Pediatric Rehabilitation Continuum
Kennedy Krieger Institute, 707 N. Broadway, Baltimore, MD 21205
The Rehabilitation Continuum of Care (RCC) provides comprehensive interdisciplinary rehabilitation services to children and adolescents with brain injuries, spinal cord injuries, cerebral palsy (primarily post orthopedic surgery) and other neurodevelopmental disabilities. Over 300 patients are served annually by the rehabilitation staff.
The Rehabilitation Continuum of Care is directed by a pediatric physiatrist and includes four levels of services:
The Rehabilitation Continuum of Care is accredited by both the Commission on Accreditation of Rehabilitation Facilities (CARF) and the Joint Commission on Accreditation of Hospital Organizations (TJC) and an active member and supporter of the Brain Injury Association of Maryland, Inc. (BIAM). The RCC's Brain Injury program, established in 1979, was the first CARF accredited Pediatric Brain Injury Program in Maryland.
The Rehabilitation Continuum of Care utilizes WeeFIM, a national pediatric rehabilitation functional outcome scale, as well as more specific outcomes scales developed at KKI. Critical evaluation of 3 years of Brain Injury outcome data shows that use of the alternative acute rehab programs within the continuum (STP and H&C) reduces inpatient length of stay (37.9 vs 28.6 days) and results in improved outcome at discharge (WeeFIM 84.5 vs 102, p=.001). Additionally, 10.2% of children needing acute, intense, coordinated, interdisciplinary rehabilitation were able to completely avoid expensive inpatient rehabilitation, and have their needs met in the alternative programs within the Continuum.
The needs of patients referred to the Rehabilitation Continuum of Care are reviewed by the clinical care manager and physician with input from the family and patient to determine the most appropriate continuum setting and level of care. The overall rehabilitation goal is to assist the child to be as functional as possible in their home, school and community setting. After discharge, follow-up services are provided for ongoing support.
The Rehabilitation Continuum of Care is directed by a pediatric physiatrist and includes four levels of services:
- Pediatric Rehabilitation Unit (PRU)
- Fairmount Rehabilitation Programs
- Pediatric Rehabilitation Clinic
The Rehabilitation Continuum of Care is accredited by both the Commission on Accreditation of Rehabilitation Facilities (CARF) and the Joint Commission on Accreditation of Hospital Organizations (TJC) and an active member and supporter of the Brain Injury Association of Maryland, Inc. (BIAM). The RCC's Brain Injury program, established in 1979, was the first CARF accredited Pediatric Brain Injury Program in Maryland.
The Rehabilitation Continuum of Care utilizes WeeFIM, a national pediatric rehabilitation functional outcome scale, as well as more specific outcomes scales developed at KKI. Critical evaluation of 3 years of Brain Injury outcome data shows that use of the alternative acute rehab programs within the continuum (STP and H&C) reduces inpatient length of stay (37.9 vs 28.6 days) and results in improved outcome at discharge (WeeFIM 84.5 vs 102, p=.001). Additionally, 10.2% of children needing acute, intense, coordinated, interdisciplinary rehabilitation were able to completely avoid expensive inpatient rehabilitation, and have their needs met in the alternative programs within the Continuum.
The needs of patients referred to the Rehabilitation Continuum of Care are reviewed by the clinical care manager and physician with input from the family and patient to determine the most appropriate continuum setting and level of care. The overall rehabilitation goal is to assist the child to be as functional as possible in their home, school and community setting. After discharge, follow-up services are provided for ongoing support.
·Assistive Technology Clinic
·Ataxia Telangiectasia Clinic
·Audiology Clinic
·Behavior Management Clinic (BMC)
·Botulinum Toxin Treatment Program
·Cerebral Palsy and Neurodevelopmental Medicine Center
·Clinical Neurophysiology Clinic
·Community Rehabilitation Program
·Feeding Disorders Clinic
·Movement Disorders Program (MDP)
·Neurobehavioral Outpatient Clinic
·Neuropsychology and Developmental Psychology Clinic
·Nutrition Outpatient Program
·Occupational Therapy Clinic
·Orthopedic Outpatient Clinic
·Osteogenesis Imperfecta Clinic
·Outpatient Psychiatry Clinic
·Pediatric Rehabilitation Clinic
·Pediatric Rehabilitation Continuum
·Pediatric Rehabilitation Unit (PRU)
·Physical Therapy Clinic
·Social Work Outpatient Mental Health Program
·Specialized Health Needs Interagency Collaboration (SHNIC)
·Speech and Language Outpatient Clinic
·Therapeutic Foster Care
·Ataxia Telangiectasia Clinic
·Audiology Clinic
·Behavior Management Clinic (BMC)
·Botulinum Toxin Treatment Program
·Cerebral Palsy and Neurodevelopmental Medicine Center
·Clinical Neurophysiology Clinic
·Community Rehabilitation Program
·Feeding Disorders Clinic
·Movement Disorders Program (MDP)
·Neurobehavioral Outpatient Clinic
·Neuropsychology and Developmental Psychology Clinic
·Nutrition Outpatient Program
·Occupational Therapy Clinic
·Orthopedic Outpatient Clinic
·Osteogenesis Imperfecta Clinic
·Outpatient Psychiatry Clinic
·Pediatric Rehabilitation Clinic
·Pediatric Rehabilitation Continuum
·Pediatric Rehabilitation Unit (PRU)
·Physical Therapy Clinic
·Social Work Outpatient Mental Health Program
·Specialized Health Needs Interagency Collaboration (SHNIC)
·Speech and Language Outpatient Clinic
·Therapeutic Foster Care
·Hospital-based Programs
·Kennedy Krieger School: Fairmount Campus
(Grades Pre-K through 8)
·Kennedy Krieger School: Greenspring Campus - High School Career and Technology Center Program
·Kennedy Krieger School: Fairmount Campus
(Grades Pre-K through 8)
·Kennedy Krieger School: Greenspring Campus - High School Career and Technology Center Program
·Cerebral Palsy and Other Movement Disorders Research
·Neurobehavioral Research Unit (NBRU)
·Rehabilitation Research
·Traumatic and Environmental Brain Disorders Research
·Neurobehavioral Research Unit (NBRU)
·Rehabilitation Research
·Traumatic and Environmental Brain Disorders Research
The Resource Finder: A Project of Kennedy Krieger Institute
Brain Injury Association
(http://www.BIAUSA.org)
Brain Injury Association of Maryland
(http://www.BIAMD.org)
Spinal Cord Injury Hotline
(http://www.SCIHotline.org)
A-T Children's Project
(www.atcp.org)
The Ataxia Telangiectasia Children’s Project
(http://www.ATCP.org)
Outpatient Programs l Inpatient Programs l Community Programs l
Continuums l Genetic Laboratories l Clinical Disciplines/Depts.
Brain Injury Association
(http://www.BIAUSA.org)
Brain Injury Association of Maryland
(http://www.BIAMD.org)
Spinal Cord Injury Hotline
(http://www.SCIHotline.org)
A-T Children's Project
(www.atcp.org)
The Ataxia Telangiectasia Children’s Project
(http://www.ATCP.org)
Continuums l Genetic Laboratories l Clinical Disciplines/Depts.