How is Pate Different?

Mary Ellen Hayden
Dr. Hayden

We understand brain injuries and stroke on two levels. Pate Rehabilitation was founded more than 30 years ago by neuropsychologist Dr. Mary Ellen Hayden following the death of her son due to a brain injury.

Rehabilitation is not just a professional calling for us, it’s also deeply personal.

In addition to pioneering a new treatment model for brain injuries, creating multi-disciplinary teams and innovative programs, we are tireless advocates for brain injury treatment and research. This experience and activism for our patients makes Pate an ideal place for recovery.

Pate offers:



Unique Treatment Model


As CARF accredited brain injury and stroke treatment centers, Pate uses the latest research and practices in its programs. It also offers an innovative therapy method created by its founder Dr. Hayden.

For decades, rehabilitation facilities throughout the country demonstrated significant improvements in functioning within the clinical setting but people were often unable to transfer those gains to their home and workplace. Dr. Hayden observed that patients who responded well to high distractions/low structure settings had the best outcomes. She had the pioneering insight that the clinical environment itself seemed to impact success.

Dr. Hayden created a way to modify the rehabilitation environment throughout a patient’s rehabilitation, steadily increasing its complexity and reducing its structure, to build independence by making the treatment floor better resemble the real world.

Dr. Hayden’s one-of-a-kind, validated assessment tool (PERPOS) allows Pate therapists to measure levels of distraction and structure in given environment and the patient’s tolerances. Using her tool, therapists modify the environment therapeutically over time and track the patient’s progress. The PERPOS has been validated by the peer-reviewed journal NeuroRehabilitation and it’s part of Pate’s consistently successful outcomes.

Our treatment teams monitor abilities, distraction tolerance, and need for structure on a biweekly basis and they frequently adjust treatment goals accordingly to better assist a person’s ability to return to their home and work environments.





armeo spring roboticPate offers many different treatment therapies to encompass all the deficits that brain injuries can cause. Beyond changes in physical capabilities, people often experience changes in mood or personality, thinking or stress tolerance. Our therapies offer a holistic approach, and personalized program for recovery.

Therapies are focused on returning functionality that the individual will need when they return to their life in the real world. We also help patients with skills that matter to them, the ones that make life richer, such as relearning how to woodworkbeing able to crochet again or play guitar. 

Favorite activities are often incorporated in treatment. It helps make rehabilitation more enjoyable while providing the training people need in what matters to them most. Our goal is to help people regain that beloved hobby or capability that has been affected by their injury.  This is what we would expect for our own family members.



Programs for Every Need


Every brain injury is unique. We don’t provide one-size-fits-all treatment. Pate provides care for all levels of injuries and every person’s treatment plan is different.

Our programs serve people across the spectrum of predicted outcomes.

Transportation to treatment is provided for outpatients because we believe you shouldn’t have to think about logistical hassles during this important time.



Diverse Team Members


gait harness on treadmillOur approach is transdisciplinary, meaning many professionals will be involved in your loved one’s care. 

The team’s goal is to make each person as independent as possible, at the highest functional level they can achieve.  Our transdisciplinary approach means a panel of professionals oversees treatment. Teams include:

  • Neuropsychologists
  • Speech-language pathologists
  • Physical therapists
  • Vocational rehabilitation counselors
  • Occupational therapists
  • Psychotherapists
  • PM & R Physicians
  • Nurses
  • Program managers
  • Case managers
  • Biofeedback therapist
  • Rehabilitation technicians
  • Bilingual treatment professionals and cultural adaptations
  • Driver rehabilitation specialist





How do we do it? Pate uses proven technologies at the cutting edge of treatment including robotics like Armeo Spring and ReoGo and computerized technologies like LiteGait. 

Watch a video to see what we do and some of the equipment we use.  



Preparation for Real Life Settings


Everyday tasks like shopping
Everyday tasks like shopping

By treating impairments in settings which closely resemble the environment in which people plan to use their skills, we help individuals with brain injury find success outside of the clinical setting.

Success in the clinic doesn’t automatically transfer to the real world. Our approach is designed to reflect the patient’s actual home and work environments, the ones they will return to.  We ask patients what their specific goals are and design their treatment to achieve them, whether it’s returning to work, school or volunteer work they enjoy.

There are many real life tasks we take for granted that brain injury survivors must relearn. We’ve created life-like settings to practice in, like a mini grocery store.  Just a few of the other activities of daily living (everyday tasks) people work on include:

  • Bathing and dressing
  • Handling money
  • Using the computer
  • Cleaning house
  • Cooking meals
  • Setting the table
  • Ordering from a menu

Before a person discharges from rehabilitation, we often go onsite to their home or workplace to evaluate the spaces and recommend possible accommodations to make life easier. These trips help us see the patient’s life which helps us further customize their treatment.



Our Own Research


brain research computerWe’re committed to not just treating brain injury patients, but actively seeking to improve all brain injury outcomes worldwide with our long history of in-house research.

Using outcome-oriented data collected over the last 20-years and through international collaborations, our clinicians and scientists are shaping brain injury rehabilitation’s future to improve lives.

Pate neuropsychologists are principal investigators on several studies trying to identify brain markers of recovery and treatment response using novel imaging techniques.

Our patients benefit from our collaboration with nationally recognized institutions and our investment in research to advance the treatment of brain injuries.



Neuropsychologist Supervision


Pate’s emphasis on neuropsychology is unique. Each Pate location is staffed with full-time neuropsychologists and we do our own neuropsychological testing rather than send it out as is often the case elsewhere. Neuropsychologists are experts in understanding how the structure and function of the brain relate to specific cognitive and physical processes including memory, ambulation, vision, executive functioning and speech production which may all impact an individual’s behavior. 

All treatment plans are supervised by psychologists and neuropsychologists who head our multi-disciplinary teams and set direction.





Pate provides a variety of psychological services at all locations, including neuropsychological testing and counseling.

Pate’s programs take into account emotions, personality, vocation and many other aspects in psychological support. Rehabilitation counselors treat brain injury adjustment issues which are very common, lead support groups and offer specialized counseling services to patients and their families:

  • Individual
  • Family
  • Couples
  • Substance abuse
  • Group
  • Support groups
  • Vocational




Maximum Treatment Hours Per Day


We offer every patient who is physically strong enough a full six hours of treatment per day during their rehab, exceeding the industry standard of four hours. We strongly believe this makes a difference. 




High Satisfaction with Treatment


satisfaction chartPatients feel strongly about how they are treated by our staff during rehabilitation. 98% say they were very satisfied, and were treated with dignity and respect.

Satisfaction surveys report  91% of patients and families say they would use Pate again if they or someone they loved needed our services.

We follow up with every patient and family to ask about their experience so we can continually improve. Read the latest testimonials and success stories.




Personalized, Meaningful Activities


wheelchair man finishes marathon
Pate staff with patient at Half Marathon

We design patient activities to be enjoyable as they build key skills at the same time. Maybe Tai Chi to help balance. Or flying a kite to work on fine motor skills.

For example, a recent patient loved to crochet but only had the use of one hand. That inspired her therapist to invent a crochet device so she could!

Another patient sent cookbooks to her family every year and didn’t want rehab to interrupt her tradition. So her therapists collected recipes from patients and staff. Patients helped assembled the printed recipes into books and then sold them for charity. Mission achieved!

Whether your main goal is regaining the ability to drive or walking in high heeled shoes, Pate therapists will learn what motivates you, help you achieve your goals, and celebrate with you when you do.

Pate doesn’t squeeze you into a treatment plan that may not fit, Pate molds the treatment plan around you. We not only take your brain injury into consideration, but also your lifestyle, your personality, your routine; your entire self.




Ongoing Education, Wellness and Prevention


Each treatment center offers an ongoing educational series with speakers on topics that matter to patients. Talks might cover common emotional responses following brain injury, basic brain anatomy and nutrition and wellness.

Our centers provide stroke educational centers that help people learn the lifestyle changes that can help them prevent another stroke, a specific risk with strokes. Stroke recurrences are common.

We have also encouraged patients to teach classes using their own expertise. Whether it’s how to do your taxes, dancing or art, these classes are a hit with patients. The individual who teaches receives the pleasure of giving away their talent to peers and helps regain confidence. 



Patient Outings


Dallas Gardening

From our community gardening program to bowling or art gallery trips, there’s always plenty to do.

Outings might be a trip to the zoo or an arboretum or attending a cultural event. These help reintroduce people to the kinds of things they’ll do back at home and to social settings they’ll face. We love picnics, cookouts and ice cream socials, too. And of course our annual Holiday Parade.




Convenient Treatment Locations in North Texas


Many times the decision on rehabilitation center treatment is based on location. Proximity to loved ones is important to patients and their families. 

Our centers in Dallas, Ft. Worth (Watauga) and Anna, TX  (outside of McKinney) make treatment convenient for people inTexas, Oklahoma and Louisiana. Our residential centers (Irving, Ft. Worth) transport patients to treatment every day for residents. We also offer free pick up/drop off transportation for day neuro patients who live within a generous radius of our centers. This helps people who find transportation affects their choice of facility.




Funding Help


If you or your loved one are having trouble finding funding, we can help by connecting you with assistance programs that you may qualify for. Just ask us.  Texas law mandates treatment for brain injury and the state offers programs you may qualify for. 




Our Brinlee Creek Location


equine therapy at pateThis real Texas ranch north of Dallas is both a treatment and a residence center. Sprawling across many acres, Brinlee Creek is a certified wildlife habitat in a beautiful setting.

With residences for transitional living patients and a supported living program, it accommodates a variety of patients, including day neuro.

Life on the ranch allows patients with brain injuries to re-establish connection with the natural world and experience peaceful time that minimizes stress from the outside world. The ranch locations offers equine therapies as well as aquatic therapy. Families love to visit this center!



Our Pledge


A trusting relationship is a vital part of rehabilitation and your success. We’ll make you feel comfortable and encouraged by understanding your needs, interests, and personality.

We pledge to treat every patient with dignity and respect and earn their trust.




Collaborative Team Input


You can expect that your team will meet to discuss how you’re doing on a frequent basis. With a collaborative team approach, we’re able to closely monitor every aspect of rehabilitation. We can change course or make adjustments anytime.

This approach allows therapists to truly know the strengths and weaknesses of each person they work with, allowing them to facilitate the best treatment approach.

On our treatment floor, it is not uncommon to see a speech therapist encouraging someone to stand or walk while working on a language activity. Our commitment to collaboration means those who participate in the Pate program perform various activities simultaneously in various environments, making their transition back to home life easier.



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