The Community-Based Program fosters the use of retrained skills learned during treatment and discovering new ways of completing these skills within the least restrictive environment (i.e. home/apartment, work place, community). Based on the individual needs, there are two possible options with this program:
- Semi-Independent Living (SIL)
Origami’s 6 private, onsite apartments offer a middle step between residential care and living in an independent location. Rehabilitation Aides offer support up to 5 hours per day.
- Community Integration (CI)
Staff offer support in the home for up to 16 hours per week. Each person’s rehabilitation goals, support, and treatment interventions are specifically tailored for his/her environment. This allows for a more seamless return back into the community.
Program Admission Criteria
- Male or female 18 years or older (ages 16-17 may be admitted with special consideration) with a primary diagnosis of brain injury*
- Requires 5 hours or less of daily support for SIL; Requires less than 16 hours of support per week for CI. Support may include basic and/or instrumental activities of daily living.
- Transfers self with no more than modified independence
- Medically stable, free from acute infection or fever
- Does not require daily skilled nursing and does not require direct oversight of medical needs beyond the support provided by Care Coordination
- Minimum Ranchos Los Amigos Levels 6/7
- Engaged in, or actively pursuing productive activity including, but not limited to: work, school, vocational/avocational activity, or extensive rehabilitation
- Not a danger to self or others
- Not actively engaged in substance abuse
- Secure source funding
*Origami specializes in brain injury rehabilitation; however, is able to provide services to individuals with other neurological diagnoses as long as the established admission criteria are met.
Spinal cord injuries (SCIs) and amputations can only be a secondary diagnosis.
Specific etiology, injury level, completeness, and co-morbidities as it pertains to SCIs are delineated based on the individual's ability to meet the program's specific admission criteria.
Program Discharge Criteria
- Treatment team’s assessment indicates that the individual has achieved a level of functional independence requiring limited support
- Individual’s behavior is not compatible with the program goals, group activities, or may prevent the progress of other participants
- Poses a risk or danger to self or others*
- Interruption to secure funding*
- Individual meets admission criteria of another program in the Origami continuum and may transition accordingly
*A discharge procedure will be followed ensuring the opportunity to access other appropriate resources