The ATCP assessment is conducted by a multi-disciplinary team, taking into account many factors. These include the referred person's:

  • medical history;
  • psychosocial and educational histories;
  • typical activities and responsibilities prior to the acute neurological event; 
  • current cognitive/perceptual profile;
  • current levels of activity-specific functioning; 
  • "natural" compensations that have already been developed spontaneously by the referred person or have been attempted by the referred person's caretakers; 
  • the consistency and quality of the referred person's support network; 
  • available concrete resources.

The assessment process typically requires a number of visits over a period of about two weeks. Upon completion of each team member's individual assessment, the team meets to present and compare findings. A series of recommendations is then made, representing a spectrum of appropriate interventions. As a group, the interventions selected for further evaluation typically sample devices with varying levels of complexity, input/output demands, modifiability, portability and cost.

At the end of the assessment process, a family meeting is conducted at which findings and recommendations are discussed. Depending on the specific types of interventions or devices recommended, the referred person may be asked to return to MedRehab for a series of training sessions. During these sessions, the specific interventions and assistive devices recommended for consideration can be evaluated further and modified, if necessary, based on their clinical effectiveness.

Using this assessment approach, our goal is to provide each referred person with an ATC plan that can be used to enhance independent functioning for target activities.