Services and Procedures
Miami Valley Hospital (MVH) Rehabilitation Institute of Ohio has a variety of extensive, specialized rehabilitation programs.
The Head Injury Re-Entry (HIRE) program is a comprehensive return-to-work program for individuals with brain injuries who have the potential to return to employment or school. HIRE is the only program in the Dayton area that offers the complete continuum of return-to-work services and the only program of its kind in the area that is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF).
The MVH Rehabilitation Institute staff includes specialized individuals who work with people with brain injuries to get them back to work. The team develops a plan with attainable goals for each patient.
The MVH Rehabilitation Institute staff that serves the patient includes professionals in neuropsychology, vocational rehabilitation, occupational therapy, physical therapy and speech pathology.
HIRE Services include:
- A comprehensive, cognitive and vocational assessment
- Vocational exploration, work skills development, and job try out
- Integrated placement and job coaching services
- Transportation to and from the program as needed
The work skills that HIRE patients are taught consist of work simulation, cooperative teamwork, and group/individualized pre-work skills. The goal is to prepare clients for work by providing experience and training on simulated work tasks. Performance and behavioral expectations are clearly defined and reinforced through the process. One-to-one psychology, vocational exploration, and conditioning are provided on an as-needed basis.
Job tryout is the final step in HIRE treatment. It involves placing the person in a modified position at MVH and enables a job coach to assess a patient's ability to fulfill competitive work demands. During this time, the patient's work quality, productivity, supervisor and co-worker interaction, use of compensatory strategies, and physical tolerances are further evaluated.
HIRE also offers integrated placement services. Job development and placement staff get involved with the HIRE patient early in their program and consult with the other HIRE staff on an ongoing basis to find the best job match and placement. Job site analysis is also done when necessary.
HIRE also offers the patient community job coaching. This provides the HIRE participant with one-to-one training on the job, as well as limited 90-day follow-along services to help the individual to maintain competitive employment.
The program also offers two support groups: Employment and Family. In the Employment support group, current and former HIRE clients have the opportunity to participate in a quarterly meeting that provides participants with a forum for sharing job seeking tips, successes, and employment-related concerns. In the Family support group, patients and family members share and learn from each others' experiences.
The program started as a grant program through the Ohio Rehabilitation Services Commission (RSC) in 1989. RSC is Ohio's state agency that provides vocational rehabilitation (VR) services to help people with disabilities become employed and independent.
The Comprehensive Outpatient Rehabilitation Program (CORP) offers same-day rehabilitation to those with stroke, brain injury, spinal cord injury, and other neurological conditions to help them get back to a functional life. The program provides coordinated interdisciplinary same-day rehabilitation services that address the cognitive, physical, and/or psychosocial aspects of return-to-life roles within the community. Patients that are medically stable and have the desire and potential to improve their functional levels may benefit from same-day rehabilitation services. This includes MVH Rehabilitation Institute patients who have been recently discharged from the hospital as well as those who are currently living in the community. MVH Rehabilitation Institute patients that participate in the program are generally recovering from diagnoses such as stroke, brain injury, spinal cord injury, multiple traumas, or other neurological conditions.
The CORP team guides MVH Rehabilitation Institute patients through rehabilitation that is centered on self-care, home safety, home management, communication, socialization, cognition, work and school skills, leisure activities, community re-entry, mobility, and swallowing. The MVH Rehabilitation Institute team provides services including:
- Occupational therapy
- Physical therapy
- Speech pathology
- Social work/case management
- Rehab nursing
- Rehabilitation medicine (physician medical direction)
- Team treatment planning
- Community resources
- Adapted Sports and Recreation Program
MVH Rehabilitation Institute patients with deficits in two or more of the following skill areas may benefit from CORP:
- Self care
- Home safety
- Home management
- Work and school skills
- Leisure activities
- Community re-entry
On average, CORP patients receive treatment two days per week and remain in the program for about eight weeks. Program statistics show that MVH Rehabilitation Institute patients achieve 73 percent of their therapy goals. Patient satisfaction scores show an average of 93 percent satisfaction with CORP services.
CORP is CARF-accredited for Brain Injury Services and Spinal Cord Services for both adolescents and adults.
The ProWork program and its staff of 22 focuses on occupational health rehabilitation. These include office workers as well a MVH Rehabilitation Institute patients who hope to return to physically demanding jobs. Treatment for repetitive motion injuries is common for assembly line workers and carpal tunnel syndrome rehabilitation is common for those who work at computers. In addition to rehabilitation for these conditions, ProWork provides patients with basic job-acquiring skills, like how to fill out an application, interview etiquette and mock interviews. ProWork has a real-world work environment where MVH Rehabilitation Institute patients practice as well as learn healthy and efficient ways to perform the tasks of their job.
ProWork has the Dayton area’s only truck driving simulator, the Vibrasym Driving Simulator. It can simulate the driving of many vehicles, complete with the vibrations they create.
ProWork also has the BTE® Work Simulator. This electronic resistance machine helps to simulate work tasks with specified resistances and motions. ProWork also uses the New Visions evaluation. This is a computer-based neuropsychologically based vocational assessment tool that uses the McCarron-Dial Comprehensive Vocational Evaluation System.
ProWork offers education as well. MVH Rehabilitation Institute patients learn about the effects of their injury on their life, how to prevent injury, and how to make a smooth transition back to work. Also addressed are dietary issues, prescription information, stress management, body mechanics, posture, and pain management.
ProWork provides vocational evaluations and conducts an interview with a MVH Rehabilitation Institute patient to determine aptitude, work history, and physical and mental impairments. Patients are commonly referred by the Rehabilitation Services Commission (90 percent) and Worker's Comp (10 percent). Rehabilitation Services Commission is a state agency that works with people with disabilities attempting to get into the workplace for the first time or to get back into the workplace. Vocational evaluations are usually a three-day service, including two days of interviewing and testing. On the third day, the results are reviewed with the client and a representative from the Rehabilitation Services Commission (RSC).
Sometimes prospective employees are sent for basic job acquiring skills – such as how to dress for an interview and how to fill out applications, and are aided in this effort through the analysis of videotaped mock interviews. ProWork also is a conduit for job leads. These leads typically come from the Ohio’s Bureau of Worker Compensation (BWC) and Rehabilitation Services Commission (RSC). Work hardening and work conditioning are core points of focus. It's like a therapy/dress rehearsal before going back to work. People who have been off work for a while usually lack strength, stamina and conditioning. They need to get in shape to complete an eight-hour work day. Full-body abilities are tested to determine how long they can sit, stand, walk, kneel, crouch, bend, reach, lift and grip.
The Pain Rehabilitation Program
For many rehabilitation patients with ongoing limitations, chronic pain is a way of life. MVH’s Pain Rehabilitation Program works with patients who have chronic and permanent injuries to decrease stress, develop coping skills, improve function, and minimize the effects of pain on their lives. This MVH Rehabilitation Institute program is the only CARF-accredited pain program in the Dayton area.
The Pain Rehabilitation Program has an interdisciplinary team that works together to assess and treat the patient. This team includes a physiatrist, psychologist, physical therapist, occupational therapist, and vocational counselor. Assessing each patient is unique since a variety of factors of their pain come into play, including physical condition, psychological condition, level of tolerance, and lifestyle expectations. The screening is done by a physiatrist and psychologist. From the findings, an individual plan for the patient is developed.
Once a strategy has been laid out, there are many ways to address the pain, including:
- Physical therapy
- Occupational therapy
- Education on healthy lifestyle changes
- Relaxation techniques
- Psychological counseling
- Vocational therapy
Treatment usually begins within one to two weeks. Typically a MVH Rehabilitation Institute patient visits five days a week for four weeks. Plans can be adapted to fit a patient's schedule and insurance coverage. The MVH Rehabilitation Institute team can also assist patients on returning to work and further programs with ProWork or the Bureau of Vocational Rehabilitation.
Spinal Cord Injury Program
The Spinal Cord Injury Program offers evaluation, treatment, and educational services to MVH Rehabilitation Institute patients. Spinal cord injury patients live with a disability. In addition to helping them get the most function possible from their body, MVH’s Spinal Cord Injury also helps them learn to deal with daily functional issues, such as respiratory care, skin care, bowel/bladder maintenance, sexuality, activities of daily living (dressing, bathing, etc.), transfers, and mobility. Equipment recommendations are also addressed. The inpatient and outpatient services provided by the Rehabilitation Institute of Ohio’s Spinal Cord Injury Programs are CARF-accredited for adolescents and adults.
Brain Injury Program
The Brain Injury Program addresses unique educational and recovery needs in MVH Rehabilitation Institute patients. Physical and cognitive tests are done with each patient to establish an individualized treatment plan for facilitating functional progress. The Dayton Chapter of the Ohio Brain Injury Association holds support group meetings at MVH for ongoing support of patients and families. The inpatient and outpatient services provided by the Rehabilitation Institute of Ohio’s Brain Injury Programs are CARF-accredited for adolescents and adults and are staffed with Brain Injury Specialists certified by the American Academy of Brain Injury Specialists.
Stroke Rehabilitation Program
The Stroke Rehabilitation Program offers evaluation, treatment, and educational services for MVH Rehabilitation Institute patients. Treatment goals and plans address issues of cognition, communication, eating, activities of daily living, mobility skills, and psycho-social factors. Education and support meetings for MVH Rehabilitation Institute patients and families provide additional information. The Stroke program is a specialty program of The MVH Rehabilitation Institute of Ohio’s CARF- accredited inpatient rehabilitation program. MVH Rehabilitation Institute has received commendation as a Joint Commission on Accreditation of Hospitals Organization (JCAHO) Stroke Diagnostic Certification for this program’s comprehensive inpatient and outpatient services.
General Rehabilitation Teams
General Rehabilitation Teams address the needs of MVH Rehabilitation Institute patients recovering from amputations, multiple trauma, and neurological and orthopedic conditions. The teams give individualized education and treatment toward goals set by the MVH Rehabilitation Institute patient and team in their CARF-Accredited Programs for adults and adolescents. The Dayton Area Amputee Support Group meets at MVH Rehabilitation Institute for both patients and family members.
Swallowing Disorders Program
Swallowing disorders may occur as a result of stroke, head injury, progressive neurological disorder, head and neck cancer, and cerebral palsy. This MVH Rehabilitation Institute program offers evaluation and treatment services for patients.
Extended Educational Opportunities
The Independent Living Apartment (ILA) is like a practice home for MVH Rehabilitation Institute patients. Patients practice daily living skills in a home environment with the guidance of hospital staff. In some cases, a day or overnight pass called a temporary leave of absences (TLOA) is recommended prior to discharge so patients can try out their skills at home. Some insurance plans do not permit this type of practice session away from the hospital, but do promote practice sessions in the ILA. Once a stay in the ILA or a TLOA pass has been completed, the patient and MVH Rehabilitation Institute staff discuss problems encountered so they can be addressed during the remainder of their rehabilitation program.
MVH Sports Medicine Center Programs
The MVH Sports Medicine Center offers specialized programs designed for both healing and conditioning in MVH Rehabilitation Institute patients.
Outpatient Physical Therapy
The Rehabilitation Center of Ohio’s multiple outpatient physical therapy clinics treat chronic and subacute musculoskeletal and neuromuscular conditions in MVH Rehabilitation Institute patients. Comprehensive evaluation and individualized therapeutic programs emphasize a partnership with the patient in optimizing recovery.
Recreational through professional athletes choose MVH’s Sports Medicine Center for specialized care needed to return to optimal performance. Board certified physicians, physical therapists, and athletic trainers serve individuals as well as local high schools and universities in returning athletes to their recreational and competitive sporting activities.
Rehabilitative care for hand trauma is provided by board certified hand therapists. Therapeutic approaches include custom splinting and individualized active and passive activities.
Family and Patient Support
On-going care and support are critical to your success as you work through your treatment plan and beyond. Learn more.