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R - Community Participation

Current Practice: Community Participation Following SCI Preparing individuals for return to the community following SCI requires a comprehensive, multi-disciplinary program that begins during inpatient rehabilitation, and continues as individuals transfer to community living and thereafter. Members of the community participation team may include dietitians, drug and alcohol counsellors, nurses, occupational therapists (OTs), physiatrists, physical therapists (PTs), psychologists, psychiatrists, recreational therapists, social workers, speech language pathologists, therapeutic recreation (TR) therapists, vocational therapists, orthotists and prosthetists, vocational rehabilitation professionals, and experts in other medical specialties including respirology, urology, obstetrics, gynecology and sexual health. A key member of the community participation team is the TR therapist, who typically provides individuals with SCI with the skills, experience and confidence to participate in the community, in meaningful roles and activities. Currently in Canada, 10 of 12 participating sites report having a TR therapist onsite during inpatient rehabilitation, and the majority of programs provide TR services five days per week. Forty two percent (5/12) report access to TR services, after discharge from inpatient rehabilitation. In May 2009, the Canadian Therapeutic Recreation Association and the National Council for Therapeutic Recreation Certification agreed to a partnership in which the NCT RC certification credential – CT RS (Certified Therapeutic Recreation Specialist) – would be the recognized certification credential in Canada. For more information visit: www.canadian-tr.org. Other programs and services ofered in E-Scan participating sites during inpatient rehabilitation that facilitate community participation include: • Wheelchair skills – basic through to advanced (12/12 sites) • Driver training/ assessment (9/12 sites) • Access to counselling services (10/12 sites) • Sexual health/fertility services (12/12 sites) Canadian rehabilitation sites also have specialized equipment to prepare persons with SCI for life in the community. These include vehicle transfer simulators (8/12 sites) and transitional living units (8/12 centres). There are community support organizations throughout Canada; Spinal Cord Injury Canada has regional and provincial offices across the country with the exception of Québec and New Brunswick, which have independent organizations called Moelle épinière et motricité Québec and Ability New Brunswick, respectively. All E-Scan participating sites report a community liason service with 75% (9/12 sites) having linkages with SCI Canada (formerly Canadian Paraplegic Association) (Figure 2.0). These organizations offer many services including personal counselling, vocational counselling and peer support, and are working towards creating a standardized model for community service provision (www.spinalcordinjurycanada.ca). 186 CAPTURING CAPACITY IN CANADIAN SCI REHABILITATION


R - Community Participation
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