Rehabilitation Services

1. Rehabilitation is carried out in four (04) levels at NIMH:

Level 1 – to improve the basic activities of daily living (Ex- self-care) Level 2 – to improve extended activities of daily living (Ex- money handling, communication skills, social skills, like skills etc.) Level 3 – to provide vocational training Level 4 – to prepare for re-employment and social re integration

2. Suitability of clients for rehabilitation should be assessed by the Occupational Therapist with the

Multidisciplinary Team (MDT) at the ward rounds.

3. Clients will be selected for rehabilitation and suggested for referral to one of the rehabilitation units (stated below) according to the functional assessment, client‘s interest, social and family factors and the targeted goal. The referral should be done by the Medical officer by filling the relevant referral forms.

4. Comprehensive functional assessment should be done by the occupational therapist and the goals should be set.

5. All the clients referred for rehabilitation should be registered at the Rehabilitation Centre and the database should be maintained by the staff. All the statistics should be maintained at the

Rehabilitation Centre and should be the coordinating body for all the rehabilitation processes, activities and programmes.

6. Timely ―Individual re assessments‖ should be done as per the initial rehabilitation plan by the relevant Occupational Therapist. Therefore the progress of the client‘s plan should be assessed and documented.

7. Family meetings and domiciliary visits should be done whenever necessary by the MDT members to facilitate the plan and to assess the social and family issues and the status.

8. On discharge of the rehabilitated client, a discharge plan should be formulated and documented to send with the client. (May refer to a local clinic or local rehabilitation unit or release to society.)

9. Follow up should be done even with the peripheral clinics or Psychiatric Social Workers.