Acquired Brain Injury Transitional Living Service

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The Alfred Health Acquired Brain Injury Transitional Living Service (TLS) is a state-wide service that provides residential rehabilitation in a 4-bed house adjacent to Caulfield Hospital.

Clinical service overview

The ABI Transitional Living Service provides specialised residential rehabilitation for adults with an ABI with the aim of maximising functional ability and successful community transition. This is achieved in partnership with the resident, their family/significant others and local community service providers. The service provides individualised, contextual and goal-based therapy

The service is available to those requiring extra support prior to transitioning from inpatient rehabilitation to the community, as well as those already living in community settings. This can allow an opportunity for those in the community for a burst of intensive cognitive rehabilitation to increase their independence in daily living skills.

Referral criteria

Clients admitted to the Transitional Living Unit will have:

  • A moderate to severe acquired brain injury of non-progressive pathology
  • Identified goals to develop independent living skills in a community environment with minimal supports
  • Identified rehabilitation goals which can best or only be managed in the home environment of the TLS
  • Be medically stable.
  • Be able to manage their own personal care, mobility and transfers (can have supervision and prompting if needed)
  • Be able to manage their own continence (can have supervision and prompting if needed)
  • Be able to manage their medications with support
  • Patients cannot have behavioural issues that cannot be managed within the staffing limitations
  • Patients must agree to the share house rules and actions arising from rule breaking
  • Have a confirmed discharge destination in Victoria and an immediate place of discharge if required.

Prior to admission to the TLS, patients may be admitted to the ABI Service inpatient unit for a 2-3 days  period prior to transfer into the TLS.

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