Comprehensive-Integrated Postacute Outpatient Brain Injury Rehabilitation

Issue title: Cognitive Rehabilitation

Guest editors: Wayne A. Gordon

Article type: Research Article

Authors: Malec, James | Schafer, David | Jacket, Mary

Affiliations: Mayo Clinic and Foundation, Rochester, MN

Abstract: The format and procedures of comprehensive-integrated (C-I) postacute outpatient brain injury rehabilitation are reviewed. Similarities between a C-I program and traditional medical rehabilitation and the specific roles of both restorative and compensatory cognitive rehabilitation in a C-I program are discussed. The process of C-I programming is described from the perspectives of staff and participants, and the specific contributions of restorative cognitive rehabilitation to this process are identified. Outcomes for the Mayo C-I program are presented, including goal attainment, behavioral changes, and work and living independence. At one-year follow-up, 85% of program graduates were in unsupervised living; 50% were in competitive employment; and an additional 23% were in transitional, supported, or sheltered work.

DOI: 10.3233/NRE-1992-2303

Journal: NeuroRehabilitation, vol. 2, no. 3, pp. 1-11, 1992