1. Community Integration Program
KNR 279

2. Community Integration Program (CIP)
Missy Armstrong & Sara Lauzen (1994)
Harborview Medical Center
Seattle, WA
Level 1 Trauma Center
Recognized that community integration was necessary in rehab process
TRS considered community experts
SCI, TBI, Strokes (adults)
Also psy., MR/DD, geriatric, peds.

3. Community Integration Program (CIP)
TR Program
Functional Activities
Leisure Education
Community Integration
Recreation Participation
Book ($50)
Assessments/documentation
Tx. Protocols
How modify
Can make copies after buy book

4. Community Integration Program (CIP)
burlingame & Blaschko
Knowledge & skills using community resources (Leisure Education)
Armstrong & Lauzen
Good usability
Billable status

5. Community Integration Program (CIP)
Reliability & validity
Not reported BUT
Started work in 1978
Sent to any program in US or Canada that requested & got feedback from experts
1st edition: 1980
Revised to 8th grade reading level
Review of literature
Smith-Armstrong study
CONTENT validity!!!!!

6. Community Integration Program (CIP)
3 basic steps in CIP
Pretest (walk/talk steps before do)
Field test (demonstrate skills in community)
Posttest
Smith-Armstrong study
SCI better in pretest than field test
TBI better in community than pretest
WHY?????

7. Community Integration Program (CIP)
Book has 3 sections
SECTION 1
Background & pre-use information
CTRS proficiency checklist (p. 45)
Info about disability
Equipment & supply list
Documentation & assessments

8. Community Integration Program (CIP)
Section 2
Treatment protocols
C/B individual or group
Recommend 7-10 modules
Use 3-5 for abbreviated length of stay
All have:
Prearrangements before outing
Transportation
Accessibility
Emergency/safety
Equipment

9. Community Integration Program (CIP)
6 Domains (* = 6/17 used with most pts.)
Community environment
Environmental safety
Emergency preparedness
Basic survival skills
Cultural activities
Theatre (*)
Restaurant(*)
Library
Sporting event

10. Community Integration Program (CIP)
Community activity
Shopping mall
Grocery store (*)
Downtown (*)
Bank
Laundromat
Physical Activities
Aquatics(*)
W/C sports
Leisure activities

11. Community Integration Program (CIP)
Transportation
Personal
Taxi
Train
Air travel
City bus (*)
Bus station
Independent Activities
Pt. Directed
Group
Section 3: ADA & legislative information

12. Community Integration Program (CIP)
Assessment
Interviews, chart review, multidisciplinary team, family
2 types scoring (plus minus, FIM)
Initial screening
Referral from doctor
Ready to receive TR services?
Intake assessment

13. Community Integration Program (CIP)
Assessment
Participate in in-house act. before CIP
Tolerance to activity, W/C use, pain mgmt
Pretest
Field trial
Posttest

14. Community Integration Program (CIP)
Strengths?
Weaknesses?
How improve?