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Special Services –
Transitional Rehabilitation Center At Helen Hayes Hospital

The goal of the TRC is to help individuals with brain injury to re-enter the community in the most effective and cost efficient manner possible. Through comprehensive service coordination, the individual will work on developing and securing a discharge to a permanent residence of his or her choice. Through ongoing therapy, social integration and training in the activities of daily living, the program seeks to maximize the functional level of the participant, enabling them to lead an independent, self-directed, productive and dignified life. The TRC provides professionally trained staff 24 hours a day, seven days a week.

Located on the hospital campus, the single-story ranch style house accommodates ten individuals. Accessible and comfortably appointed, the residence features six bedrooms, accessible bathrooms and standard style bathrooms, a kitchen, great room, dinning room, activity room, study and a screened-in porch.

Who can benefit from transitional rehabilitation

The Transitional Rehabilitation Center is designed for individuals with acquired brain injury, who are at least 18 years of age. Typically, prospective participants have completed an intensive inpatient rehabilitation program and are not yet functioning at a high enough level to return home or live independently. The TRC also provides services for individuals who have been residing in the community and have begun to de-compensate. Through careful planning and structured programming, these individuals will be able to successfully rebuild their support systems, learn new compensatory strategies while solidifying existing skills. The person will then reenter the community better able to cope with the challenges of everyday living.

Rehabilitation program

While a participant in the TRC, the following services are available:
* Service coordination
* Independent living skills training and development
* Community integration counseling
* Intensive Behavioral Programming
* Structured Day Programming
* Home and Community Based Support Services
* Occupational Therapy
* Neuropsychology
* Physical Therapy
* Speech and Language Pathology
* Vocational Development
* Community Based Instruction
* Transportation Training

All services will be coordinated with service coordinator and available funding source.

Discharge Planning/Length of Stay

Cients of the TRC will participate in programming for approximately 30 days to six months. At that time, he or she will be discharged to an environment that will meet their needs. Discharge planning begins at admission. The participant will be working with his or her individualized treatment team to develop the highest level of resources and support systems that will allow for a successful transition home. Follow-up care at Helen Hayes Hospital can be arranged and any required home-care services will be scheduled.

Admission Criteria

While each case will be evaluated on an individual basis, admission guidelines are as follows:
* An approved funding source
* Acquired brain injury which is not progressive
* At least 18 years of age
* Ability to self-administer medication with verbal cueing
* Physician prescription indicating client is medically stable and can tolerate up to 5 hours of activity per day
* Resolution of these medical issues: tracheotomy & gastrointestinal tubes; infectious diseases; open wounds; substance abuse; hemodialysis; psychiatric disorders
* Demonstrated potential for increased independence with basic and instrumental ADL's

Referrals and coverage

The Transitional Rehabilitation Center at Helen Hayes Hospital readily accepts referrals from physicians, discharge planners, case managers and other health care providers. Services are usually covered by the New York State Department of Health Medicaid Waiver program. The TRC is a new type of service in the State of New York. Prior to admission, our team of specialists will work with most insurance companies to receive funding approval and notify you of confirmation and of any deductibles or co-payments. Our staff are always available to provide a personal tour of the facility along with any available information to help make you or your loved one's transition home a success.

For additional information, or to make a referral, please call:
Barry Dain
845-786-4043 or 1-888-70-REHAB, ext. 4043
Fax; 845-786-4059
dainb@helenhayeshosp.org

 

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