Community Integration Program

KNR 279

Community Integration Program (CIP) Missy Armstrong & Sara Lauzen (1994) Harborview Medical Center

Seattle, WA Level 1 Trauma Center Recognized that community integration was

necessary in rehab process TRS considered community experts

SCI, TBI, Strokes (adults) Also psy., MR/DD, geriatric, peds.

Community Integration Program (CIP) TR Program

Functional Activities Leisure Education Community Integration Recreation Participation

Book ($50) Assessments/documentation Tx. Protocols

• How modify Can make copies after buy book

Community Integration Program (CIP)

burlingame & BlaschkoKnowledge & skills using community

resources (Leisure Education) Armstrong & Lauzen

Good usability• Billable status

Community Integration Program (CIP) Reliability & validity

Not reported BUT Started work in 1978 Sent to any program in US or Canada that

requested & got feedback from experts 1st edition: 1980 Revised to 8th grade reading level Review of literature Smith-Armstrong study CONTENT validity!!!!!

Community Integration Program (CIP) 3 basic steps in CIP

Pretest (walk/talk steps before do) Field test (demonstrate skills in community) Posttest

Smith-Armstrong study SCI better in pretest than field test TBI better in community than pretest

WHY?????

Community Integration Program (CIP)

Book has 3 sectionsSECTION 1Background & pre-use information

• CTRS proficiency checklist (p. 45)• Info about disability• Equipment & supply list• Documentation & assessments

Community Integration Program (CIP) Section 2

Treatment protocols C/B individual or group Recommend 7-10 modules Use 3-5 for abbreviated length of stay All have:

• Prearrangements before outing• Transportation• Accessibility• Emergency/safety• Equipment

Community Integration Program (CIP) 6 Domains (* = 6/17 used with most pts.)

Community environment• Environmental safety• Emergency preparedness• Basic survival skills

Cultural activities• Theatre (*)• Restaurant(*)• Library• Sporting event

Community Integration Program (CIP) Community activity

Shopping mall Grocery store (*) Downtown (*) Bank Laundromat

Physical Activities Aquatics(*) W/C sports Leisure activities

Community Integration Program (CIP) Transportation

Personal Taxi Train Air travel City bus (*) Bus station

Independent Activities Pt. Directed Group

Section 3: ADA & legislative information

Community Integration Program (CIP)

AssessmentInterviews, chart review,

multidisciplinary team, family2 types scoring (plus minus, FIM)Initial screening

• Referral from doctor• Ready to receive TR services?

Intake assessment

Community Integration Program (CIP)

AssessmentParticipate in in-house act. before CIP

• Tolerance to activity, W/C use, pain mgmt

PretestField trialPosttest

Community Integration Program (CIP)

Strengths?

Weaknesses?

How improve?