Milieu-Based Neurorehabilitation at the Adult Day Hospital for Neurological Rehabilitation
The Adult Day Hospital for Neurological Rehabilitation (ADHNR) has been providing a milieu-based rehabilitation program for persons with acquired brain injury at the Barrow Neurological Institute in Phoenix, Arizona, since January 1986. The ADHNR program was initially implemented by George P. Prigatano, PhD and Pamela S. Klonoff, PhD, based on a similar program at Presbyterian Hospital in Oklahoma City that Dr. Prigatano directed from 1980 to 1985. The Neuropsychological Rehabilitation Program at Presbyterian Hospital in Oklahoma City was a milieu-based program that assisted patients in becoming aware and acceptant of the neuropsychological consequences of their injuries, improving their personal reactions to their injury, and obtaining employment commensurate with their abilities (Prigatano et al., 1986). Morning hours were devoted to the remediation of and compensation for changes in cognitive, personality, and physical functioning. As time passed, the program was modified to include a structured work experience in order to enhance the effects of therapy within a work setting. The program emphasized developing a good working alliance, not only with patients, but also with family members.
KeywordsTraumatic Brain Injury Rehabilitation Process Acquire Brain Injury Cognitive Remediation Community Outing
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