Research | Baycrest

GMT

Train-the-Trainer Workshop

To be contacted for future training opportunities please email dsmith@research.baycrest.org

Program kits will be sold separately, please see More Information at the bottom of this page for details.

Executive or frontal lobe functions are responsible for the control, direction, and regulation of cognitive and mental processes. Examples of executive functions include paying attention, managing goals, and forming strategies. These skills are often affected in patients with impaired brain function, including those with traumatic brain injury, stroke, dementia, multiple sclerosis, or psychiatric disorders.  Goal Management Training (GMT) provides clinicians with a validated, structured program for rehabilitation of executive function.  This workshop will give you a solid foundation of the theoretical basis of GMT and hands-on experience in delivering GMT.

Objectives

During this workshop, participants will learn:

  • Identification of the nature and causes of syndromes of executive (frontal lobe) dysfunction
  • The theory underlying GMT and the evidence base that supports the use of GMT in treating executive dysfunction
  • How to identify  appropriate candidates for GMT
  • The core elements of GMT
  • Step-by-step instruction and background for GMT sessions.

Target Audience

This training is for professionals and trainees in rehabilitation and mental health care provision fields working with individuals with cognitive deficits affecting executive or frontal lobe functions.

Participant Guidelines

Experience in individual or group psychological intervention or rehabilitation and basic knowledge of brain functional neuroanatomy is desirable, but not required.

Program Format

The workshop will combine lectures and hands-on practice to help participants learn and gain experience with GMT delivery.

Evaluation

Levine, B., Robertson I, Clare, L., Carter, G., Wilson, B.A., Duncan, J., & Stuss, D.T. (2000). Rehabilitation of executive functioning: An experimental-clinical validation of Goal Management Training.  Journal of the International Neuropsychological Society, 6, 299-312.

van Hooren, S. A., Valentijn, S. A., Bosma, H., Ponds, R. W., van Boxtel, M. P., Levine, B., Robertson, I., & Jolles, J. (2007). Effect of a structured course involving goal management training in older adults: A randomised controlled trial. Patient Educ Couns, 65, 205-213.

Levine, B., Stuss, D. T., Winocur, G., Binns, M. A., Fahy, L., Mandic, M., Bridges, K., & Robertson, I. H. (2007). Cognitive rehabilitation in the elderly: Effects on strategic behavior in relation to goal management. Journal of the International Neuropsychological Society, 13, 143-152.

Fish, J., Evans, J.J., Nimmo, M., Martin, E., Kersel, D., Bateman, A., Wilson, B.A., & Manly, T. (2007). Rehabilitation of executive dysfunction following brain injury: "Content-free' cueing improves everyday prospective memory performance. Neuropsychologia, 45(6), 1318-1330.

Schweizer, T.A., Levine, B., Rewilak, D., O'Connor, C., Turner, G.R., Alexander, M.P., Cusimano, M. Manly, T., Robertson, I., & Stuss, D.T. (2008). Rehabilitation of executive functioning after focal damage to the cerebellum. Neurorehabilitation and Neural Repair, 22, 72-77.

Levine, B., Schweizer, T., O’Connor, C., Turner, G., Gillingham, S., Stuss, D.T., Manly T., &  Robertson, I. H.(2011). Rehabilitation of executive functioning in patients with frontal lobe damage with Goal Management Training. Frontiers in   Human Neuroscience, 5:9.

Alfonso, J.P., Caracuel, A., Delgado-Pastor, L.C., & Verdejo-Garcia, A. (2011). Combined goal management training and mindfulness meditation improve executive functions and decision-making performance in abstinent polysubstance abusers. Drug and Alcohol Dependence, 117(1), 78-81.

Jackson, J., Ely, E. W., Morey, M.C., Anderson, V.M., Sievert, C.S., Denne, L.B., Clune, J., Archer, K.R., Torres, R., Janz, D., Schiro, E., Jones, J., Shintani, A., Levine, B., Pun, B.T., Thompson, J., Brummel, N.E., & Hoenig, H. (2011). Cognitive and physical rehabilitation of intensive care unit survivors: Results of the RETURN randomized controlled pilot investigation. Critical Care Med.

Publications using modified GMT

Novakovic-Agopian, T., Chen, A.J., Rome, S., Abrams, G., Castelli, H., Rossi, A., McKim, R., Hills, N., & D'Esposito, M. (2011). Rehabilitation of executive functioning with training in attention regulation applied to individulally defined goals: A pilot study bridging theory, assessment, and treatment. Journal of Head Trauma Rehabilitation.

Chen, A.J., Novakovic-Agorian, T., Nycum, T.J., Song, S., Turner, G.R., Hills, N.K., Rome, S., Abrams, G.M., & D'Esposito, M. (2011) Training of goal-directed attention regulation enhances control over neural processing for individuals with brain injury. Brain, 134(Pt 5), 1541-1554.

Trainers

Dr. Brian Levine received his Ph.D. in clinical psychology from the University of South Florida in 1991. After completing postdoctoral training at Harvard’s McLean Hospital and the Boston VA system, he had additional postdoctoral training at Baycrest’s Rotman Research Institute, where he is currently a senior scientist and Professor of Psychology and Neurology (Medicine), University of Toronto.

Dr. Levine is interested in the function and dysfunction of large-scale neural systems as expressed in complex human behaviors, including episodic and autobiographical memory, self-regulation, and goal management. Much of his research concerns syndromes seen in patients with focal brain lesions due to strokes and tumors, traumatic brain injury, dementia, and psychiatric disorders, although he also studies healthy young and older adults. Dr. Levine is particularly interested in the assessment and treatment of real-life deficits faced by patients with brain disease. As these deficits are often not readily apparent in standard neuropsychological or neurological examinations, Dr. Levine uses novel assessment techniques, coupled with multimodal neuroimaging (structural and functional magnetic resonance imaging [MRI], electroencephalography [EEG], and magnetoencephalography [MEG]) in his research. His most cited contributions concern the assessment and neuroanatomical basis of autobiographical memory (i.e., memory for events and facts about oneself), assessment and rehabilitation of executive cognitive deficits due to frontal lobe and distributed systems damage, and characterization of neural and behavioral consequences of traumatic brain injury.

Dr. Levine has published nearly 100 peer-reviewed scientific articles and book chapters and one book. He has been awarded over $5.3 million in grant funding from federal and provincial agencies, including the National Institutes of Health. He is a fellow of the Association for Psychological Science and the American Psychological Association (Div. 40, Neuropsychology). He was the recipient of the Premier’s Research Excellence Award (Ontario) and a Canadian Institutes of Health Research scholarship. He is the site leader for the Heart and Stroke Foundation Centre for Stroke Recovery (Baycrest). He is past-chair of the Behavioral Sciences, B committee of the Canadian Institutes of Health Research and current chair of the Cognitive Working Group of the Ontario Health Study. He is a registered psychologist in Ontario and holds Board Certification in clinical neuropsychology from the American Board of Professional Psychology. Dr. Levine has had numerous opportunities to share his expertise with the general public through local, national, and international media coverage (e.g., The New York Times, USA Today, Nature.com, Scientific American Mind, Discovery Health, Psychology Today, and CBC radio).

Marjorie Green OT Reg. (Ont), CDRS, with 27 years of experience in Occupational Therapy, currently holds a Status Only Appointment at the University of Toronto, Department of Occupational Science and Occupational Therapy.  She is a Certified Driver Rehabilitation Specialist (CDRS) and has extensive experience in the field of Driver Rehabilitation. Over the years, she has developed a particular interest in cognitive rehabilitation and has an expertise in working with individuals with impaired brain function. Presently, she is working as a consultant at the Rotman Research Institute with Dr. Brian Levine providing GMT to research participants.

More information:

Administration of Goal Management Training requires purchase of the program kit, sold separately. The kit will be available for purchase from this website; details to follow shortly. To receive notice of the program kit availability for purchase, please email dsmith@research.baycrest.org

The Goal Management Training kit containing a trainer's manual, 10 client workbooks and the program slides will cost $600 (Canadian). Additional client workbooks will also be available for purchase from this website; details to follow shortly. Order forms may be faxed to 647-788-0717 Attention Diana Smith

 

Goal Management Training Brochure