The Medical Short Term Care Unit (MSTCU) at CWC performs evaluations with recommendations for care and treatment at home for children and adults with intellectual disabilities.
The MSTCU has ten beds and admits five clients per week.
This unit supports clients with:
- Complex medical needs;
- Post-operative care and/or therapy needs;
- Spasticity management concerns;
- Adaptive equipment and/or specialized wheelchair needs;
- Nutrition concerns and/or feeding difficulties;
- Respiratory management and/or oxygen needs; and/or
- Mild behavioral issues.
Evaluations in the MSTCU are coordinated between experts in a wide variety of disciplines. This allows for better care that considers all aspects of a client's needs and abilities. These evaluations may include the following disciplines.
- Dentist: Evaluation of oral health
- Dietitians: Evaluation of nutrition for tolerance of formula, need for supplements, feeding tolerance issues, and increase or decrease of formula based on height/weight ratio
- Occupational Therapists: Evaluation of range of motion of upper body, spasticity, muscle tightness, motor skills, and feeding skills and supports needed to prevent need for splints for hands, wrists, or elbows to maintain range of motion and prevent muscle issues
- Physical Therapists: Evaluation of range of motion of body and supports needed to prevent issues
- Psychiatrists: Evaluation of emotional issues
- Psychologists: Evaluation of behavior issues
- Rehabilitation Doctors: Evaluation of medical issues
- Respiratory Therapists: Evaluation of respiratory function
- Speech Therapists: Evaluation of level of communication function and understanding
- Teachers: Evaluation of education level
Process for Admission
All admissions to the MSTCU must pass through a screening process and, once accepted, are scheduled in advance.
- Initial Assessment: Staff will visit the client in the community to learn about his or her needs and find out what issues or concerns the family would like to address.
- Approval: CWC's Admission Committee reviews application to decide if CWC can meet the client's needs. If approved, then the family is welcome to visit CWC before deciding on an admission date.
- Records: CWC gathers records from community physicians, the Birth to Three program, early childhood program, public school records, community therapists, and any other sources.
- Scheduling: CWC works with the family to schedule an admission date. Based upon the individual's need, the length of stay may be seven to ten days for evaluation, or up to three months for intensive rehabilitation or post-operative care.
Admissions for clients under age 18 must be approved by county officials. Admissions for clients over 18 must be approved by county or managed care organization (MCO) officials.
Timeline for Admission
Approximately one week before the admission date, the admission social worker will contact the parent/guardian to prepare a care guide so that members of the team understand what the person's needs are and what goals the family would like to meet.
Day of Admission
- Settle the individual into their room.
- The therapy team meets with the parent/guardian to review the individual's needs and concerns to be addressed.
- The team meets again with the parent/guardian to share findings and recommendations for care and treatment at home.
- If team recommends something new, then the team provides in-person training for the parent/guardian and other community caregivers prior to discharge. The team also can provide training in written form and, where applicable, in video.
- The individual's home care team (such as home RNs, early childhood teacher, therapists, etc.) can be invited to participate in the discharge meetings.
With guardian approval, written reports are supplied within a month to the community care team (such as doctors, teachers, family, home health agency)