Your Team Members
At Origami, a team of professionals works together with each client and their family to coordinate care, set goals and track progress. This is called an interdisciplinary approach to client care. Each team is led by an attending physician. Clients may also have other consulting doctors that will guide specific aspects of care.
The client and family are an important part of the team. Each team member has a primary role, but we ﬁnd that many of these roles overlap. This allows clients and their family to have more opportunities to practice skills that have been learned and we make sure all the bases of a client’s care are covered.
An attending physician who directs client care. They identify problems, prescribe medication and other treatment services. The physiatrist focuses on restoration of the body and mind after trauma has occurred. In some cases the restoration is ongoing and the goal is to teach clients how to live and cope with the effects of pain or lack of function, and lead a full and productive life to the greatest extent possible. The physiatrist also will help establish rehabilitation goals, plan the discharge and approve any equipment a client will need after discharge.
These are physicians who specialize in the evaluation and management of cognitive and behavioral aspects of traumatic brain injury. They will assist clients in identifying necessary services that will assist with recovery as well as establish a medication regimen if appropriate.
These professionals help clients and those important to them cope with feelings related to the many life changes that are caused by injury or illness. This is accomplished through individual, group, and family counseling.
Helping connect the many aspects of the recovery process while considering the goals, desires, lifestyle, relationships, education and work history, and financial background of each client is the role of the Social Worker. These professionals identify the resources clients need within the community during rehabilitation and after discharge.
A Care Coordinator assures that the services needed to address the needs and expectations of a client within the limits of available resources are met. The Care Coordinator informs the client's insurance company or case manager of progress, helps plan the next each stage of rehabilitation, talks with clients about personal and/or family concerns, schedules family training and therapy, helps problem-solve and serves as a family’s main point of contact.
Our nurses are specially trained in the treatment of brain injury and are assigned to take care of clients in the Residential Program. They help guide medical treatment plans, manage medication, skin care, bowel and bladder programs, and address any pain a client may be experiencing. A nurse will also evaluate health education needs and meet with clients and their family to discuss the injury.
Patient Care Technicians (PCT)
PCTs are available 24 hours/7 days a week providing medication oversight and assistance as well as additional medical care as needed under the guidance and supervision of a Registered Nurse.
Living Skills Staff (LSS)
A LSS is a specially trained staff member in our Residential Program. A LSS will help clients manage their day by assisting with meals, dressing, bathing, and getting to appointments. Depending on training and experience, an LSS may carry the designation of Coach, Advisor, or Specialist.
Occupational Therapists (OT)
These therapists will look at how much strength and feeling a client has, focusing mostly on the arms, hands and trunk. Then, they will work with clients to regain daily living skills such as eating, grooming, dressing, driving and job performance. Depending on a client’s diagnosis, an OT may also teach clients how to provide bowel or bladder care. Clients will begin an exercise program to help with those skills.
Clients may also work on visual and cognitive skills with an OT. An OT may also assist with equipment needs, computer access, return to driving plan and home safety recommendations according to the physical or cognitive needs of each individual. An OT may also work with to decrease any pain that may be experienced.
Certified Occupational Therapist Assistants (COTA)
These assistants work under the direction of an OT and may also work with clients to regain the ability to perform the skills listed above. They may help work on memory skills or sequencing, activities of daily living, strength and movement.
Speech Language Pathologists (SLP)
Clients who have memory, concentration, and language problems may work with a SLP. They may assist with daily skills such as organization and planning activities. If the client has an artificial airway, the SLP may also help teach them how to talk on their own or with a special device. An SLP may perform tests to determine the cause of any hearing, chewing and swallowing problems and design treatment programs to help address these difficulties. The SLP will work closely with the dietician to make food choices if there are restrictions because of swallowing problems.
Physical Therapists (PT)
These therapists will begin an exercise and therapy plan after evaluating movement, balance, muscle strength and pain. Clients may work on regaining functional independence so they can move from place to place, either in a wheelchair or by walking. As appropriate, clients may also learn how to get in and out of bed, in and out of appropriate transportation, such as a van or car, and how to move around a bathroom or kitchen.
A PT also works with clients and their family or caregiver to see if the home needs to be modiﬁed for access and will help make decisions regarding equipment that may be needed, like a wheelchair, bed or walking aid.
Injury, coma, and surgery often have significant impact on nutritional status. A dietitian will assess the current nutritional status, provide recommendations for achieving optimal health, and monitor progress of the client throughout the rehab stay. In addition, the dietitian will provide education on topics such as maintaining a healthy body weight, role of ﬁber in the diet, prevention and treatment of skin wounds and diabetes.
Certified Therapeutic Recreation Specialist (CTRS)
A CTRS assesses leisure skill interests and helps discover ways to adapt these interests to a client's new lifestyle. They will also show clients how to minimize barriers in accessing the community; work on self-advocacy in the community and talk through issues that may make recovering individuals hesitant to return to previous activities. A CTRS may consult with a specialist in a client's area of interest such as gardening, sports, ﬁtness, art and dance. The specialists will further help you determine how to achieve your leisure goals.
Are you artistic? An Art Therapist will work with the CTRS and OT in evaluating if art is a treatment modality that could tap into the spiritual, creative, cognitive or leisure skills within your treatment plan.
These aides work under the direction of a therapist. They will assist clients with the transfer of skills learned in therapy to work, school, and home.
Vocational Services Specialists (VSS)
The VSS assists clients in meeting vocational and/or avocational goals such as employment, school, and volunteer work. They assess job skills, interests, and identify reasonable accommodations to help a client successfully return to productive activity.
Therapy Dogs (AAA/T)
Some of the most lovable team members we have are our therapy dogs. These warm, patient team members will work with clients on companionship, talking, walking, and general positive energy. Our therapy dogs have been instrumental in progress of people we serve. Meet a Therapy Dog…