Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 4 - VISIONS PROGRAM FOR PEOPLE WITH ACQUIRED BRAIN INJURIES › Section 4-7 - Individualized Rehabilitation Services

Current through July 13, 2024
Each client must receive a continuous rehabilitation
				  treatment program, which includes aggressive and consistent implementation of a
				  program of specialized and generic training, treatment, health services, and
				  related services to acquire the behaviors necessary for the client to function
				  with as much self determination and independence as possible.
The rehabilitation treatment program is pervasive,
				  systematic, and sufficient in scope to assure that individuals are
				  appropriately served by assessing each individual client's needs in the
				  following areas:
(a) Physical History
				and Health: The client's pre-morbid and post-injury history, results of the
				neuropsychological evaluation conducted by a licensed neuropsychologist,
				results of the physical examination conducted by a licensed physician,
				physician assistant, or nurse practitioner, health assessment data (including a
				medication and immunization history), which may be compiled by a nurse, and
				skills normally associated with the monitoring and supervision of the client's
				own health status, and administration and or scheduling of the client's own
				medical treatments.
(b) Nutritional
				Status: The determination of appropriateness of diet, adequacy of total food
				intake, and the skills associated with eating.
(c) Sensorimotor: The retraining of
				perceptual skills that are involved in observing the environment and making
				sense of it. Motor skills include those behaviors that primarily involve:
				muscular, neuromuscular, or physical skills and varying degrees of physical
				dexterity. Assessment data identifies the extent to which corrective, orthotic,
				prosthetic, or support devices would impact the functional status.
(d) Affective (Emotional) Rehabilitation: The
				restoration of behaviors that relate to his or her interests, attitudes,
				values, and emotional expressions.
(e) Speech and Language: The restoration of
				both verbal and nonverbal and receptive and expressive communication skills.
				Assessment data identifies the appropriate intervention strategy to be applied,
				and which, if any, augmentative or assistive devices will improve communication
				and functional status.
(f) Auditory
				Functioning: The extent to which a person can hear and to the maximum use of
				residual hearing, if a hearing loss exists, and whether or not the client will
				benefit from the use of amplification, including a hearing aid or a program of
				amplification. Assessment may include teaching techniques for conducting the
				assessment or the use of electrophysiologic techniques.
(g) Cognitive Rehabilitation: The restoration
				of those processes by which information received by the senses is stored,
				recovered, and used. It includes the retraining of the processes and abilities
				involved in memory, reasoning, and problem solving.
(h) Social Rehabilitation: The restoration of
				self-help, recreation and leisure, and interpersonal skills that enable a
				client to establish and maintain appropriate roles and fulfilling relationships
				with others.
(i) Adaptive Behaviors
				or Independent Living Skills: The effectiveness or degree with which clients
				meet the standards of personal independence and social responsibility expected
				of their age and cultural group. Independent living skills include, but are not
				limited to, such things as meal preparation, doing laundry, bed making and
				budgeting.
(j) Vocational
				(Prevocational) Retraining, as applicable: The work interests, work skills,
				work attitudes, work-related behaviors, and present and future employment
				options.