POLICY: Transfers to a lesser or more restrictive level of care within the continuum of Riversbend Brain Injury Rehabilitation Center. Programs are contingent on the resident’s appropriateness for treatment.
TRANSFER CRITERIA:
- All persons admitted for residential treatment must meet the criteria established within the Admission Criteria Policy.
- The residential treatment program on campus with 24-hour supervision is the first step in the continuum of care. To transition from this program, the resident must meet the following criteria:
- Demonstrate behavioral or medical stability on all shifts which allows for a reduction of enhanced staffing.
- Recommendation from treating physician and psychologist/mental health team that the individual has reached a level of stability to receive reduction in enhanced staffing.
- At any time, the mental health team/psychologist feel there is a change in client’s aggression or behavior/health concerns and or sexual inappropriateness the staffing may be changed to 24 hours again.
- When a resident has demonstrated a level of both behavioral and medical stability for a prolonged period of time, they may be eligible for the semi-independent living program. Eligibility is determined by the following:
- Resident is able to demonstrate proficiency in the completion of ADL’s.
- Resident has the recommendation from their physician and psychologist/mental health team.
- May have to do random substance abuse screens
- At any time, the mental health team/psychologist feel there is a change in the client’s aggression or behavior/health concerns and or sexual inappropriateness the staffing may be changed to whatever Riversbend deems appropriate.
- Residents who have achieved their treatment goals and who would benefit from additional structure and support during the day may be eligible for participation in Day Programing at Riversbend Brain Injury Rehabilitations Activity Center.
- The individual has achieved treatment goals and has the support of the treatment team regarding their ability to participate in the program.
- The individual is discharged from residential to a community location which is within traveling distance so they are able to participate in the program without undue fatigue from the daily commute.
- The individual does not demonstrate behaviors such as physical aggression or sexual inappropriateness that prove to be a danger to themselves or others.
- The individual has the inclination to benefit from the structured programming and support offered by the staff at the Activity Center.
- The individual has the appropriate support in their home settings which allows them to remain in that setting during weekends, and evenings.
- Individuals can transition to Outpatient programming when the following criteria are met:
- The individual is able to complete their ADL’s without staff assistance or they are accompanied by a support person who will attend the therapies with them and provide the needed assistance in these areas.
- The individual does not require supervision between therapies or has a support person who attends these therapies with them and who provides the needed level of supervision.
- The individual is able to administer their own medication if it needs to be taken during therapy times or they are accompanied by a support person who is able to provide their medication for them.
- The individual does not demonstrate significant maladaptive behaviors which will endanger themselves or others in the area. If the individual is prone to aggressive behaviors, they are accompanied by a support person who is able to address their behaviors in a manner which ensures the safety of all involved.
- Any individual who demonstrates a significant regression in maladaptive behaviors or medical instability may be return to a more structured treatment status contingent on the recommendations of the individual’s treatment team.