• nurse attending to patient
    The Rehabilitation Institute offers both inpatient and outpatient programs for people with traumatic brain injuries. The programs include comprehensive, multidisciplinary treatment to address medical, physical, psychological, and cognitive needs; education and training to meet family needs; recommendations for home and work area modifications; and discharge planning that emphasizes a realistic living environment.

    The Rehabilitation Institute's brain injury program is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). This accreditation ensures our ongoing commitment to quality and patient safety and our focus on patient satisfaction. We invite you to view our patient outcomes.

    Initial Assessment
    When the initial referral is made, a rehabilitation physician visits the patient and conducts an evaluation. Our inpatient program is designed for patients who have localized responses but who are disoriented, socially disinhibited, agitated, and/or combative. Admission criteria for the inpatient program include:

    • Acquired brain injury
    • A score above a specified level on the Ranchos Los Amigos Cognitive Functions Scale
    • Physician-certified medical stability
    • A need, ability, and willingness to participate in at least three hours of intensive therapy daily
    • An identified, agreed-upon discharge plan to a specified environment, supervised or non-supervised

    Led by a physician specializing in physical medicine and rehabilitation, the brain injury team works together to develop a plan to facilitate the patient's return to a productive life. Within one week of the patient’s admission to the program, the treatment team, patient, and family discuss a care plan, determine goals, set a potential discharge date, and begin planning for the patient’s return home. After the initial conference, the team meets weekly to ensure the patient's continued progress and to further plan for discharge.

    An individual brain injury treatment program might include the following:

    • Psychological and neurological evaluations and counseling
    • Strengthening and conditioning exercises in our pool
    • Therapies for improving strength, endurance, mobility, ambulation, and activities of daily living
    • Recreational therapy
    • Serial casting to increase range of motion and inhibit tone
    • Treatment of swallowing disorders
    • One-on-one and computerized training for communication, memory, and problem-solving difficulties
    • Bowel and bladder training
    • Biofeedback
    • Transfer training (getting in and out of the wheelchair and bed)
    • Outings to practice community living skills
    • Family conferences, involvement, and counseling
    • Referral to vocational rehabilitation services
    • Referral for driving evaluation and re-training
    • Home assessments to recommend adaptive equipment and placement of ramps and railings
    • Home exercise program
    • Discharge planning

    While in treatment, patients meet with their therapists in a quiet, non-distracting environment. Emphasis is placed on restoring physical and cognitive functions and developing ways to compensate for deficits in self-care, mobility, interpersonal relations, memory, and problem solving.

    Outpatient Brain Injury Rehabilitation
    Our outpatient program provides therapies and follow-up care to ease the transition from hospital to home and community. Programs are individualized to address specific barriers to home and work re-entry. This program emphasizes learning to cook, clean, and keep house; budgeting and managing money; problem solving; spending leisure time productively; obtaining and benefiting from community resources; coping with the stress of daily living; interacting with others comfortably; and working more efficiently on the job and at home.