Page 4

R - Community Participation

Figure 2.0 Map with SCI Canada Sites Standards are emerging regarding the programs, services and equipment required during inpatient rehabilitation, to facilitate community participation. However, regional disparity prevails with significant variation in the structure, availability and capacity of outpatient services, offered by rehabilitation sites to support community participation. Although all sites report having the equipment and personnel to provide outpatient services, only seven sites (58%) report providing this type of service. Furthermore, the time intervals for follow up, in the first year after discharge and thereafter, vary across provinces and programs (Figure 3.0). From the data gathered in the E-Scan, it is difficult to discern if there are stand alone services to support community participation. Barriers Current barriers to providing comprehensive community follow up in SCI rehabilitation centres include a lack of dedicated resources and rehab service providers, and unclear and/or cumbersome referral processes. Current provincial funding models challenge the provision of community participation services. Individuals without third party funding must rely on provincially funded community participation services that are often unique to tertiary sites, and have restricted intake criteria and limited capacity. There is a need to bridge the transition, from inpatient rehabilitation to community living by providing interprofessional care with coordination and linkage of primary care, community and rehabilitation services, in a manner intended to develop and utilize self-management skills. Figure 3.0 Frequency of any folow -up clinic asesment offered at participating E-Scan sites. COMMNUITY PARTICIPATION | PARTICIPATION 187


R - Community Participation
To see the actual publication please follow the link above