Semi-Independent Living Program (SILP)
Hook Rehabilitation Center is proud to offer this unique program to help individuals achieve their highest level of success in returning to their homes and communities. The Semi-Independent Living Program (SILP) is the final step in the brain injury continuum of care, helping individuals move from highly-structured programming to independent functioning in the community.
Freedom and independence are two of the most important aspects of adult life. Hook Rehabilitation Center’s Semi-Independent Living Program (SILP) is a dynamic, innovative approach to therapy which is designed to increase those skills necessary for individuals to function in a home environment. Clients who are actively enrolled in the Community/Work Re-Entry track at the outpatient clinic on the Ft. Ben campus have an opportunity to reside in this home, situated in a residential neighborhood just minutes away from the outpatient clinic. Participation in these combined programs is geared for those individuals who plan to return to their homes and/or return to work once finished with their therapy program. The therapy that is initiated during day treatment can be carried over to the SILP home. This allows for the ability to practice new skills in home and community settings.
The SILP is handicap accessible. The house has four bedrooms and can accommodate up to five individuals at a time. In rare situations, there may be a period of a few days where a room may need to be shared. However, it is the goal of the staff to provide individual sleeping quarters for each client. There are two bathrooms that are shared by the residents in the home. We have found that clients work out a schedule among themselves that suits each individual’s needs for bathing and/or showering and grooming. All food is prepared in the kitchen of the home.
The SILP is staffed 24 hours a day with trained Community Health Network employees who also provide the van transportation to the outpatient clinic for daily therapy. This staff facilitates the transference of skills that each individual learns in the therapy clinic to real-life situations at the home and in the community. There is an emphasis on activities of daily living, e.g. cooking, medication management, and laundry. Opportunities are also available to clients to participate in community outings such as shopping and leisure activities. The large family room at the SILP has a TV and games available for the residents when there is free time.
- A two-week treatment stay on the Hook Neurobehavioral Unit is preferred prior to admission to the SILP.
- A neuropsychologist’s recommendation is necessary.
- Clients must participate in the outpatient day treatment five days per week.
- Clients must be able to administer their own medications with only verbal cueing if needed. Detailed instructions regarding medications will be given at time of admission.
Rules and responsibilities
As in any group situation, there are rules and responsibilities. The rules and responsibilities of the SILP include the following:
- All clients must adhere to the house/therapy schedule.
- No smoking is permitted.
- A limited amount of money can be brought to the house. A log is kept and initialed by both the client and staff member to maintain accuracy of client funds.
- A fully-equipped kitchen is available. Clients may bring their own food and snacks; if food preparation requires a stove or oven, staff will supervise.
- Eating is permitted only in common areas. No food is allowed in bedrooms.
- Clients may use the house phone or bring cell phones. A phone card is required for long distance calls.
What to bring
Each client should bring the following:
- Loose, comfortable clothing. It is recommended that you bring sufficient changes of clothing for the week. A washer and dryer are available for you to do your own laundry.
- Personal hygiene items, wrist watch, eyeglasses or contacts, hearing aids. Alarm clocks are provided.
- Therapeutic equipment previously issued, such as braces/splints, wheelchairs, canes, or other equipment should also be brought with each client.
- Client rooms may be personalized with photos of family and friends, but do not bring valuables.
Family education and training is very important to the client’s success. Family will be encouraged to attend individual therapy sessions at the outpatient clinic. These sessions will be coordinated with the therapy team. There is open visitation at the SILP after 5 p.m. and families are encouraged to visit during the week.
Family education/training is necessary prior to the scheduling of passes. There are two main purposes of therapeutic passes:
- To allow clients opportunities to practice using their therapy techniques with family while in the community.
- To allow clients and their families to further identify training needs and assess discharge plans.