Integrating cognitive rehabilitation: A preliminary program description and theoretical review of an interdisciplinary cognitive rehabilitation program.

BACKGROUND: Interdisciplinary cognitive rehabilitation is emerging as the expected standard of care for individuals with mild to moderate degrees of cognitive impairment for a variety of etiologies. There is a growing body of evidence in cognitive rehabilitation literature supporting the involvement...

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Published in:NeuroRehabilitation Vol. 37; no. 3; pp. 471 - 487
Main Authors: Fleeman, Jennifer A., Stavisky, Christopher, Carson, Simon, Dukelow, Nancy, Maier, Sheryl, Coles, Heather, Wager, John, Rice, Jordyn, Essaff, David, Scherer, Marcia
Format: pictorial review tables/charts Journal Article
Published: Sage Publications Inc. 2015
Online Access:View this record in EBSCOhost
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      dt: 2015
      vid: 37
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/NRE-151275
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        atl: Integrating cognitive rehabilitation: A preliminary program description and theoretical review of an interdisciplinary cognitive rehabilitation program.
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        au:
          Fleeman, Jennifer A.
          Stavisky, Christopher
          Carson, Simon
          Dukelow, Nancy
          Maier, Sheryl
          Coles, Heather
          Wager, John
          Rice, Jordyn
          Essaff, David
          Scherer, Marcia
        affil: Department of Physical Medicine and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA
      sug:
        subj:
          Rehabilitation, Cognitive
          Rehabilitation Methods
          Multidisciplinary Care Team
          Program Evaluation
          Models, Theoretical
          Assistive Technology
          Patient Centered Care
          Occupational Therapy
          Speech-Language Pathology
          Neuropsychology
      ab: BACKGROUND: Interdisciplinary cognitive rehabilitation is emerging as the expected standard of care for individuals with mild to moderate degrees of cognitive impairment for a variety of etiologies. There is a growing body of evidence in cognitive rehabilitation literature supporting the involvement of multiple disciplines, with the use of cognitive support technologies (CSTs), in delivering cognitive therapy to individuals who require cognitive rehabilitative therapies. This article provides an overview of the guiding theories related to traditional approaches of cognitive rehabilitation and the positive impact of current theoretical models of an interdisciplinary approach in clinical service delivery of this rehabilitation. OBJECTIVE: A theoretical model of the Integrative Cognitive Rehabilitation Program (ICRP) will be described in detail along with the practical substrates of delivering specific interventions to individuals and caregivers who are living with mild to moderate cognitive impairment. The ultimate goal of this article is to provide a clinically useful resource for direct service providers. It will serve to further clinical knowledge and understanding of the evolution from traditional silo based treatment paradigms to the current implementation of multiple perspectives and disciplines in the pursuit of patient centered care. METHODS: The article will discuss the theories that contributed to the development of the interdisciplinary team and the ICRP model, implemented with individuals with mild to moderate cognitive deficits, regardless of etiology. The development and implementation of specific assessment and intervention strategies in this cognitive rehabilitation program will also be discussed. RESULTS: The assessment and intervention strategies utilized as part of ICRP are applicable to multiple clinical settings in which individuals with cognitive impairment are served. CONCLUSIONS: This article has specific implications for rehabilitation which include: (a) An Interdisciplinary Approach is an effective method for cognitive rehabilitation; and (b) Recent theories offer beneficial evaluation and intervention techniques for cognitive rehabilitation.
      pubtype: Academic Journal
      doctype:
        pictorial
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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