Program Description

Mission Statement

Our mission at MARC is to use actual work activities as therapy in the belief that having an occupation is a basic human activity essential for health and the healing process. Therapeutic work activity must embody the characteristics of purposefulness, challenge, accomplishment, and the satisfaction that makes up every occupation.

Scope of Care

We provide a comprehensive range of therapeutic vocational day treatment specialized in outpatient rehabilitative services to people recovering from brain injury, spinal cord injury, severe orthopedic injury and limb loss, neurological disorders, or neuropsychiatric conditions, in a community integrated model of care. We primarily serve adults but may occasionally serve older adolescents or minors who are at least 16 years of age and who may not have access to a specialty pediatric rehabilitation program best suited to their specific service needs.

Vocational Associates (VA’s) are served within a specialized facility structured to accommodate their individual needs. VAs are assisted to maintain health and safety, and to develop a productive structured daily routine designed to improve functional participation in a vocational setting. Therapeutic and habilitative activities vary in scope and focus, but may include educational, pre-vocational, vocational, enclave, cognitive remediation, recreational, artistic, participative groups, and physical exercise.

Estimate length of stay/admission

Estimated length of stay/admission is determined by the treatment team evaluation of therapy process and goal outcomes. This is reviewed at least annually and documented by an updated prescription.

Criteria & Guidelines

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criteria and guidelines

Admission Criteria & Guidelines

  • 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.
  • Adolescents 16 yrs. or older, may be considered for admission with appropriate waiver from Michigan Adult Foster Care Licensing. Admission will only be considered if the candidate does not have access to a specialty pediatric rehabilitation program best suited to their specific service needs, or to preserve proximity to critical family and / or community support.
  • Potential to benefit from MARC services and to meet the functional outcomes established.

Transition Criteria

  • 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

  • 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.