Criteria and Guidelines

Find out more about our criteria and guidelines for admission, transition and discharge from our services below.

Admission Criteria and Guidelines

A tbi professional at a table with a clipboard and pen, talking to a man with a traumatic brain injury about MARC Therapies' support programs.

  • Adults who are aged 18 years or older with a diagnosis of an acquired brain injury, spinal cord injury or other severe orthopedic injury, neurological disorder, or neuropsychiatric condition.

  • Potential benefit from MARC services and to meet the functional outcomes established.

Transition Criteria and Guidelines

A traumatic brain injury professional taking notes on a notepad, interviewing a man with a beard and casual white t-shirt about his experience as a tbi survivor.

  • VA meets the outcome goals as specified in their vocational therapy plan and has improved skills to a degree sufficient to be able to be served in alternate community environment. Typical outcome goals include sufficient improvements in workplace tolerance, behavioral self-management, ability to maintain personal health and safety, managing one’s personal and business affairs, making effective use of strategies to compensate for cognitive and behavioral impairments, or becoming competitively employed or otherwise engaged in volunteer work, sheltered work, school, or other meaningful, productive day activity.

  • Behavioral sequelae are sufficiently self-managed to not present a danger to self or others and/or successful community placement.

  • Discharge/follow-up plan is in place prior to exit from the program.

  • VA is not capable of maintaining entry criteria. An alternative placement site/service provider will be identified prior to exit from the program.

  • Completion of all discharge planning and documentation.

Discharge Criteria and Guidelines

A smiling man with tbi sitting on the floor in a room, with a joyful woman leaning over him, both appearing happy and laughing after receiving brain injury support services.

MARC will maintain the VA in program if the following criteria are met or the VA requests discharge:

  • The amount of personal care, supervision and protection required by the VA is available in the facility.

  • The kinds of services and skills required of the facility to meet the VA’s needs are available in the facility.

  • The VA’s needs are compatible with other members of the facility.

  • The program determines placement to be inappropriate.

  • A 30-day written notice will be given prior to discharge from the facility. The notice shall state the reason for discharge. A copy of the written notice will be provided to the VA and the VA’s designated representative. Exceptions to the 30-day written notice are:

    • Substantial risk or an occurrence of self-destructive behavior.

    • Substantial risk or an occurrence of serious physical assault or destruction of property.

      • When such basis or a discharge exists, 24-hour prior verbal notice followed by a written notification will be given.

      • The reason for the proposed discharge, including the specific nature of the substantial risk.

      • The alternatives to discharge that have been attempted.

      • The location to which the resident will be discharged, if known.

The program will try to plan a discharge planning meeting and provide the necessary documentation to ensure for an appropriate transition. There may be a cost for making copies of records outside of the discharge planning process.