Rehab:Phys / Cog

Rehabilitation : Physical and Cognitive

Introduction

The goal of rehabilitation is to help people regain the most independent level of functioning possible. Rehabilitation focuses on the body's natural healing abilities and the brain's relearning processes so an individual recovers to the greatest extent possible. Rehabilitation also involves learning new ways to adjust for abilities that are permanently changed due to traumatic brain injury (TBI). This may include changing the home and work areas to fit the needs of the individual with TBI.
Each part of the brain controls specific functions of the body such as vision, physical movement, speech, memory and emotions. Damage from TBI may affect one or more of these functions. Rehabilitation programs should be designed to meet each person's unique needs. It is very important that the therapists treating the person with TBI are trained specifically in traumatic brain injury rehabilitation.

Rehabilitation may be short-term, lasting a few weeks or months, or long term, lasting several years. In general, most recovery occurs within the first 12-18 months of injury, although gradual improvements may continue after that time. Physical therapy may include regaining strength and control of body movements and improving coordination of body movements. Occupational therapy involves relearning everyday tasks such as dressing and bathing. Speech therapy focuses on language and swallowing.

Cognitive functioning refers to behaviors such as thinking, problem-solving, personality, intelligence, language, memory and emotional regulation. A neuropsychological evaluation examines cognitive functioning and could take more than one session. An individual with TBI may need evaluations by a neuropsychologist more than once in a one to two-year span.

This guide contains rehabilitation resources that may be helpful to you as you support your family member or friend who has a brain injury.

Sources: Michigan Resource Guide for Persons with Traumatic Brain Injury and Their Families; Family & Survivors: National Resource Center for Traumatic Brain Injury. (2000. The Brain Injury Source Book: Answers to Questions Most Often Asked, Richmond, VA: Virginia Commonwealth University: 130 For more information on traumatic brain injury, please contact your doctor or refer to the TBI Toolkit, produced by the Washington State Department of Social and Health Services, http://www.aasa.dshs.wa.gov/Library/tbitoolkit.pdf

KING COUNTY

'A' STREET CLINIC OF CHIROPRACTIC, PLLC
Don Olson, DC, FASBE, DACS
1020 A St SE
Suite 4
Auburn Washington 98002
Ph: 253-939-0909
http://www.1to1Chiropractic.com
NOTE: Once at the site, select What / Brain Video

Children's Hospital and Regional Medical Center
4800 Sand Point Way NE -- Seattle, WA 98105
Phone: (206) 987-2000; Toll-free: (866) 987-2000; TTY: (206) 987-2280
Web site: http://www.seattlechildrens.org/
Description: The Rehabilitation Unit provides inpatient evaluation and care, treating children and adolescents with disabilities due to illness, injury or congenital origin.
Areas Served: King County, Pacific Northwest and Alaska
Eligibility: Children under 16 years of age
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

Evergreen Head Injury and Rehabilitation Center
12040 NE 128th St. -- Kirkland, WA 98034
Phone: 425-899-3100
Email: KRepp@evergreenhealthcare.org
Web site: http://www.evergreenhealthcare.org/neurosciences/rehabilitation/braininjury/default.html 
Description: Designed to maximize recovery from brain injury and other types of neurological impairments. The program helps develop the critical skills necessary to lead as productive and fulfilled a life as possible. Each individual's program is tailored to meet identified needs in a consumer friendly, cost-conscious, and efficient manner.
Areas Served: King County and the Pacific Northwest
Eligibility: Adults who are neurologically impaired and cognitively challenged
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

Group Health Cooperative
Phone: Seattle (206) 326-3485 -- Bellevue (425) 556-6330 – Bellevue(800) 645-6799 – Olympia(360) 923-7442 – Tacoma(253) 476-6550
Email: Adult Services or Programs wax.p@ghc.org – Pediatric Services or Programs in Seattle or Bellevue: kriegsmann.e@ghc.org
Web site: http://www.ghc.org/ 
Description: Cognitive-communication impairments can result from stroke, brain injury from trauma or tumor, progressive neurological disorders, Alzheimer's, dementia, and other causes. Areas Served: King County, Pierce, Mason, Snohomish Counties
Eligibility: Coverage for these types of services is dependent upon the enrollee's medical coverage agreement. Medicare-certified
How to apply: All individuals who have suffered a brain injury should be referred to Speech Pathology for a cognitive evaluation, counseling, and then treatment as indicated. Call for services Fees: Most services are covered by prepaid member fees

Harborview Medical Center
325 Ninth Avenue -- Seattle, WA
Phone: 206-731-4607 - Fax: 206-731-6046 -- after hours or emergency: 206-731-2500 Web site: http://www.harborview.org/
Description: Provides a full complement of services in the area of neurosciences-caring not only for traumatic head injuries, but providing care to individuals with central nervous system conditions such as stroke, epilepsy, brain tumors and others.
Areas Served: King County, Pacific Northwest and Alaska
Eligibility: Head injury, stroke, or neurological illnesses
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance, Worker's Compensation, Division of Vocational Rehabilitation and other third-party payers

Highline Rehabilitation Services
12844 Military Road S - Tukwila, WA 98168
Phone: (206) 248-4552
Web site: http://www.highlinehospital.org/
Description: Offers skilled nursing and rehabilitation services for patients in transition between hospital and home or assisted living arrangements. This hospital-based transitional care unit provides patients with a rehab program of physical, occupational, speech/language, and recreation therapy at the sub-acute level. Acute Rehabilitation - Acute Rehab is geared to those patients able to tolerate a more intensive level of daily therapy. Patients generally must be able to tolerate 2.5 hours of daily therapy, including physical, occupational, speech/language and recreation therapy. Areas Served: Southwest King County including the local Highline communities, West Seattle, Renton, Kent, Covington, Auburn, Federal Way and the Black Diamond area
Eligibility: Head injury, stroke, or neurological illnesses
How to apply: Referrals may be made by patients, family members, physicians, social workers or other health care providers
Fees: Most services are covered by Medicare, Medicaid or private insurance

MultiCare Center for Advanced Neurosciences
202 Cross St SE -- Auburn, WA 98002
Phone: 1-866-636-8584
Email: information@multicare.org
Web site: http://www.multicare.org
Description: Provides inpatient and outpatient physical and cognitive rehabilitation services.
Areas Served: South King and North Pierce Counties
Eligibility: Brain and spinal cord injury, stroke and neurological disorders
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

Northwest Hospital & Medical Center
1550 N. 115th Street and the Northwest - Seattle, WA 98133-9733 - Main campus Outpatient Medical Center located at 10330 Meridian Ave. North
Phone: 206-364-0500; Toll-free: 877-694-4677
Web site: http://www.nwhospital.org/
Description: Provides inpatient and outpatient, rehabilitation, as well as acute and subacute care. Areas Served: King County and the Pacific Northwest
Eligibility: Outpatient services require a referral from a physician or provider
How to apply: Call for services
Fees: Accept Medicare and most insurance plans available in this area and many national plans as well as Uniform Medical (Washington State Healthcare Authority) and Washington State Department of Labor & Industries

Overlake Hospital
1035 116th Ave NE - Bellevue, Washington, 98004
Phone: 425-688-5000 -- Fax: 425-688-5959
Web site: http://www.overlakehospital.org/
Description: Outpatient Rehabilitation Center provides comprehensive rehabilitation services. Teams of skilled therapists and aides work together to provide patient care and flexible scheduling to accommodate patient needs.
Areas Served: King County and the Pacific Northwest
Eligibility: Insurance pre-authorization and verification required
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

Regional Hospital
12844 Military Road South - Seattle, Washington 98168
Phone: (206) 248-4548 - Fax: (206) 439-4688
Email: jcannon@regionalhospital.org; bhostetler@regionalhospital.org 
Web site: http://www.regionalhospital.org/
Description: An acute care hospital for patients with complex, catastrophic or traumatic injuries, whose medical conditions remain more intense than can be safely managed in a lower level of care such as subacute, skilled nursing or rehabilitation settings. Also cares for patients too acutely ill for active rehabilitation, and ventilator dependent patients with weaning potential.
Areas Served: Western Washington and Pacific Northwest
Eligibility: Extended and critical care patients
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance.

Swedish Medical Center
747 Broadway - Seattle, WA 98122-4307
Phone: Ballard campus: (206) 781-6346 -- First Hill campus: (206) 386-2035 -- Providence campus: (206) 324-2404 -- Free physician referral or nurse consultation 800-793-3474 Web site: http://www.swedish.org/
Description: Offers acute inpatient rehabilitation services, as well as extensive outpatient therapies for patients of all ages. Treats patients who have disabling illnesses or injuries, such as closed head injury, stroke and degenerative and progressive neurological disorders.
Areas Served: King County and the Pacific Northwest
Eligibility: Patients are referred to the unit by their health-care provider or physician. How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

UW Medical Center - Rehabilitation Medicine Clinic
1959 N.E. Pacific, Seattle, WA 98195
Phone: 206-543-3600
Web site: http://depts.washington.edu/rehab/  
Email: rehab@u.washington.edu
Description: The Brain Injury Rehabilitation Clinic offers a wide range of services to help adults cope with the complex and long-term consequences of brain injury. Brain injury may be due to a variety of causes, including trauma, stroke, tumor, aneurysm, subarachnoid hemorrhage, or hypoxic injury.
Areas Served: King County, Pacific Northwest and Alaska
Eligibility: Traumatic brain injury, stroke, or neurological illnesses
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance, Worker's Compensation, Division of Vocational Rehabilitation and other third-party payers

Virginia Mason Medical Center
1100 Ninth Ave., Seattle, WA 98111
Phone: (206) 223-6600 -- (206) 223-6992
Web site: http://www.virginiamason.org  
Description: Provides inpatient and outpatient neurological rehabilitation care for individuals with conditions such as brain injury (mild - moderate traumatic brain injury), (TBI, closed head injury) and post-concussion syndrome.
Areas Served: King County and Pacific Northwest
Eligibility: Adults who are neurologically impaired and cognitively challenged
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

PIERCE COUNTY

Allenmore Hospital
1901 S. Union -- Tacoma, WA 98405
Phone: (253) 459-6633
Email: information@multicare.org
Web site: http://www.multicare.org
Description: Provides inpatient and outpatient physical and cognitive rehabilitation services. Areas Served: South King and North Pierce Counties
Eligibility: Brain and spinal cord injury, stroke and neurological disorders
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

Covington MultiCare Clinic
17700 SE 272nd St - Kent, WA
Phone: 1-800-552-1419, (253) 859-8600
Email: information@multicare.org
Web site: http://www.multicare.org
Description: Provides inpatient and outpatient physical and cognitive rehabilitation services. Areas Served: South King and North Pierce Counties
Eligibility: Brain and spinal cord injury, stroke and neurological disorders
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

Good Samaritan Hospital
407 14th Ave. SE -- Puyallup, WA 98372
Phones: 253-848-5571 -- Fax: 253-539-0885
Email: info@goodsamhealth.org
Web site: http://www.goodsamhealth.org
Area Served: Pierce County and western Washington
Description: Physical and cognitive rehabilitation services for people of all ages. Provides inpatient and outpatient care for brain and spinal cord injury, stroke and neurological disorders. Eligibility: Brain and spinal cord injury, stroke and neurological disorders
How to Apply: Call for information
Fees: Most services are covered by Medicare, Medicaid or private insurance

Mary Bridge Children's Hospital
317 Martin Luther King, Jr. Way -- Tacoma, WA 98405
Phone: (253) 403-1400 -- Toll Free: 866- 636-8584 - Trauma Center (253) 403-1476 Email: information@multicare.org
Web site: http://www.multicare.org
Description: Level III Pediatric Trauma Center.
Areas Served: South King and North Pierce Counties also serving Port Townsend to Chehalis, from Ocean Shores to Enumclaw
Eligibility: Brain and spinal cord injury, stroke and neurological disorders for children under the age of 16
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

St. Clare Hospital
11315 Bridgeport Way SW - Lakewood, WA 98499
Phone: (253) 588-1711
Web site: https://www.fhshealth.org/
Description: Physical and cognitive rehabilitation services for people of all ages. Provides inpatient and outpatient care for brain and spinal cord injury, stroke and neurological disorders. Areas Served: Lakewood and Pierce County
Eligibility: Brain and spinal cord injury, stroke and neurological disorders
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

St. Francis Hospital
34515 Ninth Ave. S. - Federal Way, WA 98003
Phone: (253) 944-8100 Pierce County - (253) 835-8100 King County
Web site: https://www.fhshealth.org/
Description: Physical and cognitive rehabilitation services for people of all ages. Provides inpatient and outpatient care for brain and spinal cord injury, stroke and neurological disorders. Areas Served: Federal Way, Auburn, Des Moines, Fife, Highline, Kent, Milton, Puyallup, and northeast Tacoma - Pierce and South King Counties
Eligibility: Brain and spinal cord injury, stroke and neurological disorders
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

St. Joseph Medical Center
1717 South J Street - Tacoma, WA 98405 Phone: (253) 426-4101
Web site: https://www.fhshealth.org/
Description: Physical and cognitive rehabilitation services for people of all ages. Provides inpatient and outpatient care for brain and spinal cord injury, stroke and neurological disorders. Level II trauma center.
Areas Served: Tacoma and Pierce County
Eligibility: Brain and spinal cord injury, stroke and neurological disorders
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

Tacoma General Hospital
315 Martin Luther King, Jr. Way -- Tacoma, WA 98405
Phone: (253) 403-1000 - Toll Free: 1-866-636-8584
Email: information@multicare.org
Web site: http://www.multicare.org
Description: Provides inpatient and outpatient physical and cognitive rehabilitation services. Areas Served: South King and North Pierce Counties
Eligibility: Brain and spinal cord injury, stroke and neurological disorders
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

KITSAP COUNTY

Harrison Medical Center
2520 Cherry Avenue, Bremerton, WA 98310
Phone: 360-377-3911; 800-281-4024, Ext. 6920
Email: wkotte@hmh.westsound.net
Web site: http://www.harrisonhospital.org/
Description: Offers inpatient and outpatient neurological rehabilitation. Areas Served: Bremerton, Port Orchard and Silverdale, Kitsap County Eligibility: Adults who are neurologically impaired and cognitively challenged How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

Harrison Green Mountain in East Bremerton
2625 Wheaton Way, Bremerton, WA 98310
Phone: 360-475-6480
Email: wkotte@hmh.westsound.net
Web site: http://www.harrisonhospital.org/
Description: Offers general rehab plus a work conditioning specialty program. Areas Served: Bremerton, Port Orchard and Silverdale, Kitsap County Eligibility: Adults who are neurologically impaired and cognitively challenged How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

ISLAND COUNTY

Whidbey General Hospital
101 North Main Street -- Coupeville, WA 98239-0400
Phone: 360-678-5151 or 360-321-5151; Toll-free: 888-903-2345
Email: wghosp@whidbeygen.org
Web site: http://www.whidbeygen.org/
Description: Neurological Rehabilitation for those who have suffered a brain injury, spinal cord, or other neurological disorders.
Areas Served: Island County, Whidbey Island, Langley, Coupeville, Camano and Oak Harbor Eligibility: Adults who are neurologically impaired and cognitively challenged
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

COWLITZ COUNTY

PeaceHealth in Lower Columbia
1615 Delaware St., Longview, WA 98632-0302
Phone: (360) 636-4839
Web site: http://www.peacehealth.org/
Description: Physical and neurological rehabilitation. Each patient receives a specialized care plan that may include physical therapy, occupational therapy, speech and language therapy, rehabilitation nursing, or physiatry care.
Areas Served: Cowlitz County, Southwest Washington
Eligibility: Head injury, stroke, or neurological illnesses
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance.

LEWIS COUNTY

Providence Centralia Hospital
914 S. Scheuber Road - Centralia, WA 98531
Phone: (360) 736-2803
Web site: http://www.providence.org/swsa/facilities/centralia-hospital/  
Description: Comprehensive integrated inpatient and outpatient Level II trauma
rehabilitation provider.
Areas Served: Centralia, Lewis County, Southwest Washington
Eligibility: Neurologically impaired and cognitively challenged children and adults. Pre-admission screening required
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

Providence Hospital - Chehalis Campus
500 SE Washington Ave. - Chehalis, WA 98532
Phone: (360) 736-2803
Web site: http://www.providence.org/
Description: Comprehensive integrated inpatient and outpatient Level II trauma
rehabilitation provider.
Areas Served: Centralia, Lewis County, Southwest Washington
Eligibility: Neurologically impaired and cognitively challenged children and adults. Pre-admission screening required
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

SNOHOMISH COUNTY

Providence Everett Medical Center - Colby Campus
1321 Colby Avenue - Everett, WA 98201
Phone: (425) 261-3825 - Fax: (425) 261-3823
Web site: http://www.providence.org/
Description: Inpatient and outpatient rehabilitation for head injuries and neurological disorders. Areas Served: Snohomish County
Eligibility: Neurologically impaired and cognitively challenged children and adults. Pre-admission screening required
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

Providence Everett Medical Center - Pacific Campus
916 Pacific Avenue - Everett, WA 98206
Phone: (425) 258-7847 Fax: (425) 258-7136
Web site: http://www.providence.org/
Description: Inpatient, transitional care and outpatient services.
Areas Served: Snohomish County
Eligibility: Neurologically impaired and cognitively challenged children and adults. Pre-admission screening required
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

Stevens Healthcare
21601 76th Ave. W. - Edmonds, WA. 98026.
Phone: 425-640-4000
Web site: http://www.stevenshealthcare.org/ 
Email: info@stevenshospital.org
Description: Inpatient, transitional care and outpatient services
Areas Served: Edmonds, Mill Creek, and greater Snohomish County Eligibility: Head injury, stroke, or neurological illnesses for children and adults How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

SKAGIT COUNTY

Skagit Valley Hospital
1415 E. Kincaid - Mount Vernon, WA 98273
Phone: 360-424-4111
Email: kranten@skagitvalleyhospital.org
Web site: http://www.skagitvalleyhospital.org/
Description: Provides inpatient and outpatient rehabilitation services for adult and pediatric patients.
Areas Served: Skagit Valley, Camano Island and Stanwood, Anacortes, Mt Vernon, Sedro-Woolley Eligibility: Neurologically impaired and cognitively challenged children and adults How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

THURSTON COUNTY

Providence St. Peter Hospital
413 Lilly Road NE - Olympia, WA 98506-5166
Phone: (360) 491-9480 Toll-free: 1-888-492-9480
Web site: http://www.providence.org/
Description: Inpatient and outpatient rehabilitation care for head injuries and neurological disorders.
Areas Served: Thurston County
Eligibility: Pre-admission screening required
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

WHATCOM COUNTY

St. Joseph Hospital
2901 Squalicum Parkway -- Bellingham, WA 98225-1898
Phone: (360) 734-5400
Web site: http://www.peacehealth.org/
Description: As Whatcom County's only hospital, St. Joseph Hospital provides a full range of inpatient services, including neurosurgery and rehabilitation services. The inpatient and outpatient rehabilitation unit specializes in an interdisciplinary team approach and serves people with brain injuries.
Areas Served: Whatcom County area
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

Speech/Language/Hearing Clinic - Western Washington University
Parks Hall - Bellingham, WA 98225-9078
Phone: (360) 650-3881 (voice) - (360) 650-3262 (TDD)
Web site: http://www.ac.wwu.edu/~csd/wwuclinic.html  
Description: Providing diagnostic services, client care, education, and, therapy and consultation in communication disorders.
Areas Served: Whatcom County
Eligibility: The Clinic accepts referrals directly from clients, as well as from physicians, educators, other speech-language-hearing professionals and allied health service providers
How to apply: Call for services. The clinic is open Mondays - Fridays, 8:00 a.m. - 5:00 p.m., during academic quarters.
Fees: Most services are covered by Medicare, Medicaid or private insurance

CLARK COUNTY

Southwest Washington Medical Center (SWMC)
505 NE 87th Avenue, Suite 207 -- Vancouver, WA 98664
Phone: 360-514-2910
Web site: http://www.swmedicalcenter.com/
Description: Neuro Rehabilitation Outpatient Services (Neuro Rehab) provides care for patients with neurological injuries. The neuro rehab team works with primary care and other specialty physicians to manage neurological conditions.
Areas Served: Clark County, and Southwest Washington
Eligibility: Adults who are neurologically impaired and cognitively challenged
How to apply: Call for services

STATE GOVERNMENT SERVICES

Division of Vocational Rehabilitation (DVR)
 - Independent Living Program Regional Offices Statewide
Phone: Toll-free 1-800-754-5960 Voice/TTY
Web site: http://www.dshs.wa.gov/dvr/index.htm
Description: The Independent Living (IL) Program helps people with severe disabilities become more involved in family and community life. It is designed for people with disabilities who want to increase their independence. The program may assist with attendant care management, counseling and advocacy, living arrangements, skill training, and services to the family. Areas Served: Western Washington
Eligibility: Washington state residents
How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

State Rehabilitation Council
Rehabilitation Council of Washington State
PO Box 45343, Olympia, WA 98504-5343
Phone: 1-800-624-4105 V/TTY.
Web site: http://www.dshs.wa.gov/dvr/aboutdvr/rehab-council.htm
Description: The Governor established the Council in October 1993 in response to the Rehabilitation Act Amendments of 1992. In Executive Order 93-04 the Governor stated that the Council was “To move toward a collaborative and comprehensive statewide system of rehabilitation services for individuals with disabilities”. The Council has provided input, advice and guidance to DVR on a number of issues during the past year. The Council seeks public input regarding all activities and services of DVR and internal Council activities.
Areas Served: Washington state Eligibility: Public
How to apply: Call for services