vention: AH 100mg twice daily or identical placebo for 14 days, or until confusion symptom resolution (if 14d) as measured by the Confusion Assessment Protocol (CAP). Main Outcome Measures: The primary outcome measure was confusion severity score as mea- sured by the CAP after 14 days. The secondary outcome measures were (1) time to reach “nonconfused” CAP score; and (2) number of patients withdrawn from study due to predetermined, safety-related “escape” criteria. Results: There was no difference in the number of symptoms of PTCS, as measured by the CAP, between the AH and placebo-treated patients at day 14 of treatment (AH=2.56, pla- cebo=2.7; Wilcoxon Mann-Whitney rank-sum test P=0.57). How- ever, the mean difference in time to first “nonconfused” CAP score between groups approached significance (AH=7.7d, placebo=9.3d; Cox survival P=.053). No patients were withdrawn due to fulfillment of safety-related escape criteria. Conclusions: Although the natural course of symptom recovery from PTCS is favorable, these results provide tentative support to reports suggesting that AH safely hastens recovery from nonpenetrating TBI. Key Words: Brain injuries; Clin- ical trial [publication type]; Rehabilitation. *Poster 15 Factors Related to Community Integration Following Traumatic Brain Injury Rehabilitation. Kim Hwan (University of To- ronto, Toronto, ON, Canada), Angela Colantonio, Mark Bayley, Deidre Dawson. Disclosure: None declared. Objective: To investigate factors related to community integration following traumatic brain injury (TBI) rehabilitation and to examine intentional injury as an independent potential predictor of the community integration. Design: Prospective cohort study utilizing population-based acute care and inpatient rehabilitation records; the Discharge Abstract Dataset (DAD) and the National Rehabilitation Reporting System (NRS) from the Canadian Institute for Health Information (CIHI). Settings: All rehabilitation hospitals and clinics in Ontario and other provinces in Canada. Participants: TBI patients receiving inpatient rehabilitation ser- vices during the fiscal years of 2001 through 2006. Interventions: Not applicable. Main Outcome Measures: The Reintegration into Normal Living Index (RNLI) at 3 to 6 months postdischarge rehabilitation. Re- sults: The number of patients in the NRS follow-up data was 243; 24 patients (9.9%) had intentional TBI. Intentional TBI was significantly associated with poorer daily functioning measured by the RNLI. More- over, higher cognitive and motor FIM scores at discharge, employed status prior to admission, fewer comorbidities and discharge home were associated with higher daily functioning. Additionally, cognitive FIM scores at discharge and discharge home were found to be significant factors predicting perception of self subcategory of the RNLI scores. Among the 11 RNLI subscales, the items of recreation and family role were significantly poorer for the intentional TBI group. Conclusions: Although intentional TBIs are not the most common types of injury, they pose unique challenges to front-line care, both acute and rehabilitation care. The results of this study imply that in-hospital rehabilitation care should address some aspects of occupational performance observed in real life situations, such as family roles or recreation skills for intentional TBI patients. Discharge planning should focus more on patients with inten- tional TBI as they have poorer community integration at the postrehabili- tation stage. Key Words: Brain injuries; Rehabilitation. *Poster 16 What do Practicing Speech-Language Pathologists Know About Minimally Conscious State: Results of a Pilot Survey. Leslie Johnson (University of North Carolina at Greensboro, Greensboro, NC), Kristine Lundgren, Robert Mayo. Disclosure: None declared. Objective: To investigate the knowledge base of practicing speech- language pathologists (SLPs) regarding patients in a low level stage of coma secondary to traumatic brain injury (TBI), and examine SLPs’ opinions about the tools they have available to them to make diagnos- tic and prognostic statements for this patient population. Design: Survey research. Setting: Online survey. Participants: Practicing SLPs. Interventions: A 50-question survey designed to elicit infor- mation regarding clinical experience, knowledge of the various stages of severe TBI, and the respondent’s level of confidence in making diagnostic and prognostic statements regarding cognition and commu- nication for patients in minimally conscious state (MCS). Because accurate assessment for patients in MCS is vital while in the earliest stages of recovery, the survey targeted clinicians working in hospital settings. Main Outcome Measures: Survey data were compiled to determine (1) the SLP’s knowledge of and intervention with MCS, and (2) the SLP’s role in making diagnostic, prognostic, and discharge recommendations for patients in MCS. Results: Initial results from the pilot study show that 33% of SLPs surveyed accurately defined MCS. Regarding SLPs’ intervention for patients in MCS, 55% feel their evaluation of patients in MCS is helpful, but inaccurately reflects the severity of the patient’s injury; 33% report their evaluation is appro- priate and accurately reflects the severity of the patient’s injury, 11% report they feel their evaluation of patients in MCS is inappropriate and not helpful in reflecting the severity of the patient’s injury, and 50% of clinicians report rarely feeling comfortable making prognostic statements for the return of functional communication skills in patients in MCS. Conclusions: SLPs need more education regarding the diag- nostic criteria and prognostic indicators for patients in MCS. Appro- priate diagnosis has implications for appropriate treatment planning and discharge placement. Key Words: Persistent vegetative state; Rehabilitation. Poster 17 Treatment of Affective Disorders and Challenging Behavior Fol- lowing Brain Injury. Robert Teasell (Schulich School of Medicine, The University of Western Ontario, London, ON, Canada), Jo-Anne Aubut, Laura Rees, Shawn Marshall, Robert van Reekum, Margaret Weiser, Cheryl Hartridge, Mark Bayley, Nora Cullen. Disclosure: None declared. Objectives: To review evidence-based research focusing on the treatment of challenging behaviors and affective disorders following acquired brain injuries (ABIs) in adult populations. Data Sources: The following databases (MEDLINE/PUBMED, CINAHL, EMBASE, PsycINFO, and Web of Science) were searched for articles, published from 1980 to 2010, looking at interventions used to treat those who have sustained an ABI and are now subject to challenging behaviors or have been diagnosed with an affective disorder (depression or agita- tion) postinjury. Study Selection: To be included in this review, articles had to meet the following criteria: study population of 3 or more participants, 50% of the study population was diagnosed with a moderate or severe ABI/traumatic brain injury and an intervention was examined. This review included randomized controlled trials (RCTs) and non-RCTs. Data Extraction: Data extracted included demo- graphic information, inclusion and exclusion criteria, the description of the intervention, and the study results. Articles were scored for quality using either the Downs and Black or the Physiotherapy Evi- dence Database Scale (PEDro) evaluation tools. At least 1 level of evidence using a modified Sackett scale was assigned to each inter- vention. Data Synthesis: Despite the large number of pharmacological studies conducted recommendations based on level 1 evidence were E9 2010 ACRM–ASNR JOINT EDUCATIONAL CONFERENCE ABSTRACTS Arch Phys Med Rehabil Vol 91, October 2010