Specialty Services For Persons Served Who Have Experienced A Traumatic Brain Injury (TBI)

Our Program
On With Life uses a partnership approach with persons whom we are privileged to serve and their families/support system, in order to provide services that focus on providing a specialized, interdisciplinary, coordinated and outcomes-focused program. We focus on minimizing impairment, reducing activity limitations, maximizing quality of life, and preventing future traumatic brain injury, traumatic brain injury complications and co-morbidities.

Our Services
Our interventions focus on:

• Assessing and treating conditions related to TBI and its complications
• Identifying and reducing the risk factors for subsequent traumatic brain injury
• Maintaining medical stability
• Maximizing functional independence and performance
• Enhancing psychological and social coping and adaptation skills
• Promoting community integration and participation in life roles
• Providing services for families/support system
• Preventing secondary complications

We provide verbal and visual based education to persons served and their families about symptom clusters that are common. A family book is provided along with educational information related to traumatic brain injury. The symptom clusters/conditions specifically treated and addressed therapeutically and educationally include:

Our Team
Our traumatic brain injury team addresses prevention of co-morbid complications, deficiencies, deformities, infections, mood disturbances, pain and trauma. On With Life�s Internist Medical Director, Physical & Rehabilitation Medicine Medical Director, and Consulting Psychiatrist each have specific experience and expertise regarding traumatic brain injury and associated treatment. On With Life has a specialty niche, which is not found in most rehabilitation facilities in the country, in working with individuals who are in a coma or minimally responsive condition, including persons who have sustained such conditions as the result of a traumatic brain injury.

Our Outcomes
Our outcome management system focuses on specific outcomes for persons served with a diagnosis of traumatic brain injury. Outcomes relative to clinical effectiveness, program efficiency, and persons served/families, funders and referral sources are routinely analyzed and used to enhance our services. Here is information from fiscal year 2009 which ended on June 30, 2009:

• We served 27 persons who had experienced a traumatic brain injury.
• 20 were men and 7 were women.
• Their average length of stay was 92 days.
• Their average age was 39. Age range was 15-84.
• When they left On With Life, 12 went home, 9 went to a skilled nursing facility and 2 went to each of the settings of: Acute rehabilitation, residential facility, or �other� placement.
• We consistently measure the level of function that each person served has, from the beginning of their program throughout their stay, to the end of their stay and after the individual leaves On With Life:


- 95% of all persons served showed improvement
- Two out of three showed at least a 30% improvement
- The average percent improvement on functional outcomes measure was 28%.

• Our customer satisfaction surveys showed a 97% satisfaction rate as to our services.
• The average number of hours of therapy provided each work day to each person served was 3.2 core therapy hours. Total therapy hours, including Therapeutic Recreation, were 3.9 hours.
• On average, each individual reached 72% of his/her goals.