Milieu
The milieu at Texas NeuroRehab Center is a
unique residential treatment milieu. The children and adolescents
are initially separated by cognitive and functional level, then by
gender and age, and are therefore entered into a similar peer
group.
Units
The child and adolescent programs are housed on
four separate, smaller units. One unit is for males and the other
three are coed.
The units provide a structured environment with
24-hour nursing care and on-call physician
coverage.
Staff-to-patient ratios operate at 1-to-3, or
1-to-5, depending on the unit. Staff guide youth though activities
of daily living; such as eating, bathing and dressing. Cognitive
and behavioral interventions are consistently used to improve and
promote appropriate behavior.
Daily Schedule
Daily routines are adjusted according to the
capabilities of each child. Below is a sample of a daily
schedule:
|
Time/Day
|
|
Monday
|
|
Tuesday
|
|
Wednesday
|
|
Thursday
|
|
Friday
|
|
Time/
Day
|
Saturday
Sunday
|
|
7:00 – 7:30
|
|
Wake Up
Showers
Room Care
|
|
Wake Up
Showers
Room Care
|
|
Wake Up
Showers
Room Care
|
|
Wake Up
Showers
Room Care
|
|
Wake Up
Showers
Room Care
|
|
7:00 – 7:30
|
Wake Up
Showers
Room Care
|
|
7:30 – 8:00
|
|
Goals
Group
|
|
Goals
Group
|
|
Goals
Group
|
|
Goals
Group
|
|
Goals
Group
|
|
7:30 – 8:00
|
Goals
Group
|
|
8:00 – 8:30
|
|
Breakfast Meds Hygiene
|
|
Breakfast Meds Hygiene
|
|
Breakfast Meds Hygiene
|
|
Breakfast Meds Hygiene
|
|
Breakfast Meds Hygiene
|
|
8:00 – 8:30
|
Breakfast Meds Hygiene
|
|
8:30 – 10:30
|
|
Education
|
|
Education
|
|
Education
|
|
Education
|
|
Education
|
|
8:30 – 10:30
|
Leisure
Activities
|
|
10:30 – 10:45
|
|
Snack
|
|
Snack
|
|
Snack
|
|
Snack
|
|
Snack
|
|
10:30 – 10:45
|
Snack
|
|
10:45 – 11:30
|
|
Education &
Therapies
|
|
Education &
Therapies
|
|
Education &
Therapies
|
|
Education &
Therapies
|
|
Education &
Therapies
|
|
10:45 – 11:30
|
Therapeutic
Activities
|
|
11:30 – 1:00
|
|
Lunch
|
|
Lunch
|
|
Lunch
|
|
Lunch
|
|
Lunch
|
|
11:30 – 1:00
|
Lunch
|
|
1:00 – 2:30
|
|
Education &
Therapies
|
|
Education &
Therapies
|
|
Education &
Therapies
|
|
Education &
Therapies
|
|
Education &
Therapies
|
|
1:00 - 2:30
|
Arts &
Crafts
|
|
2:30 – 2:45
|
|
Snack
|
|
Snack
|
|
Snack
|
|
Snack
|
|
Snack
|
|
2:30 – 2:45
|
Snack
|
|
2:45 – 4:00
|
|
Education &
Therapies
|
|
Education &
Therapies
|
|
Education &
Therapies
|
|
Education &
Therapies
|
|
Education &
Therapies
|
|
2:45 – 4:00
|
Physical
Recreation
|
|
4:00 – 4:30
|
|
Goals
Group
|
|
Goals
Group
|
|
Goals
Group
|
|
Goals
Group
|
|
Goals
Group
|
|
4:00 – 4:30
|
Review of
Goals
|
|
4:45 – 5:30
|
|
Dinner
|
|
Dinner
|
|
Dinner
|
|
Dinner
|
|
Dinner
|
|
4:45 – 5:30
|
Dinner
|
|
5:30 – 6:00
|
|
Showers
|
|
Showers
|
|
Showers
|
|
Showers
|
|
Showers
|
|
5:30 – 6:00
|
Movie Time
|
|
6:00 – 7:00
|
|
Activity
|
|
Activity
|
|
Activity
|
|
Activity
|
|
Activity
|
|
6:00 – 7:00
|
Board and Card Game
|
|
7:00 – 7:30
|
|
Meds /
Snack
|
|
Meds /
Snack
|
|
Meds /
Snack
|
|
Meds /
Snack
|
|
Meds /
Snack
|
|
7:00 – 7:30
|
Meds /
Snack
|
|
7:30 – 8:00
|
|
Clean Up/ Wind
Down
|
|
Clean Up/ Wind
Down
|
|
Clean Up/ Wind
Down
|
|
Clean Up/ Wind
Down
|
|
Clean Up/ Wind
Down
|
|
7:30 – 8:00
|
Clean Up/ Wind
Down
|
|
8:00
|
|
Lights
Out
|
|
Lights
Out
|
|
Lights
Out
|
|
Lights
Out
|
|
Lights
Out
|
|
8:00
|
Lights
Out
|
Performance Measures
The children and adolescents are able to measure
progress and consistently learn appropriate behaviors through
performance-based measures. The measures are simple, based on
cognitive functioning and are used secondary to verbal praise. They
also ensure that the child or adolescent, family and treatment team
are on the same page in terms of the child’s behavior and
growth.
