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About Brain Injury Rehabilitation

What is the Neurorehabilitation Program?

What are the requirements for admission to the Neurorehabilitation Program?

What types of staff are involved in treatment of clients?

How may I access the Neurorehabilitation Program?

What is the evaluation process?

If accepted into the program, what can a client expect?

How will client’s and their families stay apprised of plans and progress?

How is discharge planned?

Who pays for treatment?

How do I know that Community Rehab Care (CRC) is a good provider of rehabilitation services?



For additional information feel free to download a small document on:
What To Look For In A Post acute Brain Injury Rehabilitation Programs
brain


What is the Neurorehabilitation Program?

It is outpatient rehabilitation treatment designed for individuals who have sustained a traumatic brain injury or other catastrophic neurological injury, such as stroke or anoxia. The program focuses on evaluating and treating functional deficits resulting from cognitive, language, and behavioral impairments that inhibit clients from reintegrating into home, community, work, school, and social spheres. Specifically, these impairments may include memory issues, difficulty with attention and concentration, lack of initiation, poor organizational and planning skills, poor problem solving skills, limited insight into behavior and deficits, and inappropriate social behavior. The staff at CRC work with clients to teach them how to translate skills learned in the clinic setting into real life settings. It is CRC's belief that this functionally based approach to treatment affords clients the best opportunity for long term success.

Frequently asked question list

What Are The Criteria For Admission To The Neurorehabilitation Program ?

  • Client has a diagnosis of Traumatic Brain Injury and/or other neurologic catastrophic illness (i.e. CVA, anoxia or tumors).

  • Client demonstrates a need for and the potential to benefit from therapeutic intervention and could make functional gains in their home, community, prevocational activities, education/school and leisure time pursuits. Typical goals may address: time management; social/behavioral issues that interfere with effective daily participation in the community; executive functioning issues such as planning, organizing and completing tasks, safety issues and structuring a day.

  • Client must not have behavior problems which would be abusive or harmful to other participants, staff or themselves.

  • Client does not have current/active substance abuse problems that impairs everyday functioning. If the client does have an active substance problem, he/she must be involved with a mutually acceptable treatment program in conjunction with treatment, (i.e. substance counseling, AA, sober houses, etc.).

  • Demonstrates functional mobility, either as an independent ambulator or with supervision to moderate assistance (exceptions will be made on a case by case basis), or

  • Independent at wheelchair level to moderate assistance required for transfers.

  • Client must be able to tolerate participating in treatment for 1-2 hours per day.

  • Must be a functional communicator for everyday situations, (i.e. can be non-verbal as long as a communication system is readily functional for community participation).

  • Client must agree to actively participate and follow through with the program goals that are mutually set by the client, significant others and staff.

  • Community Rehab Care does not discriminate on the basis of race, color, national origin, handicap, or age in admission or access to, or treatment or employment in, its programs or activities.

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    Frequently asked question list

    What types of staff are involved in treatment of clients?

    • Speech Language Pathologist

    • Neuropsychologist

    • Physical Therapist

    • Social Worker

    • Case Manager

    • Physician

    • Occupational Therapist

    Frequently asked question list

    How may I access the Neurorehabilitation Program?

    Referrals may be made by phone, fax, mail, or e-mail and should indicate some demographic data and clinical background. Referrals are accepted from physicians, hospital, sub-acute facilities, case managers, community agencies, families, clients or others. A staff member will do a pre-admission assessment screen, either by phone or, by a professional liaison if the client is in a facility, in order to determine if the client is appropriate for a formal evaluation. Our admissions coordinator will need relevant medical records and a physician order to complete this process. Please call our referral line (781-391-2016) for more information.

    Frequently asked question list

    What is the evaluation process?

    The evaluation will be completed over a period of one or two days, and may include an individual Speech/OT/Cognitive Evaluation, Neuropsychology Evaluation (unless one has already been completed in the past six months), and an Occupational Therapy Functional Independence and Daily Living Evaluation. A Physical Therapy evaluation will also be completed if appropriate. At this point, client appropriateness for the program will be determined. A Team Meeting may be held immediately following the evaluation where feedback and recommendations are given.

    Frequently asked question list

    If accepted into the program, what can a client expect?

    • A program tailored to the needs and goals of each individual. The program typically runs for several weeks and is available Monday - Friday, between the hours of 9:00 am and 4:00 pm. Although some clients may attend 5 days a week, adjustments are made for those whose endurance or circumstances only necessitate two to three days per week. Clients may be in treatment for 2-4 hours per day.

    • Although we do not have our own transportation, the CRC staff will assist in finding transportation if needed and requested. CRC's clinics are located on public transportation lines. Free validated parking is available for clients and families in our parking garage in the Newton office and there is a free MDC parking lot near our Medford site and parking lot at the Quincy site.

    • Treatment will focus on the client’s individual treatment goals.

    • Much of the client’s treatment will occur in their community so that they may learn functional skills (e.g. learning money management skills, supermarket shopping).

    • Clients should wear comfortable clothing and bring with them any assistive equipment that they are currently using at home such as walker, communicators, time planners and so on.

    Frequently asked question list


    How will client’s and their families stay apprised of plans and progress?

    Each client will be assigned a Case Manager who will be their primary contact during their program. The client, family, and significant others are invited to participate in team meetings as needed. These may be via phone or in person. Individual clinicians may always be contacted for specific questions or needs.

    Frequently asked question list


    How is discharge planned?

    Clients are transitioned back to home, work, school or community agencies as needed (e.g. MRC, SHIP). If clients continue to make functional gains, and it is medically necessary, they may continue their treatment.

    Frequently asked question list


    Who pays for treatment?

    Community Rehab Care is fully licensed as a rehabilitation clinic and Medicare certified as a rehabilitation agency. CRC is a Medicaid provider and accept Worker’s Compensation carriers. 

    CRC is a participating provider for

    • Medicare (certified)

    • Mass Health

    • MBHP

    • Tufts Health Plan

    • Harvard Pilgrim Health Care (HPHC)

    • Network Health

    • Neighborhood Health Plan

    • HCVM

    • HMO Blue

    • BC/BS Plans (Physical/Speech/Occupational Therapies)

    • Cigna Health Care

    • Aetna/US Health Care

    • United Health Care

    • HealthNet Federal Services

    • PacifiCare Behavioral Health

    • Commonwealth Indemnity Plan

    • BMC HealthNet Plan

    CRC will accept private insurance and managed care payment as the client’s policy allows for rehabilitation treatment. CRC is also SOMWBA (State Office of Minority and Women in Business Assistance) certified and a member of the NEPTN (New England Physical Therapy Network).

    All co-payments will be expected on the day of service/treatment. Although the staff do their our best to clarify insurance benefits prior to initiation of treatment, it is ultimately the patient/family responsibility to contact the payer for payment issues. Patients are responsible for payment of claims not paid after reasonable collection efforts have been made by CRC .

    Frequently asked question list


    How do I know that Community Rehab Care (CRC) is a good provider of rehabilitation services?

    Community Rehab Care has been collecting and analyzing client outcome data annually from the Neurorehabilitation Program since it opened in 1996. Through these years, CRC has had a high degree of client satisfaction.

    Data from CRC’s recent Quality Management Report showed that 75% of the clients treated at CRC in 2004 had a neurologic diagnosis. Of that group, 31%of the clients had a diagnosis of traumatic brain injury and 30% had a stroke diagnosis. Eighteen percent had a musculoskeletal diagnosis. Customer satisfaction was rated very high and all clients who returned surveys felt they could completely or somewhat use the skills they learned in CRC in their home and community life. Ninety six percent or better said the program met their expectations for all of CRC’s services.

    Frequently asked question list

    For additional information, or to make a referral, please feel free to contact.....

    • Eileen Brosnahan-Chernoff, RN, MBA, LicNHA, Vice President
    • Lynn Reardon, Referral coordinator




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