Adult NeuroRehabilitation Day Treatment Program
The Day Treatment Program at the University of Michigan offers an opportunity for cognitive, emotional, and physical rehabilitation for pediatric and adult patients with a wide variety of disabilities. The Day Program provides an array of services including: 1 day rapid assessments; two week comprehensive assessments; psychosocial transitional programming; and full day treatment programming. We emphasize testing with a rehabilitation focus, working closely with members of other disciplines to develop intervention plans that promote functional improvement.
During the earliest post-trauma states, the Traumatic Brain Injury staff provides consultation about management and care to medical and surgical departments throughout the Health System. As the patient progresses, the inpatient rehabilitation team provides services that promote increased independence and accommodation to disability through education and retraining. Finally, the inpatient team establishes continuity of care through complete discharge planning. Patients may be referred to outpatient or day treatment programs, such as MedRehab adult and pediatric programs, or to continuing residential day treatment services in a number of community facilities which work closely with the hospital team. In short, the Traumatic Brain Injury program assures ongoing involvement with patients after discharge.
We have a very strong vocational planning and reentry program, managed by one of our psychologists. We develop vocational reentry plans that are implemented with vocational rehabilitation counselors and OT work evaluators. We work closely with patient employers to develop accommodated work schedules and responsibilities. We also work closely with a number of local community colleges, designing school reentry programs that include many special services such as note taking, test accommodations and tutoring.
In addition to the strong clinical programming we provide, our team works in a true interdisciplinary model. All team members are in close daily communication with each other. This allows us to develop goals and implement treatments that can be reinforced across disciplines. Additionally, we have a strong system for maintaining documentation. All referring parties are provided with staffing notes, monthly case conference notes, case management summaries, neuropsychological evaluations as well as individual treatment notes. We also provide "Update Notes" that are special interdisciplinary notes sent to referring physicians before each appointment the patient has with the physician.
The program accepts patients at every level of functioning. The major goals of our programs include return to home, school, community and work. We are also able to work with local residential facilities that send patients to us for therapy, while they are living in the residential program. We also work closely with local extended living hotels for patients who live too far to travel back and forth every day.
Emotional Well Being
The Day Treatment Program offers a variety of both individual and group treatments addressing all areas of daily functioning. The program staff includes a social worker, a clinical psychologist, and a rehabilitation neuropsychologist. Along with strong clinical programming, the patient's psychological well being is treated as an integral part of all program activities. There is a strong emphasis on family involvement, and participation in community based assessment and treatment. The treatment team also includes a therapeutic recreation specialist for development of vocational activities that promote improved cognitive and psychological functioning.
The TBI program is particularly proud of a number of specific initiatives within PM&R which offer a unique treatment and research environment. These include the Functional Work Evaluation and Supported Employment Program in conjunction with the Division of Occupational Therapy, and a Seating and Alternative Communication Program in conjunction with the divisions of Rehabilitation Engineering and Speech Pathology and the Pediatric NeuroRehabilitation Day-Treatment Program.
Additionally, members of the TBI team maintain many active research programs including:
- Investigations of attention and memory deficits after head injury
- Evoked potentials as a prognostic tool for mild head injury
- Mild head injury in a spinal cord injury population
- Computerized task guidance systems for the completion of functional daily activities