Cognitive Rehabilitation Services

Cognitive Rehabilitation Therapy is a computer-assisted program to help brain-injured or otherwise cognitively impaired individuals restore normal functioning, or to compensate for cognitive deficits. Individuals with traumatic brain injury were the primary population for which it was developed in university medical and rehabilitation communities. However, it has been shown to be effective for patients who have suffered a stroke in the left or right hemisphere, experienced other brain trauma, and for individuals with ADHD. Cognitive rehabilitation builds upon brain injury strategies involving memory, executive functions, activities planning and “follow through” on tasks.

Although practicing various cognitive tasks (arithmetic problems, solving logic puzzles, concentration skills, or reading) may help brain rehabilitation, it is usually not enough. Cognitive Rehabilitation Therapy goes beyond those strategies as it involves two essential processes: restoration of functions that can be restored and learning how to do things differently when functions cannot be restored to previous levels. An individualized computer-assisted program of specific skills training and practice, plus metacognitive strategies, is developed. Metacognitive strategies include helping the patient increase self-awareness regarding problem-solving skills by learning how to monitor the effectiveness of these skills and self-correct when necessary.

Interventions are tailored to help individuals be as independent as possible in the management of their everyday routines and responsibilities in their homes, workplaces and communities.