Mental Health and Traumatic Brain Injury: Considerations for the Mental Health Practitioner

Friday, March 8, 2024  ~  9:00 a.m. to 12:30 p.m.

St. Charles Conference Room  ~ 2500 NE Neff Rd  ~   Bend, OR 97701

Register for FREE Here

Traumatic Brain Injury (TBI) presents a unique challenge to mental health providers. There are basic disruptions that occur with cognition and communication along with myriad physical and emotional alterations. Understanding the presentation of symptoms, recovery and changes that can impact mental health treatment can make a big difference in brain injury recovery. Our community has had a few knowledgeable providers with limited access. As a clinician caring for these patients, I have heard that a mental health provider has asked the patient to do things that aggravate their TBI symptoms or providers who refuse to treat them stating lack of experience with TBI. Pre-existing mental health issues can be aggravated by TBI. In those with no prior issues the brain injury itself or the psychosocial consequences of TBI can lead to significant issues that need treatment. This symposium educates providers on TBI, psychological changes associated with TBI and treatment approaches to improve our knowledge as a community and provide greater access and resources for TBI patients in Central Oregon.



Friday, March 8

9:00  am: Welcome and Introduction

9:05 am: Education of TBI and recovery.  Review our current knowledge and treatment and how it has changed over time –Viviane Ugalde, MD, Medical Director of The Center Foundation Concussion Management Program


10:00 am: Current concussion protocol for Central Oregon and  and update on Athletic Trainers mental health involvement in schools –  Stuart Schmidt, Certified Athletic Trainer, Head Athletic Trainer for The Center Foundation


10:15 am: BREAK

10:30 am: Psychological Factors, Assessment, and Treatment of Pediatric Concussion – Dr. Jesse Bledsoe, PhD, pediatric neuropsychology St. Charles PEDAL Clinic


12:00 am: Panel discussion with all speakers with an adult and parents/kids who experienced concussion – Dr. Jesse Bledsoe, Dr. Vivian Ugalde, Dr. Sondra Marshall, and Dr. Kimberly Milbrandt

12:30 pm: Conclusion

Learning Objectives

At the conclusion of this activity participants will be able to:

  • Explain the role of the athletic trainer in identifying mental health concerns in students following concussion.
  • Review the current knowledge and treatment of TBI and how it has changed over time.
  • Describe psychological factors related to concussion and mental health.
  • Review a case study for treatment of adult and pediatric patients who have experience concussion.


Viviane Ugalde, MD
Physiatry, Medical Director Concussion Management for The Center Foundation 

Dr. Viviane Ugalde is a board certified Physical Medicine and Rehabilitation doctor with a subspecialty certification in Brain Injury Medicine. Dr. Ugalde has practiced concussion management since 1990 and serves as the Medical Director for The Center Foundation’s concussion management program in Central Oregon. She joined the team of physicians at The Center in 2007 and runs a weekly concussion clinic to help coordinate care for both pediatric and adult patients.

Jesse Bledsoe, PhD
Pediatric Neuropsychologist St. Charles PEDAL Clinic

Dr. Bledsoe obtained his Ph.D. in clinical psychology with specialized training in pediatric neuropsychology from Michigan State University in 2012. Following graduate school, he completed his psychology residency and two-year post-doctoral fellowship in pediatric neuropsychology at the University of Washington School of Medicine and Seattle Children’s Hospital. He then joined the University of Washington faculty as an assistant professor/pediatric neuropsychologist in the Department of Psychiatry and Behavioral Medicine at UW. He also served as the Director of Psychology Post-Doctoral Fellowships at Seattle Children’s Hospital and was the training coordinator for the University of Washington Psychology Internship Child Track from 2017-2020.

Dr. Bledsoe’s clinical and research interest is in neurodevelopmental disorders, neuropsychological assessment, pediatric heart disease and cancer, traumatic brain injury, structural and functional neuroimaging, and statistical modeling of neurocognitive development. Dr. Bledsoe has provided neuropsychological evaluations for Division I athletic departments at Michigan State University and the University of Washington, and was a concussion evaluator/consultant for the Seattle Seahawks organization. He has published over 20 peer-reviewed scientific manuscripts, 10 book chapters and 32 national talks on pediatric neuropsychology. He also serves on the editorial board for several scientific journals.

Sondra Marshall, PhD
Pediatric Neuropsychologist, St. Charles PEDAL Clinic

Dr. Sondra Marshall is a licensed psychologist having earned her doctorate in 1997 from the University of Utah. She has specialized training in pediatric neuropsychological assessment.

Dr. Marshall moved to Central Oregon in 1999 and joined St. Charles in 2006 where she focused on developing PEDAL, or the Programs of Evaluation, Development And Learning. PEDAL provides a continuum of evaluation services from comprehensive neuropsychological assessments to multidisciplinary team evaluations for children born prematurely, those with neurodevelopmental conditions, children with feeding issues and those with suspected autism spectrum disorders.

Dr. Marshall also helped establish the Central Oregon Concussion Program and works closely with researchers at the University of Oregon as well as national experts to ensure the safety and welfare of youth in our community.

Kim Milbrandt, PsyD
Adult Neuropsychologist, St Charles Cognitive Rehabilitation

Dr. Milbrandt is a dedicated psychologist with more than a decade of experience in integrated healthcare settings. Originally from Phoenix, Arizona, Dr. Milbrandt attended the Georgia School of Professional Psychology with assessment training at Emory and Children’s Healthcare of Atlanta. Dr. Milbrandt continued her education at the Chicago School with neuropsychological assessment training at Children’s National Hospital in Washington DC. She completed her residency at Providence Medical Group and St Vincent Hospital in Portland, Oregon. Dr. Milbrandt’s clinical work focuses on brief cognitive and neuropsychological assessment as well as brief intervention following the PCBH model of health psychology. Dr. Milbrandt is passionate about advancing health and neuropsychology practices in healthcare settings, particularly for marginalized and underserved populations. She has expertise in traumatic brain injury, frontal lobe disorders and injury, and developmental and acquired cognitive disability.

Stuart Schmidt, MS, ATC
Program Manager/Head Athletic Trainer, The Center Foundation

Stuart Schmidt is the Program Manager and Head Athletic Trainer for The Center Foundation. He oversees the Sports Medicine Outreach Program for The Center Foundation which provides athletic trainers to eight high schools throughout Central Oregon. He also manages the Education and Brain Trust programs which provide injury prevention including TBI prevention and awareness education to the community.

PDU Credit Information

This event qualifies for 1.5 hour CE for licensed psychologists. Attendance will be recorded, and a CE certificate will be emailed to you following the event.

This program has been planned and implemented in accordance with the requirements and policies of the Board of Certification for the Athletic Trainer (BOC).  The Center Foundation is approved by the BOC to provide continuing education for Athletic Trainers.



Free for all


Register Here

Questions: Stuart Schmidt – [email protected] – 541-322-2323