Brain Injury Rehabilitation
New York State Certified Traumatic Brain Injury Rehabilitation Program
providing highly individualized care to meet each patient’s unique rehabilitation needs
The subacute program is certified by the New York State Department of Health as a specialized inpatient rehabilitation program for individuals with Traumatic Brain Injury (or TBI). In addition to TBI, we also admit patients with other types of acquired brain injuries into the program. This includes people who have brain injuries as a result of a heart attack or cardiac arrest, tumors, brain infections, strokes, aneurysms, etc.
The subacute TBI rehabilitation program provides a link between acute hospital-based TBI treatment and community living. It is a 40-bed interdisciplinary program. Length of stay for this level of care ranges from 3-12 months for those with Medicaid coverage. Individuals with Medicare, private insurance and privately paying can also be enrolled into the program, however, length of stay for these individuals is dictated by the payor source. All residents admitted to the program receive at least 3 hours a day of restorative Physical Therapy (PT), Occupational Therapy (OT), Speech and Language Therapy (ST), and Cognitive Rehabilitation depending on the person’s specific rehabilitation needs. In all cases, total therapy hours exceed federal and state regulations for rehabilitation in long term care facilities. Ongoing neuropsychological, behavior management and psychological services are also available. For individuals with disorders of consciousness admitted to this program, individualized structured sensory stimulation is provided by nursing as well as incorporated into treatment by all of the rehab disciplines. In addition, daily structured therapeutic recreation programs are provided for all residents, as well as case management and discharge planning services.
A Physiatrist who specializes in TBI serves as the Medical Director, a Ph.D. level Clinical Neuropsychologist serves as the Program Director and is responsible for overseeing and coordinating interdisciplinary treatment planning, as well as providing ongoing staff education and training. A Masters level OT/R functions as the Director of Rehabilitation, and a program coordinator oversees the day to day operations of the program. All rehabilitation staff are highly trained and have a minimum of Bachelor’s level education, with many possessing Masters degrees or Doctorates in their respective fields. PTCC therapies are provided in gyms, classrooms, mock home environments as well as directly in the community. Treatment planning is highly individualized, performed collaboratively between disciplines, and integrates both the residents’ and their families’ goals. Furthermore, all of the therapy disciplines integrate the use of evidence-based cognitive remediation strategies into treatment (Trexler et al, 2013;). The subacute program places a strong emphasis on skill generalization and community re-integration, with the overriding goal of maximizing residents’ functional independence regardless of their impairment level. Upon completion of their rehabilitation stay, a majority of individuals admitted to this intensive program return to living in the community with support.
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Cicerone, K.D., Dahlberg, M.A., Malec, J.F., Langenbahn, D.M., Felicetti, T., Kneipp, S., Ellmo, W., Kalmar, K., Giacino, J.T., Harley, J.P., Laatsch, L., Morse, P.A., & Catanese, J. (2005) Evidence-based cognitive rehabilitation: updated review of the literature from 1998 to 2002. Archives of Physical Medicine and Rehabilitation, 86, 1681-1692.
Cicerone, K.D., Langenbahn, D.M., Braden, C., Malec, J.F., Kalmar, K., Fraas, M., Felicetti, T., Laatsch, L., Harley, J.P., Bergquist, T., Azulay J., Cantor, J., & Ashman, T. (2011) Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Archives of Physical Medicine and Rehabilitation, 9, 519-530.
Trexler, L.E. (Ed). (2013). Cognitive rehabilitation manual: Translating evidence-based recommendations into practice. ACRM Publishing: Reston, VA.
Cicerone, K. D., Goldin, Y., Ganci, K., Rosenbaum, A. Wethe, J. V., Langenbahn, D. M., . . . Harley, J. P. (2019). Evidence-based cognitive rehabilitation: Systematic review of the literature from 2009 through 2014. Archives of Physical Medicine and Rehabilitation, 100, 1515-1533