Admission Criteria - Neurorehabilitation Services
ReMed’s Neurorehabilitation Services provide comprehensive services in therapeutically intensive residential settings that focus on cognitive behavioral rehabilitation and transitional/community re-entry through comprehensive assessment and treatment. Programs can be developed for individuals with dual diagnosis including chronic pain, and mood disorders. Services are provided seven days a week, 24-hours a day. Functional abilities are assessed and individualized treatment plans are designed to facilitate effective communication, independence in daily living skills, vocational pursuits and leisure interests. Success in these areas enables individuals to move on to more independent settings. The staff to client ratio is intensive in order to address each person’s treatment program as individually as possible. The minimum age for this program is 18 years of age.
To be considered for admission an individual must demonstrate the need for and potential to benefit from a highly structured and supervised program that focuses on one or any combination of:
Identifying the elements, both environmental and medical, that are necessary for stability.
Improving functional abilities in areas of cognition, mobility, independent living skills, interpersonal skills, leisure activities and/or vocational/educational endeavors.
Increasing cognitive abilities.
Increasing skills necessary to live safely within the community.
Individuals must be medically stable and cannot require 24 hour nursing care. Treatments or procedures will be evaluated on a case by case basis. Individuals may not require intravenous therapy or be ventilator dependent.
If special needs in addition to the brain injury are identified, e.g. individuals with limb loss or spinal cord injury, clinically indicated referrals and treatment will be made as needed. In regard to spinal cord injuries, the specific etiology, injury level, completeness and co-morbidities will be delineated during the intake evaluation process along with the individual’s ability to meet the program’s specific admission criteria.
Individuals must be able to walk or use a wheelchair for mobility.
Individuals 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 these settings. Individuals should understand and accept the policy that alcohol/drug use is not permitted.
Financial approval for services 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, and private funding. Typical referral sources include physicians, insurance companies, external case managers, discharge planners, social workers, individuals and family members.
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, 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.
All individuals intended for admission to a short term program must have a disposition confirmed prior to admission.
At the time of admission, an anticipated discharge date and plan is determined based upon a number of factors, including but not limited to anticipated skill development, expected disposition, family/support system’s ability to support discharge recommendations, availability of discharge supports, as well as funding constraints.
An individual’s readiness for discharge relative to the skill development necessary to move on to the proposed discharge site could include:
Demonstration of skills necessary for greater independence and no longer requiring a therapeutically intense environment. (Clients may discharge to home or an independent apartment and access outpatient services to ensure carryover of strategies.)
Demonstration of the cognitive ability and behavioral control necessary to move on to a more independent setting.
Demonstration of stability in key treatment focus areas, i.e. mood stability, medical stability and behavioral control.