Acquired Brain Injury (ABI) is caused by the shearing of brain nerve fibers due to trauma or by cell death related to swelling, bleeding, disease or loss of oxygen to the brain (anoxia). Whether mild, moderate or severe, ABI can cause physical, cognitive, speech/language and behavioral dysfunction.
Acquired brain injury results from specific events involving trauma to the brain, such as:
Traumatic Brain Injury (TBI) is a subset of the larger group, Acquired Brain Injury (ABI). Acquired Brain Injuries include all traumatic brain injuries, in addition to non-traumatic brain injuries, such as strokes and meningitis.
For more than 25 years, Learning Services has helped define the set of services most important and effective for treating adults with Acquired Brain Injury (ABI) or traumatic brain injury. Our current programs are built upon years of partnership with residents, families, payers, and countless individuals who have contributed to our work. We believe deeply in the power and the value of individuals. We offer a personalized approach to helping people to, once again, participate meaningfully in the community. To this end, we offer an array of services and residential environments, as opposed to providing a one-size-fits-all approach. Experienced and highly trained case managers who understand brain injury and the rehabilitative progression of these disabilities manage our residents’ programs. We also offer Day Treatment programs at many of our facilities, which are designed to meet the unique needs of our residents with multiple opportunities to access their local communities.
Learning Services offers a variety of residential settings tailored to each participant. Campus-based congregate-living settings, community-based residences, and apartments are available to meet the specific needs of individual residents. The programs provide a balance between privacy and safety, as each resident is motivated to increase his or her self-reliance and participation in the community.
Family members are encouraged to be as involved as they wish and to visit frequently; visitors are always welcome to our programs. Family members are encouraged to develop a relationship with the staff. Our case managers help make arrangements for meetings with pertinent staff as necessary and can offer suggestions for travel and accommodations. Since many family members reside some distance from our programs, and the needs of our families and residents vary, we support visits on an individualized case-by-case basis rather than through standard visiting hour regulations. Home visits are also a part of a resident’s program and are tailored to fit individual circumstances.
Upon admission, Learning Services case managers work to understand the expectations of family members and sponsors, and then coordinate communications that work best for all parties. The frequency of the reports, their distribution, content, and consent to share are all established immediately following admission, so everyone involved is clear on what details are shared, and how often they are distributed.
In order to achieve the best results in our areas of focus, Learning Services has decided not to provide the following types of care at this time.
Acute care: Acute medical treatment focused on the maintenance of life functions and stabilizing life-threatening disruption of body functions after ABI or traumatic injury is provided in highly structured and medically supervised settings. Hospital-level care offers intensive nursing management and intervention as well as round-the-clock medical supervision of symptoms until an individual is stable and ready for rehabilitation.
Sub-acute care is the term commonly applied to a setting offering a less intensive focus on therapy while providing more involved medical and nursing care. These programs are sometimes offered to individuals who may not yet be ready for a more rigorous program of therapy and who may have the need for nursing care to support management of and recovery from more serious health related concerns.
Acute rehabilitation generally occurs in a highly structured medical environment. Typically, these services are offered to someone who is recently injured or experiences a change in condition that warrants intensive therapy, medical and nursing care.
Everyday, Learning Services strives to make its programs a rewarding and supportive experience for residents, families, payers and employees. We bring over 30 years of expertise to brain injury care and have helped thousands of residents with varying degrees of ABI. Through the years, we have refined our approach to deliver unparalleled care for individuals with ABI to help them live productive and fulfilling lives.
One of the ways we measure our overall quality is by reviewing our performance on a continual basis. Learning Services measures and tracks many different aspects of the services we offer. Our organization regularly conducts surveys, measures residents’ rehabilitative and medical performance, and benchmarks procedural processes. Through all of this data gathering and measurement, our goal is to continually refine our practices and deliver the highest possible level of safety and care for our residents.
Continued staff education and training is an essential part of ensuring quality rehabilitation services is provided. Each member of the rehabilitation team is encouraged to become a Certified Brain Injury Specialist, (ACBIS). This not only entails course completion and testing of material, but on going continuing education to maintain the certification.
In addition to meeting the individual state licensing guidelines, each program maintains the standards of performance to ensure continued CARF accreditation for Residential Rehabilitation: Brain Injury Specialty Programs.
Learning Services was the first program to be accredited under the CARF Residential Rehabilitation: Brain Injury Specialty Programs.
CARF is the acronym for the Commission on Accreditation of Rehabilitation Facilities (CARF). Through CARF accreditation, programs demonstrate that they conform to high standards of quality and operations. CARF standards require, among many other things, that programs evaluate the outcome—the results of care—for persons served. CARF also requires that information regarding outcomes and the effectiveness of programs be used to plan and improve those programs.
Financial support for Learning Services programs is explored and confirmed during the referral process for each patient. The primary sources of funding are workers’ compensation, personal health insurance companies, structured financial settlements, VA TBI Pilot Project and Active Military, and private payers.