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: 

  1. Recent discharge from hospital (vs. cCommunity/self-referrals)  
  2. Risk of admission to hospital
  3. 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