Relationships
Between Independent Living Centers and Medical Rehabilitation Programs
Fuhrer MJ, Rossi D, Gerken L, Nosek MA, Richards L. Relationships
between independent living centers and medical rehabilitation programs.
Archives of Physical Medicine and Rehabilitation 1990;71:519-22.
ABSTRACT
A survey of independent living centers (ILCs) and medical rehabilitation
programs (MRPs) with cooperative relationships was conducted to (1) document
the extent of kinds of relationships that exist and (2) identify factors
that are reported to impede or facilitate those relationships. A questionnaire
was mailed to 83 ILCs that are listed in the ILRU Registry of Independent
Living Programs and that reported having a relationship with one or more
MRPs. Subsequently, another questionnaire was sent to the MRPs with which
each ILC reported having a relationship. Usable questionnaires were received
from 46 ILCs. In descending order, the most frequently reported relationships
were (1) making referrals to or supplying information about MRPs, (2) providing
peer counseling services, and (3) conducting training in daily living skills
for medical rehabilitation patients. Mean ratings of satisfaction with
the various kinds of relationships were relatively high. The three most
frequently reported barriers to stronger relationships were conflicting
approaches of service delivery, funding of services, and conflicting program
philosophies. Using information from a database describing ILCs, it was
found that ILCs with MRP relationships served significantly more consumers
than centers not having such relationships. According to results provided
by 25 MRPs, patients with spinal cord injury most frequently received services
by staff members of ILCs, with peer counseling being the most frequently
provided service.
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