High Intensity
- Presents at Level V or higher on Rancho Los Amigos Scale: Confused, inappropriate but not agitated. The patient is confused and does not make sense in conversations but may be able to follow simple directions. Stressful situations may provoke some upset, but agitation is no longer a major problem. Patients may experience some frustration as elements of memory return.
- Medically stable: i.e., a client’s medical condition should not preclude him/her from actively participating in therapy sessions. Individuals with pre-existing co-morbid conditions are eligible, but depending on the stability of the conditions or resources within the facility, these clients may be more appropriate for other programs, e.g., geriatric program.
- Tolerance: Clients should be able to engage in therapy sessions for 45-60 minutes, 2-3 times per day for 5-6 days per week.
- 18 years or older: However, those younger than 18 will be considered on an individual basis.
- Identified rehabilitation goals.
- Demonstrate potential for improvement: i.e., demonstrate some ability for new learning.
- Time since onset: Admission within 12 months of injury. Exceptions may be made based on individual need.
- In need of 24-hour care: i.e., clients whose needs cannot be met on an outpatient basis.
Clients with the following are not appropriate candidates for High Intensity rehabilitation programs:
- Psychiatric needs: Clients who require acute psychiatric care.
- Physical aggression: Clients who demonstrate behaviours that pose a threat to the safety of themselves or others through directed physical aggression. West Park Healthcare Centre offers an inpatient and outreach ABI behaviour program that may be better suited to the needs of these clients.
For additional information on managing difficult behaviours, see ABI Rehab Resource Tool