Welcome to Domiciliary Residential Care and Treatment
Where The Future Can Be Different Than the Past
The mission of Domiciliary Residential Rehabilitation and Treatment is to provide coordinated, integrated rehabilitative and restorative clinical care in a bed-based program, with the goal of helping eligible veterans achieve and maintain the highest level of functioning and independence possible. Domiciliary Care, as an integral component of VHA's continuum of health care services, is committed to providing the highest quality of clinical care in a coordinated, integrated fashion within that continuum.
Domiciliary Residential Rehabilitation and Treatment is defined by the following characteristics; it:
a. Provides clinical care to patients who suffer from a wide range of problems, illnesses, orareas of dysfunction, which can be medical, psychiatric, vocational, educational, or social.
b. Provides bed-based care in a safe, secure, semi-structured, homelike environment.
c. Provides clinical care which emphasizes a positive therapeutic milieu, functional independence, and patient mutual support, specifically utilizing the Therapeutic Community model. As used here, this implies the use of the "community as method." The peer community is used in a conscious, purposeful manner to facilitate social, psychological, and behavioral change in individuals. Multiple therapeutic and rehabilitative activities are used, all being designed to produce therapeutic and educational changes, and all participants (patients and staff) are considered mediators of these changes.
d. Utilizes a broad range of resources.
e. Provides care by Domiciliary interdisciplinary clinical teams which develop, integrate, and coordinate comprehensive and individualized plans of treatment, rehabilitation, or health maintenance which include all resources involved in the patient's care, both within and outside the Domiciliary.
f. Provides optimal opportunities for community interaction, vocational involvement, and graduated independence.
g. Offers the potential for treatment or rehabilitation of patients with relatively narrowly defined problems if the general definition of Domiciliary Rehabilitation and Treatment is met, in each instance attending to whether a different type of care or treatment program would be more appropriate.
h. Offers pre-admission outreach and post-discharge follow-up.
i. Differs from hospital or nursing home care in that Domiciliary Residential Rehabilitation and Treatment patients do not require bedside nursing care and are capable of daily self-care (activities of daily living [ADL]).
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