Community Rehabilitation Program Participation Criteria

In order for an individual to safely participate in Peter’s Place Community Rehabilitation Program, the individual must meet the following criteria:

  • Be 18 years old or older;

  • Be a resident of Nova Scotia with a valid MSI card;

  • Provide medical documentation confirming diagnosis of an acquired brain injury by physician or nurse practitioner;

  • Does not present a harm to themselves or others;

  • Have some insight into their injury;

  • Be medically stable;

  • Be independently mobile with or without aids or with 1-person transfer with aids;

  • Demonstrates sufficient expressive and receptive communication skills (with or without aids) to participate and benefit from the program;

  • Acknowledges changes that have resulted from the acquired brain injury and is motivated to work towards goals for greater independence ;

  • Has an identified support system that is viable and sustainable;

  • Is willing to participate in a standardized assessment to determine level of support requirements and program goals;

Name *
Name
Address
Address
Relationship to client:
Was this injury / event work related?
Nature / type of Injury / event
Is the client aware of deficits or changes which have occurred since the injury?
Home Living Situation
Accommodation
Previous history of ABI?
Pre-injury history of substance abuse
Current substance abuse
Previous psychiatric history
Seizures
List current medications and dosage