Overview of CNS

The Center for Neurorehabilitation Services, P.C. (CNS) is an independent clinic located in Fort Collins,Colorado. The mission of CNS is to provide outpatient, community based, comprehensive neurorehabilitation and neurodevelopmental therapy through a transdisciplinary approach to care. We provide innovative, collaborative, supportive treatment that is focused on the needs of the individual client resulting in increased independence and quality of life.

Our interdisciplinary team has provided neurorehabilitation services since the early 1980’s. However, as with many rehabilitation programs, CNS gradually evolved. It initially began as a private practice in neuropsychology. In response to community needs, it expanded to provide multiple therapeutic interventions. In 1988, we incorporated as the Brain Injury Recovery Program. Our initial goals included enabling brain injury survivors and their families to re-enter their home community of choice.

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Treatment at CNS is focused around our seven major treatment programs: Brain Injury Recovery Program, Multiple Sclerosis Clinic, Memory Clinic, Adaptive Driving Program, Headache Management, Children's Services, Spinal Cord Injury, and Stroke Rehabilitation Specialty Clinic. Therapy services are provided by members of our transdisciplinary team that includes neurology, neuropsychology, speech and language therapy, music therapy, occupational therapy, physical therapy, psychological services, social work/care coordination, and specialists in vocational re-entry, and school re-entry.

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The transdisciplinary assessment approach and the specific therapeutic interventions provided by the different specialties in our center were described above. Services that clients might receive, based on diagnostic categories, are as follows:

• Acute Onset Brain Injury/Neurobehavioral Syndromes
• Chronic Neurological Syndromes with Acute Exacerbations
• Neurodegenerative Disorders.

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Our Physical Therapists have many years of experience in Neurorehabilitation. They also have strong backgrounds in orthopedic treatment and are able to offer combined treatment in situations that require both approaches.

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We see up to 500 new patients each year at our center, ranging in age from about five to about 85. A physician referral is generally required, and all treatment plans are signed as orders. As indicated, forty percent of our new patients have a primary diagnosis of traumatic brain injury;

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While we provide a transdisiplinary approach to comprehensive neurorehabilitation, the focus of our program is on neuropsychological or cognitive aspects of neurobehavioral disorders. This makes our program unique from many neurorehabilitation settings. Following physician referral, neuropsychology is usually the primary focus at the point of entry and provides a triage of all symptoms presented. The assessment process may include evaluations from any or all disciplines. In the case of direct referral to a specific discipline, neuropsychology may not be involved.

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Clients with more severe deficits will begin therapy in the Day Treatment Program if they meet criteria for admission. These include potential for improvement with participation, stable medical status, no serious behavior problems, and no evidence of ongoing substance abuse. They must be functioning at a minimum of Level V on the Rancho Los Amigos Cognitive Scale. They must be able to communicate functionally and have adequate receptive skills. They must have supervision and support in the home environment, and a family member or significant other must be willing to participate actively with the rehabilitation program.

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Specific goals of different therapeutic interventions at the Center for Neurorehabilitation Services can be summarized as follows. Reimbursement for individual therapies will vary according to specific insurance policies.

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Conclusions

In summary, the Center for Neurorehabilitation Services, using transdisciplinary teamwork, aims to equip each client with the abilities and skills to live and function at the highest possible levels. A systematic evaluation process helps clarify and measure the client’s potential for daily living, education, and work. The process also offers insight into the client’s potential and needs for rehabilitation.

The Center for Neurorehabilitation Services team designs comprehensive, individualized treatment plans based on this detailed evaluation process. The team – in which the client, as well as the family, are integral members – share one goal, the client’s rehabilitation and re-entry into the community. To accomplish our goals, we focus on developing compensatory skills in our clients to enable them to function to the highest level possible in their activities of daily living.

Therapy at CNS emphasizes functional activities to ensure the greatest amount of generalization to the real world. Unlike many neurorehabilitation programs, we take therapy into the location where it will be utilized, and it is not unusual for us to do therapy in a client’s home, workplace, or community settings such as grocery stores, shops, and public transportation. This enables us to help the client learn strategies to directly reduce disabilities caused by impairments, and it helps us to remove or modify handicapping features of the environment that could result in disability.