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Community Integration Program

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Title: Community Integration Program Author: slklitz Last modified by: slklitz Created Date: 3/3/2004 6:52:47 PM Document presentation format: On-screen Show – PowerPoint PPT presentation

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Title: Community Integration Program


1
Community Integration Program
  • KNR 279

2
Community Integration Program (CIP)
  • Missy Armstrong Sara Lauzen (1994)
  • Harborview Medical Center
  • Seattle, WA
  • Level 1 Trauma Center
  • Recognized that community integration was
    necessary in rehab process
  • TRS considered community experts
  • SCI, TBI, Strokes (adults)
  • Also psy., MR/DD, geriatric, peds.

3
Community Integration Program (CIP)
  • TR Program
  • Functional Activities
  • Leisure Education
  • Community Integration
  • Recreation Participation
  • Book (50)
  • Assessments/documentation
  • Tx. Protocols
  • How modify
  • Can make copies after buy book

4
Community Integration Program (CIP)
  • burlingame Blaschko
  • Knowledge skills using community resources
    (Leisure Education)
  • Armstrong Lauzen
  • Good usability
  • Billable status

5
Community Integration Program (CIP)
  • Reliability validity
  • Not reported BUT
  • Started work in 1978
  • Sent to any program in US or Canada that
    requested got feedback from experts
  • 1st edition 1980
  • Revised to 8th grade reading level
  • Review of literature
  • Smith-Armstrong study
  • CONTENT validity!!!!!

6
Community Integration Program (CIP)
  • 3 basic steps in CIP
  • Pretest (walk/talk steps before do)
  • Field test (demonstrate skills in community)
  • Posttest
  • Smith-Armstrong study
  • SCI better in pretest than field test
  • TBI better in community than pretest
  • WHY?????

7
Community Integration Program (CIP)
  • Book has 3 sections
  • SECTION 1
  • Background pre-use information
  • CTRS proficiency checklist (p. 45)
  • Info about disability
  • Equipment supply list
  • Documentation assessments

8
Community Integration Program (CIP)
  • Section 2
  • Treatment protocols
  • C/B individual or group
  • Recommend 7-10 modules
  • Use 3-5 for abbreviated length of stay
  • All have
  • Prearrangements before outing
  • Transportation
  • Accessibility
  • Emergency/safety
  • Equipment

9
Community Integration Program (CIP)
  • 6 Domains ( 6/17 used with most pts.)
  • Community environment
  • Environmental safety
  • Emergency preparedness
  • Basic survival skills
  • Cultural activities
  • Theatre ()
  • Restaurant()
  • Library
  • Sporting event

10
Community Integration Program (CIP)
  • Community activity
  • Shopping mall
  • Grocery store ()
  • Downtown ()
  • Bank
  • Laundromat
  • Physical Activities
  • Aquatics()
  • W/C sports
  • Leisure activities

11
Community Integration Program (CIP)
  • Transportation
  • Personal
  • Taxi
  • Train
  • Air travel
  • City bus ()
  • Bus station
  • Independent Activities
  • Pt. Directed
  • Group
  • Section 3 ADA legislative information

12
Community Integration Program (CIP)
  • Assessment
  • Interviews, chart review, multidisciplinary team,
    family
  • 2 types scoring (plus minus, FIM)
  • Initial screening
  • Referral from doctor
  • Ready to receive TR services?
  • Intake assessment

13
Community Integration Program (CIP)
  • Assessment
  • Participate in in-house act. before CIP
  • Tolerance to activity, W/C use, pain mgmt
  • Pretest
  • Field trial
  • Posttest

14
Community Integration Program (CIP)
  • Strengths?
  • Weaknesses?
  • How improve?
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