title: Integrating cognitive rehabilitation: A preliminary program description and theoretical review of an interdisciplinary cognitive rehabilitation program.
abstract: BACKGROUND
  Interdisciplinary cognitive rehabilitation is emerging as the expected standard of care for individuals with mild to moderate degrees of cognitive impairment for a variety of etiologies. There is a growing body of evidence in cognitive rehabilitation literature supporting the involvement of multiple disciplines, with the use of cognitive support technologies (CSTs), in delivering cognitive therapy to individuals who require cognitive rehabilitative therapies. This article provides an overview of the guiding theories related to traditional approaches of cognitive rehabilitation and the positive impact of current theoretical models of an interdisciplinary approach in clinical service delivery of this rehabilitation.
  
  
  OBJECTIVE
  A theoretical model of the Integrative Cognitive Rehabilitation Program (ICRP) will be described in detail along with the practical substrates of delivering specific interventions to individuals and caregivers who are living with mild to moderate cognitive impairment. The ultimate goal of this article is to provide a clinically useful resource for direct service providers. It will serve to further clinical knowledge and understanding of the evolution from traditional silo based treatment paradigms to the current implementation of multiple perspectives and disciplines in the pursuit of patient centered care.
  
  
  METHODS
  The article will discuss the theories that contributed to the development of the interdisciplinary team and the ICRP model, implemented with individuals with mild to moderate cognitive deficits, regardless of etiology. The development and implementation of specific assessment and intervention strategies in this cognitive rehabilitation program will also be discussed.
  
  
  RESULTS
  The assessment and intervention strategies utilized as part of ICRP are applicable to multiple clinical settings in which individuals with cognitive impairment are served.
  
  
  CONCLUSIONS
  This article has specific implications for rehabilitation which include: (a) An Interdisciplinary Approach is an effective method for cognitive rehabilitation; and (b) Recent theories offer beneficial evaluation and intervention techniques for cognitive rehabilitation.
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA.
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Fleeman
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA.
authors.forename: Christopher
authors.initials: C
authors.lastname: Stavisky
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA.
authors.forename: Simon
authors.initials: S
authors.lastname: Carson
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA.
authors.forename: Nancy
authors.initials: N
authors.lastname: Dukelow
authors.affiliation: Department of Speech Pathology/Department of Otolaryngology, University of Rochester Medical Center, Rochester, NY, USA.
authors.forename: Sheryl
authors.initials: S
authors.lastname: Maier
authors.affiliation: Department of Speech Pathology/Department of Otolaryngology, University of Rochester Medical Center, Rochester, NY, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Coles
authors.affiliation: Palo Alto VA Medical Center, Palo Alto, CA, USA.
authors.forename: John
authors.initials: J
authors.lastname: Wager
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA.
authors.forename: Jordyn
authors.initials: J
authors.lastname: Rice
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA.
authors.forename: David
authors.initials: D
authors.lastname: Essaff
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA.
authors.forename: Marcia
authors.initials: M
authors.lastname: Scherer
mesh_terms: D017028:Caregivers; D003071:Cognition; D003072:Cognition Disorders / Q000209:etiology / Q000523:psychology / Q000534:rehabilitation*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D060825:Cognitive Dysfunction / Q000523:psychology / Q000534:rehabilitation; D006801:Humans; D008962:Models, Theoretical; D010348:Patient Care Team; D016730:Program Development; D012944:Social Support; D016896:Treatment Outcome
keywords: Cognitive; Matching Person and Technology; Neuropsychology; Occupational Therapy; Speech Language Pathology; assistive technology; cognitive support technology; cognitive supports; cognitive therapy; compensatory; function-based; functional deficits; individualized; interdisciplinary; interventions; mild cognitive impairment; moderate cognitive impairment; multidisciplinary; patient-centered; rehabilitation; remediation; service delivery; therapy