Community-Based Program

The Community-Based Program fosters the use of retrained skills learned during treatment and discovering new ways of completing these skills within the least restrictive environment (i.e. home/apartment, work place, community). Based on the individual needs, there are two possible options with this program:

  • Semi-Independent Living (SIL) 
    Origami’s 6 private, onsite apartments offer a middle step between residential care and living in an independent location. Rehabilitation Aides offer support up to 5 hours per day.
  • Community Integration (CI) 
    Staff offer support in the home for up to 16 hours per week. Each person’s rehabilitation goals, support, and treatment interventions are specifically tailored for his/her environment. This allows for a more seamless return back into the community.

Program Admission Criteria

  • Male or female 18 years or older (ages 16-17 may be admitted with special consideration) with a primary diagnosis of brain injury*
  • Requires 5 hours or less of daily support for SIL; Requires less than 16 hours of support per week for CI.  Support may include basic and/or instrumental activities of daily living.
  • Transfers self with no more than modified independence
  • Medically stable, free from acute infection or fever
  • Does not require daily skilled nursing and does not require direct oversight of medical needs beyond the support provided by Care Coordination
  • Minimum Ranchos Los Amigos Levels 6/7
  • Engaged in, or actively pursuing productive activity including, but not limited to: work, school, vocational/avocational activity, or extensive rehabilitation 
  • Not a danger to self or others
  • Not actively engaged in substance abuse 
  • Secure source funding 

*Origami specializes in brain injury rehabilitation; however, is able to provide services to individuals with other neurological diagnoses as long as the established admission criteria are met.

Spinal cord injuries (SCIs) and amputations can only be a secondary diagnosis.

Specific etiology, injury level, completeness, and co-morbidities as it pertains to SCIs are delineated based on the individual's ability to meet the program's specific admission criteria. 

Program Discharge Criteria

  1. Treatment team’s assessment indicates that the individual has achieved a level of functional independence requiring limited support
  2. Individual’s behavior is not compatible with the program goals, group activities, or may prevent the progress of other participants
  3. Poses a risk or danger to self or others*
  4. Interruption to secure funding*
  5. Individual meets admission criteria of another program in the Origami continuum and may transition accordingly

*A discharge procedure will be followed ensuring the opportunity to access other appropriate resources