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Traumatic Brain Injury Program

Traumatic Brain Injury Outpatient Rehabilitation Program

Craig Hospital provides a comprehensive system of care for patients with brain injury- from the initial days after injury, through inpatient and outpatient treatment, home and community based services, and long term follow-up.  Craig Hospital's Brain Injury (BI) Outpatient Rehabilitation Program is an individualized program that is uniquely designed and delivered for each patient based on medical, functional, and clinical needs.  Most of our patients in the BI Outpatient Program have experienced a traumatic brain injury (TBI), but on a case-by-case basis we also treat young people who have other types of atypical acquired brain injury (ABI), such as cerebral vascular accidents (CVA), aneurysm, cerebral arteriovenous malformation (AVM), hypoxic ischemia, or anoxia.  The staff is experienced in treating adolescent and adults (16-65 typically) with moderate to severe brain injuries who may have medical, physical, cognitive, and linguistic challenges following their injury. 

Craig Hospital recognizes that a patient can continue recovery after discharge from inpatient rehabilitation.  The majority of patients in the Craig Hospital BI Outpatient Program are referred by the Craig Hospital Inpatient Rehabilitation team.  Outpatient treatment at Craig Hospital maintains the Continuum of Care from inpatient including the model of physician, clinical care manager and team management of the treatment program, team rounds, patient scheduling, setting goals, meeting time frames, patient-family-insurance conferences, and documentation.  Patients who were not inpatients at Craig Hospital may be accepted to the Craig Hospital BI Outpatient Rehabilitation Program on a case-by-case basis.

The Interdisciplinary Outpatient Team

Leading the Brain Injury team is Dr. Weintraub who has been the B.I. Medical Director since 1986.  He and his CNS physician partners provide rehabilitation management for the patient while in the Craig Hospital BI Outpatient Program partnered closely with a clinical care manager who provides assistance in patient and family counseling, education, accessing benefits, team coordination, planning for home, and advocacy.  A patient and family is also assigned to an interdisciplinary team of experienced clinicians which may include a rehabilitation nurse, neuropsychologist, speech and language pathologist, physical therapist, occupational therapist, therapeutic recreation specialist, school tutor, driving evaluator, dietician, community reintegration specialist, broad based medical consulting staff, insurance adjustor, and case manager. 

Craig Hospital's Model of Outpatient BI Rehabilitation

Initial evaluations are conducted by each team member and the patient, family, and clinicians establish an outpatient treatment plan with appropriate goals.  A treatment plan is built on an understanding of the patient's neurological diagnosis and prognosis, as well as the relationships between the injury and behavior.  The team, including the patient and family, continually review and adapt the treatment plan within the context of the patient's personality, goals, resources, environment, and the patient’s community.

Team rounds are held weekly to review a patient's progress and goals, and family conferences are held as needed.  Case planning and behavioral meetings are also held as indicated. Together this interdisciplinary team strives to maximize physical, cognitive, behavioral, and emotional functioning and to prevent/minimize chronic disability.

Reintegration into the community is the most commonly accepted outcome factor for successful rehabilitation. At Craig Hospital, the Outpatient team assists patients and families to build lifelong, self-sustaining strategies and supports, and focuses on the following functional goals:Self care

  • Functional Communication
  • Mobility at home and in the community
  • Employment
  • School
  • Homemaking/Child care
  • Independence
  • Time Management
  • Structured day
  • Safety/Consistency
  • Self Advocacy
  • Health and Fitness
  • Recreation and Socialization
  • Money Management
  • Transportation

"Craig to Community": Community Based Programs in Denver

For those who require a less vocationally-focused post-acute rehabilitation program, the BI Outpatient Team may recommend community-based programs that offer services and opportunities in such areas as recreation, the arts, and post-secondary education. By maintaining a close and effective liaison with these programs, Craig Hospital extends the breadth of its comprehensive Model System beyond the traditional rehabilitation program.

A few of the programs with which Craig Hospital has worked closely include: a choice of innovative day programs for people with adult-onset neurological disabilities; the college disability services; community recreation centers; outdoor education programs providing supported sports and recreational opportunities for people with disabilities; and state BI associations.

Other Communities: Regional and National

Some of our patients do not live in the Denver Metro area. They require an outpatient or community reintegration program in their home community. Craig Hospital's Clinical Care Managers and Community Reintegration Specialists provide referrals to programs and resources near the patient's home.

Craig Hospital has close working relationships with numerous regional and national residentially-based, transitional living and community reintegration programs for people with  brain injury. All of these programs strive to extend the Craig Hospital program by systematically reinforcing and improving skills necessary for self-reliance and advocacy within the individual's home and community.

Specialty Clinics and Services

Craig Hospital has the following specialty services available when appropriate based on individual patient needs:

  • Hand Clinic
  • Spasticity Management Clinic
  • Brace/Orthotic Clinic
  • Orthopedic Manual Physical Therapy
  • Light gait program
  • FES Bike
  • Neuro-Optometry "Vision" Clinic
  • Transportation Clinic/Driving Program
  • Swallowing evaluations
  • Urodynamics
  • Skin Clinic
  • Wheelchair Seating Clinic
  • Adaptive Technology Lab
  • Rehabilitation Engineering
  • Pool Therapy

In addition, Craig Hospital refers patients to the following:

  • Balance clinics
  • Movement Disorder Clinic
  • Gait Lab
  • Smell and Taste Disorder Clinic
  • Work Hardening Program
  • Adapted Sports and Recreation Programs
  • Equestrian programs
  • Alternative Therapies- Massage, Acupuncture, etc..

Outpatient BI Re-Evaluation and New Patient Evaluations

When warranted and appropriate, previous Craig Hospital inpatients and outpatients may return to Craig Hospital for a re-evaluation in response to specific questions or needs that may have arisen, such as medical changes, improvements or changes in function, aging of family caregivers, need for new equipment, etc.  The Craig Hospital BI Outpatient Team has significant experience in providing valuable problem-solving strategies and recommendations for patients and families within their home and community environments.

Evaluations for outpatients with brain injury who are new to Craig are considered on a case-by-case basis. Typically such evaluations are considered for persons who require evaluations by all members of the interdisciplinary team. 

Families and patients, providers, case managers, etc. wishing to schedule an outpatient BI evaluation should contact our Outpatient Intake Coordinator at 303-789-8474 for further information.