Disability Services

Cancer Care Programs

Cancer and treatment can cause physical problems including: pain, fatigue and muscle weakness. These may interfere with a client’s life in physical, cognitive, psychosocial and practical ways. CBI’s cancer care program is tailored to safely and effectively improve the impacted areas of all cancer clients so that they can achieve their best possible health and confidently re-enter the workplace.

Treatment Team: OT/PT and Kin will assess the needs of your client and create an individualized treatment regime that is structured around Work Conditioning, Cognitive Work Hardening, Behavioural Work Hardening, Job Coaching and Return to Work Planning and Monitoring.

Concussion/Head Injury Rehabilitation

A concussion is a traumatically induced physiological disruption of the brain that can cause symptoms such as headaches, dizziness, fatigue, poor memory, concentration and balance.

Treatment Team: An OT/PT team completes a thorough assessment to evaluate physical status, cognition, vestibular response, balance, and psychological function using standardized assessment tools. Individualized treatment programs focused on client education, symptom management and sub-symptom gradation are implemented with an overlying focus on returning the client to work.

Disability Assessment

An assessment that is intended for clients whose barriers are primarily physical in nature. The client undergoes a detailed phys-med assessment followed by functional tolerance testing (and a psychological screen where appropriate). Functional tolerances are compared with job demands in order to determine if the client would be best treated via work conditioning or work hardening.

Treatment Team: PT/Kin or PT/OT team. The later combination is recommended when underlying psychosocial issues may be present.

Ergonomic Assessments

An onsite visit to the client’s workplace completed by a clinician (typically OT or Kin) who is equipped with the knowledge, experience, tools and techniques to pinpoint the ergonomic risks of your client’s workplace. An itemized list of recommendations will be provided.

E-Health & Remote Rehab

Intended for those who live in less accessible areas. The CBI treatment team uses technology (e.g., internet/ e-visits, remote monitoring ‘wearables’, etc.) to provide rehabilitation to clients with psychosocial issues or those who require support in the end stages of recovery from a physical injury. These clients will be ‘virtually’ connected to our treatment team on a regular basis so that our practitioners can monitor and positively impact a client’s compliance.

Lifestyle Restoration Program (LRP)

LRP is an a la carte multidisciplinary program that is custom tailored to meet the individual and immediate needs of each client. The referral source has access to different healthcare providers on an as-needed basis. Treatment may change over the duration of the program (can be front or back end loaded -- each professional is used only as needed), and places focus on getting the client back to work in the most effective and efficient manner possible.

Treatment Team: Could be OT, PT, Kin, Chiro, Psych, Dietician, Massage Therapist or any combination of as per the requirements of the client.

Mental Health Assessment & Program

For clients with mental health concerns (e.g., anxiety, depression, PTSD and bipolar disorders, etc.). Psychological assessments are used to determine the level of intervention required and the tools needed to feel empowered, comfortable and fully prepared to return to their jobs. Our goal is to foster resiliency against future episodes of illness.

Treatment Team: Depending on the severity of the client’s symptoms and on their previous medical history, our clinics can arrange for a psychologist and/or OT to provide treatment in the areas such as re-activation, CBT, exposure therapy, mindfulness and stress management.

Progressive Goal Attainment Program

The PGAP program is 10 weeks in duration; it is designed to minimize the psychosocial barriers that impact your client’s rehabilitation progress. Based on the clinician’s assessment, activity goals are established and various methods of intervention are used to promote the client’s re-integration into their normal ADL’s, with the goal of increasing their quality of life, and facilitating return-to-work. Structured activity scheduling, graded-activity involvement, goal-setting, problem-solving, and motivational enhancement, are a few of the strategies used to facilitate the client’s ability to successfully return to work and life roles.

Treatment Team: Assessments and treatment are delivered by a PGAP trained/certified clinician.

Physical/Cognitive Demands Analysis

A PDA or CDA is used to document the physical and/or cognitive demand levels of a job. An OT or Kin attends the workplace and obtains objective measures of the physical, cognitive and perceptual demands needed to complete a job. Detailed measurements (heights, weights, repetitions) and task durations and frequencies (occasional, frequent, rare etc) are documented. Any reasonable or potential accommodations are outlined. This information is used as a foundation for physical and cognitive work hardening programs.

Physical/Cognitive Work Hardening Programs

An interdisciplinary team made up of PT/Kin/OT create a work simulation program that safely increases the client’s ability to engage in work related activities and improves their workplace tolerances. As a client approaches their maximum required physical and/or cognitive function, they spend more time in the clinic. Where the employer will accommodate, the client is supported to spend partial days at work with the remainder of their ‘workday’ at the clinic where tolerances are progressed.

Return to Work Planning (Job Site Visits, Job Coaching)

Lead by a return to work specialist, CBI will create a detailed return to work plan for the client. Referral sources, employers, occupational health teams, physicians and all other parties with a vested interest in the client’s RTW are involved in the process. Job site visits and job coaching sessions are used to ensure success and provide each client with the necessary support to reintegrate into their job with minimal barriers. Strategies to reduce the stress and anxiety of returning to work after a prolonged absence are reinforced to foster a durable return to work.

Vocational & Psych-Voc Assessments

An in-person assessment conducted by a registered psychologist or vocational specialist who evaluates and provides recommendations for vocational direction based on the findings of standardized aptitude tests and an interview. The assessment considers learning, skills, education, psychological functioning, retraining needs and abilities along with interests, the current labour market and hourly wage range. The assessment results in a detailed report, with specific, individualized recommendations to support a return to meaningful and gainful employment.

Resiliency Group Services

Resiliency group was created to help individuals increase their ability to manage life stresses, increase self-esteem and better prepare for work by actively participating in treatment that emphasizes social interactions.

Why choose Resiliency Group?

• Has a return to work and function focus
• It is cost effective:
  • 72 hours of group-based intervention services
  • 8 weeks, 3 days/week
  • 2 hours of individualized evaluation/review
• Led by an experienced team of clinicians
• Provides home practice to sustain healthy lifestyle change
• Can be combined with other services, if needed

Appropriate for individuals who:

• Are independent with activities of daily living
• Have barrier of low resiliency associated with conditions such as depression/anxiety impacting ability to return to work or have another diagnosis (pain, cancer, chronic disease, concussion) and are struggling with recovery
• Can commit to 3 days per week, 3 hours per day of clinic based activity
• Expect return to work within 8 weeks