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Milieu

Milieu

The treatment environment at Texas NeuroRehab Center is a unique residential treatment milieu. The children and adolescents are initially separated by cognitive and functional level, then by gender and age, and are therefore entered into a similar peer group.

Units

The child and adolescent programs are housed on four separate, smaller units. One unit is for males and the other three are coed. The units provide a structured environment with 24-hour nursing care and on-call physician coverage.

Staff-to-patient ratios operate at 1-to-3, or 1-to-5, depending on the unit. Staff guide youth though activities of daily living; such as eating, bathing and dressing. Cognitive and behavioral interventions are consistently used to improve and promote appropriate behavior.

Daily Schedule

Daily routines are adjusted according to the capabilities of each child. Below is a sample of a daily schedule:

Time/Day Monday Tuesday Wednesday Thursday Friday Saturday & Sunday
7:00 – 7:30

Wake Up

Showers

Room Care

Wake Up

Showers

Room Care

Wake Up

Showers

Room Care

Wake Up

Showers

Room Care

Wake Up

Showers

Room Care

Wake Up

Showers

Room Care

7:30 – 8:00 Goals Group Goals Group Goals Group Goals Group Goals Group Goals Group
8:00 – 8:30 Breakfast

Meds

Hygiene

Breakfast

Meds

Hygiene

Breakfast

Meds

Hygiene

Breakfast

Meds

Hygiene

Breakfast

Meds

Hygiene

Breakfast

Meds

Hygiene

 8:30 – 10:30 Education Education Education Education Education Leisure Activities
 10:30 – 10:45 Snack Snack Snack Snack Snack Snack
 10:45 – 11:30 Education & Therapies Education & Therapies Education & Therapies Education & Therapies Education & Therapies Therapeutic Activities
 11:30 – 1:00 Lunch Lunch Lunch Lunch Lunch Lunch
 1:00 – 2:30 Education & Therapies Education & Therapies Education & Therapies Education & Therapies Education & Therapies Arts & Crafts
 2:30 – 2:45 Snack Snack Snack Snack Snack Snack
2:45 – 4:00 Education & Therapies Education & Therapies Education & Therapies Education & Therapies Education & Therapies Physical Recreation
4:00 – 4:30 Goals Group Goals Group Goals Group Goals Group Goals Group Review of Goals
4:45 – 5:30 Dinner Dinner Dinner Dinner Dinner Dinner
5:30 – 6:00 Showers Showers Showers Showers Showers Movie Time
6:00 – 7:00 Activity Activity Activity Activity Activity Board and Card Game
7:00 – 7:30 Meds / Snack Meds / Snack Meds / Snack Meds / Snack Meds / Snack Meds / Snack
7:30 – 8:00 Clean Up/ Wind Down Clean Up/ Wind Down Clean Up/ Wind Down Clean Up/ Wind Down Clean Up/ Wind Down Clean Up/ Wind Down
8:00 Lights Out Lights Out Lights Out Lights Out Lights Out Lights Out

 

Performance Measures

The children and adolescents are able to gauge progress and consistently learn appropriate behaviors through performance-based measures. These measures are simple and are used secondary to verbal praise. Additionally, they ensure that the child or adolescent, family and treatment team are on the same page in terms of the child’s behavior and growth.