Dr. Steven Orenczuk

St. Joseph's Health Care

Regional Spinal Cord and Brain Injury Rehabilitation Programs
Parkwood Institute
550 Wellington Road
London, ON  N6C 0A7
Telephone: (519) 685-4292, ext. 42943
Email: steve.orenczuk@sjhc.london.on.ca

Clinical interests: Psychology residents may participate in the Regional Rehabilitation Service that serves persons with Spinal Cord Injuries (SCI; 15 beds) and Acquired Brain Injuries (ABI; 10 beds) who require inpatient care. This includes individuals who have had a spinal cord injury that is either traumatic (e.g., from a motor vehicle accident or fall) or non-traumatic in etiology (e.g., spinal metastases or transverse myelitis) or other neurological disorder (e.g., Guillain-Barre Syndrome). Supportive counselling and psychoeducational groups are available as experiences to the residents working on the spinal cord service. There is a cognitive behavioural emphasis to the treatment interventions that focuses on adjustment of the patient to his or her disability. Evaluations frequently include the psychometric assessment of cognitive functioning. Services often are consultative in nature. Participation in a community injury prevention program is also available.

On the Acquired Brain Injury (ABI) Rehabilitation Program, the inpatient service provides acute rehabilitation to patients referred for assessment and intervention requiring an intensive interprofessional program. ABI may be due to traumatic brain injury (TBI) associated with physical injury sustained in falls, assaults, and motor vehicle collisions. ABI may also be associated with medical conditions that affect the central nervous system, such as anoxia, stroke, brain tumour, or meningitis. Degenerative disease and dementia are usually followed by other programs. Concomitant mood disorders and pain complaints are prevalent, and may require consultation with specialized mental health and/or addictions services. Psychology residents may obtain experience planning and providing clinical interventions for individuals and families. Interventions may include cognitive-behavioural approaches, clinical education on emotional regulation for survivors and spouses, and participation in interprofessional rehabilitation. 

Topics for workshops, seminars: Spinal cord injury and rehabilitation

Type of clinical practica: Advanced Intervention; More advanced practica

Types of clients: Adult; Senior

Modality: Individual

Theoretical orientation: Cognitive behavioural; Behavioural

Types of client problems: PTSD; Adjustment Disorder; Depressive Disorders; Neurocognitive Disorders 

Type of supervision you can provide: Student describes case to you; Co-therapy/Co-interview; Observe student live

Recent students: K. Rnic (2018)

Current students:

Clinical contact: Not Available

Research interests: I have participated in reviews of neuropathic pain treatment, establishing clinical guidelines regarding assessing emotional wellbeing post SCI, and in upcoming trials of TAICBT re: mood and anxiety following SCI. Mehta, S., Orenczuk, S., Hansen, K., Aubut, J., Hitzig, S., Legassic, M., Teasell, R., (2011). For the SCIRE Research Team. An evidence based review of the effectiveness of cognitive behavioral therapy for psychosocial issues post spinal cord injury. Rehabilitation Psychology, 56, 15-25.

Available to supervise: Yes

Constraints: Available to supervise in Fall 2019 term.

Last updated: May 21, 2019