Lakeview Blog

Dr. Tina Trudel Presenter - Autism Spectrum Disorder and Reactive Attachment Disorder

Lakeview’s Dr. Tina Trudel recently presented two sessions at the Pennsylvania CIU#10 training conference held in Bellefonte, PA, on August 13&14.  Dr. Trudel shared her expertise on the topics of Autism Spectrum Disorders (ASD) and Reactive Attachment Disorder (RAD), diagnoses served at all three Lakeview CARF (rehabilitation ) and Joint Commission (behavioral health) accredited youth programs in Lewistown, PA, Effingham, NH and Waterford, WI.  Dr. Trudel previously served on the NH Autism Task force and was one of the authors of the text : Autism Practice Guidelines: Assessment and Intervention (2001) published by the NH Department of Health and Human Services.  Dr. Trudel noted,’ I am pleased to have the opportunity to present on Autism and Reactive Attachment Disorder, both diagnoses Lakeview is treating with increased frequency in our programs.  Both ASD and RAD are associated with many myths and fads, and it is important to share the current science, best practices and evidence–based treatment as we continue to learn more and enhance our interventions to help children with Autism Spectrum and Reactive Attachment Disorder diagnoses.’

Dr. Amanda Goza Named Lakeview, NH Clinical Director

Lakeview’s former leader of Youth Services, Dr. Amanda Goza, has accepted promotion to serve as Lakeview NH’s Clinical Director. During her time at Lakeview, Dr. Goza has been instrumental in integrating applied behavior analysis (ABA) and psychological services in both Lakeview’s certified special education program and residential treatment program, enhancing the Trauma Informed Care model, developing a specialized Young Adult Program for those over 18 and ensuring the Lakeview program meets or exceeds all licensing and accreditation standards, including CARF (rehabilitation) and Joint Commission (Behavioral Health).

Mother credits Lakeview with helping her daughter

Published Date: Wednesday, 14 August 2013 06:33 in the Conway Daily Sun

EFFINGHAM – The mother of a special needs woman says her daughter was helped tremendously by Lakeview NeuroRehabilitation Center.

On Tuesday, Casey Ralston, 21, left Lakeview with her mother, Julie Clipp, in an RV bound for a group home in Pennsylvania. Casey's family lives outside of Philadelphia.

Clipp explained that since Casey turned 21, the state of Pennsylvania will no longer pay an out of state facility and thus Casey had to move back. Casey has autism and a diagnosis of severe cognitive disability.


The BRAIN Initiative

For the first time in memory, a President of the United States is directly addressing the human brain and all of the disorders stemming from brain dysfunction. On April 2nd, President Obama launched the BRAIN Initiative, a national public-private initiative to map the human brain. This project combines federal funds and private sector dollars in the same way done to map the human genome. The Human Genome project was an amazing success, the fruits of which will be borne for decades to come. According to the White House, along with advancing science and health, the Human Genome project has provided an economic return of $141 for every dollar invested. Undoubtedly, the BRAIN Initiative will reap similar scientific, therapeutic and economic returns.

Lakeview Team Presents Research on the Diagnosis and Treatment of Atypical Catatonia after TBI

Lakeview’s Dr. Cindy Sorenson just returned from the North American Brain Injury Society’s ninth annual conference held in New Orleans, LA (, a tremendous learning opportunity in a fantastic location.  She had the opportunity to present and discuss a research poster presentation submitted by a team of colleagues from Lakeview (Nicole JoAnne Wood, PsyD, James Cohn, MD & Cindy Sorenson, PsyD) entitled “Atypical Presentation of Catatonia in a 20 year-old Male with a Traumatic Brain Injury: A Case Study.”  The case reviewed involved a patient admitted to Lakeview this year from a large regional hospital who was noted to demonstrate a pattern of fluent language expression with only mild to moderate paraphasic errors, but almost no discernable capacity to comprehend speech or writing.   Because this presentation did not match any known neurological pattern of speech derailment, alternative explanations for his condition were pursued.  Although he did not display the more classic features of catatonia, such as immobility or mutism, he did show more minor manifestations and treatment with Lorazepam was initiated.  Within one hour of his first dose, he was for the first time since his TBI, able to reliably follow instructions, answer questions, and engage in a reciprocal social exchange, with additional gains demonstrated across the following several days.  This pattern of language impairment in catatonia has not been previously reported and it was the focused expertise of the treatment team at Lakeview that identified the proper diagnosis and treatment for this case with such an outstanding outcome.

Lakeview's Use of Neuropsychological Assessment in the Treatment of Brain Tumor Complications

On September 14-17, Lakeview intern, NicoleJoanne Wood, PsyD, presented her research poster on "Neuropsychological Sequellae in an Adolescent with Hypothalamic Glioma Resection, Panyhypopituitarism, and VP Shunt:  Implications for Treatment" at the North American Brain Injury Society Conference in New Orleans, LA (  The poster demonstrated the success of treatment plans rooted in neuropsychological assessment.  Treatment plans included memory cues, schedules, pre-teaching, staff psychoeducation, planned ignoring of behaviors to decrease, and safety considerations.  The patient showed a 97% decreased of self-injurious behavior and a 93% decrease in aggressive behavior.  Dr. Wood's research exemplifies Lakeview's state of the art treatment of individuals with complex clinical presentations. 

Welcome to our Open House in Pennsylvania

Lakeview NeuroCare at Lewistown is a therapeutic residentialprogram for adolescent males ages twelve through seventeen withchallenges related to autism, pervasive developmental disorder andother neurological conditions that impact behavioral functioning, selfcareskills, education, and communication. The program is situatedon a nine acre estate in a quiet neighborhood that offers easy accessto downtown Lewistown. Please be our guest for an open house at Lakeview NeuroCare atLewistown. 25 Woods Lane, Lewistown, PA 17044Tuesday, June 21, 20112:00pm to 6:00pm 4:00pm Presentation "Autism and Applied Behavioral Analysis"Michael Mozzoni, PhD, BCBA, CBISTReceive One (1) Certified Case Management or One (1) CertifiedRehabilitation Counselor Continuing Education Unit. RSVP to 800-473-4221, Admissions Department

Esteemed “Textbook of Traumatic Brain Injury: 2nd Edition” is Now Available

Textbook of Traumatic Brain Injury, 2nd Edition

    Edited by Jonathan M. Silver, M.D., Thomas W. McAllister, M.D., and Stuart C. Yudofsky, M.D.

    The Textbook of Traumatic Brain Injury, published by the American Psychiatric Association Press, is considered one of the definitive texts in the field of TBI.  This recently released volume addresses the broad range of types and severity of injuries and treatments for the complex physical, cognitive and behavioral symptoms resulting from brain injury.  A research-based resource for the professional clinical reader, this text provides in-depth information for all those interested in state of the art knowledge for the brain injury field.  The book includes chapters on special populations including Traumatic Brain Injury in the Context of War, authored by Kimberly S. Meyer, MSN, CNRN, Brian Ivins, MPS, Selina Doncevic, RN, MSN, Henry Lew, MD, PhD, Tina Trudel, PhD and Michael S. Jaffee, MD.  Along with her work as the former Site Director (2005-2010) and present role as Research Coordinator of the Defense and Veterans Brain Injury Center Charlottesville Rehabilitation Programs, chapter co-author Dr. Trudel is the Chief Operating Officer for Lakeview, providing clinical leadership across hospital, residential, community and home based rehabilitation services.

    Chapter contents include:


USA TODAY Reports on Brain Injury Rehabilitation

Lakeview’s CEO and Chairman of the Brain injury Association’s Business and Professional Council Christopher Slover concurs with BIAA’s commentary that USA Today ("For Brain Injuries, a Treatment Gap") accurately reported the need for individuals who sustain brain injuries to access medically-necessary rehabilitation of sufficient scope, intensity and duration from licensed professionals in accredited settings to regain the physical abilities and cognitive skills needed to live healthy, independent and satisfying lives. Both Lakeview and the Brain Injury Association of America (BIAA) recommend everyone check his or her health insurance plan to make sure they are adequately covered in case of a serious injury.   Lakeview has long supported and maintained the position that individuals who sustain brain injuries should have access to the full continuum of medically-necessary rehabilitation services in hospital, outpatient, home and community-integrated settings.  Lakeview also recognizes that this needed care may be complex, addressing the full scope of brain injury related impairments, including neurobehavioral conditions and psychological health, as well as the physical and cognitive sequelae of TBI .  Lakeview,  along with BIAA and other organizations, urges the U.S. Department of Health and Human Services to consider catastrophic injury in formulating regulations for the essential health benefits package under the Patient Protection and Affordable Care Act. For more information and to find out how you can help, please see the BIAA Access to Care Fact Sheet 2011.

Brain Injury Awareness Day on Capitol Hill

March is Brain Injury Awareness month, capped by the annual Brain Injury Awareness Day on Capitol Hill.  Lakeview has been invited to exhibit at this event, and our participating staff will be meeting with members of Congress to discus the critical need for access to quality brain injury rehabilitation.  This year, brain injury awareness day on Capitol Hill will be held on Wednesday, March 16, 2011. the Brain Injury Association of America ( , the National Association of State Head Injury Administrators ( and other stakeholders are working with the Congressional Brain Injury Task Force to develop a schedule for the day as well as logistics and speaker details. The title of this year’s briefing is “Brain Injury Rehabilitation and Re-entry: Lessons Learned and the Road Ahead.” Please join us in representing the brain injury community in Washington, DC.