This post describes a comprehensive rehabilitation center in Sao Paulo for individuals with physical and intellectual disabilities over the age of 14. The Rede De Reabilitação Lucy Montoro, or Rehab Network of Lucy Montoro was originally created by private donations. The center itself occupies an enormous centrally-located building which used to be part of a train station. The building was donated for the rehabilitation center and the center now receives philanthropic and government funding.
The Center has gone through some changes in the past few years. It used to have no strict rules for entrance or exit, and provided day workshops for people with disabilities. It was described by Dr. Gabriela Stump (Psy.D.), who previously worked at the Rehab Center, as a place where people with disabilities came and stayed because it was convenient. Individuals may have attended day programs here for 10-14 years. Dr. Stump has tried to put in place a process with entrance and exit procedures, with workshops that are differentiated for various levels of functioning, and with individualized goals for participants. Now, the Center serves individuals a few hours a day, two days a week. This means that there are different groups in the mornings and afternoons, and individuals may come on different days. Dr. Stump aims to have a functional network of providers that will also serve the individuals with disabilities who attend the Center. Now, individuals may stay for approximately 2 years and are re-evaluated every 3 months to see if they are meeting their goals. Overall, the Center serves about 600 individuals a day.
What do you think of the change in service procedures at the Center? Why do you think the Center wanted to systematize services in this way? What may be some of the benefits and consequences of the changes?