The treatment model at Pate Rehabilitation attempts to improve functional abilities in a way that creates optimal outcomes both at the treatment facility and at the patient’s home or work environments. By treating patients’ functional impairments in various settings, which closely resemble the environment in which they plan to use their skills, we help patients find success outside of the clinical setting.
To monitor success and encourage progress at Pate, we’ve developed our own unique systematic assessment program called PERPOS (Pate Environmentally Relevant Program Outcome System). It accurately and precisely measures an individual’s distraction and structure tolerance. By understanding this tolerance, we are able to gradually increase the complexity of the environment to mimic an individual’s eventual real-world experiences.
PERPOS measures these elements, and this information informs therapists how well patients perform functional activities within different environments. Our clinical teams monitor patients’ abilities, distraction tolerance, and need for structure on a biweekly basis and they frequently adjust treatment goals accordingly to better assist patients’ ability to return to their home and work environments.
Our on-staff behavioral and rehabilitation psychologists and neuropsychologists are integral members of our interdisciplinary clinical teams, and are fundamental to the assessment and personalized plan development for each patient. They understand how the structure and function of the brain relates to specific psychological processes, like memory, critical thinking and judgment, and how those processes may affect behavior.
They guide the assessment of progress, making sure each team member keeps the whole person in mind – including his or her interests, profession or work history, and hobbies—and adjusts the treatment plan for individual needs so that the person can thrive in the real world. We’ve provided some examples to showcase the importance of having these highly trained and experienced professionals on staff as an integral part of the patient’s therapy program.
IMPORTANCE OF ENVIRONMENT
The treatment model at Pate Rehabilitation attempts to improve functional abilities in a way that maximizes transfer of gains made at the treatment facility to the patient’s home or work environments. Maximum transfer of functional improvement to their environments occurs by treating patients’ functional impairments in various settings that closely resemble the environment in which they plan to use their skills.
The level of distraction and amount of structure present in each patient’s environment are the core elements of our treatment approach. The PERPOS measures these elements, and this information informs therapists how well patients perform functional activities within different environments. Our treatment teams monitor patients’ abilities, distraction tolerance, and need for structure on a biweekly basis and they frequently adjust treatment goals accordingly to better assist patients’ ability to return to their home and work environments.
How We Use PERPOS Information
- Forecasting effective length of stay
- Therapists’ treatment planning
- Justification of progress to payor
- Patient insight development
- Progress monitoring (data bi-weekly)
Our process of evaluation begins with a thorough preliminary assessment of the patient to determine individual goals, and culminates in a plan that helps patients prepare for the next step in their lives, whether it’s transitioning into the workplace or moving home to live with family. Our comprehensive PERPOS assessment program ensures each patient receives the very best treatment and results. To this end, our approach is a phased one:
- Preliminary Assessment
Every good relationship is built on trust and understanding—when a clinical liaison from Pate meets with a prospective patient and their family for the first time, that’s our primary focus. We will talk directly with the patient, his or her family, and any other appropriate professionals involved in the patient’s care. We will work to understand the patient’s needs, goals and expectations to design a realistic treatment plan. By getting to know the patient personally, we make an informed recommendation for placement into the appropriate treatment program and team. We then assemble the best team of specialists for each patient, making sure the family is an integral part of that team.
Using our PERPOS scale, our clinical team assesses each patient to determine his or her individual needs. Areas evaluated during the first week of treatment are speech, self-care, physical/motor and cognitive abilities, followed by a functional assessment of daily life skills.
PERPOS is a measurement tool that focuses on the complex interactions of the environment and ability. It is comprised of:
- amount of structure needed
- distraction tolerated
- overall functioning/deficit
During the first week of treatment, we will evaluate:
- physical/motor and cognitive abilities
- daily life skills.
Lower PERPOS scores represent a greater degree of impairment, while higher scores represent a lesser degree of impairment. These scores are determined during bi-weekly treatment team meetings, which include neuropsychologists, physical therapists, occupational therapists, speech language pathologists, case managers and other members of the clinical team. This approach accurately and precisely measures an individual’s distraction and structure tolerance and culminates in a plan that helps patients prepare for the next step in their lives.