The specialized brain injury services listed below may be provided by our highly-trained staff members at our location, in the community, and/or in the participant’s home environment.
Companion Services / Community Living Supports
Companion Services (ABI Waiver) will facilitate independence and promote integration into the community for a participant residing in his/her own residence or his/her family’s residence. Services will be therapeutic, and not diversional in nature, and provided according to the person-centered plan. Companion Services will be offered at a one-to-one ratio and may include assisting with but not performing meal preparation, laundry and shopping; light housekeeping tasks which are incidental to the care and supervision of the recipient; and accompanying and assisting the recipient while utilizing transportation services.
Community Living Supports (ABI-LTC Waiver) will include socialization, relationship building, and participation in community activities for a participant residing in his/her own residence or his/her family’s residence. Services will be therapeutic, and not diversional in nature, and provided according to the person-centered plan. Community Living Supports will be offered at a one-to-one ratio and may include assistance, prompting, observing, or training in activities of daily living, such as bathing, eating, dressing, personal hygiene, shopping, money management, medication management, and transportation utilization.
Adult Day Training Services will be offered in a non-residential setting and not exceed a staffing ratio of 5 participants per 1 staff. Services will be therapeutic, rather than diversional in nature, and offer the participant rehabilitation, retraining, and reintegration into his/her community. ADT provides the participant with an organized framework within which to function in his/her daily activities and includes social skills training related to problematic behaviors identified in the person-centered plan, sensory or motor development, reduction or elimination of a maladaptive behavior, or prevocational skills. ADT may also include teaching concepts and skills to promote independence, including following instructions, attendance and punctuality, task completion, budgeting and money management, problem-solving and safety. Services will be appropriate given the participant’s age, level of cognitive and behavioral function, interest, and ability prior to and since his/her injury.
Behavior Programming Services will be a systematic application of techniques and methods to influence or change the participant’s behavior in a desired way. Services should assist the participant to learn new behaviors that are directly related to existing challenging behaviors or functionally equivalent replacement behaviors. Behavior Programming provides a functional analysis of the participant’s behavior that includes an analysis of the impact of an ABI on cognition and behavior, an analysis of potential communicative intent, history of reinforced behavior, critical variables that precede the behavior, effects of different situations on behavior, and a hypothesis regarding the motivation, purpose and factors which maintain the behavior. The plan will be implemented by trained staff in all relevant environments and activities and revised as necessary.
Counseling Services will be offered to assist the participant with resolving personal issues or interpersonal problems resulting from his/her ABI, or a family member in implementing the person-centered plan. In severe cases, Counseling Services may be provided as an adjunct to Behavior Programming. Services may include substance abuse or chemical dependency treatment, building and maintaining healthy relationships, developing social or coping skills, and increasing knowledge and awareness of the effects of an ABI.
Speech-Language Pathology Services will include a physician-ordered evaluation of a participant with a speech, hearing, or language disorder. Treatment will be physician-ordered in a specified amount and duration to assist a participant with a speech and language disability in obtaining the highest possible level of functioning. Services will be provided by a speech-language pathologist for ABI Waiver participants.
Occupational Therapy Services will include a physician-ordered evaluation of a participant’s level of functioning by applying diagnostic and prognostic tests. Treatment will be physician-ordered in a specified amount and duration to guide a participant in the use of therapeutic, creative, and self-care activities to assist the participant in obtaining the highest possible level of functioning. Services will be provided by an occupational therapist or an occupational therapy assistant if supervised by an occupational therapist.
Residential Support Services consist of 24-hour supervision (unless otherwise specified in the participant’s approved person-centered plan) in a staffed residence rented or owned by A Brighter Future ABI with no more than 3 participants. Services may include assistance and training with ambulation, dressing, grooming, eating, toileting, bathing, meal planning/preparation, laundry, budgeting, cleaning, leisure, medication management, and transportation. Services may also consist of social skills training, including the reduction or elimination of maladaptive behaviors in accordance with the person-centered plan.
Respite Services can be provided to a participant who is unable to administer self-care and requires services on a short-term basis due to the absence or need for relief of a non-paid primary caregiver.