Learning Services owns and operates supported living programs nationwide. These programs provide structured, longer term living options for individuals with acquired brain injuries. Many people in these programs have completed more comprehensive rehabilitation programs, but have not achieved the level of independence that would enable them to return to their home with their family or to live independently. The following data will provide demographic information pertaining to the average age, cause of injury, and funding sources.
The data indicates that adult males continued to make up the largest group of acquired brain injuries in the supported living programs. These programs work with people who are several years post injury, with the age range falling between 40 to 60 years. The most frequent cause of injury resulted from falls and motor vehicle accidents, occurring on the job or during leisure activities.
In the supported living programs, progress occurs in smaller increments. The evaluations address the ability to maintain the functional skills acquired prior to admission. The data is collected at the time of admission and then on an annual basis until discharge. In supported living, discharge typically occurs when there is a change in medical status, requiring a transition into a different level of care.
As with the post acute neuro-rehabilitation and neurobehavioral programs, Learning Services uses the Mayo-Portland Adaptability Inventory (MPAI) in the supported living programs. The inventory looks at a wide range of variables, all of which are integral in the overall analysis of any individual’s progress and ability. The 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
The focus in supported living is promoting independence in the least restrictive environment. The 2011 data is consistent with this level of care. Most individuals demonstrated mild problems with participation, requiring the assistance of another person.
The next diagram represents performance with physical, cognitive, visual, and communication skills. These critical skills affect a person’s ability to function safely and are often the types of challenges that require a twenty-four hour supervised living environment.
Key-Degree which deficit interferes with performance 0-None 1-Mild without interference 2- Mild 3-Moderate 4-Severe
The next diagram represents the individual’s psychosocial and emotional skills. After an acquired brain injury, specific therapies targeting psychological challenges are an essential component of any rehabilitation program. Continued focus of these specific areas of adjustment can ensure greater long-term success in a supported living environment.
The overall results for 2011 demonstrate that the Learning Services Supported Living programs provided therapeutic living environments, enabling individuals to make further gains toward independence.
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