A brain injury, whether from trauma or illness, can alter physical and cognitive abilities, language and behavior. Levels of impairment can be significant or subtle, depending upon the severity of injury, age, history of previous brain injury, length of time in coma, and general health. Once medically stabilized, a patient can begin the complex process of medical rehabilitation with the goal of regaining the highest possible level of functional independence.
The Brain Injury team at CRH is organized to treat patients at the most appropriate level of care. Acute Rehabilitation may be optimal for patients functioning at IV to VII on the Rancho Los Amigos Scale of Cognitive Functioning, or who are improving quickly and are in need of more intensive services. Upon discharge from inpatient treatment, patients may receive outpatient services at Keck Center for Outpatient Services.
Program components are designed to increase the individual's level of cognition and responsiveness, communication and functional independence, as well as to assist the patient in developing the skills necessary to cope with residual disabilities. Goals are established according to the patient's clinical potential and community resources.
CRH's Outpatient Brain Injury Services offer the continued rehabilitation needed to help each client achieve the highest level of cognitive and physical recovery, and return to supervised or independent status. Patients have access to vocational resources, support services, driving evaluations, and therapeutic recreation extension courses.
Outpatient Treatment Goals for Brain Injured Patients Include
Self-Care Improvement: To be as independent as possible living at home or maintaining an independent residence.
Volitional Planning Improvement: To be as independent as possible in structuring and normalizing activities.
Functional Mobility Improvement: To be as independent as possible in making the transition from home-based to community-based participation in activities.
Adaptive Behavior Improvement: To reduce the untoward reactions of community members to the patient's current neurocognitive or neurobehavioral complications.