When you select CBA to quantify future care costs in cases of personal injury, you are working with a team of clinical experts with experience in various traumatic injuries, including brain injury, complex orthopaedic injury, musculoskeletal injury, spinal cord injury, chronic pain, and mental health issues. Each of our consultants holds a degree in a health discipline from an accredited university, are in good standing with their professional College, and possess the minimum malpractice insurance as recommended by their professional association.
To learn more about the expertise and qualifications of each of our consultants, see our team bios below:
Allan Bierbrier is Managing Director of CBA, and has been active in the health and rehabilitation field for over 25 years. He is a graduate of both McGill University and University of Ottawa (Health Administration).
He has held senior management positions in public and private sector health related businesses. Allan has worked in public health and occupational health both nationally and internationally.
As an executive in a large multinational company he was responsible for disability management and rehabilitation among its 60,000-employee base. His consulting experience has been in primary health care, health management systems, and strategic management. Past clients have included federal and provincial governments, related government agencies such as the Financial Services Commission of Ontario(FSCO), and a variety of private industries.
He is responsible for all business aspects of CBA, including operations, finance, and other administrative functions.
Allan brings a strong commitment to professional excellence, client value and service.
Alyssa Bierbrier is a duly qualified Occupational Therapist fully registered to practice in the Province of Ontario. She holds a Master of Science in Occupational Therapy from the University of Toronto. She also holds a Master of Arts in Critical Disability Studies from York University. She is a member of the Ontario Society of Occupational Therapists and holds registration with the College of Occupational Therapists of Ontario. She is board certified by the International Commission on Health Care Certification as a Canadian Certified Life Care Planner. She has completed postgraduate training in relation to Chronic Pain.
Alyssa began her clinical career in paediatric practice, working at private paediatric clinics and in the public sector including Toronto Central Community Care Access Centre where she was uniquely situated in a joint position at the Hospital for Sick Children and Holland Bloorview Kids Rehabilitation Hospital. Alyssa also has experience in the auto insurance sector where she has been responsible for the assessment and treatment of individuals of all ages who have sustained traumatic injuries.
With over 15 years of experience as a Registered Occupational Therapist, Anita Ames has specific experience in the preparation of future care needs and costs analysis, assessment of attendant care needs, functional in-home assessment and treatment, worksite assessments and treatment plan development and implementation. Anita has worked in a wide range of settings and has clinical experience working both in a supervisory capacity and as a member of multidisciplinary teams.
Anita received her Bachelor of Science in Occupational Therapy from the University of Toronto in 1996, and has engaged in extensive professional development opportunities. Anita is registered with the Ontario Society of Occupational Therapists of Ontario and is a member of the Canadian Association of Occupational Therapists.
With over 20 years of experience as a Registered Physiotherapist, Barbara Nagy has worked in a wide range of settings spanning Ontario, Australia and the United States. This diversity in terms of practice area has provided her with a range of skills and experience in many facets of rehabilitation care research and teaching. Her current practice is primarily in future care needs & costs analysis/life care planning specializing in catastrophic injuries.
Barbara completed her Master of Science in 1999 from Curtin University of Technology, Perth, Western Australia; she received a Graduate Diploma in Manipulative Therapy from the same school in 1995. Barbara received her Bachelor of Health Sciences (Physiotherapy) from McMaster University (1992). Barbara is a Certified Life Care Planner (CLCP) and is also registered with the College of Physiotherapists of Ontario and the California Physical Therapy Board. Barbara is affiliated with the International Association of Rehabilitation Professionals (IARP) and Life Care Planning Section of IARP. She is also affiliated with the Canadian and Ontario Physiotherapy Associations (Orthopaedic, International Health and Pain Sciences Divisions Members) and is a Fellow of the Canadian Academy of Manipulative Therapists (FCAMT).
Carol Bierbrier is founder and principal of CBA (Carol Bierbrier & Associates). A graduate of McGill University, Carol has worked as a Registered Occupational Therapist for more than 25 years. She is a Canadian Certified Life Care Planner (CCLCP), a Canadian Certified Rehabilitation Counsellor (CCRC) and a member of the Canadian Association of Occupational Therapists, and the Ontario Society of Occupational Therapists.
She has practiced as an Occupational Therapist in a variety of clinical settings, including community based rehabilitation facilities, and in hospital and out patient rehabilitation units serving individuals with orthopaedic, neurological and psychiatric diagnosis. As well she has experience in assessment and treatment of pediatric clients, specifically in the area of burns.
Over the last 20 years Carol has been in private sector community rehabilitation providing services to the medical-legal community. She has developed extensive expertise in the quantification of damages for personal injury actions as a result of motor vehicle accidents, medical malpractice, wrongful deaths and sexual assault. She has been accepted as an expert in her field and has testified on numerous occasions in the Superior Court of Justice. Carol is often an invited speaker on future care costing and related topics.
Christine Bilyea is a Registered Physiotherapist with more than 20 years of clinical experience. Over the last number of years she has devoted her practice to the preparation of future care needs and cost analysis reports, and case management for individuals who have sustained brain injury, spinal cord and complex orthopaedic and/or neurological injuries. In addition to her current work, Christine has acted as a Program Advisor at Trios College where she was responsible for the curriculum development for a physical therapy assistant program, and as a Program Coordinator for a physiotherapy assistant program at CDI College. In the past Christine has worked in outpatient orthopaedics (OHIP, WCB and Insurance). She also has a particular interest and expertise in equine physiotherapy.
In addition to receiving a Bachelor of Science in Physical Therapy from the University of Toronto, a Bachelor of Science in Biology from York University and a Bachelor of Arts in Biology from York University, Christine is a Canadian Certified Life Care Planner. Christine holds membership with the Canadian Physiotherapy Association, the Ontario Physiotherapy Association and the Animal Rehabilitation Division of the Canadian Physiotherapy Association.
Colleen Carter is a Registered Occupational Therapist with extensive experience in the assessment of attendant care needs, discharge planning, functional in-home assessment, worksite assessments, and providing in-home treatment to individuals with complex orthopaedic conditions, traumatic brain injuries, mental health issues, and chronic pain. She has practiced in a variety of clinical settings, including in-home and in-school treatment for pediatric clients, and an outpatient Multiple Sclerosis clinic providing services for seating and mobility, augmentative and alternative communication, and electronic aids to daily living. Her research pursuit involved assisting in the customization and facilitation of goal management training and brain health treatment groups for individuals with Multiple Sclerosis experiencing executive deficits.
Colleen obtained her Master of Science in Occupational Therapy from the University of Toronto in 2006. She received an Honours Bachelor of Kinesiology and a Minor in Psychology in 2004 from McMaster University. She has also completed Brock University Certificate Training Programs (advanced rehabilitation for ABI) in collaboration with OBIA. She holds a certification for PGAP, 3rd edition and is an ADP Authorizer. Colleen is registered with the College of Occupational Therapists of Ontario and is a member of the Ontario Society of Occupational Therapists.
With over 17 years of clinical experience in orthopaedic and neuro-rehabilitation, Connie Francoz, Physiotherapist, has practiced in a diverse range of settings, including hospital, private practice, auto insurance and WSIB systems. Connie received her BSc in Kinesiology from the University of Waterloo in 1992. She went on to receive her BHSc in Physiotherapy from McMaster University in 1994. In 2001, Connie received a Diploma of Advanced Orthopaedic Manual and Manipulative PT, and in 2009 she completed the Life Care Planning Certificate Program at the University of Florida.
Connie has experience with client assessment, medical file review, and with future care needs and cost analysis. She also has experience educating clients and designing modified return to work programs. Her experience extends to both inpatient and outpatient settings. Connie's memberships include the College of Physiotherapists of Ontario, Ontario Physiotherapy Association, International Association of Rehabilitation Professionals, the Acupuncture Foundation of Canada Institute and is a Fellow of the Canadian Academy of Manipulative Physiotherapy.
Deirdre Wallace is a Rehabilitation Counsellor with extensive clinical experience evaluating the care needs of individuals who have sustained severe traumatic injuries and permanent disability. Deirdre has extensive direct clinical experience assessing the needs of individuals with spinal cord injury, complex orthopaedic injuries, musculoskeletal injuries, and she has particular rehabilitation and care planning expertise in cases of traumatic brain injury. For the last 18 years, she has been involved in the preparation and the critical review of future care needs and costs analysis reports, rehabilitation care coordination services, the completion of vocational evaluations, the development of vocational rehabilitation plans, and the determination of employability. Deirdre has been accepted as an expert in the fields of future care cost analysis and case management services by the Ontario courts.
Deirdre received a Master of Education in Community Rehabilitation and Disability Studies from the University of Calgary and a Bachelor of Arts with Specialized Honours in Psychology from King's College at the University of Western Ontario. Deirdre is a Canadian Certified Life Care Planner and a Canadian Certified Rehabilitation Counsellor. She has completed a Level One Certificate in a Home and Community Based Rehabilitation program and a Level Two Advanced Certificate in Vocational Rehabilitation. Deirdre holds membership with the International Association of Rehabilitation Professionals (International Academy of Life Care Planners Section) and the Vocational Rehabilitation Association of Canada.
Dimple Mukherjee is a Registered Occupational Therapist with over 15 years of experience in a variety of settings including work in both hospital inpatient and outpatient units as part of a multidisciplinary team. Dimple has been with CBA for 10 years, where she has specialized in the preparation of future care needs and cost analysis reports, housekeeping and home maintenance needs and costs reports, in-home occupational therapy assessments, attendant care needs assessment and loss of services analysis. Dimple has been accepted as an expert witness in the area of future care costing in the Ontario courts.
Dimple received her Bachelor of Science in Occupational Therapy from Queen's University and is a Canadian Certified Life Care Planner. She holds membership with the Ontario Society of Occupational Therapists and the International Association of Rehabilitation Professionals.
Hazel L. Bowles received her Bachelor of Arts from the University of Western Ontario in 1986, a Diploma of Occupational Therapy from Mohawk College of Applied Arts and Technology in 1989, and a Bachelor of Health Sciences in Occupational Therapy in 1990. Hazel is a member of the Ontario Society of Occupational Therapists, and she holds registration with the College of Occupational Therapists of Ontario where she also served as an elected Council Member for six years. Hazel Bowles is certified by the International Association of Certified Health Care Professionals as a Canadian Certified Life Care Planner (CCLCP).
Hazel has experience assessing and treating clients with complex physical, cognitive, and psychosocial problems such as spinal cord injuries, amputations, burns, fractures, head injuries, dementia and other neurological insults. Hazel also has experience in the auto insurance sector where she was responsible for managing more than 50 Occupational Therapists and other health care professionals. Hazel has presented on numerous occasions on both Life Care Planning and Attendant Care Needs, and has been a guest lecturer and tutor at McMaster University in the Occupational Therapy program. Hazel is the Clinical Practice Leader at CBA. Hazel has also testified in the courts of Ontario as an expert witness.
Jay received his Master of Social Work degree from the Wurzweiler School of Social Work, and he has been working with accident victims who experience difficulty adjusting and resuming normal life roles as a result of their physical and emotional sequelae. Other work experience includes provision of individual counseling services at York University Counselling and Disability Services. Jay utilizes a "hands on" approach to re-integration of life roles, in conjunction with supportive counseling, in an effort to maximize the therapeutic gains these individuals can attain. Jay is fully registered to practice in the Province of Ontario and holds membership with both the Ontario Association of Social Workers and the Ontario College of Social Workers and Social Service Workers in good standing.
Larisa E. Kalinsis a Registered Occupational Therapist with over 15 years of experience working as a member of multidisciplinary teams within both the auto insurance and hospital environment. She has experience in the completion of in-home occupational therapy assessments, assessment of attendant care needs, worksite assessments, hospital discharge planning, and home safety assessments, as well as planning, recommending, implementing, monitoring and evaluating necessary assistive devices, home modifications, and home care services.
Larisa received her Bachelor of Science in Occupational Therapy from the University of Toronto in 1997 and has engaged in extensive continuing education and professional development opportunities.Larisa is registered with the College of Occupational Therapists of Ontario and is a member of the Ontario Society of Occupational Therapists of Ontario and the Canadian Association of Occupational Therapists.
Having practiced for over 22 years, Laura Feldt is an Occupational Therapist with experience working in a wide range of settings and with a diverse client populations. Her extensive skills include functional home assessments, the determination of future care needs and costs, and workplace and home modifications. Laura has experience working in a multidisciplinary team; she has provided assessment and intervention/treatment both on an individual and group basis and has provided case management services to clients with significant physical, cognitive and emotional disabilities.
Laura graduated from the University of Toronto in 1989 with a Bachelor of Science, Occupational Therapy, and is member of both the College of Occupational Therapists of Ontario as well as the Canadian Association of Occupational Therapists.
Margie Van Hook is a Registered Occupational Therapist and Certified Life Care Planner with experience in diverse settings and with varying client populations. With over 35 years of experience in the field she had developed expertise in the preparation future care needs and costs analysis and has delivered expert testimony in this aspect. As well she is an ADP authorizer with particular expertise in seating and mobility devices as well as in home accessibility.
Margie received her Bachelor of Science in Occupational Therapy from the University of Wisconsin – Madison in 1974. She holds membership with the College of Occupational Therapists of Ontario, the Ontario Society of Occupational Therapists, the Canadian Association of Occupational Therapists, the Canadian Association of Wound Care and the Michigan Department of Community Health, Board of Occupational Therapists. Margie has been engaged in extensive continuing education and professional development opportunities.
Michelle Voorberg has worked as a registered occupational therapist for over 23 years, and has specific expertise in the preparation of future care needs and costs analysis, loss of services and costs analysis, attendant care assessments, functional home assessments, and home management and life skills management. In addition Michelle has worked in a variety of capacities throughout her career, including as a Program Manager for a psychiatric rehabilitation program and as a Director of Occupational and Physiotherapy at a mental health centre.
Michelle received a Bachelor of Science in Occupational Therapy from the University of Toronto in 1989, and a Master of Education, Adult Education (Adult Education and Community Development) in 1999 from the Ontario Institute for Studies in Education (OISE/University of Toronto) . She completed certification programs as a Personal Trainer Specialist (2010), and Older Adult Fitness Specialist(2009) through CanFitPro. Michelle is a member of the Ontario Society of Occupational Therapist and the College of Occupational Therapists of Ontario.
Michelle Wagenberg is a Registered Occupational Therapist who has been working with CBA for over 15 years, both in the preparation and critical review of future care needs and costs analysis reports. Michelle also has specific expertise in the preparation of present and future housekeeping and home maintenance needs assessments, loss of services and costs analyses, and assessments of attendant care needs. Michelle also has experience with clinical supervision, group therapy and skills training to enhance levels of independence.
Michelle completed three years of a Neuroscience Specialist Program at the University of Toronto and was accepted into the Occupational Therapy program at the University of Toronto in 1997. She received her Bachelor of Science in Occupational Therapy from the University of Toronto in 1999. Michelle has engaged in extensive professional development since receiving her Bachelor of Science in 1999. In 2012 she obtained certification in the field of life care planning through the International Commission on Health Care Certification (ICHCC). Michelle holds membership with the College of Occupational Therapists of Ontario, the Ontario Society of Occupational Therapists and the International Association of Rehabilitation Professionals.
Mike completed a degree in kinesiology from the University of Guelph. Pursuant to gaining clinical skills in a hospital and research setting, Mike founded his own consulting company where he developed and delivered a wide range of treatments and assessments, primarily in the auto and employer sectors.
For the 9 years prior to joining (CBA) Carol Bierbrier & Associates, Mike worked as the Director of Operations & Marketing at a large, full service disability management company, where he was involved in the development of business strategies for rehabilitation services.
In addition to the development and implementation of these strategies, Mike developed processes to ensure optimal client contact and management opportunity; liaised with both existing and new clients, to problem solve and manage files efficiently; facilitated the development of web based software to manage company workflow; and he presented at numerous legal, insurance and employer seminars, tradeshows and conferences.
Mira Miller is a Registered Occupational Therapist with over 20 years of experience in a variety of settings working with individuals with complex injuries and persistent psychiatric impairments as both a clinician and a rehabilitation case manager. Mira is responsible for the preparation and critical review of future care needs and costs analysis reports with a focus on traumatic brain injuries, pre-existing psychiatric diagnoses and catastrophic impairments. She is also responsible for the preparation of loss of services and costs analyses, future housekeeping and home maintenance needs assessments as well as attendant care needs assessments. She has presented and published work in the field of Occupational Therapy and is currently involved in research related to her work with clients who have sustained catastrophic injuries. Mira is responsible for providing clinical supervision and support to life care planners.
Mira Miller received her Bachelor of Arts/Bachelor of Physical and Health Education (concurrent) at Queen's University in 1993. She completed her Bachelor of Science in Occupational Therapy at the University of Western Ontario in 1996. In 2011, Mira obtained certification in the field of life care planning through the International Commission on Health Care Certification (ICHCC). She has completed a number of certificate programs and is currently working towards her Master of Education in Social Justice with a focus on Indigenous Health and Educational Policy at The University of Toronto/OISE.
Rebecca Dworkin is a Certified Life Care Planner and Registered Chiropractor with extensive experience in the treatment and management of complex musculoskeletal injuries. She also has over a decade of experience providing assessment and management of catastrophic and non-catastrophic injuries, including Case Management and Life Care Planning report writing. Rebecca has worked collaboratively with Occupational Therapists, Psychologists, Neuropsychologists, Physiotherapists, treating physicians, Orthopedic, Neurologic, Neurosurgical and Physical Medicine specialists in the field of personal injury. Rebecca has personal experience completing in home assessments, attendant care assessments, discharge planning and Life Care Plan reports for adult and pediatric patients with complex orthopedic injuries, traumatic brain injuries, chronic pain and mental health issues.
Rebecca obtained her Doctor of Chiropractic from the Canadian Memorial Chiropractic College in 2004 and an Honours Bachelor Kinesiology from McMaster University in 2000. Rebecca is registered in good standing with the College of Chiropractors of Ontario and is a member of the Ontario and Canadian Chiropractic Associations.
With over 20 years of experience as a Registered Nurse, Shelley Cosma has worked in a variety of settings across Canada. This diversity has provided her with a wide range of skills and experience in many aspects of the medical and rehabilitation field. Shelley has extensive experience in Case Management, managing all aspects of the client's rehabilitation due to catastrophic injury (including ABI, spinal cord and complex orthopedic injuries). Concurrently with Case Management, Shelley has completed numerous Future Cost of Care reports and has been qualified as an expert witness in the Ontario Superior Court of Justice. Shelley's practice is now primarily focused on future cost of care analysis/life care planning.
Shelley completed her RN diploma in 1992 in Alberta and went on to complete her BSN from the University of Victoria. She began her nursing career in several acute care settings including surgical, medical, palliative and emergency nursing. As a Clinical Trial Research Nurse, she worked with major pharmaceutical companies developing treatments for autoimmune disorders. Shelley is a Canadian Certified Life Care Planner and is registered in good standing with the Ontario Nurses Association.