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PLUS Day Programs provide a comprehensive continuum of care. Individuals advance through Day Program levels based upon treatment team review of relevant history and current levels of cognitive behavioral and psychosocial functioning. Within each program level, participants are offered a combination of individual and group therapy, as well as retraining opportunities specifically designed to meet their personal rehabilitation needs.
Community Readiness
Individuals just discharged from acute rehabilitation hospitals after recently sustained brain injuries, and those who have been discharged from long-term inpatient programs, typically enter PLUS Day Programming at this level. The Community Readiness program emphasizes the reacquisition of cognitive, behavioral, social, and physical skills through extensive individual treatment sessions and small group activities. Individuals at this level may also begin the process of basic academic and prevocational retraining. For persons at the Community Readiness level, most of the treatment is spent at the PLUS Day Program.
Community Re-entry
Individuals at the Community Re-entry level have either demonstrated sufficient basic cognitive, behavioral, social, and physical skills, or have developed sufficient compensatory strategies in these areas, to begin the process of practicing these skills in real-life, real-time settings. For example: a person who has mastered basic math skills in the Community Readiness Program would put these skills to practical application in the Community Re-entry level by learning budgeting and banking skills. Likewise, a person who has mastered prevocational skills in the Community Readiness Program would begin the process of obtaining volunteer or paid supported employment in the Community Re-entry Program. The treatment day for people in this program is divided between individual and group therapeutic activities at a PLUS Day Program location and community based vocational, educational, and recreational activities.
Community Activities Program (CAP)
Individuals in CAP respond best to a schedule of high-interest, low-stimulus, hands-on activities with minimal transitions. Day Program based groups often last for several hours and are devoted to activities such as cooking, crafts, creative industrial arts, and cognitive games. Individual treatment sessions are geared either toward the acquisition of new cognitive, behavioral, social, and physical skills, or toward the maintenance of previously attained gains in these areas. Several times each week these individuals participate in community based recreational activities such as bowling and community service activities such as volunteering at the local food bank.
Independent Program
Individuals residing in their own homes or in a PLUS Independent Living Program are often involved in busy schedules of community based vocational, educational, and social activities. These people no longer require an organized Day Program, although they may continue to benefit from individual and group sessions specific to their present rehabilitative needs. PLUS treatment teams work with these individuals to develop highly individualized schedules of therapy "appointments" in a PLUS Day Program that fits into their busy and productive lives. Persons at the Independent Level are expected to arrange their own transportation to and from their PLUS appointments, just as they would for other community based activities.
