Treatment

Did you know? Concussion and brain injury care in a hospital would involve an occupational therapist.  90% of persons who have sustained a brain injury/concussion and 86.7% of individuals who sustained a stroke present with vision, dizziness and memory problems. You need OT rehabilitation to recover your visual, cognitive and vestibular function!

OT treatment can successfully eliminate concussion symptoms like light sensitivity, dizziness, nausea and vision issues, clumsiness/falls, and more. OT neuro and vision rehabilitation targets visual perceptual, vestibular, oculomotor, sensory re-integration, visual cognition, physical and motor coordination skills and abilities in a functional context. People completing the OT neuro program usually resolve all or nearly all symptoms. We help lift the “mental fog” and recover your memory, help you to use the computer again without feeling dizzy or lost, help you read and/or remember what you read, and enable you to go grocery shopping and drive again. Our job is to restore your function back to normal. 95% of our patients return to work without need for work accommodations.

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Post-Surgery and Home Functional Intervention

Refer to In-Home Functional Assessments.

Home Equipment Coordination and Intervention

OT intervention will address equipment needs, home accessibility and safety and put in place support services, like home care, if needed. Functional rehabilitation will address self-care, transfers, functional mobility, home accessibility and community access with the OT rehabbing the individual back to independent living or their highest level of function possible.

Case Management

Case management involves evaluating, planning, implementing, coordinating, and monitoring services to meet an individual’s functional and rehabilitation needs. Utilized resources are cost-effective and give positive outcomes. Occupational therapists at Green Tree Rehabilitation also liaise with other stakeholders as required. Goals are collaboratively set and achieved together. Some common goals include:

• Improve physical status by participating in a physical activation program
• Access emotional support and develop a personal support network
• Improve mental health management by participating in psychosocial programming
• Increase community involvement/participation
• Optimize level of functional independence
• Learn about their diagnoses such as brain injury and effects
• Establish electronic compensation strategies
• Improve cognitive functioning by participating in a tailored cognitive rehabilitation program
• Participate in re-learning and establishing life skills to improve function
• Develop personal wellness plan through collaborative goal setting
• Improve perceptual functioning by participating in a tailored perceptual rehabilitation
  

Green Tree Rehabilitation is the pioneer of the OTOPA program. OTOPA is a dynamic 10 to 12 week behaviour activation program designed for persons with ADHD, PTSD, OCD, chronic pain, depression, and/or anxiety. OTOPA fundamentally addresses functional issues related to mental health. The GTR OT directly engages the client in the practical application of coping skills, adaptive strategies, accommodations and skill development. Clients learn to overcome their issues and symptoms to participate in work, leisure, social, and home life functions. This program will also address how to handle workplace bullying and/or any social situation in which a person lacks the skills to handle. Programs are individualized and tailored to a client’s needs.

• Stress and anxiety management
• Communications, social interaction and interpersonal skills
• Cognitive behavioural therapy targeting symptoms
• Life skills training (coping, assertiveness, self-soothing)
• Intrapersonal self-management (self-esteem and confidence building)
• Interpersonal self-management/social skills training
• Workload management
• Reintegration into life-role activities
• Environmental adaptation/accommodation and equipment prescription

Follow the link for more info on OTOPA

Prolonged Exposure Therapy is the recognized industry standard for PTSD treatment. Treatment involves a graded fear hierarchy, behavioural and cognitive behavioral therapy (CBT), sensory integration therapy and dialectical behavior therapy (DBT) techniques designed to treat trauma. Occupational therapists work with the clients in the clinic and community through gradual and supported exposures, working with the client to overcome and manage their fears and anxieties. This supported graduated process helps the client regain control over their anxiety related to daily life or work-related incidents. Treatment helps clients work through trauma and develop resilience over their psychological trauma and stress. This program aims to increase an individual’s physical, psychosocial, and functional tolerances in preparation for a graduated return to work or return to daily activities. Sessions occur over a period of treatment sessions.

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• PTSD
• Concussion
• Orthopaedic injuries and amputees

A GTR OT will review the medical history and then complete a functional screen of a person's physical, visual, perceptual, cognitive and mental health abilities and perform a visual screen. Our goal is to identify any functional gap we can bridge to help the person return to driving in a safe and functional manner. These gaps will be addressed in OT rehabilitation and when ready, the client will participate in an on-road assessment to ensure all areas are addressed. Issues addressed in OT intervention may include anxiety and feeling overwhelmed, seeing double, seeing objects that suddenly pop into view, dealing with light sensitivity, and pain relating to driving demands. Potential adaptive driving equipment for specific medical conditions and functional abilities may be recommended. A letter can be provided to your family physician to support a safe return to driving. 

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