The adult rehabilitation and adaptation team is composed of a multi-disciplinary team which includes social workers, nurses, occupational therapists, physiotherapist, kinesiologist, dietician, psychologist, specialist in clinical activity and special care counsellors. They work together to create person-centered approaches in supporting each user, their family and primary caregiver. This service provides adaptation/rehabilitation services to adults from the age of 18 years and older who have an intellectual disability and/or autism spectrum disorder.
The interventions are targeted according to the individual needs of the user as identified by themselves and/or their families. Services are primarily provided in the user’s home context with the involvement of family members and/or primary caregivers in order to promote naturalistic teaching and promote learning as needed based on the user’s individualized Intervention Plan. These services can be provided in an individual or group context based on the needs of the user and their home setting. Users, families and primary caregivers are active participants in the development, implementation and generalisation of the treatment objectives.
The clinical team share the responsibility in providing high quality services to insure health and safety to our users, respecting their individuality and promoting their quality of life.
Special Care Counsellor
The primary role of the special care counsellor is to determine and implement objectives to maximise the user’s development. These objectives are based on formal or informal evaluations as well as discussions with the user, their primary caregivers and partners involved. Some of the areas that the special care counsellor may focus on include: communication, self-help, development of work skills, social skills, cognitive skills and challenging behaviours. They develop preventative, management and treatment plans to address challenging behaviours. These plans aim to decrease the incidence of the problematic behaviours, increase the use of alternative skills and generally improve the quality of the life of the user. The special care counsellor will use a variety of strategies and techniques to work on the chosen objectives
The kinesiologist provides exercise programs to increase the overall well being of the users for users living in residential settings. Their primary focus is to help the user to lose weight, increase muscle strength and endurance, increase balance, flexibility, cardiovascular endurance and reduce risk of falling.
The physiotherapist is involved in assessing the physical needs of the users and making recommendations based on the findings within the continuum of residential services. The role of the physiotherapist is to maximize the user's potential to be as independent as possible while considering their quality of life and ensuring their safety and security at all times.
The occupational therapist evaluates the user (physical and mental health, and impact on body functions); their physical environment and the characteristics of the activities she/he participates in within the continuum of residential services. The OT then analyses the interaction between these elements, and contributes with the interdisciplinary team, to the elaboration of a treatment plan. The OT's goal is to optimise the individual’s participation to activities she/he considers important.
The primary role of the dietitian in rehabilitation/adaptation services is to optimize the nutritional health and well-being of users so that individuals can attain the best quality of life within the continuum of residential services. The role of the dietitian is to assess, interpret and monitor the nutritional status of user based on his/her medical profile, anthropometric data and eating habits and to provide dietary recommendations to promote good health and treat nutritional problems based on the latest scientific research. To ensure safety of all users, the dietitian is responsible to train and work with special care counsellors, families, home managers and staff working in residential services to ensure the safety of all users.
The social workers’ role is that of supporting the development of a person’s autonomy and integration within the continuum of residential services, as well as their full participation in their family and community environments, according to their specific needs and situation. Within the context of rehabilitation services, social workers’ main role consists of working either with the individual themselves, or collaboratively with the family members, and social network surrounding the user. More specifically, the social worker will offer psychosocial support to the user, their family and social network to maximize their strengths and the achievement of the rehabilitation objectives included in the intervention plan.
The nurse’s role is mainly to assess health status; define and ensure the implementation of the nursing care and treatment plan; implement prevention measures and provide palliative cares within the continuum of residential services. They act as liaison agent for the network and resources. They develop, implement and assess care programs requiring advanced knowledge, targeting complex health problems, often chronic, including mental health aspects. The nurses also oversee various intervention areas: prevention, promotion, assessment, follow-ups, coordination and teaching. They work in collaboration with families and other professionals in order to insure the necessary follow-up for the users.
The psychologist is responsible in creating and monitoring clinical programs and interventions for users with complex needs in the Monitoring Program. He/she is involved in providing psychological consultation or therapy to adults and/or their families.
He/she collaborates in the development, implementation and evaluation of staff training and professional development throughout the establishment (e.g.: provide clinical workshops, identify training needs and prioritization, and identify training programs and conferences).
Specialist in clinical activities
Our specialists in clinical activities provide support to the special care counsellors through training and coaching to assess the needs of the user and to help plan and implement the structures, the interventions and treatment that best meet those needs. They are responsible in ensuring the development and maintenance of professional standards and best practices. They empower the clinical team to develop appropriate solutions in order to help the establishment improve the quality of professional actions. The specialist in clinical activities also offers workshops and trainings to staff on a variety of clinical intervention strategies and treatment options that meet our user’s needs.
The monitoring team of professionals, specialists and special care counsellors provide intensive treatment, management, and related supports to address the complex needs of users who demonstrate severe challenging behaviours. A bio-psychosocial framework is used to evaluate the biomedical, psychological, and environmental interactions that influence the user in order to design behaviour support plans that minimize and/or eliminate the challenging behaviours. The progress and outcome effectiveness of these treatment plans are monitored on a regular and continuous basis using objective data observations, recordings and evaluation systems. It also involves consultation to staff and family about specific treatments. The treatment involves working collaboratively with families, primary caregivers and external networks.