Outpatient Rehab Services allow individuals to participate in therapy sessions while maintaining daily responsibilities and obligations. This flexibility makes it an attractive option for those who may not have the time to commit to inpatient treatment.
Many outpatient facilities offer financial assistance options to offset the costs of therapy. These include payment plans and sliding scale fees based on income.
Occupational therapy (OT) helps you improve your ability to do everyday activities, such as bathing, dressing and eating. It also helps you manage symptoms from a health condition or injury.
A health care provider who specializes in OT provides treatment based on your unique goals and needs. They may work with you or your family to help you learn how to use assistive equipment or make modifications to your home to improve safety and accessibility.
Your therapist will assess your needs, perform tests and watch how you do certain activities at home or in the community to understand what challenges you face. Then they’ll teach you the skills you need to do these tasks and give you tools and resources to help you accomplish your goals.
These may include adaptive equipment, such as a wheelchair or a prosthetic limb. Or, they may suggest other modifications to your environment to improve safety and accessibility, like a ramp or grab bars in the shower. They’ll also teach you how to properly use these aids and show you the best ways to use them to maintain your independence.
In addition to helping you regain functional mobility, our OTs provide psychological support and teach healthy coping techniques. These techniques can help reduce stress and anxiety, which may be related to a chronic illness or injury. They also encourage regular physical activity to promote overall wellness and prevent further decline in mental health.
We offer a variety of specialized programs in outpatient rehabilitation that focus on specific conditions, such as stroke, cerebral palsy and ALS. We also provide a comprehensive program of geriatric outpatient rehabilitation, with special emphasis on pain management and improving quality of life.
We offer a full range of outpatient rehab services, including occupational, physical and speech therapy for adults and children of all ages. Our team of experienced health care providers, including board-certified physiatrists, physical and occupational therapists and speech-language pathologists, provides comprehensive, patient-centered care to help you achieve your recovery goals.
Speech Therapy
Many people who have serious illnesses, such as a stroke, experience difficulty communicating with others. As a result, they may require outpatient speech therapy services to help them regain their speech skills and improve their quality of life. A speech pathologist can offer a variety of treatments that help patients with language, cognitive and swallowing disorders.
Speech-language pathologists, more commonly known as speech therapists, are specially trained health care providers who assess and treat communication disorders in children and adults. Often, they work with patients in hospitals, nursing homes and assisted living facilities. In some cases, they travel to the patient’s home as part of a home healthcare program.
A speech disorder can be caused by illness, injury or the normal aging process. It can affect a person’s ability to speak, understand others and write. It can also cause problems with eating or drinking.
Treatment options for speech disorders include oral and throat exercises, such as smiling and blowing bubbles. They may also involve using picture books and talking about sounds, playing word games, or repeating words to help strengthen the muscles involved in speaking. In some cases, a speech therapist may prescribe gender-affirming voice therapy to help transgender individuals learn to produce sound in ways that align with their chosen gender.
Cognitive-communication disorders include difficulties in thinking and problem-solving, such as aphasia, which can occur after a stroke or brain injury. They can also help people who have trouble understanding spoken or written language, such as dysarthria or dysnomia, which can be due to illness or aging. Swallowing and oral feeding disorders can be caused by an accident or disease, such as Parkinson’s or oral cancer. They can be life-threatening, leading to malnutrition, aspiration and choking incidents.
The Medicare Part B Outpatient Rehabilitation coverage includes a yearly limit of $1,980 on physical and occupational therapy and Speech-Language Pathology services. Medicare can approve a request to exceed this cap if it is deemed medically necessary and documented appropriately. Some private insurance policies also cover this type of care. It is a good idea to consult your health insurance provider for more information.
Psychotherapy or Counseling
If you need help with mental health, like depression or anxiety, rehab programs can provide therapy that helps you notice and change negative patterns of thinking so you feel better. Psychologists, psychiatrists and counselors can offer you a wide variety of options to treat your condition, including individual psychotherapy, group psychotherapy and family therapy.
Inpatient short term rehab programs provide a more intensive level of care than outpatient services. They typically provide a minimum of three hours of physical, occupational and speech rehabilitation daily, plus access to 24-hour medical/nursing care. During an inpatient stay, patients will receive a thorough evaluation to ensure individualized treatment, and they’ll be able to work on rehabilitation goals while in a supervised setting.
While inpatient rehabilitation can be a good option, it’s not right for everyone. Some people need to be in a safe place to take care of themselves after an accident, illness or other medical event because their impairments make it impractical or unsafe for them to live independently. Others may need to address emotional issues that triggered a behavioral response, like self-injury or suicidal thoughts. In these cases, inpatient rehab is the best choice for safety and a successful recovery.
Residential or inpatient rehab is the highest level of care available, but not everybody needs this kind of care. If you need a high level of therapeutic support but you’re not unable to function without it, outpatient treatment might be a good option. Outpatient programs allow you to attend sessions during the day or evening, so you can still go to work or school and meet your other responsibilities.
Intensive outpatient rehab (IOPs) are a step down from residential care or partial hospitalization. These programs are offered at hospitals or private rehabilitation facilities and typically provide a more structured schedule of treatment. During an IOP program, you’ll likely meet with your therapist several times a week for one-on-one sessions that last 30 to 60 minutes. Some IOPs also incorporate group therapy to help you build a supportive community. This type of support can be helpful during recovery because it can help you connect with peers who are going through similar experiences and learn from their successes.
Continuing Care
Continuing care services are a combination of health, personal, and social services provided over a long period. These services are intended to help people stay active and engaged in recovery from a serious illness, or to prevent the onset of a crisis. They may be delivered in a variety of settings, including nursing facilities and homes, community programs, assisted living, respite care, adult day care centers, senior housing and managed long term care plans.
Despite their proven effectiveness, it remains unclear why so few patients engage in standard continuing care interventions. This lack of engagement is likely due to high variability in response and within-patient differences in treatment responsiveness over time. Variability in response to these treatments could reflect differences in pretreatment substance use severity, co-occurring problems, motivation, or treatment preferences.
A number of studies have attempted to increase the participation rates in ongoing therapy services through various means, including behavioral incentives and varying the duration of sessions. For example, Chutuape and colleagues randomized patients who completed a brief inpatient detoxification to one of three conditions: standard referral to continuing care, standard referral plus an incentive to complete the ongoing treatment intake procedure ($13), or standard referral with incentives and a staff escort to the ongoing care program. Rates of completion of continued care were nearly twice as high in the structured continuing care condition compared to controls. This study also found that participants who attended a greater percentage of planned sessions experienced one-third the rate of uncontrolled use of the primary drug of abuse compared to those in the control condition.
Other researchers have used a similar approach, though with somewhat less success. Foote and Erfurt (2003) studied patients who had completed residential/inpatient or intensive outpatient treatment for alcohol dependence. They randomly assigned some patients to a structured group-based continuing care intervention based on the Gorski model, which is an adaptation of cognitive-behavioral relapse prevention. Those in the group-based continuing care condition attended about half of the scheduled meetings. However, they still experienced only a small reduction in the rate of uncontrolled alcohol use compared to a control group that did not attend any of the planned meetings.