Communicare Michigan Scope of Services
DAY PROGRAM
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18 years old or older.
Traumatically brain injured, neurologically impaired or in need of mental health, Occupational or Speech Pathology.
Medically stable and in agreement with admission.
Able to perform a moderate level of activities of daily living.
Able to demonstrate increased ability to modulate behavioral and emotional expression.
Able to demonstrate sustained self-medication procedures.
Demonstrates an interest in home and community-based rehabilitation to improve rehabilitation outcomes.
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Discharge/transition planning begins prior to admission.
Transition criteria may include progression to a lower level of care, or higher level of care pending client status.
Discharge is based on progression towards rehabilitation outcomes, or lack of progression towards goals. Discharge criteria may be applied in the event that the client may no longer meet admission criteria which would be subject to discharge. Discharge may also be warranted if the client is unwilling to participate in treatment options, requires additional medical assistance due to medical complications that require referral, decision to withdraw from treatment, and lack of ability to comply with Communicare’s program standards due to compliance or behavioral issues. This is assessed monthly, at a minimum.
OUT-PATIENT
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18 years old or older (or turning 18 years of age within the next 90 days).
Traumatically brain injured, neurologically impaired or in need of outpatient services (occupational therapy, speech therapy, mental health therapy, craniosacral therapy, physical therapy).
Medically stable and in agreement with admission.
Able to perform a moderate level of activities of daily living.
Able to demonstrate increased ability to modulate behavioral and emotional expression.
Able to demonstrate sustained self-medication procedures.
Able to engage in standardized, discipline specific testing as necessary to deem appropriateness of care.
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Discharge/transition planning begins prior to admission.
Transition criteria may include progression to a lower level of care, or higher level of care pending client status.
Discharge is based on progression towards rehabilitation outcomes, or lack of progression towards goals. Discharge criteria may be applied in the event that the client may no longer meet admission criteria which would be subject to discharge. Discharge may also be warranted if the client is unwilling to participate in treatment options, requires additional medical assistance due to medical complications that require referral, decision to withdraw from treatment, and lack of ability to comply with Communicare’s program standards due to compliance or behavioral issues. This is assessed monthly at a minimum.
SEMI-INDEPENDENT LIVING (HCBR)
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18 years old or older.
Traumatically brain injured, neurologically impaired, or in need of safety residential services post MVA.
In need of residential service placement. Client must not be medically appropriate for group home or independent community living at the time of admission and throughout treatment.
Medically stable and in agreement with admission.
Able to perform a moderate level of activities of daily living.
Able to demonstrate increased ability to modulate behavioral and emotional expression.
Able to adhere to Communicare’s residential program guidelines as outlined in pre-admission and welcome packet.
Able to demonstrate sustained self-medication procedures.
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Discharge/transition planning begins prior to admission.
Transition criteria may include progression to a lower level of care, or higher level of care pending client status.
Discharge is based on progression towards rehabilitation outcomes, or lack of progression towards goals. Discharge criteria may be applied in the event that the client may no longer meet admission criteria which would be subject to discharge. Discharge may also be warranted if the client is unwilling to participate in treatment options, requires additional medical assistance due to medical complications that require referral, decision to withdraw from treatment, and lack of ability to comply with Communicare’s program standards due to compliance or behavioral issues. This is assessed monthly at a minimum.
DISCLOSURE
Proposed services are to be assessed minimally monthly through treatment team meetings.
Frequency and duration of services are honored based on treating recommendations through script obtainment and re-assessments. Clinical services for outpatient and residential programming are provided in one-hour increments but may be increased for crisis intervention needs. Occupational therapy services are provided up to 3x/weekly for 12 months with re-assessment for continued care if appropriate. Mental health therapies are provided up to 3x/weekly for 12 months with re-assessment for continued care if appropriate. Speech and Language Pathology services are provided up to 2x/week for 6-12 months with re-assessment for continued care if appropriate. Cognitive therapy services are provided up to 5x/weekly for 6-12 months with re-assessment for continued care if appropriate.
Daily Home and Community based day programming services are provided up to 5x/weekly for 6-12 months with re-assessment for continued care if appropriate. Services are provided in shifted times ranging from 4-8 hours of programming daily. Frequency and duration are determined by treating team.
Home and Community Based intervention may be provided if warranted as a daily service for 6-12 months with re-assessment for continued care if appropriate. This is reviewed for appropriateness monthly and re-assessed for continuation by treating physician.
Discharge or transition of services may be recommended based on individual needs of the client. This is based on progression towards expected goals and outcomes, or recommendations to an alternate level of care due to client status.
Communicare provides services within its scope of practice for each program. Additional resources and referrals may be provided if services are required outside of scope of practice. Treating physicians, external case managers, and legal guardians (if applicable) are also consulted with when determining additional needs for an individual.