Frequently Asked Questions

What is Home and Community Rehabilitation?

The Home and Community therapy model is an intensive, multidisciplinary rehabilitation program designed to address the complex issues and problems faced by persons with neurological injuries, catastrophic physical injury, or both. Each program is tailored to the individual client’s needs as they transition to their homes, communities and workplaces. Therapy takes place in these “real world” settings, allowing the clients to integrate and generalize new skills and strategies specific to their particular needs.

What is the difference between home health and Home and Community reintegration?

Home health requires that a client be homebound to receive services. Home health visits are limited to 30-45 minute sessions, and generally lasts only 3-4 weeks until the patient is no longer homebound. Home and Community rehabilitation begins with improving participation in home based tasks, but rapidly moves into addressing more complex tasks in the community. Session length is flexible, but typically lasts up to 2 hours in order to allow sufficient time to practice new skills in the Home and Community settings. Average length of stay in the program is 2-3 months.

What are neurorehabilitation services?

These are specialized therapy services provided by experienced therapists with at least 10 years experience with neurological injuries and their treatment. Most of the therapists with BIS have been in practice for 15-25 years.

What is cognitive rehabilitation?

Cognitive rehabilitation involves assisting a client with impairments in thinking skills (i.e. memory, concentration, problem solving, safety judgment, sequencing, executive function, etc.) to regain function in these areas. This type of rehabilitation can take many forms (including, but not limited to) performing everyday tasks of increasing complexity, using compensatory memory devices, and participating in computer based cognitive retraining exercises.

How do I get services?

Call our office at 805.643.0123 and speak with our case manager about admission into our program. A case manager will gather additional information and determine whether a client is appropriate for our program.

What is the admission criterion?

  • Medically stable
  • Medical diagnosis of acquired brain injury or other neurological illness
  • Medical diagnosis of complex orthopedic injury

Over the age of 18 (Exceptions on a case by case basis)

What diagnoses do we accept?

  • Traumatic Brain Injury
  • Post Concussive Syndrome
  • Cerebral Vascular Accident (Stroke)
  • Brain Tumor
  • Anoxia
  • Cognitive Impairments
  • Orthopedic Injuries
  • Spinal Cord Injury

What can I expect the first week of treatment?

The first week involves initial evaluations performed by the treatment team (speech, occupational and physical therapist). Goals are established and a plan of care is developed. Both the client and the family participate in goal setting.

What is the expected functional outcome?

  • Increased ability to carry out home and community activities of relevance to the client
  • Reduction or elimination of attendant care
  • Return to work/school
  • Social/personal adjustment to sequelae of injury
  • Improved cognitive and physical skills and endurance

Does BIS accept insurance?

Yes, we accept commercial and worker’s compensation insurance. All therapy must be authorized by catastrophic case management. Our services are generally available¬†on a case by case negotiated basis. Following is a list of insurance companies who have worked with us to provide our specialized services:

  • Aetna
  • Blue Cross
  • Blue Shield
  • Fireman’s Fund
  • Gallagher-Bassett
  • GEHA
  • Liberty Mutual
  • Octagon Risk
  • Paradigm
  • Pacificare
  • Seaview IPA
  • State Compensation Insurance Company

Reduced rates available to cash pay clients.

If you do not see your insurance on this list, please call us and we will speak with your case manager directly if we feel you are a good candidate for our program. All co-payments or deductibles will be directly billed to the client. The staff does their best to clarify insurance benefits prior to beginning treatment, but the client is ultimately responsible for contacting the payor for payment issues.

What kind of services does BIS provide?

  • Speech/Cognitive Therapy
  • Occupational Therapy
  • Physical Therapy
  • Aquatic Therapy
  • Case Management
  • Psychological Counseling
  • Return to Work/ Job Coaching
  • Return to Driving
  • Neuroattendant Training
  • Family/Caregiver Education and Training

What is the length of treatment?

Our average length of treatment per case is 2-3 months. The length of treatment is determined by agreed functional outcomes and medical necessity.

Does BIS work closely with family and caregivers?

Yes, the clinicians work closely with the family and caregivers, providing education, training, and support. Our philosophy is that rehabilitation is a 24 hour a day job, not just when the therapists are there treating. Involving the family and caregivers is essential to maximize outcome potential.

Does BIS provide nursing?

No, BIS does NOT provide nursing, attendants or medical care. We do, however, work closely with other agencies providing this level of care so that services are coordinated and compliment one another.

Where do your referrals come from?

  • Worker’s Compensation Case Managers and adjusters
  • Discharge planners of hospitals and residential treatment facilities
  • Physicians, including neurologists and physiatrists
  • Neuropsychologists
  • Brain Injury Center
  • Word of mouth from prior clients
  • Life Care Planners

Do you have a list of references?

Please contact our office for a list of references. Call us at 805.643.0123.

How will clients and their families stay updated regarding the treatment plan and progress?

Our team is in constant contact with the client, family, caregivers, agencies, case managers and physicians who are all an integral part of the rehabilitation process.