Outpatient Stroke and Neurological Rehabilitation Team - How To Access
Admission Criteria
Eligibility Criteria
Individuals are eligible to attend if ALL of the following apply:
- 18 years or older
- Have had a stroke or other neurological condition in the past year and need care from a specialized rehab team
- Have a reliable way to get to appointments
- Are medically stable
- Have a complete referral form and have agreed to join the program
- Can make real progress toward rehab goals with short term, time limited treatment
- Have the ability to carry-over learned activities
- Are motivated and able to take part in at least 60 minutes of therapy
- Goals are clear, realistic and achievable. They can be accomplished:
- By working together with the rehabilitation team
- With support and guidance from caregivers
- By learning and using self-management skills
- If they need help with personal care during therapy, a caregiver must be there
Exclusion Criteria
Individuals are not eligible to attend if any of the following apply:
- They have had a transient ischemic attack (TIA) – sometimes called a mini-stroke
- Have a neurological condition that gets worse over time (for example, multiple sclerosis or Parkinson’s disease)
- Their condition started in childhood
- Have an orthopedic injury, are recovering from routine surgery or have chronic pain that is not well managed
- Have a spinal cord injury
- Have an acquired brain injury (including a tumor or tumor removal without bleeding)
- Ability to receive the same kind of care through motor vehicle accident insurance, the Workplace Safety and Insurance Board (WSIB), or another government-funded health program
- Need care in a hospital bed
- Ongoing maintenance rehab is needed, as defined by the Rehabilitative Care Alliance (RCA)
- Have already done outpatient rehab for the same condition and have no new goals to work on
- Recent inpatient rehab for the condition did not result in progress toward goals
- Severe problems with thinking or memory make it hard to learn and take part in therapy
- Live in long-term care or is in a transitional care bed
Determining Priority Status
Referrals are triaged as they are received and priority for service is based on the following:
- Recent discharge from hospital (vs. cCommunity/self-referrals)
- Risk of admission to hospital
- Significant safety concerns:
- Swallowing
- High falls risk
- Living alone, or having little-to-no support in the home
- Significant emotional and mental health concerns related to stroke