Wascana Rehabilitation Centre
Current interests are in clinical neuropsychology as the resident provisonal psychologist in Neuropsychology at the Wascana Rehabilitation Centre in Regina. After completing post-doctoral fellowships in structural and functional neuroimaging at the University of Alberta, cognitive neuropsychology at the University of Pennsylvania and neuro-ophthalmology at the University of British Columbia I returned to Saskatchewan. The Wascana Rehabilitation Centre is located on the south shore of the picturesque Wascana lake in Regina. I am supervised by Dr. Thomas Robinson with the Functional Rehabilitation Program at the Wascana Rehabilitation Centre. Dr. Gregor Jason is an adjunct advisor on neuropsychological aspects of my residency. Within the Adult Rehabilitation Program where Neuropsychology is located we see many different types of patients with neurological and neuropsychological disorders. Our focus is on stroke however we also provide comprehensive and abbreviated neuropsychological assessments for neuro-oncology patients, upper cervical spinal injuries, dementia, Parkinson's disease, Huntington's disease, multiple sclerosis, moderate to severe traumatic brain injury, learning disabilities and general neuropsychiatric patients.
Patients are referred mainly by physiatrists, neurologists, psychiatrists as well as general practitioners in medicine. In addition to performing neuropsychological evaluations and rehabilitation planning assessments I am involved in a study of anterior cerebral artery strokes effects on neuropsychological functions associated with the prefrontal and orbitofrontal cortex. We have also finished a preliminary study on the neural correlates of the new WAIS-IV subtests of Visual Puzzles, Figure Weights and Cancellation subtests in press in ISRN Neurology (2011). These studies are carried out under the auspices of of Research and Performance Support at the Wascana Rehabiltation Centre. The Wascana Rehabilitation Centre has also been selected as an examination site for clinical research and standardization trials of several neuropsychological test instruments that are under development beginning in 2011.
Clinical psychology staff at the Wascana Rehabilitation Centre also provide placements for students completing internships through the University of Regina's Canadian Psychological Association-approved clinical psychology doctoral program . In addition to regularly reviewing for several clinical neuroscience and clinical neuropsychology journals I am interested in both single case (cognitive neuropsychology) and group design research (cognitive neuroscience) in clinical neuropsychology. At the Neuropsychology Services department we have access to structural neuroimaging (CT and MRI) as well as large collection of some of the most recently published clinical neuropsychological tests. We also have a large array of old standard neuropsychological tests in common use in clinical and experimental neuropsychology.
The Regina General Hospital within the Regina-Qu'Appelle Health Region recently acquired Canada's first factory-delivered, eight-slice Computed Tomography (CT) machine as well as a new Magnetic Resonance Imaging (MRI) scanner. The new MRI scanner located at the Regina General Hospital is capable of performing diffusion tensor imaging sequences in order to visualize the ultrastructural integrity of the white matter of the human brain.
Diffusion MRI is a magnetic resonance imaging method that produces in vivo images of brain tissue weighted with the local microstructural characteristics of water diffusion. The field of diffusion MRI can be understood in terms of two types of applications (diffusion-weighted MRI and diffusion tensor MRI). Diffusion weighted MRI provides in-vivo information about damage to parts of the central as well as peripheral nervous system whereas diffusion tensor MRI provides data on the connectivity of white matter neural fiber tracts in the human brain. These advanced capabilities are currently under development.
The Acute Stroke Unit at the Regina General Hospital is a critical care neuroscience unit that provides treatment for patients within the first weeks after a stroke within the Regina-Qu'Appelle Health Region. The Acute Stroke Unit also provides services for the entirety of southern Saskatchewan and offers coordinated and integrated care within this timeframe. After stabilization clinical neuroscience patients may be transferred from the Regina General Hospital and the Pasqua Hospital to the Wascana Rehabilitation Centre. The Wolfe Family Stroke Care Unit at the Wascana Rehabilitation Centre is affiliated with the Stroke Care Network of Excellence. Infrastructure and operations costs were initiatied by a $1 million legacy gift from the family of Jacob and Leopoldine Wolfe. Construction began in May of 2008 on the Adult In-Patient Unit located on the third floor of the Wascana Rehabilitation Centre.
he redeveloped unit will allow staff to deliver enhanced stroke rehabilitation services that are aligned with best practices in rehabilitation medicine. Dr. Milo Fink is the Section Head of Rehabilitation Medicine at the Wascana Rehabilitation Centre and he leads the Wolfe Family Stroke Care Unit. This in-patient unit offers longer as well as transitional stays for stroke and other clinical neuroscience patients. These in-patients can then subsequently undergo comprehensive rehabilitation medicine treatments until released from hospital. We also are capable of performing multiple baseline assessments for stroke patients during recovery from cerebrovascular ischemic or hemorrhagic strokes or to chart and evaluate recovery and progression of neurodegenerativce diseases.
Ancillary services for clinical neuroscience in- and out-patients at the Wascana Rehabilitation Centre include: physical and occupational therapy, speech-language pathology, vocational counseling, social work, nursing, recreation therapy, exercise therapy, orthotics and prosthesis as well as general physician and specialist medical services. The affiliated Acquired Brain Injury Program provides comprehensive outreach and community-based services to current and former patients and clients that have sustained a brain injury. The Provincial Acquired Brain Injury Outreach Support Program is part of a comprehensive strategy managed by Saskatchewan Health and funded by Saskatchewan Government Insurance. Each outreach team consists of a variety of rehabilitation professionals experienced in the field of acquired brain injury for the optimal coordination of services.
Copyright 2010. All rights reserved
Simon M. McCrea, Ph.D.
Registered Doctoral Psychologist (Provisional)
Adult Rehabilitation Program - Neuropsychology
Wascana Rehabilitation Centre
M-212, 2180 - 23rd Avenue
Regina, Saskatchewan
CANADA S4S 0A5