Relationship Therapy.  In the book titled Getting The Love You Want: A Guide for Couples Dr. Harville Hendrix (1988) explains “each one of us is compulsively searching for a mate with a very particular set of positive and negative personality traits (p. 8).  Typically, the negative traits are more influential (p. 34).”  Most people are “attracted to someone who has the predominant character traits of the people who raised us (p. 14).”  According to Dr. Hendrix, co-founder of Imago Relationship Therapy, most people seek out people with particular traits in an effort to heal old childhood wounds inflicted upon them by their primary caregivers. 

So then why does my mate or friend change from what I was initially attracted to?  Your mate or friend does not necessarily change.  They are who they always were. Their best self is what was experienced in the beginning of relationship coupled with your unconscious projections of what was desired to be seen in them.  In the beginning of any relationship there is risk of seeing what one would like to see in a person; the characteristics that were yearned for in one’s primary caregivers.  Because the negative traits in caregivers may have caused wounds, many individuals subconsciously seek someone to heal those wounds.  According to Dr. Hendrix’s and Helen LaKelly Hunt’s theory the brain is trying to “re-create the conditions of your upbringing, in order to correct them” (p. 31). So, in the beginning of many relationships both participants are on their best behavior and typically both participants have on rose colored glasses that were obtained in childhood. Those “glasses” alter their perception of the very person standing in front of them.  Once your mate relaxes and no longer feels the need to put their best foot forward and the rose tint on the glasses begins to fade what is left is a mixture of a person very much like the people experienced in childhood.  Yes, you are back at square one!  What is that saying about never being able to go home again…?      

Why do I get so frustrated with my mate?  Many people who have traits that had to be repressed, disowned, or erected in childhood are attracted to those same traits in others.  Therefore, many people seek out individuals who have parts of themselves intact that they themselves do not.  For example:  If a person is shy they may be attracted to a person who is social.  When Shy was growing up he may have been told to be quiet, that his presence did not matter.  Shy therefore disowned the parts of himself that were outgoing and social.  When Shy met Social he felt like life had been breathed into him.  Social’s outgoing ways appealed to Shy and he felt drawn to them.  A part of him that was disowned had now returned and was being expressed albeit though this other person. 

Over time, Shy came to resent Social because Social was exhibiting traits Shy was not allowed to express as a child.  Shy tried to quell Social because Shy learned as a child that expansive traits were potentially dangerous.  It meant that caregivers would disapprove or worse, possibly abandon.  Now these traits expressed by Social irritated Shy and triggered a fear response in Shy because Shy unconsciously associated the feeling with past events not with what was happening in the present.  At times, fear may be expressed as anger.  Shy became angry with Social in his attempt to subconsciously keep both he and Social safe.  Shy sounded and acted like his critical parent and begin being critical towards Social.  Social resented Shy for trying to change her and became confused and hurt as to why her once loved trait is now so unlovable. 

If Shy and Social are not able to successfully communicate and understand where each are coming from the relationship may ultimately end unless each are dedicated enough to the relationship to work to heal themselves and help to heal each other.  If left unchecked, the likelihood of each person recreating this same scenario in a new relationship is quite probable.

 So what can you do?  A beginning would be to read the book Getting the Love You Want: A Guide for Couples.  Another option is checking out the Imago Relationships International website: www.gettingtheloveyouwant.com

Keep in mind the qualities we do not like in others are typically qualities we ourselves hold (or maybe repressed, disowned…). 

Hendrix, H. H. (1998). Getting the love your want: A guide for couples. New York: Henry Holt

Rebecca Cowell, MS, LLP, CBIS, BCBA, CIRT

Limited License Psychologist

Board Certified Behavior Analyst

Certified Imago Relationship Therapist

Thursday, April 12, 2012

TBI Awareness Day At Ann Visger Elementary

“This is awesome!”  That’s how one elementary student summed up the Brain Injury Awareness Day that Special Tree organized for 300 students at Ann Visger Elementary in River Rouge on March 29 in honor of Brain Injury Awareness Month.  Speech Language Pathologists Lauren G. (NCC), Sara K. (Troy), Mary Lynn C. (NCC Intern), Vocational Coordinator Sara L., Day Treatment Services Team Member Danielle C., client James P, and Joe R., planned a full day of activities in the school’s new library just one month after its grand opening on Leap Day. 

Classes came down each hour and were split into rotating groups with each group focusing on a specific part of the brain. Kids participated in a variety of activities to help them learn which parts of the brain were responsible for skills like balance, vision, taste, smell, and touch.  Special Tree also purchased 10 bicycle helmets as prizes for drawing held throughout the day. The students not only learned about brain anatomy, but the Special Tree Team really stressed the importance of TBI prevention including wearing a seat belt and bicycle helmet.

The Special Tree Team takes a quick break from a day of educational fun at Ann Visger Elementary

Wednesday, August 24, 2011

Let's Party

Heidi Nadobny, Recreational Therapist

Midland NeuroSkills Center

To the client it’s simply a party, but I like to call it an “acclimation” activity. It’s a nice way for our younger clients who are having issues getting back into the swing of socializing, and spending time with friends to get reacquainted.

I like to set up a small party in a non-stressful environment, invite the client and friends to in a situation where they can interact with each other with video games, and other fun activities they enjoy. The purpose is to address issues of non-communication between the client and his or her friends, and to answer any questions they might have about what’s going on. It’s also a great opportunity to talk about how, although the client may have some visible or obvious differences than prior to the accident, they are the same person. I emphasize the importance of still doing activities together, not being afraid to talk to the client about the same things they talked about prior to the accident and so on. A lot of the times the client’s peers are more hesitant and fearful of talking to the client than the client is of talking to them. But after an afternoon of fun everyone is usually more at ease.

Thursday, July 7, 2011

RSTs Rock!


When it comes to Special Tree’s RSTs, there’s never a shortage of praise from clients and staff for their hard work and dedication. To show RSTs how much they’re appreciated, Special Tree organized IMAGINE, an off-site personal growth and development conference held biennially to celebrate National Nurses Aid Week last month.


To accommodate scheduling needs, the event was held over two days in June so that every RST would have an opportunity to attend. The conference featured breakout sessions on topics that RSTs expressed in a pre-conference survey. The sessions were facilitated by STRS staff and thanks go to: Catherine Steinhoff- Massage Management, Jill Prisza – Nutrition, Jim Hall - Personal Finance, Lela Hickonbottom – Health Careers, Neal Dregansky – Personal Fitness, Kristin Clearhout – Managing Stress, and Kelly Sandor & Derica Scribner – Love & Logic Parenting Skills.


Keynote speaker Walt Stasinski from Potential Unlimited in Troy inspired the crowd with a humorous but powerful presentation on the importance of having fun at work. “Everyone left feeling energized with ideas for new ways to enhance their work and personal relationships,” said HR Administrator Lisa Bray, who coordinated the IMAGINE event with RST Trainer Mary Jo Hall. RST staff from each facility competed in a Science of Caring poster contest with The Cottage and Tyler II tying for first place. RSTs also received a conference t-shirt and STRS bag and there were door prizes that included gift certificates and gas cards and a grand prize weekend trip including hotel, and pre-paid gas card awarded at each day of the conference.


On duty 24/7, 365 days a year, RSTs help clients with personal care and activities of daily living, support our nursing staff, and manage meals, medication, and household tasks at our residential locations. “The RSTs play such a critical role here,” said Mary Jo. “We want to acknowledge them in a way that helps them to grow and lets them know how much they’re appreciated.”



RSTs attended many breakout sessions throughout the day devoted to topics on personal growth and development.


Tyler 2 RSTs (pictured) and The Cottage both took First Place in the Science of Caring Poster Contest


Lisa Bray, IMAGINE coordinator, Lela Hickonbottom "Health Careers" presenter and Mary Jo Hall, IMAGINE coordinator.




Children's Services Manager Derica Scribner and Behavioral Specialist Kelly Sandor discuss parenting skills in their Parenting with Love & Logic session

Keynote Speaker Walt Stasinski from Potential Unlimited in Troy





Thursday, June 16, 2011

You're Never Prepared For This Kind of Left Turn...

CEO Joe Richert's "unabridged" letter from the Spring 2011 Special Edition

Dear Friends,

It’s an exciting time at Special Tree! We’re really looking forward to moving into our new “digs” at the NeuroCare Center. There are other exciting things happening, however, I would like to pen my modest missive to everyone surrounding an incredible journey that our father, Doctor Richert, and family took this spring.

In early March, my wife, Joletta and I were visiting Dad at his timeshare in the Bahamas. On one of our traditional two-mile morning walks, Dad began struggling with his balance and fell on the beach. He was scooped up by some very kind beach attendants at the “One and Only” resort (by the way, where the James Bond movie, Casino Royale, was filmed).

Joletta and I took Dad to the Doctors Hospital in Nassau where we learned that he had an acute subdural hematoma and needed emergency brain surgery. IT HIT ME LIKE A TON OF BRICKS. I WAS IN NO WAY PREPARED FOR THIS. He was very lucid so he and I made the decision to go ahead with surgery. It was successful; however it required a second intervention on to relieve cerebral spinal fluid. By the end of the week, Dad was stable enough and was cleared to go by air ambulance to Jackson Memorial Hospital in Miami, Florida. After hearing the news, our son Joe, flew down to assist us. Joe went with Dad on the air ambulance flight to Miami and now has a goal of owning his own Lear 35. Apparently, it’s quite a ride.

While in Miami, Joe and his wife Rachel stayed with Dad for some time. Brother Jack and sister Jackie were next, followed by sisters Jill and Jackie who accompanied Dad back from Miami to Detroit and ultimately to room 11 at our inpatient NeuroCare Center for rehabilitation.

Doc is home now and doing great. This wasn’t the spring that I had planned, but I learned some valuable insights that I wanted to share:

1. You’re never prepared for this kind of left turn. I have a deeper understanding of what families experience when hit with a catastrophic event involving a loved one.

2. You’d love the ability to make quick decisions, but you can’t. Events unfold and eventually a plan or next step will emerge.
3. It’s important to have a Smartphone with a good data plan so you can email, text, and access the internet when outside of the U.S. As it turned out, the neurosurgeon that did our father’s surgery is the same guy who pioneered the use of folly catheter as a shunt for children in Africa (the device drains fluid from the brain so pressure doesn’t build up). Dr. Ekededes was a brilliant guy and I’m hopeful he will be a long-term friend of our family and of Special Tree.

4. I’m incredibly grateful that we had the credit card resources to cover Dad’s hospital bill because U.S. medical insurance isn’t accepted in the Bahamas.

5. It’s amazing how patient Dad is with the pace of his recovery. It’s slow, but he’s progressing.

6. We’re lucky to be part of a nation-wide brain injury community which included incredible neurosurgeons to consult as we were making decisions.

7. Who would have thought that owning and operating an inpatient facility would be such an advantage for taking care of a family member? Dad received incredible care and treatment from the NCC staff and the food’s not bad either!

8. Now for a few of the more humorous things I learned. Our visitor’s chairs at Special Tree are uncomfortable and they don’t match! I learned this while sitting on one in Dad’s room with my brother Jim. It was while I was complaining about the chairs to Jim that I noticed a blanket on Dad’s bed with a logo from the Henry Ford Health System. I later learned that we regularly trade blankets with ambulance companies so there’s probably a few Special Tree blankets in the Henry Ford Health System somewhere.

To all the staff who worked with Dad: Thank You Very Much! You all need to know how absolutely cool you are and how important you are to people in stressful and uncertain times Our father’s day-to-day caregivers were outstanding. They were able to so politely, yet effectively, get the “Medical Director Emeritus” up and walking in the most pleasant and dignified way. Our Nurses were also kind, yet effective, in making sure that Doc paid attention to the medications that he was supposed to take. Our Therapists were good natured and fun, yet made him work so hard every day that even when he started to complain it was always with a smile. I’m so proud of who we are and what we do. I have a renewed commitment to make sure we’re the best for each of our clients and their families. Oh, and by the way, I just confirmed that we’re getting all new visitors chairs in the new facility!

Thank you and Best Regards,

Joe Richert



Thursday, January 6, 2011

Michigan Quality Council names Special Tree its 2010 State Quality Award Recipient

Michigan Quality Council (MQC) has named Special Tree Rehabilitation System the 2010 State Quality Award Recipient.

The Michigan Quality Leadership Award is the highest honor for organizational performance excellence in the state. It is awarded after a rigorous review by a team of examiners who perform a comprehensive site visit and then submit a report for final evaluation to an independent panel of judges.


The MQC’s Leadership award program is modeled after the national Baldrige Performance Excellence Program. Both programs evaluate an organization for excellence in seven categories of performance: leadership; strategic planning; customer focus; measurement, analysis, and knowledge management; workforce focus; operations focus; and results. Participating organizations receive a feedback report identifying strengths and opportunities for improvement; those that demonstrate mature processes and outstanding results may become award recipients.


“Special Tree Rehabilitation System’s leadership model unleashes the talent of employees who live its Science of Caring and Whole Person Paradigm every day. The robust planning developed through the annual operating cycle along with the cascading communication process ensures that employees are linked top to bottom to wildly important client-focused goals. Special Tree has created a culture that provides individualized care and is improving the quality of life for clients”, said Geri Markley, executive director of the Michigan Quality Council. “Special Tree Rehabilitation System is a role model for other organizations in Michigan and for brain and spinal cord injury rehabilitation everywhere.”

Joe Richert, Special Tree President and CEO, said the company was delighted by the recognition. “We are so honored to be recognized by the Michigan Quality Council,” said Richert. “The work they do in supporting business and organizations is helping to raise the bar on quality throughout Michigan. The feedback we receive is truly valuable and a building block in our continuing quest for quality excellence.”


The MQC was created in 1993 by business and government leaders to promote performance excellence practices that achieve results in business, education, healthcare, and non-profit organizations throughout Michigan. The primary service of the Council is providing feedback to organizations to help them improve, culminating in recognizing top Michigan performers. The MQC is now affiliated with Cleary University. For more information on the Michigan Quality Council, visit www.michiganquality.org.

Wednesday, August 25, 2010

New Concussion Protocols for High School Athletes

By Kit Pohl, PT, CBIS
Physical Therapist
Troy Neuro Skills Center

Beginning with the 2010-2011 school year, there will be a new concussion protocol for all high school athletes who are governed by the Michigan High School Athletic Association. Under the new rules, any athlete “who exhibits signs, symptoms or behaviors consistent with a concussion (such as loss of consciousness, headache, dizziness, confusion or balance problems) shall be immediately removed from the contest and shall not return to play until cleared by an appropriate health care professional.”

Game officials or coaches will no longer have a role in determining if an athlete has sustained a concussion. An apparently injured athlete must be examined by a health care professional to determine the extent of the injury. If the school’s designated health care professional determines that the student did not sustain a concussion, the athlete may reenter the competition. If a concussion is confirmed, the athlete may not return to competition that day. The return-to-play protocol requires: 1) only an MD or DO may clear the individual to return to competition 2) the clearance must be in writing 3) the clearance may not be on the same date on which the athlete was removed from play.

The MHSAA has also approved sanctions for non-compliance with the concussion management policy. With a first offense, the competition is forfeited and the school is placed on probation in that sport through the end of the following year. A second offense in that sport will result in an extension of the probation for an additional year and the school will be prohibited from participating in the MHSAA post-season tournament.

This ruling reflects the change in attitude that a concussion is more than a bump on the head. New studies are finding that repeated concussions can cause permanent brain damage that eventually shows up a depression, chronic headaches, early-onset dementia and/or adult-onset attention deficit hyperactivity disorder.

The MHSAA is working with the Brain Injury Association of Michigan to promote public awareness of concussions in youth sports and the new MHSAA concussion protocol.

Tuesday, August 17, 2010

September 15 is National School Backpack Awareness Day

By Carrie Parks, MA, OTR/L, CBIS
Occupational Therapist
Special Tree Rehabilitation System


September 15th is National School Backpack Awareness Day.

Aching backs and shoulders? Tingling arms? Weakened muscles? Stooped posture? Does your child have these symptoms after wearing a heavy school backpack? Carrying too much weight in a pack or wearing it the wrong way can lead to pain and strain. Parents can take steps to help children load and wear backpacks the correct way to avoid health problems.

Here are a couple of links that are tip sheets for parents and how to choose an appropriate backpack.

Thursday, July 22, 2010

Are You and Your Kids Getting Enough Exercise?

Part of a series of informative articles from Special Tree's Physical Therapists to get you moving in 2010!

By Kit Pohl, PT, CBIS
Physical Therapist
Troy Neuro Skills Center

How much physical activity do adults and kids need to stay healthy?

Guidelines for physical activity were updated by the US Department of Health and Human Services in December 2009. The Physical Activity Guidelines for Americans outline the health benefits of regular exercise and offer the following recommendations for children, adolescents, adults and older adults.

Children and adolescents should do one hour or more of physical activity each day. Activities for children should consist of aerobic activity of moderate intensity five days per week and vigorous-intensity activity three days per week, muscle strengthening at least three days per week and bone strengthening at least three days per week. Encourage kids and teens to participate in age-appropriate activities which are enjoyable and offer variety. Check out this website. It lists 100 activities for children and teens including Nintendo Wii and in-line skating. Aerobic activities can include running as part of game play or bike riding. Muscle strengthening, including core strengthening, should be part of the 60 minute session. Bone strengthening activities can include jumping rope.

Adults need 2 hours and 30 minutes of moderate intensity aerobic activity every week and muscle strengthening activities two or more days a week. Alternatively, one-hour and 15 minutes of vigorous-intensity aerobic activity every week and muscle strengthening activities two or more days a week that works all major muscle groups.

People who are 65 years of age or older and have no limiting health condition can follow the same guidelines.

Any activity which increases your heart rate and breathing rate can be aerobic. Examples of a moderate intensity work-out include brisk walking of the dog or push-mowing the lawn. Running or swimming laps would require vigorous effort. Strength training can be done at home or in the gym. Try lifting weights, doing exercise that uses your body weight for resistance, or yoga.

To help meet exercise goals, spread activity throughout the week. On a daily basis, aerobic activity should be done for at least 10 minutes at a time. Going for a 10- minute brisk walk 3 times a day, 5 times a week will add up to 150 minutes of moderate intensity activity.

Monday, July 12, 2010

Special Tree is on a Roll...an Honor Roll!

Michigan Quality Council Recognizes Special Tree for Outstanding Quality

Special Tree is especially proud of the recent 2009 Leadership Honor Roll recognition from the Michigan Quality Council. The prestigious honor is reserved not only for a company that has made significant progress in improving quality, but for one that the MQC feels is poised to earn their top award – the Quality Leadership Award. CEO Joe Richert attended the awards ceremony on March 22, 2010 where he proudly received a certificate signed by Governor Granholm and also showed off a custom bumper sticker he had made for all Special Tree staff to declare their Honor Roll pride. "Thanks for everyone at Special Tree. This recognition demonstrates that we’re headed in the right direction," he said.

Special Tree began its "Quest for Excellence" in 2007, when it embraced the National Malcolm Baldrige Criteria for Performance Excellence. Congress established the program in 1987 to recognize U.S. organizations for their achievements in quality and performance and to raise awareness about the importance of quality and performance excellence as a competitive edge. "Aligning our practices with the criteria helps us identify strengths and improvement areas, employ best practices, and focus on professional development and exemplary performance," said Chief Quality Officer Lynn Slevin. As part of the process, Special Tree conducts ongoing quality audits as well as an intense yearly review of all of our services and practices.

Special Tree submits applications each year to a Board of Examiners at the Michigan Quality Council and the Malcolm Baldrige National Quality Program in Washington D.C., to solicit feedback on our progress. This rigorous process helps ensure we are doing all we can to provide exemplary customer service and creates a successful rehabilitation environment for clients and staff