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The Pediatric Day Rehab Program offers intensive, coordinated multidisciplinary rehabilitation therapies for children and adolescents following an illness or injury. Day Rehab may be appropriate if your child or adolescent doesn’t require the daily medical and nursing management of an inpatient hospitalization but would benefit from a high level of therapies typically only available through an inpatient program.

Eligibility criteria:
• Your child has a physician referral/prescription
• The daily medical and nursing management of an inpatient hospitalization is no longer needed
• Your child can participate in 2-3 hours of therapy 4-5 days/week
• You’ve received prior authorization from insurance payer or other payment plan
• You have reliable transportation to and from the hospital
• There is a reasonable expectation that your child will make functional progress toward rehabilitation goals

Discharge criteria:
• Your child has met rehabilitation goals
• Your child is ready to graduate to a traditional, less-intense outpatient therapy program
• Pattern of frequent absences (cancellation and/or no-show)
• Insurance denial, insurance benefit limitation or failure to qualify for financial assistance

Other factors for consideration:
• Patient and family preference for less intensity
• Preservation of outpatient benefits

Therapists develop your child’s rehabilitation plan of care based on the assessment of your child’s strengths, abilities and areas for improvement. You and your child play an integral role in helping to set goals and treatment plans. Assessment is performed continuously throughout treatment to track your child’s progress, gains and next steps.

SCHEDULING & QUESTIONS

For more information, please call:

616.840.8005 
800.668.6001 

Our Expectations for Parents

Below is an overview of our expectations for your child’s successful participation in Day Rehab.

• Regular attendance is expected for continued eligibility for the program.
• A parent or other designated adult caregiver (a nurse, grandparent, aunt/uncle, etc.) should remain on site while your minor child is receiving treatment. Proper consent forms must be completed and on file before a child can be accompanied to therapy by an adult other than a parent.
• Caregivers are expected to manage personal care needs such as transfers in and out of the transport vehicle, toileting, feeding, clothing changes and general supervision.
• Participation in therapy sessions as recommended by therapists. This helps you to learn strategies and interventions to help your child transfer new skills to the home setting.
• Participation in rehab care conferences with treating team as requested (typically once a month).
• Assist child to complete assigned exercise homework.
• Talk to therapists about any concerns or problems you may experience. Quickly alerting us to such challenges means we can address them in your child’s rehabilitation plan of care.
• Ask questions.

There are several comfortable places you may wait while your child is participating in therapy. Ask a member of your child’s treatment team to suggest the most convenient locations currently available.

How do I know when my child is ready to return to school?

Readiness to return to school is very individualized. There are many ways students in our program transition back to school. The team will assist you in identifying options to support a successful transition to school and collaborate with school personnel to plan and help prepare for your child’s return.

Meet the Team

Your child will work with a interdisciplinary team that includes:

Pediatric physiatrist – Most often, your child’s physiatrist will be the same as during his or her inpatient stay. The doctors continue to follow the patient’s progress and also attend team/family conferences approximately once a month. This provides consistency for the therapists, patients and family while also ensuring an effective interdisciplinary team. Our pediatric physiatrists include Dr. Amanda Ayala, Dr. Andrea Kuldanek and Dr. A.J. Rush.

Physical therapists – Physical therapy will focus on your child’s mobility or how he or she moves around. This includes posture, muscle tone and flexibility, strength, endurance, joint movement, balance and coordination. The need for braces or other specialized equipment or devices to support your child’s mobility goals also will be addressed by the physical therapist. Physical therapy may extend to higher and more complex levels of activity, such as preparation for fitness exercise and return to sports.

Occupational therapists – Occupational therapy will focus on improving your child’s ability to carry out activities of daily living. This can include tasks from basic self-care, such as eating, dressing and bathing, to more complex tasks such as cooking, writing, driving, community activities and preparation for return to school and other life roles. Occupational therapy involves work on muscle tone and flexibility (especially affecting the arms and hands), fine motor coordination, visual and perceptual skills and the ability to pull it all together to perform functional tasks.

Speech-language pathologist – Speech-language therapy will focus on all areas of communication, including your child’s ability to understand others and to express ideas clearly through vocal speech or specialized communication devices or technology. The speech-language pathologist also evaluates and treats swallowing and voice dysfunction and builds cognitive skills, such as attention, memory, problem-solving and organization. This helps your child at home, in school and in the community.

Care manager – This person serves as the primary contact person for your family. He or she will be a resource for your family to help with education and identifying other community resources and support for your child. The care manager assists with the coordination of communication between your family, therapists, physician, insurance case managers, school personnel and other involved agencies. The care manager also provides social support to family members through transitional periods, such as return to home from hospitalization and preparation for return to school.

Psychologist – This professional offers individual counseling and support to your child to promote effective coping with illness, injury and the rehabilitation process. He or she also helps manage any behavioral or emotional difficulties that may interfere with your child’s ability to achieve his or her full potential at home, school or in the community.

Administrative assistant – This person manages all patient therapy appointments for the program. All communication regarding therapy appointments is handled through the administrative assistant.

What if I have a scheduling conflict that affects my child's ability to attend therapy?

While regular attendance is very important, we understand that conflicts can arise with your child’s other medical appointments (such as appointments with specialists). When this happens we ask that you call at least two days prior to notify us of the need to cancel a therapy appointment.

Cancellation of a scheduled appointment after the scheduled start time of that appointment is considered a no-show appointment. Two no-show appointments may result in discharge from the program.

Frequent absences (cancellation or no-show) is problematic because it can interfere with your child’s continued progress. A pattern of frequently missed appointments (cancellation or no-show) may result in discharge from the program.