Neurobehavioral System Of Care
Our neurobehavioral programs offer highly specialized services designed to enhance an individual’s participation in their rehabilitation program by empowering each person to participate in daily and community activities as independently as possible.
Individuals with brain, spinal cord and medically complex injury and other challenges sometimes find it difficult to manage their emotions and behaviors. Everyday challenges or issues that would typically lead to mild frustration for most people can often become a much larger obstacle as a result of a person’s injury or illness. Our neurobehavioral program helps individuals learn practical and effective self-management strategies that allow them to better manage their behaviors and reaction to a range of situations.
When an individual demonstrates behavior changes resulting from an injury, illness or other challenge, it can have a significant impact on their treatment or other support they receive. In many traditional settings, behavior intervention is viewed as a distinct process and something that should be addressed prior to rehabilitative treatment for challenges such as brain injury. Not only does this method delay treatment, but it often results in an individual being incorrectly classified as “unable to improve.” At NeuroRestorative, we integrate behavior support into the individual’s overall plan of care. This unified approach ensures that all challenges are addressed in a timely and appropriate manner during the rehabilitation process, increasing the potential for success.
Our neurobehavioral support system meets an individual’s support needs based on the unique form, frequency and magnitude of their behavioral dyscontrol. Depending on each individual’s needs, support may involve a wide range of services, aimed at treating agitation, impulsivity, irritability, novel problem solving, dual diagnosis, grief and adjustment, pain and substance use disorders.
Meet Brandon, an individual previously served in our Neurobehavioral Program.
Intensive Neurobehavioral Evaluation & Treatment (I-NET)
Our most intensive level of support (offered in Florida, Illinois, Arkansas and Virginia)
Highly specialized programming designed to aid individuals who require intensive supports due to ultra-high frequency, high magnitude behavioral dyscontrol. The focus of this program is to gradually and progressively reduce supports via therapeutic programming to promote independent application of functional skills.
Discharge Criteria: Demonstration of successful functioning with progressively decreased “intensive support” for a period sufficient to show use of skills to self-manage, and successful trials of reduced levels of support within the I-NET program. To recommend a safe discharge, individuals must demonstrate a decrease in MPAI-4 scores in the areas of irritability; novel problem solving; impaired awareness and inappropriate social interactions and rate these domains of functioning with scores less than 4.
Community-Based Neurobehavioral Services (CBNS)
Behavioral support in a community environment available in many locations across the country
Programming supports individuals who have either accessed Intensive Neurobehavioral Evaluation and Treatment (I-NET) services and discharged to a community based behavioral support program or who present with pervasive behavior/cognitive dysfunction which does not rise to the ultra-high frequency, high magnitude acute level. The focus of this program is to increase positive behaviors in group environments.
Discharge Criteria: To recommend a safe discharge, individuals must demonstrate a decrease in MPAI- 4 scores in the areas of irritability; novel problem solving; impaired awareness and inappropriate social and rate these domains of functioning with scores less than or equal to 2.
Locations and Settings
NeuroRestorative’s neurobehavioral programs are offered in a range of program settings that include varying degrees of staff assistance. While some individuals may require 24-hour supervision, others are able to benefit from more individual time. Our interdisciplinary treatment team develops an individualized treatment plan tailored toeach person’s goals. Treatment plans may include behavior modification, socialization skills training, substance use disorder treatment, family therapy, physical management programs and more.