Maryland NeuroRehab Foundation (MNRF) is a nonprofit organization specializing in comprehensive neurorehabilitation for persons with acquired brain injury such as traumatic brain injury, stroke, or tumor resection.

Our specialized brain injury program includes an emphasis on cognitive intervention in addition to traditional therapies. The life-skills program, focusing on daily living skills, is offered for multiple neurologic diagnoses, including brain-injured persons without cognitive needs.

The MNRF day treatment program is a team effort. You, your family, and the rehabilitation staff work to help you achieve your goals and gradually return to activities you enjoy.

Your care will be supervised by a group of specialists that includes your physician, our medical director, a program manager who specializes in neurorehabilitation, and a clinical coordinator who specializes in neuropsychology. Rounding out your care will be a variety of specialists, each experienced in a different discipline.

Traumatics
A traumatic brain injury (TBI) is an injury to the brain caused by an external physical force that may produce a diminished or altered state of consciousness, which results in an impairment of cognitive or physical functioning. It can also result in the disturbance of behavioral or emotional functioning.

• 2 million Americans suffer a TBI each year
• 5.3 million Americans are living today with a TBI related disability

Long term effects of TBI may include:

• Short-term and/or long-term memory loss
• Speech impairments
• Slowed ability to process information
• Spatial disorientation
• Muscle spasticity
• Balance problems
• Double vision, low vision, or blindness
• Trouble concentrating or paying attention for periods of time

Admission Information
Maryland NeuroRehab Foundation is an outpatient based neurorehabilitation day treatment program. Activities take place in our Robinwood Medical Center location. Our facility has a warm homelike setting, which includes private treatment rooms, a comfortable lounge, an activities of daily living apartment, bright gyms and a heated pool.

Your program, goals, and estimated length of treatment will be reviewed continuously. Before you complete the program, community resources will be identified that may help you after you leave. Staff will contact you periodically after your discharge to see how you are doing. In keeping with our efforts to continually improve the program, you and your caregiver will be asked to complete a brief patient satisfaction survey. This input is used to continually assess and adapt the program to better meet client needs.

Admission Criteria - Outpatient
To be approved for outpatient admission, you must

• be referred by a physician.
• be at least 16 years of age.
• be medically stable.
• have an acquired brain injury or other neurologic diagnosis.
• be behaviorally manageable as to not significantly disrupt services to or progress of other clients or present a significant risk of physical aggression toward staff and existing clients.
• have potential to derive benefit from the Maryland NeuroRehab Foundation day treatment program as exhibited by sufficient motivation, cooperation and endurance.

Admission Criteria - Inpatient
Maryland NeuroRehab Foundation Inpatient is specifically designed to serve those individuals with traumatic brain injury or a new onset of acquired brain injury requiring behavior interventions. Prior to admission, the client must:

• be referred by a physician.
• be at least 16 years of age.
• require 24-hour nursing and medical care.
• demonstrate beginning recovery (Level III emerging IV level of the Ranchos Los Amigos Scales of Cognitive Recovery for Traumatic Brain Injury)
• have caregivers available for education and training sessions.
• able to tolerate at least three hours of therapy each day.
• require a minimum of two rehab discipline services: physical therapy, occupational therapy, or speech therapy.

Activities
There are unique benefits to be gained both from one-on-one sessions and participation in group activities. Therefore your schedules generally reflect a combination of group and individual sessions. Some examples of group activities include:

• goals group
• education group
• leisure outings
• goals review
• stress management
• executive functioning
• learning and memory
• meal planning

Daily Living Skills
Many functional skills are addressed to help re-acclimate you with many activities that most people take for granted. Grocery shopping, meal planning and preparation are covered, and special care is given to money management skills, such as creating a budget and balancing a checkbook.

You will work with your team to learn access to community services and use of public transportation, along with safety awareness. Compensatory strategies for cognitive impairments (e.g., memory, attention) are covered as well.

Daily skills such as dressing and grooming are addressed, and social skills are reinforced through role-playing activities and community outings.

Transportation
Arrangements for van transportation will be discussed when you meet with members of the rehabilitation team on your first day, with transportation available beginning your second day.

Coordinating Your Care
Your Rehab Team meets every two weeks to review your goals and progress.

Periodic Family Meetings are held with you and your family members, along with your team of therapists. At these meetings your goals and progress will be reviewed and you will have an opportunity to express any questions or concerns. Family education is also provided to teach your caregiver how to best assist you.

Gilbert Holniker, inspired by his wife Carol Lee’s traumatic brain injury, founded the Maryland NeuroRehab Foundation. This program is designed to assist those recovering from acquired brain injury in their quest to reach their greatest level of personal independence.

Hours
MNRF program hours are from 9 a.m.-3 p.m. Monday-Friday.

Please be sure to share any questions or concerns about your treatment plan, discharge plan, medical management or any other issue with your program manager or other team members.