Comprehensive Rehabilitation Services

Comprehensive Rehabilitation Services (CRS) banner


Comprehensive Rehabilitation Services Program

The Comprehensive Rehabilitation Services (CRS) program serves people who have experienced traumatic brain injuries (TBIs) and/or traumatic spinal cord injuries (SCIs). The program aims to ensure that consumers who have TBIs and/or SCIs receive individualized services to improve their ability to function independently in the home and community. Counselors, consumers, and family members work collaboratively to identify rehabilitation goals for the person who has an injury and to determine what services may be needed to support increased independence. Services that encourage a consumer to attain individual goals may include inpatient comprehensive rehabilitation services, outpatient rehabilitation services, and/or post-acute brain injury services.

Who is eligible for Services?

(a) To meet the basic eligibility criteria for the Comprehensive Rehabilitation Services (CRS) program, there must a reasonable expectation that services will benefit the person by improving his or her ability to function within the home environment or within the community, and the person must:

  • have a traumatic brain injury or traumatic spinal cord injury that constitutes or results in a substantial impediment to the person's ability to function within the home environment or the community;
  • be at least 15 years of age;
  • be a U.S. citizen or lawful permanent resident, and a Texas resident (as defined in 107.705(52) of this subchapter (relating to Definitions));
  • not be participating in, or be eligible for and able to access, another rehabilitation program offering similar rehabilitation treatment or therapy services;
  • however the person may participate in rehabilitation programs that offer complementary rehabilitation services;
  • be willing to participate in services; and
  • be medically stable, including no progression of deficits, no deterioration of physical and cognitive status, or both; not be in imminent need of any acute care; and be functioning at a Level IV of the Rancho Los Amigos Levels of Cognitive Functioning Scale or equivalent.

(b) The person's continued eligibility for the CRS program will be reviewed and, if he or she no longer meets all criteria in subsection (a) of this section, program services may be discontinued.

Who Does the CRS Program Serve?

The following Fiscal Year 2013 information and data identifies consumers served by the CRS program and their injuries. The demographics indicate that the program served more individuals with TBIs, more people who self-identify as white, and more males than females.

People Served by Type of Injury; 64% Traumatic Brain Injury; 31% Traumatic Spinal Cord Injury; 5% Both
People Served by Self-Identified Race-Ethnicity; 67% White; 20% African-American; 13% Hispanic
People Served by Self-Identified Gender; 77% Male; 23% Female

 

What Happens in the CRS program?

The goal of the CRS program is to help people who have TBIs and SCIs gain and maintain independence in their homes and communities. All consumers in the CRS program work collaboratively with counselors to develop an Individualized Written Rehabilitation Plan (IWRP) to guide their personal recovery process toward independence. We measure “success” by consumers completing the program and residing in their homes or with family, in lieu of a long-term care setting. Depending on the consumer’s needs, the CRS program may pay for one or all of the following services to help the consumer gain needed skills for independence.

Inpatient Comprehensive Medical Rehabilitation – An interdisciplinary team of professionals closely coordinates intensive rehabilitation therapy in an inpatient hospital environment for consumers who have complex nursing, medical, and rehabilitation needs. These services are offered in a rehabilitation hospital and typically last 30 days but cannot exceed 90 days.

Outpatient Services – Therapists provide services to increase consumers’ skills related to daily activities that may have been affected by sustained TBIs and/or SCIs. The therapies may include:

  • physical,
  • occupational,
  • speech, and/or
  • cognitive rehabilitation.

These therapies may be provided in a hospital or clinic setting during the day, allowing consumers to return to their homes in the evening. Up to 120 hours of therapy may be sponsored.

Post-Acute Traumatic Brain Injury Services – These services use an interdisciplinary team approach to provide cognitive rehabilitation and independent living services. The goal of these services is to increase the consumer's ability to live as independently as possible. The services are offered on a residential (i.e., overnight stay) and non-residential basis, which may be offered for up to, but not to exceed, six months.

Process

If you are interested in obtaining services of the program, please contact a Department of Assistive and Rehabilitative Services counselor in your area.  After you contact the counselor in your area and communicate your interest in the program, you will be placed on the “Interest List.” At a scheduled date, you and your CRS counselor will complete an application for the program. You will answer questions about your respective injury and any difficulties that it may be causing.  Once the application is completed and other documentation regarding your injury is obtained, the CRS counselor will consider all information and determine if you are eligible to receive services from the program. You will then be contacted with an answer and additional guidance.

If you are determined eligible for services, you and your counselor will develop an IWRP. This general plan will outline goals you wish to achieve regarding rehabilitation and mobility, self-care, and/or communication. Depending upon available benefits, you and your counselor will review the facilities that provide needed services. You may tour facilities, meet staff to learn about facilities and their rules, and compare facilities to determine which one will best meet your individual needs. This is the time to ask important questions and focus on your recovery.

Waiting List

Please understand that the CRS program may have more people applying for services than it can serve. The CRS counselors will not be able to tell you how long the wait for services might be. However, you can enter your personal case identification number (case ID) into the waiting list database, which will show your placement on the list. All consumers are served on a first come, first served basis, so the faster you complete an IWRP, the faster you may receive services. Your counselor or a designee will notify you when the program is ready to provide services to you. 

How does the program get its funding?

The CRS program was first funded in 1991 with the establishment of dedicated funding to aid the recovery process of Texans who have experienced TBIs and/or traumatic SCIs. Part of the funding for the CRS program comes from surcharges on convictions of felonies and misdemeanors. Other money comes from General Revenue Funds given to the program by the Texas Legislature. These funds help the program serve people on the waiting list as soon as possible.

Definition of Terms

Abilities—physical or mental capacity to perform tasks of daily living.

Eligible—meeting the requirements to participate in a program.

Independent—living and carrying out daily activities with little or no help from others.

Medically stable—a point in the recovery process when rehabilitation can begin because the patient's medical issues have improved.

Rehabilitation—the process of teaching a person how to do daily activities even though he or she has a disability.

Therapy—treatments to help a person gain strength, endurance, and ability with speech, mobility, and activities of daily living.

Traumatic—in the CRS program, an external physical force that causes a sudden change to the body.

Note:   If you or someone you know could benefit from the CRS program, please call the DARS Inquiries Hotline at 1-800-628-5115 or email DARS.Inquiries@dars.state.tx.us for information about applying for services.