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Outpatient Programs & Locations

Baylor Institute for Rehabilitation

 
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Real Life Rehab Program 

Real Life Rehab (RLR) is a unique therapy program, one of the first of its kind in the nation. It is an integral component of the Baylor Institute for Rehabilitation continuum of care. A problem solving and skill building therapy team is made up of specially trained physical, occupational and speech therapists, with neuropsychological and rehab psychological consults available. The Real Life Rehab program goes under outpatient benefits for insurance, DARS, and other funding options associated with outpatient therapy. RLR can serve multiple purposes for our patients after they have left the rehabilitation hospital.

Initial Transition Services

The Real Life Rehab therapists can work with the patient and family the day they leave the hospital to continue restorative skill building and adaption techniques in the patients home. During RLR, each discipline may see the patient two to three times a week depending on the actual skill/adaptation/training needs of the patient and family. If the patient is cognitively or very physically impaired, and will need frequent help and or constant supervision, there must be a caregiver identified, available on an ongoing basis, and capable when that patient goes home. We cannot take a patient who needs someone there but no one is available. These professionals work hand in hand with the patient and family for the next stage of their rehabilitation whether that is a day-long facility based treatment program or individual therapies in the outpatient clinic.

Interim Services

RLR can work with either the Day Neuro program or the traditional outpatient clinic programs while the patient is active within those other programs.  When a certain level of skill development has been achieved in the primary treatment program, and the team and the patient/family want to make sure those skills are being demonstrated outside of the clinic where it really matters, the RLR team can intervene during those other interventions.  The RLR team will work for a short period of time with the patient and family at home and in the community until the patient is competent in those critical prerequisite skills needed to continue in their primary therapy program. Using this unique intervention approach, the patient/family therapy team can be certain critical foundation skills required for further progress are truly evident, not just presumed.

Functional Generalization Services

When a patient has completed treatment in a specialty outpatient program and appears to have accomplished the designed outcome, a short transition intervention can be set up to make sure those skills really are translated into daily functional success. If further progress is noted during critical restorative skill building, the patient may then be referred to the outpatient clinic for additional clearly defined physical communicative or cognitive skill training.

Primary Intervention Services For

  • Spinal cord diagnoses: For many of our patients with spinal cord injuries, RLR may be the most reasonable therapy approach after leaving the hospital. Family training, checking, accessibility and safety within the home and community settings, ongoing equipment adjustments and needs, as well as continuing techniques improvement and strengthening are critical elements of therapy. Knowing that additional adjustment issues emerge when the patient leaves the hospital, the RLR team stays in close contact with the rehabilitation psychologist to reinforce positive communication approaches and to alert the psychologist to any “red flag” behaviors that could negatively impact the patients overall well being.
  • Neuro-cognitive diagnoses: For some of our patients, the primary outcome will be for that patient to be able to develop a new, daily activity routine that aims for quality participation in the day to day events of the family unit while maintaining safety. The team works with the individual and the family or designated caregivers to create an activity/participation routine, incorporating the tasks that need to be completed for physical well being, including skill building, as well as the activities that are considered important to that patient and family at home and in the familiar neighborhood/community. Once skill building has been completed for the patient’s level of function and a routine has been established and the patient and family have become acclimated to their new norm guidelines will be put in place by our staff that will help the family and patient identify signs of change in function that would warrant a re-evaluation.

Real Life Rehab has an established outcome measure created within the program and has been gathering pertinent data for over 11 years. This data has been presented in journal articles, and as poster presentations for national conferences for Traumatic and Acquired Brain Injury as well as Spinal Cord Injury. For additional information, contact Kathryn Schopfer, Clinical Manager at 214.820.9539.