Entry Criteria
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Entry Criteria DCH Outpatient Rehabilitation Services provides therapy to a wide range of patients with congenital or acquired conditions that result in childhood disability. Children who receive our services are medically stable and must be referred to our services by a primary care or specialty physician or other licensed independent practitioner (i.e., PA, NP). Each patient requires a valid prescription and payment authorization as determined by their respective insurance provider. In the event that funding for services is not in place, referral is made to our financial counseling department where we have staff to assist in matching patients to any possible funding sources. Additionally, significant prompt pay discounts are available for the uninsured as well as for out-of-pocket expenses for the insured. Children referred for care at DCH Rehabilitation Services will undergo a n evaluation by a therapist or audiologist and should have an impairment, diagnosis, condition, syndrome, disorder or disability resulting in a physical, speech, swallowing/feeding or hearing restriction and/or functional limitation. The disability may be acute or chronic in nature. Children are also referred to DCH Rehabilitation Services to rule out the presence of a functional limitation (e.g. hearing loss). When follow up care is recommended (recurring therapy or intervention for a hearing loss), a recommendation for the follow up care is made to the referring practitioner. Once documentation from the referring provider is obtained, if needed and financial arrangements are made with the payer source or the family, recurring therapy / follow up care is initiated. A child enrolled in rehabilitation services may have a psychological or behavioral component that is expressed through inappropriate behavior; we work with those children who are able to benefit from the intervention. Our purpose is not to treat the psychological or behavioral disorder, but the underlying functional deficits that may or may not be contributing to the behavioral problems or co- exist with psychological condition. Therapists work in coordination with mental health practitioners when addressing these problems. It is up to the discretion of the treating therapist to determine if therapy interventions can be effective delivered. A child enrolled in a medical rehabilitation therapy program must be able to participate to a meaningful degree toward the goals established by the treating clinician. At DCH Outpatient Rehabilitation we work with children from a variety of social and cultural backgrounds. We seek awareness of cultural differences so that we can effectively implement the indicated therapeutic interventions in a manner comfortable to the patient and family. Upon completion of the initial evaluation, treatment recommendations to include frequency and duration of therapy, if not already determined by referring provider, will be determined and discussed with family and referring provider. The rehabilitation team will tailor the rehabilitation program to the individual needs of the child. The service delivery frequency and plan may vary depending on the needs of the child.
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