Facilitating Functional Cognitive Rehabilitation

Rob Koch, BS, OTR/L

Facilitating Functional Cognitive Rehabilitation

CE Information


Course Brochure

Contains CE information for additional professionals

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Course Highlights

  • Create real-life therapy sessions using a structured system of graded tasks and activities based on 8 sequential levels of cognitive function
  • Facilitate independence of cognitively impaired adults as they learn to manage the 3 global elements: time, environment, interpersonal skills
  • Implement use of a functional evaluation scaleand progress guide to evaluate, set goals, measure progress
  • Provide opportunities for teaching self-awareness of cognitive deficits during functional performance
  • Teach compensatory techniques and strategies that adults with cognitive deficits can apply in real life situations

Additional Info

Decreasing reimbursement and shorter lengths of staypresent a challenge when conducting cognitive rehabilitation for adults with brain injuries. There is an increasing mandate on addressing functional cognition, requiring that intervention and evaluation be ecologically valid. Traditional cognitive rehabilitation techniques and testing have come into question. A new framework is needed for implementing ecologically valid cognitive intervention.

The original approach presented in this course provides clinicians a unique system to address functional cognition. This approach offers targeted intervention techniques for 8 levels of functional cognitive performance. It focuses on the management of 3 global elements of functional activity: time, environment and interpersonal skills. The foundation of the approach is based on a structured system of real-life gradedtasks and activities that all members of the therapy team can apply to maximize functional improvement. The approach uses a performance-based evaluation scale to set goals and measure progress. Interwoven throughout the course are ideas for developing self-awareness and compensatory techniques to foster independence.

[ASHA:Intermediate level, Professional Area]
  1. Differentiate 8 levels of sequential cognitive functioning according to the Functional Cognitive Activities (FCA) scale.
  2. Create therapy sessions that address awareness and management of 3 global elements of functional cognitiveperformance: time, environment, interpersonal skills.
  3. Apply Functional Cognitive Activities (FCA) scale to establish starting level for intervention and determinedischarge.
  4. Utilize Functional Cognitive Activities (FCA) progressguide to measure functional progress.
  5. Employ occupation-based kits and create/modify therapy environments to make sessions functional.
  6. Provide opportunities for developing self-awareness ofcognitive deficits through real-life performance.
  7. Integrate practical low-tech and high-tech compensatory techniques and strategies for all levels of cognitive function.
  1. Key Concepts of a Performance-Based Cognitive Rehab Approach
    • 3 global elements of cognitive functioning
    • Progression of self awareness
    • Intervention principles
    • Functional cognitive activities website
    • 8 sequential activity levels
    • Compensatory techniques
  2. Confidently Performing an Effective Evaluation
    • Types of evaluation
    • Performance-based evaluation
    • Functional cognitive activities evaluation scale
    • Complicating factors
  3. Implementing a Performance-Based Approach
    • Goal setting, measuring progress
    • Evidence-based research
    • Activity logistics
    • Caregiver considerations
  4. Functional Cognitive Activities (FCA) - Best Practicesand Intervention at Low-Levels (1 - 3)
    • Acute recovery to orientation phase
    • Characteristics of low-level performance
    • Level 1: "Initiating the next step"
    • Level 2: "What time is it?"
    • Level 3: "Moving around the room"
    • Specific treatment tasks and activities
    • Specific goals for each level
    • Low and hi tech options
    • Case Study
  5. Functional Cognitive Activities (FCA) - Best Practicesand Intervention at Mid-Levels (4 - 6)
    • Emerging awareness to executive functioning phase
    • Characteristics of mid-level performance
    • Level 4: "Follow a time schedule"
    • Level 5: "Beyond the room"
    • Level 6: "Organize the therapy hour"
    • Specific treatment tasks and activities
    • Specific goals for each level
    • Low and hi tech options
    • Case Study
  6. Functional Cognitive Activities (FCA) - Best Practicesand Intervention at High-Levels (7 - 8)
    • Resuming a role to community re-entry phase
    • Characteristics of high-level performance
    • Level 7: "Out the door"
    • Level 8: "Planning/multi-tasking"
    • Specific treatment tasks and activities
    • Specific goals for each level
    • Low and hi tech options
    • Case Study

Rob Koch, BS, OTR/L has been a licensed, certified occupational therapist for 40 years working with persons of all ages with cognitive impairments. His first 11 years were spent in developmental disabilities with an emphasis on developing and providing special education software and assistive technology adaptations for multi-handicapped children. The following 22 years he worked in inpatient/outpatient hospital settings with persons of varied neurological deficits. For the last 9 years Rob has been working in skilled nursing facilities with a primarily geriatric population. In addition, for the past 12 years Rob has been conducting seminars and presentations throughout the United States on functional cognitive rehabilitation for adults with acquired brain injury and stroke. The overall goal has been to emphasize client-centered tasks and activities in therapy that apply individually to the person's role in life while fostering independence. He is the developer of a Functional Cognitive Activities website; attendees are invited to use it following the seminar and add applicable information of what they learned during the course. He has also developed a Functional Therapy Activities website and Occupation Based Kits that augment therapeutic activities planned by the therapist to create functional therapy sessions for adult physical and cognitive rehabilitation.


FINANCIAL: Rob Koch is compensated by Summit as an instructor. He is the creator and owner of FunctionalTherapyActivities.com where he sells therapy products.

NONFINANCIAL: Rob Koch has no nonfinancial relationships to disclose.

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Content Level: Intermediate

ASHA CE Information

ASHA Continuing Education

Summit Professional Education

Intermediate Level

ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products or clinical procedures.

SATISFACTORY COMPLETION: Participants must register, pay tuition fee, sign in with a mobile device via scanning electronic QR code at workshop location, attend the entire workshop, complete an electronic evaluation, as well as any other required state-specific supplements (if applicable) and sign out with a mobile device via scanning electronic QR code in order to receive a certificate of completion. Participants not fulfilling these requirements will not receive a certificate. Failure to sign in or out and complete a course evaluation will result in forfeiture of credit for the entire workshop. No exceptions will be made. Partial credit is not available.

Scope of Practice: Workshop content is not intended for use by participants outside of the regulatory scope of practice of their license(s). You are responsible for knowing what lies within and without your professional scope of practice.

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With that as our foundation, we are proud to now offer Online Continuing Education courses that we believe set a new standard of high quality. Leveraging our exceptional teaching faculty that delivers thousands of live workshops each year (with an average customer satisfaction rating of 4.7 out of 5.0), we have now invested in creating the same exceptional Online course experience.

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Our Online platform is state of the art

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Finally, we are so confident that you will like our Online courses, we provide a 100% satisfaction guarantee. Watch up to the first 30 minutes, and if you are not satisfied, you will receive a full refund. Must contact Summit within initial 30-day viewing period.

On-Demand: What to Expect

We want to make sure that you are 100% comfortable with what you are purchasing, so this is a rundown of the experience you should expect.

Here's what you can expect from our media player:

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Media Player Details

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Icons at the bottom

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Continuing Education Credit FAQs

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Yes. Once you complete your online course, post-course requirements, and the printing of your certificate, please follow the below steps.

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Online course completions are reported to ASHA following the below schedule:

  • Completions dated 1/1 - 3/31 will be reported to ASHA no later than 5/15
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Summit offers CE Broker reporting on behalf of FL PTs, OTs, SLPs and ATCs as well as for AL OTs, OH SLPs, SC PTs, OTs and SLPs. Licensees in states/professions outside of these listed should self-report at cebroker.com using the information provided on the certificate of completion. More information can be found here.

Online Course Content FAQs

Is an outline of the course content available before or during viewing?

You can see a course outline on the Product page under the Course Outline tab. After purchase, the course outline is also provided on the media player for watching the course.

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Once you have purchased the course, there is a tab at the bottom of the media player where you can download the manual to save or print for your personal use.

Manual is located in the "Resources" tab

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Most of our courses have hands-on lab content, varying from minimal to significant. By looking at the Course Outline tab on the Product page, you can see how intensive the labs are for each course. During the lab section, we have invested heavily in providing very strong video content (i.e. very tight camera angles) so you can learn along with the live attendees. Depending on the course, you may want to simulate the activities that are presented in the course (which will be noted in the "Before You Start" section of the media player).

Where can I find who is teaching the course and his/her professional credentials?

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Online Video Experience

How long is the course?

Courses range in length from 1-6 hours. You can see the exact length of the course by visiting the course Product page.

Will I need any special materials to take the course?

After purchasing, the any special materials or specific advice is listed at the bottom of the "Course Info" tab.

Can I fast-forward or rewind through the online course?

Yes. For your convenience, you may fast-forward or rewind while watching the course. However, please note you will be required to certify you have watched the entire course to obtain CE credit.

Are there breaks? Can I press pause while watching the course?

There are no formal breaks in the video content. However, there is a pause feature to allow taking breaks at your own convenience.

Can I complete the course over several days? How much time do I have to finish the course?

Yes, you can always press pause or stop to take a break at your own convenience. Also, if you leave the course, please note where you left so you can pick up where you last finished. However, please remember you need to finish the course and pass your post course test within 30 days (non-subscribers) or before your subscription ends (subscribers).

Is the online course interactive? Will I be able to ask questions during the course?

The video that you will be watching is a recorded version of a live workshop. The video captures Instructor answers to participant questions, but there is no opportunity for you to ask questions with the instructor, real time. If you do have questions for the instructor, most instructors have their email address at the end of their presentations.

Am I able to re-watch the online courses even after I have completed the post course test and received my certificate?

Once you purchase the online workshop, you have 30 days to view the workshop as many times as you want as well as to review the manual (if you choose not to download while taking the course). For subscribers, your access is unlimited while your subscription is active.

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Test & Certificate

Will I need to take a post course test? Why?

Yes, you are required to successfully pass the post course test to obtain CE credits and certification. This is required by our licensing boards for online courses.

What is the post course test like, what is a passing score, and how many times can I take it?

Post course tests consist of True/False and/or multiple choice questions. You will be able to retake the post course test as many time as necessary to receive a passing grade. A passing "grade" is 75% or higher for general content, 80% or higher for certain state specific workshops, like ethics, jurisprudence, and laws and rules courses. You will be able to retake the post course test as many times as necessary to receive a passing grade.

When will I receive my credits and certificate?

Once you complete your course evaluation and online test, you will be able to immediately download your certificate and request CE Broker or ASHA Reporting (if applicable).

Technical FAQs

What browsers and Operating system do I need to run for this to work properly?

The following are the supported browsers and Operating Systems for the media player to work properly:

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  • Google Chrome 75.0+ for Windows, Mac OSX, or Linux
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  • Safari 12.0+ for Mac OSX 10.13 and above

Will the media player work on both a Mac and PC?

Yes, the online courses will play on both a Mac and PC. The following are the supported browsers and Operating Systems for the media player to work properly:

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  • Google Chrome 75.0+ for Windows, Mac OSX, or Linux
  • Mozilla Firefox 70.0+ for Windows, Mac OSX, or Linux
  • Safari 12.0+ for Mac OSX 10.13 and above

Can the workshops be played on my phone?

Yes! You are able to watch the workshops on your phone. Here are the technical requirements to ensure it works properly:

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  • Safari on iPadOS 13+
  • Chrome on Android 9.0+
  • Any running Android 9.0+

Are the videos downloadable or streaming?

All of the videos stream from the media player.

How does the streaming video work?

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Our help desk is available to assist you by phone Monday through Friday, 6AM to 6PM at (800) 433-9570.

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