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J - Emotional Wellbeing

Spotlight Best Practice Organization Brain and Spinal Cord Rehab Program – Toronto Rehabilitation Institute (TRI), University Health Network, Toronto Toronto Rehab’s Brain and Spinal Cord Rehabilitation Program offers a comprehensive service to address emotional wellbeing, at the individual and family level. The model of care offers a blend of profession-specific and interprofessional initiatives to maximize emotional coping, and to develop strategies during the recovery phase and/or living with a chronic condition. Leaders who developed the program are Patricia Bain, Social Worker and Dr. Cheryl Bradbury, Psychologist/Neuropsychologist. The care provided is interprofessional. Psychology, social work and chaplaincy services offer individual, couple, family/ caregiver emotional counseling, and support. These professions address areas such as strengths, role transitions, interpersonal challenges, self-esteem, self-efficacy, losses/grief, stress, sexuality, etc. Therapeutic recreation also offers a number of opportunities such as the Cottage Program, a four-day cottage experience, where individuals with SCI can experience a number of leisure activities. When appropriate, psychoeducation and support groups are offered to inpatients, and people living in the community with SCI at no cost. Notable group interventions offered in partnership with the Canadian Paraplegic Association Ontario (CPA Ontario) include: Caregiver Support and Education Group Objectives of this program are to provide education regarding caregiving needs and issues, to provide practical and emotional support from a peer and professional perspective, to provide opportunities to share experiences and learn self-care strategies. Sessions are two hours in duration and run for six consecutive weeks. Hold Me Tight: Conversations for Conections This is a relationship education group for all couples – happy, or distressed, where at least one person has a SCI or related condition. Couples attend an eight session program based on the theory and practice of Emotionally Focused Couples Therapy (EFT). EFT views the central problem in a distressed relationship as a loss of the secure emotional connection and the pattern of negative interactions that we (often unwittingly or unknowingly) get into with our partners. This interprofessional initiative is facilitated by social work and a CPA Ontario Regional Services Co-ordinator with a background in social work. Welbeing Folowing SCI (Comunity Reintegration Outpatient Program or CROP) This interprofessional initiative is facilitated by social work and occupational therapy. This therapeutic group was developed in recognition that adjusting and coping with the SCI experience is a lifelong process. Participants are given an education and resources manual containing readings and take home exercises for completion outside of the sessions. The sessions are 2.5 hours in duration, for 12 consecutive weeks, followed by a group outing. Stres Management This group aims to help individuals understand the impact of stress following SCI. It encourages individuals to reflect on the effects of stress and their response, and introduces cognitive behavioural and other strategies to manage stress. Resources related to stress, and the adjustment and recovery process are also given. The sessions are two hours in duration, for five consecutive weeks and are co-facilitated by an inpatient and outpatient social worker. Yoga Program The program seeks to increase self-awareness through seated yoga interventions, to gain awareness of exercises that reduce pain and relieve stress in the body, and to demonstrate knowledge of the leisure benefits derived from seated yoga. This is an eight week, one hour per week, seated yoga intervention available to both inpatients and outpatients at no cost. The program benefits are formally evaluated by Dr. Sander Hitzig (Scientist) and Nicole Leong (Therapeutic Recreationist). EMOTIONAL WELLBEING | BODY STRUCTURE AND FNUCTION 103


J - Emotional Wellbeing
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