REHABILITATION SERVICES DEPARTMENT
The Rehabilitation Service Department (RSD), a multi-modal clinical services program. Services are based on the belief that each individual has the right to live a productive, meaningful existence in the least restrictive environment. This includes the elimination of barriers and development of competencies for the purpose of assisting individuals toward their optimum levels of personal, emotional, social, community, vocational and leisure development. It is our belief that greater emphasis on “wellness”, “recovery” and “responsibility of self” for his/her own actions will better prepare the individual for discharge and successful community re-entry.
MISSION STATEMENT / GOALS:
The primary mission of the Rehabilitation Services Department is to provide the highest quality of patient care and treatment to the adolescent and adult psychiatric patient through all levels of care, in accordance with the professional standards and practice of the therapeutic modalities comprising the Rehabilitation Services Department.
The overall goal of providing discipline specific skilled interventions for patients referred for services, within the scope and protocol of these treatment modalities includes: the provision of experiences designed to facilitate the habilitation and rehabilitation of skills to support current strengths; address barriers; and increase motivation toward becoming self-reliant and independent. Bringing the individual to their optimal level of functioning in keeping with their chosen goals and lifestyle.
SCOPE OF PATIENT CARE:
The Rehabilitation Services Department has the responsibility to assure that all patients admitted to Spring Grove Hospital Center for treatment or evaluation are provided with individualized care to meet the identified mental, emotional and physical health needs. Services are provided in a safe, ethical, humane manner, regardless of diagnosis, condition, ethnic origin, age, gender or religious preference.
All treatment and services are provided by professional and technician level staff and are based on an initial assessment, completed within 72 hours of hospital admission, identifying pertinent health and life history, strengths, barriers, abilities, needs and interests of the individual patient. Based upon these assessment findings, rehab interventions are specified, in accordance with the targeted needs and treatment goals of the patient, as identified on the Individualized Treatment Plan (ITP). Services are identified to include a minimum of 2 hours of rehab intervention per day. Day, evening and weekend services are provided throughout the hospital and intervention effectiveness is monitored on an ongoing basis. Progress notes are completed either weekly or monthly in accordance with Spring Grove Hospital Center Medical Records policy and procedures.
MODALITY/ DISCIPLINES PROVIDING TREATMENT OR SERVICES INCLUDE:
Provides a wide range of treatment activities designed to meet the needs, competencies, capabilities and interest of patients during their leisure time. This modality provides activities and programs on and off the unit.
Uses body movement and dance as the process of therapeutic intervention, specifically directed toward gaining insight into problematic behaviors by providing opportunities for expression and communication of feelings, needs and conflicts. This modality facilitates positive change in body image, expanding an individual’s freedom of movement, flexibility and coordination, with the intent to support capacity to adapt and manage life events and/or trauma. Thereby improving one’s quality of life and living. Services are provided by a Board Certified Dance Therapist.
JAMISON BUILDING RSD PROGRAMS:
Provides community recreational center type activities for all levels of care. The programs offered in this area are non-referral and voluntary. The Health & Wellness Program offers use of a wide range of exercise equipment with the support and supervision of a certified trainer, additional wellness programming is offered on the units where patients unable to have access to the Jamison Building may still gain the benefits inherent to health & wellness. A full range of Beauty Shop services are offered on an “appointment only” basis; and Barber Shop services are both provided on a “drop-in” basis and also offered to the patients on the wards who are unable, for medical or safety reasons unable to come to the shop. Both Beauty and Barber Shop services are provided by licensed professionals.
Scientifically applies music media and activities in the provision of non-threatening, self-motivating experiences to assist an individual in experiencing a better understanding of self, the immediate environment and the community; provides an atmosphere compatible with behavioral change, self-expression and both verbal and nonverbal communication. Services are provided by a Certified Music Therapist.
Is the application of goal-oriented, purposeful activity in the assessment and treatment of individuals with psychological, physical or developmental disabilities. These services address the development and maintenance of adaptive skills and performance capacities which enable the patient to achieve optimal level of function in activities of daily living, work, self-care, socialization and leisure time pursuits. The occupational therapist’s functional assessments and treatment methods are concerned with specific performance components which include, but are not limited to: motor, sensory-integrative, perceptual-cognitive, psychological and social-interpersonal functions, as well as those environmental factors that inhibit performance. Occupational services/treatment are provided by a COTA or Licensed Occupational Therapist.
Is a paramedical specialty concerned with the rehabilitation of persons having disability from primary nor secondary injury or disease. It encompasses rehabilitation which can be defined as restoring the individual to their maximum physical capacity. Physical Therapy is provided by a Licensed Physical Therapist.
PSYCHIATRIC REHABILITATION PROGRAM (PRP):
Services is a transition program for patients nearing hospital discharge and community re-entry. This program provides community based experiential learning opportunities for patients to develop or enhance existing skills necessary for independent living and responsibility for self.
Primarily set up as a token reward system, based on a behavioral plan instituted by the unit psychologist and treatment team. Patients who have met their target goals are provided with cards that serve as a monetary means to purchase items offered in the center. This program also provides the patient a safe environment, off the unit, in which to further practice interaction and social skills.
Utilizes self-motivating and pleasurable recreational activities for purpose of intervention in relation to recovery from or, adjustment to illnesses, disabilities and specific social problems, assisting the individual to develop and/or enhance motor skills, sensory functioning and, acceptable behaviors; and provide counseling in recreation and leisure pursuits. Therapeutic Recreation services may be provided by Certified Therapeutic Recreation Specialists.
Provides direct patient services for the purpose of improving and/or restoring vocational competencies and skills. Services include the provision of pre-vocational evaluations and assessments-performed by a trained and qualified RSD staff, placement in Work Adjustment Therapy (WAT) assignments on the hospital premises. Patient earn at the hourly federally regulated minimum wage. Each level of patient care within Spring Grove Hospital Center has an assigned Rehab Coordinator. Level of Care Coordinators have the responsibility of monitoring therapists clinical adherence to Rehab standards.
PRACTICUM AND INTERSHIP PROGRAM:
Are provided in conjunction with the governing educational facility and within the scope, professional standards and methods within the specified discipline providing the training. This may include but are not limited to: the role of the RSD staff member on an interdisciplinary treatment team; practice in administering modality specific assessment/evaluations, treatment planning/intervention and meeting medical record progress note protocols; practical application of the methods and techniques inherent in the application of services/treatment within their modality; and possible clinical case study presentations. Students will be required to participate and complete additional mandatory in-service trainings in compliance with Spring Grove Hospital Center safety and performance improvement policy and procedure.