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Seattle Home and Community Rehab

There’s no better place to heal than in your own home and community.

High-Intensity Rehabilitation in the Home | Rehab Without WallsRehab Without Walls® goes beyond traditional home health or outpatient therapy. We are the 1 on 1 tailored neuro rehab program that targets specific patient goals.  Our home and community rehab blends evidence-based therapies with creative uses of the patient’s own surroundings – whether at home, school, work or in their own community.

We work with adults to return to work, kids to return to school and all patients to return to other meaningful activities and life roles.

Home and community neuro therapy is medically necessary for patients who qualify for the program and it offers a significant advantage in treatment. Addressing goals and barriers in real-life settings can increase motivation, lead to more durable outcomes and reduce the risk of injuries that could lead to rehospitalization.

We have served thousands of home and community rehab patients and produced proven results that have been published in numerous peer-reviewed medical journals.  We have over 30 years in practice and thousands of lives rebuilt!

When is home and community neuro therapy the right fit?

wheelchair man in kitchenHome and community neuro therapy is best suited for adult and pediatric patients who:

  • Reside in a home or community setting
  • Have suffered brain injury, spinal cord injury, stroke, or have a complex diagnosis requiring a multi-disciplined rehabilitation
  • Have complex/continuing therapy goals
  • Are focused on functional community re-entry
  • Would experience a clinical advantage from working on functional goals in a real-life setting

Our innovative home and community neuro therapy programs are covered by many commercial health insurance programs, workers’ compensation plans, and some Managed Medicaid programs.  Medicare does not cover Home and Community services, but we do offer private pay options.  Contact us for more information about your options.

Program details

Our approach

We believe in removing the walls – including physical, emotional and environmental – that can slow recovery. Therefore, our approach to home and community rehab centers on:

  • Teaching relevant skills in the patient’s environment as opposed to a staged setting.
  • Going beyond personal care to real-life experiences like navigating the kitchen, the bathroom, the grocery store and workplace.
  • Building the patient’s goals into the therapy plan.

Instead of just learning to prepare a meal, patients learn to shop in their local grocery store and use their own kitchen. Rather than simply focusing on grooming skills, patients learn to navigate their own bathrooms safely.

A home safety evaluation is an integral part of our approach. Before therapy begins, we’ll conduct a one- to two-hour inspection focused on:

  • Fire hazards
  • ADA specifications for wheelchair-bound patients (ramps, door widths, etc.)
  • Whether a patient would be able to exit the house safely
  • Modifications in the bedroom, bathroom and kitchen that could help the patient be more independent
  • Which surfaces, furniture and rugs might be hazardous or act as impediments
  • Whether the stairs can be navigated safely
  • Which adaptive equipment currently in use might need to be upgraded
  • If the outside terrain is safe and navigable

Therapy methods

Our expert team creates a customized therapy plan for each home and community rehab patient. The plan may include:

  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Neuropsychology
  • Vocational rehabilitation
  • Therapeutic recreation
  • Community reintegration
  • Adjustment to disability

We incorporate elements of the patient’s home into therapy. For example, range of motion can come through daily chores; eye-hand coordination from working on the computer; organizational skills from meal planning and grocery shopping.

Care Team

The home and community rehab care team is overseen by a physician and led by a clinical coordinator. The clinical coordinator pulls together the right team, ensures that there are no gaps or overlaps in services, facilitates communication and leads frequent team meetings with therapists, patients and families.

Other care team members for a home and community neurorehab patient may include:

  • Physical, occupational and speech therapists
  • Recreational therapists
  • Psychologists/neuropsychologists
  • Registered nurses
  • Nutritionists
  • Social workers/counselors
  • Case manager
Get started

Contact us to learn more about how the Home and Community Rehab program can help you.
Contact us

We provide services throughout the Puget Sound Area.