Working to Make a Difference for Justice-Involved Individuals

May 4, 2023

Story by MenDi McCuiston

Making a difference is what we are passionate about at the Brain Injury Association of Nebraska. Helping individuals find their voice and share their stories is a step toward finding purpose and healing. Hearing those voices share their journey warms the heart and keeps our passion alive to keep working at making a difference.

In North Platte, Shir Smith and I (MenDi McCuiston) are passionate about working within the correctional system and we are working to raise awareness about brain injury there. In 2022, we began screening in the Lincoln County Detention Center (LCDC) and completed the OSU (Ohio State University TBI Identification Method) screening on 116 inmates in the general population. The report came back showing the number of individuals who received a blow to the head or reported being strangled at some point in their lives was 109, or 94% of the individuals screened. Seeing this staggering number of individuals who were unaware of the changes that could occur within the brain after trauma, Shir and I set to work at making a difference in our community.

Once approved, we began introducing the MindSource Modules to the inmates who were interested in learning more about brain injury and making a change within themselves. The group started with 6 individuals on March 31, 2023.

The Mindsource modules helped provide individuals who’ve screened positive for brain injury with the insight and tools to better cope with and address the symptoms that they deal with, such as short-term memory loss, delayed speed of processing, and difficulty with emotional regulation.

Over the next 10 months, we screened 43 individuals specifically for the program. We were limited to only 6 participants at a time, so some of the 43 individuals were released or sentenced to other facilities during the process. However, 10 individuals received a certificate for completing the MindSource Modules.

I want to say thanks for giving me the opportunity to be a part of your class and thanks to everyone in this group for acceptance.

With continued interest in learning from individuals in the system, we were able to adapt a Wise Mind Curriculum to be brain injury specific and added that education to our curriculum.

The Wise Mind Curriculum we use is a Dialectical Behavioral Therapy (DBT) that uses the concept of a reasonable, emotional, and wise mind to describe a person’s thoughts and behaviors. The reasonable mind is driven by logic, the emotional mind is driven by feelings, and the wise mind is a middle-ground between the two. With this approach, individuals learn skills to use their wise minds and better manage their behavior. This curriculum is longer so we had 7 individuals that were able to complete the curriculum and receive a certificate for completing the BIA Wise Mind Curriculum.

This class has taught me a lot about myself, where my problems really come from, and how to accept them and move forward with life.

While some of these numbers and dates may be boring to read and come across as cold or unfeeling, Shir and I are very passionate about the work we are doing to help those who are ready to better themselves and move forward. These numbers represent individuals–not just statistics–and a few of them wanted to share their thoughts on the class with you:

I have come so far so many times in my life only to let my past grab a hold of me again and pull me down. I know it is on me and that we all have choices. No excuses at all for my choices and I do take responsibility for my actions. This class has been good for me. Since I have started going to classes, some of the things I learned that I suffer from may have come from the injuries I have endured to my head. My head may be telling me how I see things and I am missing how things really are, also me responding or reacting to those things. Reacting vs responding has helped me a lot because I have been one to just react and with our first reaction usually following is the emotion of anger. I have been trying to work on responding and staying in control of myself than reacting and not having control. Another big one for me is the acceptance of others and trying not to have expectations from others. It feels to me that I have always had expectations from others like they owe me something and high expectations at that. This one to me has been hard for me and I do continue to struggle with having expectations of people.

Individuals in the detention center still expressed interest in further education, so we were able to implement a Mentorship Program within the detention center to offer further instruction for those interested in mentoring others. So far, we have had 3 who want to enter this program and 2 of them have received certificates.

Changing lives doesn’t happen overnight and not everyone is open to making changes or ready to make changes, but making a difference in one person’s life is enough. We are passionate about getting out there to raise awareness, to be the change needed to make a difference, and, to hopefully reduce recidivism rates.

Thank you MenDi and Shir for all the support you guys gave me with wise and emotional mind classes with brain injury. Now I understand how to deal with my brain injury trauma, and I understand how to deal with people with brain injury signs and symptoms. I now understand how to use these tools to navigate my life and use [these] coping skills to better my life and future.

We will continue on this journey of education and we hope to raise awareness and spark passion in others to join us on this journey.

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Have a Question?

Have questions about brain injury support, resources, or how to begin your own journey of hope? We’re here to help. Reach out anytime through our Contact page, and one of our dedicated team members will gladly provide the guidance and information you need.

Emri Hamiliton

Resource Facilitator Omaha Metropolitan Area
Emri Hamilton is a rebel with a cause and a deep commitment to helping others. Born and raised in South Omaha, she spent three years living in Germany before returning to the place she calls home. With a background in psychology, child welfare, social work, and counseling, Emri finds purpose in supporting individuals in need. Throughout her career in victim advocacy, she has developed a strong sense of purpose working with those navigating the Justice system. At the age of 23, Emri survived a brain aneurysm and hemorrhagic stroke, an experience that taught her the immense value of resiliency and community. This life-changing event deepened her desire to pursue a career that aligns with her lived experiences, helping others in meaningful ways. Outside of her professional life, Emri enjoys spending time with her loved ones and her handsome dog, Mellow. She stays balanced by indulging in her creative passions, whether through painting or working with flowers, and has a love for all things art.

Katie Freeman

Marketing & Special Events Intern

Katie is an Advertising and Public Relations major at the University of Nebraska - Lincoln in the college of Journalism and Mass Communications.

Katie was born and raised in Lincoln and decided to stay close to family by attending UNL. She enjoys spending time with friends and family, finding new recipes to try, and going shopping.

Katie is excited to be working with the Brain Injury Association of Nebraska team not only to learn about marketing, but also to help spread awareness about brain injury prevention and support.

Elle Stecher

Marketing & Special Events Coordinator

Phone: 402-683-0724

As the Marketing and Special Events Coordinator, Elle works to improve the BIA-NE’s reach and impact through marketing, events, and outreach via social media and the website.

Elle has a bachelor's degree from the University of Nebraska – Lincoln's College of Journalism and Mass Communication in Advertising and Public Relations and is working on her Master's Degree in Integrated Media Communications.

Elle lives in Lincoln with her husband and two sons, Ezra and Jack, in a historic home. Outside of work, Elle enjoys baking and working on restoration projects at home, as well as spending time with friends and family.

Paula Dodds

MBA Director of Operations

Phone: 402-706-0986

From her first office job at the age of 15, Paula fell in love with putting systems in place, organized, and easy to access. Granted, she started just one step above the mailroom as a file clerk, but she quickly grew that skill set to become a company trainer and then office manager by nineteen.

With over twenty-five years of administrative and team-building experience, Paula brings professionalism, innovation, and ingenuity to every project and event she works on. During Paula’s career, she has served the executive search, human resources, nonprofit, and healthcare markets, in addition to professional business and life coaches.

She lives in Omaha, Nebraska, and is currently raising four beautiful, independent daughters (preschool to grad school ages) with her very patient (and VERY outnumbered) fiancé, Matt.

Peggy Reisher, MSW

Executive Director

Phone: 402-890-0606

Peggy Reisher has worked in the field of brain injury for over 25 years. She helped establish the Brain Injury Association of Nebraska (BIA-NE) in 2009 and became the Executive Director in July 2013. Prior to being the Executive Director, she served as the Director of Programs and Services.

Peggy has a master’s degree in social work and worked 14 years on the traumatic brain injury unit at Madonna Rehabilitation Hospital in Lincoln, Neb. where she helped patients and families identify community resources upon discharge from the hospital.

Peggy is currently the President of the United States Brain Injury Association and is on the Munroe Meyer Institute Board of Directors.

Peggy grew up in St. Paul, NE, but has spent her adult life in Lincoln where she and her husband Tom raised their three children, Nathan, Amy, and Erica.

Gina Simanek, MA, LMHP

Support Group Volunteer Leader & Resource Facilitator Lincoln & Southeast Nebraska

Gina is a tenacious advocate of those with brain injury across the state of Nebraska. As a licensed mental health practitioner, consultant, educator, and volunteer, she was the first to ever provide outreach services in Lincoln and the entire state of Nebraska for individuals with Brain Injury (BI) and their families. Gina did this solo while working another full-time position to meet unmet needs for individuals with BI and their caregivers for 30 years and continues this work today.

In 2008, Gina contracted as the Nebraska State BI Ombudsperson and a Statewide Information and Referral Specialist for the Brain Injury Association of Nebraska (BIA-NE). In 2021, Gina joined BIA-NE full-time.

Gina has a background with administration and interpretation of various psychological and neuropsychological assessments; educates professionals, individuals, and families about brain injuries and mental health; is experienced in neurofeedback and biofeedback; facilitates mental/medical health support groups, served on several state advisory boards, and did a research study on brain injury coping in parents that gained recognition (2001 Student Research Award – Division 22, Rehabilitation Psychology), and has contributed to other brain injury research publications.

Outside of work, Gina is also active in biking long distances and assisting other runners and bikers to accomplish a marathon or long biking adventure successfully. She enjoys the outdoors, animals, artistic endeavors, and being around family, friends, and those who appreciate the value of assisting others in various ways.

Shir Smith

Resource Facilitator Western Nebraska

As someone who suffers from a brain injury and has overcome obstacles in her life, Shir Smith is ready and willing to help others. Shir has a passion for making people aware of brain injury and how it affects people’s lives. Shir always states, “There is no limit to your Sky, go Above and Beyond.”

Before joining the Brain Injury Association of Nebraska, Shir spent a large part of her life volunteering for and working with non-profit programs. From the Salvation Army to the Lincoln County Jail to Guardian Light Family Services, she saw needs that helped shape her passions and skills–guiding her to where she was meant to be–helping others to help others.

Shir is certified in a wide range of programs and training and brings a wealth of training and knowledge to the team. She has experience working with a Rape and Domestic Abuse Program as an advocate, starting a Wise Minds and an Incarcerated Victim Advocacy Program in the Lincoln County Jail, working with an Anti-Violence program for women, and working as a Sexual Assault Coordinator.

MenDi McCuiston

Peer Mentoring Program Coordinator • Resource Facilitator Western Nebraska

MenDi is the mother of a child that received a brain injury in a car accident at the age of sixteen and dealt with the repercussion of the school and court system treating her child as an uncontrollable child instead of treating the symptoms. She understands the struggles of a parent feeling helpless, hopeless, and abandoned by the “system.” Her goal with the Brain Injury Association of Nebraska is to educate others on the signs and symptoms of brain injury and offer support for those in the same position she found herself in seven years ago.

MenDi has a bachelor’s in behavioral science and has worked as a life coach, a family support worker, and has held various other positions within the non-profit realm helping individuals to set goals, recover from grief, and find their purpose. She has a passion for helping others and is inspired by those who do not let their situation keep them down.

MenDi was born and raised in North Platte, spent 14 years in McCook but missed home, and returned to North Platte where she lives with her husband. She has five children and six grandchildren who keep her busy and young at heart.

Michelle Meyer

Resource Facilitator Lincoln & Southeastern Nebraska

Michelle Meyer joined BIA–NE from Bryan Health, where she worked as an insurance verification specialist and patient registrar. Recognized for her training skills, rapport building, and commitment to excellence, Michelle enjoys work that requires empathy, innovation, and problem-solving and brings a diverse work history to the Resource Facilitation team.

Michelle continues her dedication to supporting individuals through empathy and guidance, leveraging her background in patient interaction.

As the primary caregiver and medical point of contact for her aging parents and mother-in-law, she knows that access to helpful resources is empowering and invaluable during a health crisis. She looks forward to sharing her hope and enthusiasm with BIA–NE clients throughout their recovery process.

Michelle lives in Lincoln with her husband and dog and enjoys gardening, art, and spending time with family and friends.

Marisa Mears

Resource Facilitator Western Nebraska

Marisa is a dedicated caregiver with a nursing degree from Mid Plains Community College, who has been in the nursing field since 1999. She has a passion for helping others and supporting their needs, which has led her to expand her skills from nursing to health and fitness, and now to focus on brain injury.

Marisa's greatest accomplishments in life are her three lovely children, who bring her immense joy and fulfillment. When she is not busy being a mom, Marisa enjoys spending quality time with her husband, traveling, and attending concerts.

Having witnessed the impact of brain injury both professionally and personally, Marisa is committed to raising awareness in her community. She aims to provide prevention education, advocacy, and support to those in need, in order to make a positive difference in the lives of individuals affected by brain injury. With her caring and compassionate nature, Marisa is dedicated to making a meaningful impact in the lives of others.

Teresa Larsen

Peer Mentoring Program Coordinator Panhandle Region

Teresa has been fascinated with the brain since high school and dreamed of being a Neurologist.

Teresa has a natural talent for teaching and explaining the complicated in an understandable and relatable way. As a mother of three, whom she home-educated, Teresa enlisted her teaching, nurturing, and management skills to raise her three children. Teresa has always had a strong desire to serve others. She volunteered with crisis pregnancy centers as well as domestic violence organizations. Teresa served her community in leadership positions such as Vice president of her local 4H council and as president of the Nebraska Extension Education Club, The Stateliners.

As a family support worker, Teresa grew and expanded her skills to be a "toolbox" for her clients. It's the "toolbox" mentality that helps her bring a multitude of resources to each situation to bring about the best for those with whom she works.

Brenda Horner

Resource Facilitator Central Nebraska

Brenda’s husband had a hemorrhagic stroke in 2009 while serving in the military, so she understands brain injury from a spouse's/caregiver’s perspective. Over the years, Brenda has learned to navigate family life, military life, and the VA system regarding her husband's brain injury. She has 20 years of experience working with people of all ages and disabilities.

Brenda also has ample experience working in and with various Special Education programs across the state of Nebraska. Previously, she helped families as a Service Coordinator for The Early Development Network as well as working in hospice and as a Registered Behavior Technician.

Brenda grew up in York, NE. She currently resides in Grand Island, NE with her husband and has 2 daughters, 2 sons-in-law, and 2 granddaughters that keep her busy in her spare time.

Anna Cole

Resource Facilitator Special Projects

Anna’s focus on and passion for care is evident throughout her life—beginning with her early career as a Registered Nurse. She then cared for and raised four wonderful sons as a stay-at-home mom. When her children reached school age, she accepted various positions in their schools, all of which involved caring for and helping hundreds of children. Prior to joining the Brain Injury Association of Nebraska, Anna most recently served as the full-time Congregational Care Coordinator at her church.

As a freshman at an out-of-state college, Anna’s youngest son was involved in a serious car accident that resulted in a brain injury. Finding and accessing providers and resources to assist in his recovery and successful return to school ignited Anna's passion to assist others facing a similar challenge.

Anna grew up in New Hudson, Michigan, but has lived in Omaha for over 35 years. She and her husband Blake are empty-nesters with their dog, Jack. Anna has four awesome grown sons, two beautiful daughters-in-law, and two wonderful grandchildren.

Heather Carroll

Resource Facilitator Omaha & Lincoln Metropolitan Areas

Heather Carroll is a passionate and creative woman who loves her twins and family. She is active in her church community where she serves teaching Sunday School, and as a care pastor, board member, and part of the worship team (where she is a vocalist and plays the guitar and violin).

Heather retired from the Air Force after 22 years. While serving in the Air Force, Heather worked as a Nationally Registered Emergency Medical Technician (NREMT). During her service, she was stationed in Cheyenne Wyoming, Denver Colorado, Minneapolis Minnesota, and Lincoln Nebraska. Some highlights from her service have been touring with the premier Tops-In-Blue performance team where she was afforded the opportunity to represent the Air Force's Finest performers, entertaining the troops abroad. She deployed to Kuwait in 2007 to serve and support the global war on terrorism where she managed and led a team in the Contingency Aeromedical Staging Facility. Upon arriving at Lincoln Air National Guard, she served in the Chemical, Biological, Radiological, Nuclear, and High Yield Explosives (CBRNE) Enhanced Response Force. She retired as a Master Sergeant (MSgt) from the Lincoln Air National Guard in April of 2016.

In 2016, after retirement, Heather began a new pathway for her education in Psychology. She successfully completed her bachelor’s in psychology in 2018 with distinction. While attending school, she was also employed by Bellevue University working as an Evaluations Specialist, Research Analyst, and Manager of the Military Veteran Services Center (MVSC). Heather is passionate for mental health and helping others heal from past experiences and traumas. She is currently pursuing her master’s in mental health clinical counseling where she desires to continue to service the veterans and others with their traumatic experiences and injuries.

Heather is no stranger to Resource Facilitation having spent the last four years as the manager of the MVSC, where she helped veterans get and remain connected to the resources in the community that support them with their service-connected disabilities. She managed the staff and partners of the facility to ensure they streamlined processes and procedures, delivered excellent customer service, and met the veterans where they were at, ensuring the team left them better than when they walked into the facility.

Heather has more than 30 years of serving others and their medical needs and getting people connected to the resources in the community. In the Air Force, she assisted in educating and training peers and patients. At Bellevue University, she ensured veterans received the resources and programs available to them for the last four years.

Lastly, Heather is very excited to be on the Brain Injury Association of Nebraska team and is looking forward to serving those with brain injuries as well as helping to inform and educate the community and partners in the community.

Rachel Brandenburg

Resource Facilitator Omaha Metropolitan & Northeast Region

Rachel brings over 20 years of experience in healthcare to her role. Before pursuing higher education, she dedicated over a decade as a Certified Nursing Assistant, providing compassionate care that helped individuals maintain independence while addressing their social and emotional needs. She holds a Bachelor's degree in Healthcare Management and a Master's in Public Health, with extensive experience assisting individuals and caregivers through complex physical and social health challenges.

Rachel lives south of Plattsmouth in a small lake community with her husband, son, two daughters, and two dogs. She enjoys crafting, cooking, staying active, and supporting her children’s various extracurricular activities.

A caregiver and volunteer at heart, Rachel serves annually on her community’s Election Committee. She also contributes her expertise as a member of the ENOA Senior Companion Program Advisory Council and as Treasurer for the Keep Cass County Beautiful Board of Directors.