Documentation and Reimbursable Services for Driver Rehabilitation

Driving is the method of choice to maintain independent community mobility for most older adults. Therefore, occupational therapy practitioners need to evaluate and provide intervention for driver rehabilitation services. Since reimbursement is often seen as a barrier to providing these services, this paper underscores the value of occupational therapy practitioners providing driver rehabilitation services. Appropriate documentation and guidelines for reimbursement from Medicare are addressed with examples of how occupational therapy driver rehabilitation services can be funded by third party payers.     

广州市社区戒毒和社区康复中防艾研究

吸毒与艾滋病传播具有非常密切的联系.2008年我国禁毒法的颁布施行,确立了社区戒毒和社区康复这一崭新的戒毒模式.在社区戒毒和社区康复中推行艾滋病防治工作具有重要意义.广州市在近年来逐渐形成了一套较为成熟的社区戒毒工作中的防艾机制.要完善该机制,可以从广泛推进反歧视运动和改善对吸毒和艾滋病人群的关怀和支持等方面入手.     

Rehabilitation: Concept and Practice

The word “Rehabilitation” has been used in many contexts and in many different ways. In the medical field its interpretation has changed considerably in the period from the years before the first world war to that after the second and the ensuing extensive social legislation which followed the Beveridge Report. Changes in definition, although usually enlarging the scope, do not necessarily mean increased application. The multiplicity of statutory and other agencies which have a part in the method and means of returning patients to full industrial and social contact has contributed to the failure to progress with the changes in definition.

Any review of rehabilitation services in this country shows many gaps which are due primarily to a failure by the medical profession as a whole to accept the dynamic philosophy of treatment demanded by rational schemes of rehabilitation and secondarily to the failure of effective co-ordination and integration between government departments, hospitals, general practitioners, public health services, and industry.

The prevailing tendency to isolate rehabilitation in the sphere of physical medicine is criticized as an attempt to evade a responsibility which the whole practising profession must accept. The fundamental function of industry in the process and the importance of the role of the Industrial Medical Officer are emphasized. Resettlement in employment is the crux of the whole process of rehabilitation.

     

The Hospital Rehabilitation Officer and the Community

Whether he can go back to his job may well be the problem that matters most to the patient, but its solution is often delayed because neither physician nor employer has the expertise to reconcile the individual's job responsibilities with his medical situation. The gap can be bridged at low cost, a British hospital has found, by rehabilitation officers who serve as inhospital advisers, job analysts, and liaison with industry.     

日间康复照料对社区康复期精神病患者康复效果的评价

目的探讨日间康复照料对社区康复期精神病患者的康复疗效。方法将符合标准的80例日间康复照料站的康复期精神病患者随机分成干预组和对照组,在药物维持治疗的基础上,干预组给予相关行为干预,对照组仅给予一般的社区随访和疾病指导。并采用相关问卷和量表对两组患者相关信息进行统计分析。结果干预前,两组间相关项目均无差异;干预后,干预组ADL、SDSS、BPRS和MRSS量表部分项目评分低于对照组。结论日间康复照料能改善康复期精神病患者的精神症状和生活技能。