How we work
The initial physical assessment stage identifies what the changes are and where the challenges lie for a person following their brain injury, stroke or diagnosis of their neurological condition. This can include looking at areas such as personal care, the domestic activities of daily living, using public transport, as well as work and leisure activities.
Problems relating to memory, attention, problem-solving and planning can have just as big an impact as physical issues. We use standardised assessments and observation of thinking skills, and then use these to set goals and make specific plans to improve how people cope with everyday life.
After assessment we can then identify goals for treatment – goals that are meaningful and client-centred. Laura’s therapists are all trained in using Goal Attainment Scaling (GAS), which monitors progress and allows the individual to predict their level of achievement in their personalised goal plan – a very effective way to track and measure outcomes.
Our programmes of treatment are developed to meet clients’ specific needs. They may include us engaging support workers, as well as rehabilitation assistants to practise achieving goals. Involving families in the strategy and programme itself has also proved to be very effective.
Returning to work
We take a case-by-case approach which is completely bespoke to clients’ needs. Where necessary we liaise with employers, HR departments and occupational health and carry out workplace environment and skill assessments to help ease the path back into work. We have up-to-date knowledge of the current legislation and can advise on acceptable modifications and adaptions within the workplace.
Investigation and assistance in gaining employment
Where a client’s circumstances prevent them from returning to what they were doing before, we can help them find suitable voluntary and paid opportunities and assist with enrolling on training courses and apprenticeships.
TRAINING & EDUCATION
We can provide training to help someone deal with a particular medical condition and understand how to use specific equipment. This can be help for family and support workers with strategies to support the individual and their treatment programme. This could include, for example, behaviour contract work for managing challenging behaviour, or specific training regarding the use of hoists and wheelchairs.
We can also provide training for the public and medico-legal professionals like case managers and other MDT members in rehabilitation and related service areas. We are also available for public speaking engagements and educational work.
EQUIPMENT & MODIFICATIONS
Assistive technology & environmental controls
We take a case-by-case approach which is completely bespoke to clients’ needs. Where necessary we liaise with employers, HR departments and occupational health and carry out workplace environment and skills assessments to help ease the path back into work. We have up-to-date knowledge of the current legislation and can advise on acceptable modifications and adaptions within the workplace.
Wheelchairs and seating/postural advice, driving & adapted vehicles
We can assess requirements, liaise with appropriate wheelchair services and providers, provide training in managing powered wheelchairs, and advise on seating in wheelchairs in order to achieve best posture. We work with specialist moulded seating systems manufacturers, so we can arrange maintenance and support for long-term users.
When a neurological event causes changes in the control or use of muscles and joints, splinting can prevent further deterioration and promote recovery.
We can make bespoke splints within your home or in a clinic with our own splinting equipment and tools. We also have access to branded dynamic splints which we can organise should an assessment indicate that they would be useful.
HOME ENVIRONMENT ASSESSMENT & REPORTS
We can undertake assessments of the suitability of homes for purchase and/or adaption to meet individuals’ disability-related needs. We work with registered building surveyors, solicitors and architects to support housing related report recommendations.
Case examples include installations of through lifts, external and internal ramps to improve access, guidance about and liaison with ceiling track hoist companies, home environmental control advice, as well as kitchen and wet room adaption recommendations.
We can provide assessment and treatment for patients under 16 years with a neurological condition. We offer standardised and specialist assessments, advice on specialist paediatric equipment and housing adaptions and work with sensory-integration-trained therapists. Our service is available in schools, homes and the community – wherever will best meet the needs of children and their families.
DEPRESSION, ANXIETY, FATIGUE & BEHAVIOURAL MANAGEMENT
We recognise the impact these challenges can have on normal, everyday functioning and how this affects rehabilitation engagement and outcomes. Our therapists have the skills to assess, support and educate, as well as develop strategies and manage these areas to help the client to function and achieve their goals.
We have expert therapists within LSOT Ltd who have specialist training in behavioural management, gained through work in behavioural units. We have a fully-qualified yoga instructor who uses these additional skills in her OT programmes to support relaxation for anxiety management, as well as occupational therapists who are trained in mindfulness and CBT. And our links with neuropsychologists, neuropsychiatrists and neurologists ensure we provide a comprehensive multi-disciplinary approach for the management of difficult behaviours.
© Laura Slader Independent Occupational Therapy Services Ltd. 2020