Functional Home Evaluation: Missing Pieces in Treatment and Transition Process

Friday, June 3, 2016: 2:30 PM
Maryland D
Bonnie Schaude, M.A. CCC/SLP , Shepherd Center, Atlanta, GA
Julia P Huerbin, OTR/L, MSCS , MS, Shepherd Center, atlanta, GA

Background: None


1. Identify efficacy related to person centered transition planning within home environment.
2. Present a home assessment model assessing cognitive and  physical needs of client and family.
3. Integrate the home assessment process, treatment planning and transition on two MS clients and it’s relationship to client centered goals.


Assessments will be conducted using Functional Evaluation Protocol as well as client/ caregiver centered goals and Goal Attainment Scale

Results: None

Conclusions: Prediction of better transition and carry over of client centered goals into the home environment.


Research has identified the difficulty with the transition of skills from the clinical to the home setting in patients with physical and cognitive impairments.  The concept of treatment in client's functional home environment has an important place in the rehabilitation of these individuals. However, reimbursement for a team approach in the transition process in the home continues to be challenging. The notion of beginning with transition at the onset of outpatient treatment would afford the patient and family with increased time to integrate and practice important techniques and modifications with the rehabilitation team support.  Information related to the patient’s home and functional routines is needed to assist the rehabilitation professionals in developing treatment that is practical and functional for home re-entry at any stage.

The purpose of this study was to present a Home Evaluation prototype developed to include cognitive as well as physical parameters to be assessed for improved transition planning for patients with a combination of impairments. This was part of a pilot project focusing on several objectives including specific focus on physcial & cognitive barriers impacting functional activities within the home, investigation of the effectiveness of current and potential strategies for improved function, education and training of client & caregiver on specific treatment tools/techniques and validation of levels of independence in functional tasks within the home environment. Competency measures were developed for clinical training in conducting the home evaluation. An outline of the components of the home evaluation, strategy assessment protocol and problem action summary will be presented in two cases studies of  MS clients currently participating in outpatient therapy with physical and cognitive communication problems impacting ADL functions.