Learning Services operates three nationally recognized Post Acute Neuro-Rehabilitation programs for adults with acquired brain injury located in North Carolina, Colorado, and California. In 2011, the Post Acute Neuro-Rehabilitation programs produced exceptional outcomes for all people discharged. As part of our annual program evaluations, we compare specific demographics from year to year, identifying trends and changes that are used in determining future program modifications.
In 2011, the demographics for people discharged reflected a predominantly male population between the ages of 20 to 60 years of age. Work-related accidents represented the primary cause of injury, resulting in workers’ compensation insurance making up the largest group for sources of funding.
Learning Services uses the Mayo-Portland Adaptability Inventory (MPAI) to assess the progress achieved by each person served in the Post Acute Neuro-Rehabilitation programs. The inventory is comprehensive in the areas evaluated, all of which are integral in the overall analysis of any individual’s progress. The specific areas of the MPAI presented here are participation, ability, and adjustment.
Key-Levels of assistance 0-Independent 1-Independent with structure 2- Minimal 3- Moderate 4- Maximum
It is important to note that all participants continued to make gains in their level of participation after discharge, suggesting that the appropriate skills were acquired as a result of therapy. The area of self-care represents the most significant improvement indicating that those discharged acquired the essential skills required for the completion of all personal care. The next two diagrams are a representation of the significant progress achieved between time of admission and discharge from the programs. The first is the analysis of the brain injured individual’s physical, cognitive, visual, and communication skills.
Key-Degree which deficit interferes with performance 0-None 1-Mild without interference 2- Mild 3-Moderate 4-Severe
All individuals discharged achieved goals in each area associated with ability. The results indicated that after receiving the appropriate therapy, their abilities improved 1-2 levels across all areas of the scale. The results also demonstrated the importance of cognitive rehabilitation and the impact it has on a person’s recovery.
The adjustment scale displays the results attained from time of admission to discharge. This progress signifies that these individuals acquired the psycho-social skills necessary to deal with the challenges associated with their injuries.
The 2011 outcomes for the Post Acute Neuro-Rehabilitation programs of Learning Services demonstrated the quality and effectiveness of the trans-disciplinary treatment teams. While this data reflected individual progress, it also reinforced the importance of this type of rehabilitation program.
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