What is acquired brain injury?
Acquired Brain Injury or ABI refers to some kind of damage to the brain occurring after birth. Among the most common causes for these injuries are trauma (car accidents, falls or violence), lack of oxygen or blood flow to the brain (hypoxia/ischemia), stroke, infection, toxins and substance abuse. An ABI may affect thinking, communication, behavior and/or physical capabilities. ABI can also can result in difficulties with one’s ability to live independently, function in relationships, work and/or drive.
What is Transitional Neurorehabilitation?
Transitional Neurorehabilitation is a program that involves care geared to clients whose goal is to reintegrate to home and to the community at large. Costs will vary depending on type of program, medical complexity, and recommended therapeutic services, among other factors.
What is Long Term Supported Living?
Long Term Supported Living is designed for clients who reach a stable neurological and functional state but cannot return to independent community based living due to complex medical, cognitive, behavioral or physical challenges and/or personal/family issues as the most common reasons. These clients should be treated with an emphasis on maintaining neuromedical, neurocognitive and neurobehavioral stability and optimizing quality of life. Care should be provided in the least restrictive environment possible with the goal of optimizing social interactions and opportunities, as well as, increasing community based activities. Costs will be dependent on the client’s specific needs for staffing and ongoing care.
What are the Tree of Life admission criteria?
The potential client must meet our medical (including behavioral) stability criteria, be at least 18 years of age, and as appropriate, have a discharge disposition in place if a transitional candidate and an identified payor source who has agreed to the financial terms of the admission.
For a more detailed answer, see Admissions and Discharge Criteria.
How is the Tree of Life Services program funded?
The majority of our clients are funded through worker’s compensation or no-fault insurance, private monies, out-of-state (i.e. non-Virginia) Medicaid waivers and occasionally, commercial insurance. It has been our experience that commercial insurance generally does not pay for long term placements and only rarely for transitional neurorehabilitation services (and generally only for medical/rehabilitation services and not room and board).
How should I choose a program for my loved one or client/insured?
We encourage all persons looking at program choices to explore available programs prior to making any decision on placement. We encourage you to tour any program being considered if you are not already familiar with it or the practitioners that will be caring for the client with ABI. When you visit go with a list of questions and take notes so you can compare programs later on prior to making a final decision on placement. Ask for references from other families or providers when exploring program options.
All factors should be considered when making choices about placement including expertise, clinical staff availability, consistency of staffing, facility environment (institutional versus home-like), facility features (i.e. onsite chef, pool, rehabilitation equipment), cost, levels of care surveillance and community access, among other factors.
How should I assess program costs relative to other programs?
Examine whether costs are segregated versus bundled and if the latter what specifically is included. Most programs do not bundle neuropsychological and/or neurorehabilitation medical services. Bundled charges generally provide more cost efficacy to the party paying for the treatment but there can be large variance in bundled per diem (daily) charges as well as what services are included in the bundled charge.
How to make a referral for admission to Tree of Life?
We accept referrals from case managers, hospital discharge planners, health care practitioners, insurance companies, lawyers, and families, among other sources. We are happy to discuss any potential referral by phone or e-mail.
We always request pertinent medical records to review prior to making admission recommendations and may request an onsite evaluation. We are also happy to provide tours of our program and arrange on site meetings with families and/or potential referral sources to facilitate the referral decision making process.