Discharge

Once rehabilitation is complete, patients reach an impressive milestone in their journey at CNS – being discharged from their treatment program. The process is momentous, as patients often feel a great sense of achievement. In many cases they have bonded with others, including fellow patients, physicians, therapists, clinical aides, and support staff. Families may also have developed close ties with staff members who have helped patients relearn vital life skills.

CNS believes in making the transition from rehabilitation to the next phase of a patient’s life a streamlined event. Discharge planning involves the patient’s treatment team, their family or sphere of support, insurers, and others, including conservators, attorneys, or health care providers. Above all, discharge planning is tailored to what patients need in their life post injury. Discharge services include:

• Identifying medical, psychological, and social service resources (if needed) in the patient’s community
• Setting up referrals for physicians and providers for post-discharge care/support
• Ensuring the patient and family are aware of medications prescribed, dosage, and physician follow up
• Recommendations for adaptive devices the patient may need for driving, vision, walking, and safe living
• Suggestions of community resources such as brain injury support groups for patients and families
• Assistance with insurers’ requests for records/paperwork on patient’s discharge
• Making families and patients aware of CNS ongoing rehabilitation programs, such as Assisted Living, Supported Living, Day Treatment, and Outpatient
• Discussing CNS’ Aftercare program and introducing the Aftercare coordinator, who maintains patient/family contact to determine if additional therapeutic help or community services are needed