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Specialized Community Solutions

Our Vision

Our Specialized Community Solutions (SCS) Program supports individuals living with complex cognitive, behavioural and physical challenges to live fulfilling, optimistic and contributing lives.
SCS is committed to achieving the highest degree of functionality while providing the best possible quality of life.

We endeavor to change public perception and discrimination in local communities with local resources by providing information and education relative to brain injury and mental illness.

 

Our Program

SCS provides various levels of support and/or housing for individuals with physical, psycho-emotional and mental health challenges.

We provide individual programming and services allowing for community integration that include:

• Housing
• Personal Care
• Medical Support
• Behavioural Management
• Life and Adaptive Skill Development
• Client Advocacy
• Community Networking
• Addictions Counselling & Mental Health Services
• Neuro-Recovery Services

When and where necessary we are able to bring to the client a variety of other services that will enhance their community living experience.

 

Client Centered Service

SRS Support

• Individualized care planning for our special needs clients
• Specialized health care programs to improve client’s health, function and independence
• Team approach to medical, social and support services
• Providing safe and clean home environment for enhanced quality of life and sense of purpose

 

Case Management

An experienced co-management team utilizing the expertise of our people, Program Director, Manager and Residential Care Managers assist the referral source. Our team will assist in navigating the assessment and information process to ensure that the necessary skills are provided to meet the specific needs of the individual.

 

Resource Aides

The core component of our service is the utilization of paraprofessional staff who work directly with the clients in a residential environment, providing a safe, caring home customized to the needs of the client. The Resource Aides work as part of the Co-management Team in providing individualized care and programming for our clients.

 

SCS Team

Every member of our team has unique qualities and talents that support and enhance the lives of our residents. We offer ongoing training and take part in educational programs to ensure that our staff is well equipped to meet the changing needs of the residents that we support both in our homes and in the community.

Our program success reflects the quality and commitment of our staff and we do believe that our people are our greatest asset.
 

To apply for a position within our SCS division, please send your resume to: scsjobs@vitallife.ca


Educational Training

Vital Life Inc. has developed training seminars specifically designed to assist organizations develop a culture of knowledge and understanding relative to mental health. In order for any organization to accomplish such a task it is important that all members of that organization receive training that is designed specific to the nature of the organization. Vital Life Inc. has many exciting new programs on the horizon. Please feel free to contact us if you require any further information.

“Lynn Hiscoe presented a workshop for School District 22 administrators that addressed our specific questions about dealing with stress, anxiety and depression in our workplace. She responded to our questions with tact, wisdom and compassion. I had a “Eureka” moment in how to deal with a pressing issue with a teacher. I gained tools to more confidently face difficult issues.”

Note: The purpose of our programs is not to treat, but promote healthy lifestyles and improve emotional well-being. Consult your physician for specific guidance on health concerns.


Workplace Psychological Safety


Vital Connections

* a Cognitive Behavioural Therapy (CBT) program

Improving outcomes and preventing relapse for clients with mood disturbances and/or illness, through remote, electronic and telephonic intervention.

Our program has been designed to meet the needs of those clients living in rural and remote areas or in communities where CBT intervention is limited and access untimely. Depressed moods and anxiety disorders impact cognitive, interpersonal, and motivational skills that are necessary for productive and meaningful employment. It raises the risk for accidents and injuries at work, and comprises the fastest rising cause of long term disability. CBT intervention is known to be the most effective treatment in managing depression and many other mental health issues. Our consultants have advanced training in CBT interventions and we are continually upgrading our skills to meet industry standards.

Depression is one of the most prevalent mental health disorders, which impacts people during their prime working years. It is a leading cause of disability amongst working adults and results in significantly reduced quality of life. It raises the risk for accidents and injuries at work, and comprises the fastest rising cause of long term disability. There is strong empirical evidence that self-care can alleviate symptoms of stress and anxiety and improve overall function.

Cognitive Behavioural Therapy

Cognitive Behavioral Therapy (CBT) is both clinical and evidence based. Numerous research studies demonstrate CBT is an effective form of treatment for conditions such as depression, anxiety, PTSD, substance abuse, relationship issues, OCD, eating disorders, and phobias. CBT combines both cognitive and behavioral therapy and focuses on identifying, challenging, and modifying an individual’s negative or unhelpful cognitions. Our focus is on what is happening now, rather than earlier experiences. This approach is “active, skill-based and structured”; therefore, the benefits are long lasting and clients are often able to maintain improvement long after the intervention.

Client Advantages

Clients often feel isolated and alone and believe that somehow their problems are unique. Therefore normalization and education are central components of CBT.

  • Clients benefit from immediate feedback and work on their specific issues.
  • The CBT approach is very structured, with the client taking an active role in participating in the process.
  • Economic advantage due to no travel costs for telephonic intervention.
  • Increased availability to clients reaching rural communities.
  • Confidentiality and safety are assured.

Primary Components

  • Understanding signs and symptoms of mental health.
  • Building an alliance
  • Discussing how symptoms manifest in the workplace.
  • Determining client readiness and commitment toward motivation
  • Skills training: learning specific skills based on the cognitive behavioral model
  • Overview of the Skills: Realistic thinking, Reactivating and Setting Goals
  • The utilization of tools and resources to assist in process
  • Discussion of work/life balance, and the role of diet and exercise
  • Identifying barriers and developing accommodation
  • Developing a relapse plan
  • Effective closure and community resources for further supports

Process

Once a referral has been received, the client will be contacted. Ten sessions will be set up, once per week. They will receive the worksheets that they will be working on during this process by e-mail or mail.


Vocational Rehabilitation Plans

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Our skilled Vocational Rehabilitation consultants work in collaboration with the individual, employer, insurer, and healthcare practitioners to develop a vocational rehabilitation plan, including appropriate vocational goals and suitable steps and timeframes to achieve these goals.


Job Search Services

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Our skilled Vocational Rehabilitation consultants assist with resume preparation, cover letter development, and other professional correspondence relevant to securing employment.

Our skilled Vocational Rehabilitation consultants ensure that clients are prepared for interviews with a variety of strategies including mock interviews, and videotaped interviews.

Our skilled Vocational Rehabilitation provide clients with job search techniques including internet-based skills, knowledge of the hidden job market, networking strategies, and other more traditional job search tools.

Labour Market Research (LMR) provides information on an individual’s earning capacity based on the alternative positions identified in a TSA. It supplies both historical and projected information on wage scales and job vacancies and availability, as well as on necessary qualifications and physical demands performed in the alternative positions identified. During this process, we are in contact with an expansive list of employers, many of whom we have recruited to provide our clients with valuable work experience and job-shadowing.

Where an individual has been deemed unable to return to their own occupation or in the case of a change of definition of disability, our experienced employment specialists use information gathered from Vocational Assessments, Transferable Skills Analyses, and Labour Market Research to counsel the individual with the aim of identifying appropriate vocational options and career directions.

Where an individual is unable to return to previous employment, our skilled employment specialists assist the individual in accessing the hidden job market. Our expansive network of employers offer clients valuable work experience and job shadowing opportunities, which develop relevant skills and may lead to opportunities for full-time employment.


Vocational Activation

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This program is an intensive, medically-led four-week program to prepare a maximum of 8 participants to engage fully in a return to work process upon completion. The interdisciplinary program combines graduated physical reconditioning and work hardening with cognitive-behavioural interventions and community integration activities to strengthen physical, vocational, psychological and social capacities. It includes an initial interdisciplinary assessment to establish quantitative and qualitative baseline measures as well as interdisciplinary coordination and medical supervision throughout.

This intensive and individualized program uses CBT techniques to prepare the client for success in a graduated return-to-work process. This includes cognitive and affective screens and an assessment interview to provide quantitative and qualitative baseline data. CBT techniques are selected and implemented on the basis of the assessment and will often focus on such barriers to return to work as improper nutrition, poor sleep hygiene, difficulties with pain management, lack of routine, and affective difficulties. Techniques include activity-monitoring, cognitive restructuring/reframing, graded work-focused exposures, and behavioural activation supplemented by progressive muscle relaxation. A return-to-work focus is integrated into standard CBT techniques to optimize return-to-work outcomes. Homework to stimulate cognition is assigned, physical reconditioning is provided where appropriate, and work simulation is often used in providing graded exposures to work scenarios. The program is carried out over 8 to 12 weeks, with 1-3 sessions per week.

This intensive 10-week telephonic activation program is a structured, skill-based program designed for remote clients who may be struggling with depression, anxiety, low mood, and other common forms of mental illness. This program employs CBT techniques and work-focused CBT exercises to assist individuals in improving mood and remove barriers to staying at work or returning to work.


Vocational Assessments

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A Vocational Assessment is carried out by our skilled Vocational Rehabilitation consultants to thoroughly evaluate an individual’s employment aptitudes, skills, experience, and interests. The assessment lays the foundation for a rehabilitation plan, which sets forth suitable employment goals and makes concrete recommendations with the aim of returning the individual to a level of functioning commensurate with their pre-disability status.

A One Point Assessment involves a client interview only. A Two Point Assessment involves a client interview and an interview with the primary health care provider.

A Three Point Assessment involves a client interview, followed by an interview with the primary health care provider and employer.

Our Vocational Rehabilitation consultants administer an individualized selection of tests to comprehensively assess work characteristics, including occupational interests, work-related functions and aptitudes, temperament, traits, and values, and academic or other achievement levels. This evaluation is designed to determine appropriate vocational options.

Where an individual is deemed unable to return to their pre-disability occupation, a Transferable Skills Analysis (TSA) is carried out to assess an individual’s existing skill set, functional abilities, education, and experience and to match these to various positions requiring a similar set of skills, abilities, education, and experience.


Clinic Assessments

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An Ergonomic Assessment is a comprehensive assessment of the individual in the workplace environment designed to provide education on work habits and body positioning as well as recommendations for appropriate assistive devices and/or environmental modifications.

An FCE is performed to determine whether it is appropriate for an employee to return to previous duties of employment. It assesses an employee’s ability to carry out the activities of daily living and, where applicable, evaluates the employee’s functional capabilities for work retraining.

A Cognitive FCE is designed to gather objective data to form a comprehensive profile of the client’s physical and cognitive strengths and weaknesses in occupational performance. It incorporates core physical components of the traditional FCE (e.g., push, pull, lift, carry, grip strength, fine motor dexterity, full-body mobility, postural tolerance), but unlike the traditional FCE, focuses on gathering measures of cognitive function (e.g., attention and memory, numeracy and visual perception, and executive function, including planning, problem solving, self-monitoring, self-awareness, frustration-tolerance, and impulsivity). It is designed to provide objective baseline testing and inform recommendations to return the individual to the highest possible level of functioning during the return-to-work planning process.

A PDA (or JDA) provides a systematic and objective (quantified) evaluation of the physical tasks involved in performing the essential and non-essential components of a given job. It is designed to appraises the demands of the job and/or an employee’s suitability to the physical demands of the job and may be used proactively to prevent injury, or reactively to support return-to-work goals. The analysis includes recommendations for rehabilitation. It is often carried out prior to a Functional Capacity Evaluation.

A CDA provides a systematic and objective (quantified) assessment of the cognitive, emotional, and psychological demands required to perform the essential and non-essential components of a given job and/or to assess employee’s suitability for the cognitive demands of the job. It may include measures of higher level cognitive aptitudes, capacities in concentration and memory, aptitudes in social interaction, learning style and abilities, and skills in listening and communication. Where appropriate, the analysis includes recommendations to enhance strengths and compensate for weaknesses to return the individual to the highest possible level of functioning during the return-to-work planning process. A CDA is often carried out prior to a Cognitive Functional Capacity Evaluation.

This 4-6 hour assessment provides quantitative measures of cognitive function through standardized tests and scales as well as qualitative measures through structured observation and client self-report. The assessment includes measures of attention and memory, numeracy, visual perception, and executive function, including planning, problem solving, self-monitoring, self-awareness, frustration tolerance, and impulsivity. It also assesses cognitive functional gaps. It is designed to provide objective baseline data concerning cognitive strengths and weaknesses used to inform recommendations for strategies to maximize strengths and compensate for weaknesses during the return-to-work process.

This assessment provides an objective appraisal of the suitability of the work environment to the employee, and includes recommendations for education and training, worksite modifications, and/or adaptation of equipment.

This assessment provides a functional assessment of an individual’s ability to carry out the activities of daily living with an objective physical assessment of the client’s current physical capacities (strength, range of motion, etc.). It is often the first step in returning the client to a pre-accident level of functioning.

This assessment is designed to evaluate a client’s ability to manage personal care tasks and identify areas of concern through measures of cognition, sensation, perception, and biomechanics.

This assessment is designed to determine the client’s ability to function safely within the home. The assessment will evaluate whether the client can safely access all areas of the home, and will recommend and implement environmental modifications where needed to promote safety and independence.


Clinic Treatments (OT•AT•PT)

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At this initial appointment, the Physiotherapist or Athletic Therapist will meet with the individual to conduct a focused musculoskeletal assessment, including structural integrity, range of motion, and strength. A rehabilitation plan will be developed and treatment recommendations will be made on the basis of this objective data.

At this initial appointment, the Physiotherapist or Athletic Therapist will meet with the individual to conduct a focused musculoskeletal assessment, including structural integrity, range of motion, and strength. A rehabilitation plan will be developed and treatment recommendations will be made on the basis of this objective data.

Upper Extremity/Stroke Rehab

Custom orthotics stabilize foot alignment and relieve high-pressure areas which reduces symptoms associated with common injuries. Orthotics, in conjunction with other treatments, speed recovery.

Hand Therapy

Our skilled OTs treat injuries to the hand, wrist, elbow, and shoulder, including carpal tunnel syndrome, fractures, tendon and nerve repairs, soft tissue injuries, and complicated wounds. Treatments include joint and soft tissues mobilizations, scar and wound care, joint protection and ergonomic education, as well as prescription of stretching, range of motion, and strengthening exercises.

Splinting

Our experienced OTs fit clients for silver ring splints to reduce pain, and increase function by immobilization and protection of the joint to prevent hyperextension or by supporting a stabilized increase in range of motion.

Silver Ring Splint Fittings

Our experienced OTs fit clients for silver ring splints to reduce pain, and increase function by immobilization and protection of the joint to prevent hyperextension or by supporting a stabilized increase in range of motion. These splints are more functional and more durable than plastic variants.

Pressure Management

Our experienced OTs are skilled in the prevention and treatment of pressure ulcers, using pressure mapping for pressure relief interventions, transfer training, and client education on weight shifting and skin care.

Manual Therapy

This clinical treatment involves manipulation, mobilization or massage of soft tissues and joint structures to reduce pain and increase range of motion. This treatment is performed by a trained Athletic Therapist or Physiotherapist.

Kinesio and Sport Taping

This therapeutic technique is used to give support and stability to joints and muscles to reduce pain and inflammation without restricting range of motion. This treatment is performed by a trained Athletic Therapist.

Exercise Prescription and Rehab

Our physical therapists develop individualized, goal-oriented exercise plans which are designed to increase strength, endurance, proprioception, and range of motion, promote weight loss, and/or correct biomechanical deficiencies.

Acupuncture

This proven pain relief technique is used in conjunction with other treatment modalities.

Shockwave Therapy Treatment

Considered a breakthrough in pain management, Shockwave Therapy is a non-invasive therapy which uses cutting-edge sound wave technology to relieve pain and stimulate recovery in injured tissue.

Custom orthotics stabilize foot alignment and relieve high-pressure areas which reduces symptoms associated with common injuries. Orthotics, in conjunction with other treatments, speed recovery.


General Assessments

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An assessment includes two one-hour assessment sessions, which includes a standardized screening tool, the Substance Abuse Life Circumstances Evaluation (SALCE), and a counselor-directed assessment. A detailed report with treatment recommendations follows.


Substance Abuse Professional Assessments (SAP)

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A non-DOT Level 3 assessment is restricted to organizations with a confidential medical department overseen by a physician. The assessment begins with an enhanced professional SAP assessment utilizing two or three standardized substance abuse screening tools—Substance Abuse Subtle Screening Inventory 3 (SASSI-3) and Brief Michigan Alcohol Screening Test (Brief MAST) and/or Drug Abuse Screening Test-10 (DAST-10). An enhanced report is then sent to the Designated Employer Representative with detailed assessment reporting and treatment recommendations. A 3 page supplementary report for an organization’s confidential records/medical department is also provided. Following these reports, ongoing client tracking is provided to ensure compliance and an in-person follow-up assessment is carried out. An enhanced confidential final report is then provided, reporting on compliance with treatment recommendations and offering detailed relapse prevention strategies and recommendations for employee accommodation upon return to work.

A non-DOT Level 2 assessment begins with an enhanced professional SAP assessment utilizing two or three standardized substance abuse screening tools—Substance Abuse Subtle Screening Inventory 3 (SASSI-3) and Brief Michigan Alcohol Screening Test (Brief MAST) and/or Drug Abuse Screening Test-10 (DAST-10). An enhanced report is then sent to the Designated Employer Representative with detailed assessment reporting and treatment recommendations. Following this initial report, ongoing client tracking is provided to ensure compliance and an in-person follow-up assessment is carried out. An enhanced final report is then sent to the Designated Employer Representative reporting on compliance with treatment recommendations and providing detailed relapse prevention strategies.

A non-DOT Level 1 assessment begins with a professional SAP assessment utilizing at least one standardized substance abuse screening tool—Substance Abuse Subtle Screening Inventory 3 (SASSI-3). A standard report is then sent to the Designated Employer Representative with treatment recommendations. Following this initial report, a tracking call is made to treatment providers to ensure compliance and an in-person follow-up assessment is carried out. A final report is then sent to the Designated Employer Representative reporting on compliance with treatment recommendations and providing further recommendations for aftercare and monitoring where appropriate.

A DOT Assessment is carried out in accordance with the United States Department of Transportation (DOT), and must be administered by a certified SAP counselor. A DOT assessment includes a standard assessment, standard report with recommendations, and a follow-up meeting. It is typically carried out subsequently to a violation of the organization’s drug and alcohol policy.

A DOT assessment begins with a professional SAP assessment utilizing at least one standardized substance abuse screening tool—Substance Abuse Subtle Screening Inventory 3 (SASSI-3). A standard report is then sent to the Designated Employer Representative with treatment recommendations. Following this initial report, a tracking call is made to treatment providers to ensure compliance and an in-person follow-up assessment is carried out. A final report is then sent to the Designated Employer Representative reporting on compliance with treatment recommendations and providing further recommendations for aftercare and monitoring where appropriate.

Non-DOT Assessments

A non-DOT SAP Assessment is provided to non-DOT organizations whose employees are responsible for safety sensitive duties. It is often provided for clients working in the healthcare, manufacturing, and trades industries and in other non-transportation sectors. It is typically carried out subsequently to a violation of the organization’s drug and alcohol policy.


Certified Drug Testing

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Our Breath Alcohol Technicians (BAT’s) are certified to Department of Transportation (DOT) requirements. Our Evidential Breath Testing (EBT) instrument is listed on the National Highway Traffic Safety Administration (NHTSA) Conforming Products List (CPL). The instrument is used to measure Breath Alcohol Concentration (BrAC), and results are immediate.

Our certified hair specimen collectors provide professional courteous collection services following confidentiality and chain of custody protocol. A 3.9 cm (1.5 inch) length of hair sample can detect drug use up to 90 days prior to the collection. Segmentation of the sample can detect drug use from 0 – 30 days, 30 – 60 days and 60 – 90 days. All hair samples are sent to a SAMHSA (Substance Abuse and Mental Health Services Administration) certified laboratory. Negative test results are generally available within 24 hours, while results requiring confirmation testing are available an additional 72 hours later. Test results are reviewed by our Medical Review Officer (MRO).

Our certified collectors provide professional courteous collection services following strict confidentiality and security procedures. Our collectors are certified to conduct Department of Transportation (DOT) mandated collections. For Non-DOT testing we offer your organization, company, or individual custom test panels to meet you’re testing needs. All samples are sent to a SAMHSA (Substance Abuse and Mental Health Services Administration) certified laboratory. Negative test results are generally available within 24 hours, while results requiring confirmation testing are available an additional 72 hours later. Test results are reviewed by our Medical Review Officer (MRO).


Addictions Treatment and Rehabilitation

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We offer individualized recovery support services for employees struggling with substance abuse issues, including supportive counseling, bridging to treatment, aftercare and monitoring. This service includes weekly progress reports. (Supportive counseling, bridging to treatment, and aftercare and monitoring are available as separate services).

We offer treatment coordination to help manage public and private addictions treatment options. Treatment coordination includes a formal drug and alcohol assessment by a qualified Addictions Specialist to identify or confirm dependency issues, followed by detoxification services where appropriate, and brokering and securing a public or private treatment bed. This service also includes updates on client progress during the course of treatment. We recommend that this service be followed with Individualized Support following treatment.


Group Wellness Programs

Vital Life™ Group Wellness Program is a six-week program, which runs for two hours once per week. It focuses on developing tools and skills related to improving one’s vitality and resiliency. Our holistic approach to wellness will equip individuals to make lifestyle changes that will positively affect their physical, mental, and emotional well-being.

 

This six-week group program will provide opportunities for:

 

  • education, self-evaluation, and examining the importance of maintaining life-style balance
  • discussing the importance of nutrition; exercise; sleep
  • managing symptoms of low mood, anxiety, and stress; boundaries and managing conflict
  • learning strategies that increase awareness of factors that contribute to fluctuations in mood as well as methods to manage them
  • reviewing proven techniques used to improve self-esteem and self-confidence, and manage stress and low mood
  • defining what work-life balance means to each of us and what happens when our roles collide
  • setting goals and achieving them
  • discussing how to be intentional, creative and assertive when you need to be
  • learning the importance of social connections and community in building long-term wellness, and understanding that social isolation is a significant health risk factor

 

There are four primary components of the Vital Life™ Group Wellness Program:
 

  • 1. Six week group program delivered once per week for six weeks with a Powerpoint CD.
  • 2. The participant booklet that accompanies the program which includes handouts and resource materials.
  • 3. Training manual for the group leaders that has information for the six week program, including added resource material and information on group exercises for each group session.
  • 4. The development of marketing materials. This includes the promotional PowerPoint presentation, materials for letters, brochures, website and pamphlets. There could be the development of a DVD or audio material in the future (ie: meditation materials, etc.).

 

“The training is thorough and delivered in a non-didactic and interactive manner that makes the learning enjoyable. I came away knowing that I could deliver the program with confidence. (Vital Life) has all the components to assist teachers with regaining and attaining a full, vital life. The content will help teachers with self-evaluation, gaining insight and then putting new skills into place. For some it might be a reminder, for others it will be a paradigm shift - but ultimately (Vital Life) will enhance the quality of any teachers life.” - Sherry, BCTF Health and Wellness Consultant


Services - Introduction

Having a large, integrated network means better patient access and improved health outcomes. Our multidisciplinary team of clinical and support professionals work collaboratively across our network to foster best practices and provide you with the highest standards of care. We work hard to make it easier for you and your family to access the quality care and tailored solutions you need without delay.

 

Please scroll through the menu on the left to view the variety of services that CBI Vital Life has to offer.


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