614 W. 18th Avenue

Covington, LA  70433

800-84ReMed I 800-847-3633

Fax: 985-875-3103

info@remed.com

Admission Criteria - Supported Living Services

ReMed’ of Louisiana's Supported Living System (SLS) provides aging and community residential services to individuals in group homes, and community-based apartments. Services are provided seven days a week, 24-hours a day. The Supported Living sites are structured to provide treatment models which focus on neurobehavioral management, supervision and support, as well as community re-entry and respite services. This continuum continues to support the clients as their life needs change.

A Clinical Intake Evaluation is conducted and program acceptance is based on the client’s need for and potential to benefit from a structured program designed to support independence in daily living skills, develop vocational/avocational skills, enhance participation in social and recreational activities in the residence and the community and increase self-awareness.

  • ​Primary diagnosis of brain injury (other neurologic diagnosis may be considered on a case by case basis)

  • Minimum Age: 18 years

  • Not actively engaged in substance use/abuse

Spinal cord injuries can only be a secondary diagnosis. Etiology of the SCI could be either traumatic or non-traumatic with incomplete or complete injures. SCI with ASIA levels A-E would be considered as long as the person was not ventilator dependent and could participate in programming. The completeness and co-morbidities of the SCI will be determined during the intake evaluation process along with the individual’s ability to meet the program’s admission criteria.

 

Neurobehavioral Supported Living Program 

  • Requires a highly structured and supervised program

  • Able to walk or have use of a wheelchair for mobility (i.e. must not be confined to bed). Clients who use wheelchairs will live in first floor accessible bedrooms.

  • May require moderate to maximum assistance with Activities of Daily Living

  • Behavior: Moderate to high intensity/moderate to high frequency behaviors can be managed in this setting. However, clients who are actively suicidal, homicidal, chronic elopers, have a history of setting fires, a known history of sexual predatory or pedophile behaviors, or have been charged with a violent crime are not suited to this setting. Any exception will need to be evaluated and approved by ReMed’s Executive Team.

  • Must be medically stable and cannot require 24 hour nursing care. Treatments or procedures, including tube feedings, tracheostomy care, injections and skin care treatments, can be provided; all treatments and procedures are evaluated on a case by case basis. Clients cannot require intravenous therapy or be ventilator dependent.

 

Every client newly admitted to ReMed must designate a contact person with whom ReMed may manage certain aspects of the client’s care, including but not limited to, coordination between care at ReMed and the client’s home, transition from care at ReMed, logistics associated with the client’s eventual discharge and other related matters. Competent clients are encouraged to designate a health care agent via execution of a power of attorney. Clients without a guardian are also encouraged to designate a health care representative to be included in decision-making processes related to client care should the client be deemed incompetent to do so by the client’s physician in the future. The client shall be informed that, should he or she fail to designate a health care representative, family members will be contacted to facilitate medical decision making according to the hierarchy established by State regulation.

 

An individual’s cultural heritage and needs are incorporated into the admission and treatment planning process. If ReMed is not familiar with a particular culture or background, all efforts will be made to understand, meet and honor the person’s cultural heritage within his/her treatment programming.

 

ReMed does not deny admission to any individual because of his/her race, religion or creed, disability, ancestry, national origin, age, sexual orientation or identity or any other characteristic protected by law.

 

Financial approval for services required to meet a prospective client’s medical and clinical needs must be confirmed prior to admission. Typical funding sources include worker’s compensation, auto insurance, limited medical health policies, commercial insurance policies, state trust and waiver programs, state vocational rehabilitation funding, Veteran’s Administration funding and private pay. Typical referral sources include physicians, insurance companies, external case managers, discharge planners, social workers, individuals and their families.

The Supported Living System can be a long term living option for clients who continue to require ongoing services and intervention. A number of clients demonstrate, over time, the ability to move along the continuum and live in a more independent setting. Client readiness for discharge or transition is based on the demonstration of skills necessary for greater independence and who no longer require the level of support and supervision provided by the current program.

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Transition/Discharge Criteria

The Supported Living System can be a long term living option for clients who continue to require ongoing services and intervention. A number of clients demonstrate, over time, the ability to move along the continuum and live in a more independent setting. Client readiness for discharge or transition is based on the demonstration of skills necessary for greater independence and who no longer require the level of support and supervision provided by the current program.

 

Clients may discharge to home or an independent apartment and access outpatient or home and community services to support carryover of strategies as needed, or may transition to a more independent program within the ReMed continuum. Alternatively, clients who demonstrate an inability to be maintained safely within the program and community will be referred to a more structured and supervised setting.

 

The client’s discharge will be coordinated between ReMed, the client, the funder, and the contact person designated by the client for such purposes. The client’s guardian, health care agent or healthcare representative, where applicable, shall be incorporated in the coordination of discharge.