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Assessment Services and Disability Management services are also an area of expertise for our company. We provide case management services for the severely injured acquired brain injury (ABI) and catastrophic population. We receive referrals from the insurance industry, the legal community and the rehabilitation community. Our case management team is well respected in the industry.

Our mission is to provide optimal quality health care and assessment services through our network of health professionals. We provide a co-ordinated continuum of health care services in order to improve the health of our community. Clinical and physical accountability for the outcomes of the service provided, and the overall status of our community, is paramount to us. Our vision is to be recognized as the “gold standard” with respect to provision of health care, rehabilitation, and assessment services.

Our services range from:

 
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Assessment Services

  • Independent Assessments

    We provide comprehensive single and multidisciplinary assessments throughout the province. Our extensive list of consultants includes all major specialists required. We can handle the most complex cases. We have an up-to-date and comprehensive assessor network covering most regions of Ontario that are immediately open for bookings.

    Our specialized independent services include:
    1. Disability and Post-104 Assessments
    2. Medical and Rehabilitation
    3. Attendant Care Needs Assessments
    4. Functional Abilities Evaluations
    5. Determination of Catastrophic Impairment
    6. Determination of Pre-Approved Frameworks
  • Medical File Reviews
    • Comprehensive file reviews to provide a summary/synopsis of the relevant issues in the documents and make recommendations for future care, drug cost analysis and unusual expense items.
    • We are experts in the area of medical file reviews. These are utilized for the determination of Pre-Approved Framework (PAF) disputes and to address Requests for Assessments (OCF-22)
    • Pre-claim examinations for the purpose of establishing benefits can be done in the newly proposed system.

  • Employer Visit/ Work Site Analysis
    A complete and detailed interview will be conducted with the employer to outline the essential tasks and physical demands of a client’s pre-accident occupation. A report will be completed with digital photos of their workstation. We recently completed all Physical Demands Analysis of one of our Employer clients as part of our Occupational program.
  • Future Care Cost Analysis
    Our experienced Occupational Therapists (OTs) and Registered Nurse's (RN's) can provide a detailed analysis of future care cost for complex and catastrophic injuries.
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  • Home/Vehicle Accessibility Assessments
    We have expertise in Barrier Free Design and our team of experts can provide home and vehicle modification assessments.
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  • Vocational Services
     
  • Comprehensive Psycho-Vocational/ Vocational Assessments:
    One to two-day assessments are available to determine future vocational options, transferable skills and identify occupational clusters that are suitable to the insured person. A two-week work simulation process is needed using work sampling, psychovocational testing, musculoskeletal assessments and functional testing to determine Residual Earning Capacity.
     
  • Transferable Skills Analysis
  • Labour Market Survey
  • Career Planning/ Vocational Counseling
  • Job Search/ Placement

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Disability Management Services

  • Case Management Services Catastrophic/Traumatic Brain Injury
    • Provided for moderate to severe injuries including traumatic brain injury (TBI), paediatric and catastrophic cases. We receive referrals from insurers, lawyers and the rehabilitation industry for mostly catastrophic cases.
    • Case management provided during client’s recovery in the rehabilitation process. Co-ordination of services and communication with all treating caregivers are optimal in achieving excellence in care.

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Occupational Therapy Services

  • In Home Occupational Therapy Assessment with Completion of Form 1 (Assessment of Attendant Care Needs) if applicable:
    • A complete and detailed assessment will determine a client’s ability to perform their activities of normal living (ANL), housekeeping duties, in addition to caregiving activities, if applicable. A Form 1 will outline a client’s current personal care needs. A report will include reasonable recommendations, housekeeping needs, assistive devices, education.
    • Activities of Normal Living Intervention (ANLI) – Our OTs provide educational sessions and recommendations to injured claimants at their home or workplace to facilitate their integration back into their pre-accident lifestyle.

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Rehabilitation Services

Active Physiotherapy Programs
Time limited and goal oriented, active, progressive exercise programs are employed to facilitate an early return to work or activities of daily living. Each program is individualized to the client and is prescribed by either a physiotherapist or a chiropractor and supervised directly by a kinesiologist. Client education is provided throughout the program.
*In-home services are also available.

Functional Restoration Program (FRP)

Consists of a multidisciplinary program with an appropriate balance of pain management and active physical rehabilitation. The program is time limited with the primary functional goal of return to work or activities of normal living.

The client education component consists of structured education classes and qualified health care professionals provide one on one education.

In the FRP, additional health care professionals become involved with the rehabilitation team.

Behavioral Therapists are introduced to help the client develop the necessary skills in pain and stress management, as well as relaxation techniques.

Psychologists are introduced when the client has entrenched chronic pain behavior and/or emotional stress.

Occupational Therapist (OT) will work with the client, the health care practitioner and his/her employer to develop a realistic return to work schedule. Additionally, the OT may perform an on-site job analysis, if deemed necessary.

Criteria for Referral: (1) Disability for at least four months. (2) Lack of surgically correctable lesion. (3) Psychological and linguistic capacities to interacting groups. (4) Informed willingness to participate.

Work Hardening/Conditioning Programs

If a work hardening/conditioning program is implemented, the ERGOS Work Simulator will be utilized.

An on-site job analysis may be performed to determine if there are work site accommodations required.

As the client improves in endurance and work tolerance, a modified return to work schedule is prepared and arrangements to implement the schedule are made with the employer.

At the end of the program, the client should be able to return to full and gainful employment.

Our specialty is returning people to work safely and efficiently.

Program lengths are 6-8 weeks in duration. Upon discharge, we also provide the client with an independent home exercise program.


Chronic Pain Management Program

When a client is referred to North York Rehabilitation Centre, an assessment is performed to determine whether a Chronic Pain Management Program is appropriate.

When such a program is recommended, a musculoskeletal practitioner and a Psychologist establishes a comprehensive treatment program, setting attainable recovery goals.

The treatment program that is implemented is a combination of pain coping strategies, exercises, visualization techniques, pain education classes, pain management modalities and active rehabilitation.

The client outcomes are reviewed on a regular basis and modifications to the program are made to optimize its effectiveness. As the client’s pain coping skills increase, he/she is progressed into a more active rehabilitation component of the Functional Restoration Component.

Chiropractic Therapy

Spinal manipulative therapy is evidence-based and recommended in major treatment guidelines worldwide.

Massage Therapy

Massage therapy is emerging as an evidence-based form of treatment.

Acupuncture

Having an extensive multidisciplinary staff of rehabilitation health care professionals, NYRC is able to provide all forms of evidence-based rehabilitative protocols.

Client expectations are considered when developing the appropriate treatment plan for an individual. Client choice in selecting the appropriate form of evidence-based care is paramount to the success of their recovery.

 
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