Community Stroke Rehabilitation Team
Our team of health care professionals deliver specialized services and coordinated care to individuals in the community who have suffered a stroke. Services are provided in the patient’s home or other community setting, through in-person and virtual care sessions.
Our team includes a registered nurse, physiotherapist, occupational therapist, social worker, speech language pathologist, therapeutic recreational specialist and rehabilitation assistants.
Who do we serve?
We have three teams:
- The Thames Valley team works out of St. Joseph's Parkwood Institute in London
- The Huron Perth team works out of Seaforth Community Hospital
- The Grey Bruce team works out of Owen Sound General Hospital
The Community Stroke Rehabilitation Team members work to realize St. Joseph’s Vision of earning complete confidence in the care we provide. Through innovative stroke treatment, research, education and collaborative relationships, we aim to make a lasting difference in our community and health care system.
To provide high quality, evidence-based and specialized stroke care to persons living in the community, in order to optimize their functional independence and promote community re-integration.
Community Stroke Rehabilitation Team Mandate
- Provide timely and accessible stroke rehabilitation services to individuals living in the community
- Foster and deliver patient-centered care that focuses on goals meaningful to the patient
- Work collaboratively to address physical, cognitive and mental barriers to care and to optimize patient outcomes
- Provide education and resources to support and empower self-management in patients, their families, and/or caregivers
- Offer secondary stroke prevention and system navigation
- Support education for colleagues and stakeholders across the system at the local and national levels
Types of Outpatient Services
Short Term Service
- Patients are provided between one and four sessions in total, for each type of therapy
- May include assessment and education, exercise/therapy programs, trialing equipment, patient resources, and helping individuals return to community activities
- Team members will provide consultation to family and/or caregivers if the patient does not have decision making capacity
- Team provides neuro rehabilitation expertise and collaborates with the patient’s other health care providers
- Patients are provided between 60 and 90 days of rehabilitation services, with an average of two or three scheduled therapy sessions per week
- Therapy is individualized to meet each patient’s specific needs, goals and progress
- Team members will work together with families and/or caregivers to support continuity of care, if the patient does not have decision making capacity.
- Team provides neuro rehabilitation expertise and collaborates with the patient’s other health care providers.