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11 75 Years of Rebuilding Lives | 1941-2016 Integrated response Acquired brain injuries (ABIs), whether traumatic (i.e. the result of an accident) or non-traumatic (such as with a tumor or aneurysm) cause challenges such as behavioral issues, swal- lowing disorders, decreased mobility and bowel and bladder dysfunction. Each patient has his or her own needs, which may include PTSD, as they relate to functionality, skillsets, reinte- gration and emotions, says Chief of Psychology Dr. John Stan- wood about this complex readjustment. With a case manager weaving together a pattern of integrated care for each patient, myriad specialties such as pulmonology, respiratory therapy, speech therapy, neuropsychology, occupa- tional therapy, physical therapy, therapeutic recreation, voca- tional rehabilitation and addiction relapse programs ensure that a patient's needs are met on every level. Family participation in treatment and planning is encouraged to solidify a successful outcome. "Beyond treating traditional acute rehabilitation patients, the hospital has moved to further serve outpatients," said Stan- wood. "And its commitment to care and broadening of its ser- vices has made Hospital for Special Care a leader in the field. Over the years we really have consulted to every state agency involved in healthcare. We provide everything from immediate acute care, testing, treatment, counseling and community sup- port programs." Tailored care continues with the Neurobehavioral Program — inpatient rehabilitation to those that have been "having trouble" in the community, said Stanwood, being socially in- appropriate or causing issues due to an ABI. "It's a wide range of dysfunctional behaviors; some are impulsive, or they forget what they are doing at work," said Stanwood. e program focuses on stabilizing behaviors, regulating emotions and de- veloping strategies, offering a horizon of hope to these ABI pa- tients and their families. n ACQUIRED BRAIN INJURY CARE Continuum of Services The inpatient unit for acquired brain injuries provides close monitoring and supervision 24/7. Interdisciplinary therapies such as occupational, physical, speech, recreational and respiratory therapy are available seven days per week. The team works with all patients' cultural and spiritual beliefs. Together, an individual treatment plan and goals with predicted outcomes are established to address individual physical, cognitive, educational and behavioral needs of each patient. These may include: • Activities of Daily Living (ADL) • Chemical and substance abuse relapse prevention • Communication • Community re-entry • Coping • Family and caregiver training • Home visit(s) • Leisure and recreational needs • Medication • Mobility • Nutrition