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Rehab Without Walls® Rehab Without Walls

Home and Community Rehab

There’s no place like home for healing.

Rehab Without Walls® 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.

Not only is home and community neuro therapy medically necessary for patients who qualify for the program, but it offers a huge 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.

Over 30-plus years, we’ve served thousands of home and community rehab patients – and produced proven results that have been published in numerous peer-reviewed medical journals.

When is home and community neuro therapy the right fit?

Home and community neuro therapy is best suited for adult and pediatric patients who:

  • Are medically stable enough to go home
  • Have appropriate support for safe transition to home and/or have limited ability or transportation to attend a facility-based program
  • Will experience a clinical advantage, such as functional goals requiring practice in their own community or home setting

Our home and community neuro therapy programs are covered by some commercial health insurance and workers’ compensation plans. Medicare does not cover home and community-based rehabilitation. More about insurance.

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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