Continued Care Program

The impact of brain injury can change family and personal dynamics in many areas of a patient’s life. New practices and responsibilities can overwhelm a patient’s sphere of support, and these demands may require some type of care after patients return to life post injury. As compassionate caregivers, families sometimes need help as well, managing such realities as physical limitations, behavioral issues, and medical oversite. Centre for Neuro Skills recognizes these challenges and offers comprehensive care following rehabilitation. The Long Term Care program provides three options for assistance and ongoing help to patients and their loved ones. In each option, expert CNS staff work with patients in the familiar environment of the patient’s home or in a CNS residence close to the clinic. Trained staff are there to ensure that vital life skills learned in rehabilitation are practiced. These include safety, hygiene, self-care, communication, and reintegration into the community. Staff communicate frequently with the family, providing updates and making recommendations. The long-term care options are:

ASSISTED LIVING

Community-based life enrichment

Offered at most CNS locations; patients live in a CNS home or apartment
The goal is to maintain and/or improve core skills: cooking, safety, self-care, communication, money management, hygiene, and reintegration into the community
Trained staff help patients practice core skills learned in rehabilitation

Comprehensive program management

Nursing staff is available to assist with health needs
Living skills are reviewed consistently using tracking tools
Case management is available to address ongoing issues

Collaboration informs patient’s sphere of support

Staff communicate frequently with caregivers and respond to family needs and feedback
Reports, calls, and email keep conservators, payors, attorneys and loved ones updated
Admissions staff and case managers work proactively with a variety of funding sources

Supported Living

Personalized care and regular in-home visits

Neuro Rehabilitation Specialists provide support in the patient’s home up to 7 days a week and up to 16 hours a day
Activities of daily living and community integration are emphasized
Families receive help in managing difficult situations

Skills are reinforced with structure and ongoing training

A structured routine and community re-entry are encouraged
Home skills are practiced to enhance independence
Case management focus lessens the burden on family and funding sources

Integrating family, home, community

Skills learned in postacute care are challenged in real-life settings
Staff help patients address unanticipated situations that may occur
Transportation to CNS programs and activities can be provided

Ancillary services

Patients can also receive services related to physical therapy, occupational therapy, speech therapy, and educational therapy, as well as money management training and psychotherapy as authorized

Day Enrichment

Fostering growth, learning, and fun

Patients spend a portion of the day at a CNS clinic, returning to their own home at night
Art, fitness, and socialization are among the activities
Available in the Bakersfield and Dallas locations

Oversite provided by behavior analysts, if needed

Counseling, behavior analysis, and medical condition tracking are available
This oversite supports neurobehavioral advancements achieved in rehabilitation
Staff work with patients on problem solving and communication

Personalized care, patient updates and safety precautions

Experts in brain injury tailor activities for each patient
Case managers track patient status and communicate with family members
Staff maintain safety and security