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NeuroRehabilitation 
Post Acute Rehabilitation Services
 
Program Description

At the center of any NeuroRehabilitation program is the person who has experienced the neurological impairment. The program is designed to offer integrated, functional, community-based skill training that focuses on specific goals relating to the individual�s cognitive, physical, behavioral, and psychosocial adjustment. Efforts are aimed at providing opportunities for intensive skill building while taking advantage of both concurrent physiological healing and individual motivation for increased autonomy and productivity. Community resource development, linkage and discharge planning are key elements to the NeuroRehabilitation program success.

The NeuroRehabilitation program is both CARF accredited and licensed by the Illinois Department of Public Health. NeuroRehab focuses on the functional achievements each person with acquired brain injury needs to make to live as full and satisfying a life as possible. Because the participants entering this program have a variety of needs, each program plan is distinct with specific goals relating to medical, physical, cognitive, and emotional areas of concern. A comprehensive evaluation is facilitated across therapeutic disciplines prior to the establishment of functional outcome goals.

For some persons with acquired brain injury, the accomplishments necessary to increase independence may center around skill acquisition as basic as having the ability to communicate basic needs and wants to their care giver. This person may always require a high degree of supervision related to severity of physical and/or cognitive impairment, however, participation in intensive therapy after the acute rehabilitation phase is complete has significant long-term benefits. A functional therapy approach with opportunities for therapeutic follow-through, continued skill acquisition and practice, combined with family training and comprehensive discharge planning, could enable this person to return to the home setting with increased independence and no longer in need of long-term institutionalization.

For other persons with brain injury, the goal may be returning to work, college, or relearning the skills to be productive members of their families and communities. This person may have minimal physical deficits, but find that cognitive challenges are the main barrier to safe independent living. The Rehabilitation team focuses on individualized compensatory strategy design and practice within a functional setting. That setting might be a classroom, a volunteer community placement, or in a transitional living apartment with the team providing wrap-around supervision and assistance. This functional approach allows practice in applying and refining the learned compensatory strategies in an environment that simulates the discharge site in an effort to maximize goal maintenance following discharge.

The Rehabilitation team consists of experienced clinical staff, as well as 24-hour life skills therapists who are trained specifically to use every moment as an opportunity for furthering the accomplishments of the program participant, whether in the facility or in the community. Group and individual sessions not only address the specific and holistic needs of the individual, but also, through peer interactions, help to develop an awareness of the impact of brain injury on a person�s life course. Every activity throughout the day, including productive use of free time, is designed to further the individual�s progress toward discharge and the natural reintegration into the home and community.

NeuroRehabilitation is unique in its ability to integrate traditional interventions, such as physical, occupational and speech therapies, into functional activities in a community based, active treatment model. This model, in conjunction with case management, medical management and neuropsychological approaches, allows more rapid progress toward community integration and return to the home community to access local resources as needed.

The Rehabilitation team works in partnership with the individual with an acquired brain injury, their family, and the funding sponsor to set and achieve outcomes that are targeted to maximize the participant�s independence. Goals are as different as each person who enters the NeuroRehabilitation program. The team identifies those results which are going to make a difference, and develops a plan which takes into account the priorities for rehabilitation, the anticipated length of stay, and the outcomes that are desired and durable over time.


 

 
NeuroRehabilitation
Outpatient Service
 
Program Description

NeuroRehab Center (NRC), a program of the Center for Comprehensive Services located in Carbondale, Illinois, provides outpatient and day-treatment services for adults, adolescents, and children with neurologic diagnoses including:

� Traumatic brain injury (closed and open)

� Stroke

� Tumor

� Aneurysm

� Anoxia

� Spinal cord injury

� Disease process

NeuroRehab Center is designed to support individuals in their medical and physical recovery which began in the hospital, while assisting them in facing daily life issues. Each person's program addresses successful completion of home and community tasks considering the physical, cognitive and emotional challenges presented by the individual's neurologic condition. Therapy may occur at our clinic, in the home, school, community or job site, depending on the life challenges being faced. Assistance is provided by licensed physical, occupational, and speech therapists, as well as counselors, behavior analysts, and certified vocational counselors. The program is available Monday through Friday 8:30 am until 5:00 pm. Program participants can access individual services or a combination of services depending on their needs.

NeuroRehab Center also offers Neuropsychological Evaluations as a diagnostic support to physicians, counselors, and case managers involved in rehabilitation planning with persons having neurological diagnoses. These evaluations are conducted by a licensed clinical psychologist and are available to individuals beginning at age 6. Neuropsychological Evaluations assist in determining the appropriate rehabilitation pathway and provides valuable information for the clinical team and involved external agencies. This evaluation takes about 6-8 hours of direct testing and may be conducted over the course of several days. Our neuropsychologist will also spend time reviewing records and conducting interviews to obtain information prior to on-site testing. For those individuals traveling some distance to Carbondale, we will assist with making accommodations at a local motel if desired.

NeuroRehab Center offers a coordinated approach to outpatient and day-treatment rehabilitation. Our program is functional and outcomes based, with each rehabilitation plan individually developed based on the participant's life challenges.


 

 
NeuroRehabilitation
Day Treatment

Program Description

Day Treatment services can be accessed by participants residing in our geographical area and at a level of functioning that does not necessitate 24-hour supervision by trained personnel. Day Treatment services provide an integrated team approach for persons with acquired brain or spinal cord injuries as the next step from acute hospitalization or post-acute rehabilitation, or as an alternative to traditional outpatient therapy.

Participants accessing Day Treatment services have a program that includes evaluation and therapy with a functional, integrated team approach while maintaining a community living placement. This treatment option offers traditional therapy coupled with functional and therapeutic community re-entry activities, and affords the participant and caregiver the opportunity for concurrent training, education, and support. This approach contributes to the durability of outcomes by addressing issues in an environment that most closely simulates the discharge environment, as well as capitalizes on training opportunities.

Individuals entering the Day Treatment program participate in a comprehensive evaluation across all therapeutic disciplines, followed by an individualized rehabilitation plan and therapy course developed in partnership with the participant, caregiver, and sponsor. This integrated functional approach allows each person to set and achieve outcomes that are targeted to maximize independence in the home, work, college, and/or community environment. By spending a full day in therapy, the participant is able to have consistent observation, interaction with peers, opportunity for strategy refinement, and ongoing assessment to ensure that the rehabilitation course is meaningful and functional.

The Day Treatment program option offers the following menu of services:

  • Physical Therapy
  • Occupational Therapy
  • Speech-Language Therapy/Cognitive Retraining
  • Case Management/Comprehensive Discharge Planning
  • Peer Resources
  • Individual and Family Counseling and Support
  • Productive/Vocational/Educational Re-entry Activities
  • Life Skills Training
  • Community Access/Reentry Services
  • Neuropsychological Evaluation

In addition to therapy within our clinical and community settings, home, educational, and vocational site evaluations and treatment may also be part of the integrated team approach to ensure that necessary modifications are in place to maximize the individual�s physical, cognitive, and psychosocial independence. Those individuals entering the Day Treatment program typically participate 5 days each week. As the individual gains more independence and the level of functional recovery results in a decrease in therapy needs, the program offers a "step-down" approach to increase the amount of time spent in the discharge environment(s) with ongoing support from the NeuroRehabilitation Team.

Day Treatment services may be accessed directly following acute rehabilitation, or later on in the recovery process. Day Treatment can offer a viable and cost-effective alternative to prolonged hospitalization while providing an integrated, comprehensive, and outcome oriented team approach that is not available through traditional outpatient rehabilitation.