The Rehabilitation, Intervention and Community Supports division of Labrador-Grenfell Health offers a range of services across the continuum of care – acute care, community and long-term care.
Supporting a Home First Approach, services are aimed at providing individuals with the opportunity to live as independently as possible within their communities. The focus is on helping individuals access the treatment and supports they need to overcome barriers, enhance independence and improve quality of life.
Rehabilitation services include: physiotherapy, occupational therapy, speech language pathology, social work and audiology. These services are based at the three major health centres – Charles S. Curtis Memorial Hospital, Labrador Health Centre, and Labrador West Health Centre.
Intervention services include: Direct Home Services and the Community Behavioral Services Programs. These services are provided by Child Management/Behavior Management Specialists who are based in various locations throughout the region.
The Community Supports Program consists of a range of services provided by Nurses and Social Workers located throughout the region.
Services include:
Audiology
The audiologist identifies, assesses and provides interventions to individuals of all ages who have hearing loss.
A variety of tests can be completed depending on the age of the client and the concerns presented.
The audiologist will provide communication strategies as well as the recommendation of hearing aids. The audiologist also fits hearing aids through the Provincial Hearing Aid Program for those who qualify.
Labrador-Grenfell Health offers a Universal Newborn Hearing Screening Program where infants born at the hospital will have their hearing screened by nursing staff. Infants are referred to the audiologist as needed
Referrals are accepted from clients, family members, health professionals and other community-based agencies/groups.
Referrals for audiology services can be made by calling:
- St. Anthony – 454-0137
- Happy Valley-Goose Bay – 897-2142
- Labrador City – 285-8370
Occupational Therapy
Occupational therapy services are provided to clients of all ages.
The focus of occupational therapy is to assist individuals who have difficulty performing everyday activities due to physical, mental, or developmental difficulties. This includes helping individuals restore or maintain optimal function in taking care of themselves, performing work-related activities and participating in social/leisure activities.
Services offered include teaching new skills and activities, providing adaptive aids and modifying environments.
Services are provided by Occupational Therapists and Rehabilitation assistants. Referrals are accepted from clients, family members, health professionals and other community-based agencies/groups.
Referrals for occupational therapy services can be made by calling:
- St. Anthony – 454-0137
- Happy Valley-Goose Bay – 897-2142
- Labrador City – 285-8370
Physiotherapy Services
Physiotherapy services are provided to clients of all ages.
The focus of physiotherapy is to improve a client’s mobility/movement and physical functions and to relieve pain.
Services include manual mobilization, prescribing and teaching exercise, heat therapy, cold therapy, electrical stimulation and acupuncture.
Services are provided by Physiotherapists and Rehabilitation Assistants. Referrals are accepted from clients, family members, health professionals and other community-based agencies/groups.
Referrals for physiotherapy services can be made by calling:
- St. Anthony – 454-0137
- Happy Valley-Goose Bay – 897-2142
- Labrador City – 285-8370
Speech Language Pathologists
The Speech Language Pathologists (SLP) provides assessment, therapy and consultation services for pronunciation, language, stuttering, swallowing and voice concerns. Areas of concern that a SLP may be able to help with include:
- Saying words and sentences clearly
- Learning new words, or remembering the names of things
- Putting words together to make sentences
- Understanding the meaning of words and sentences
- Using your voice box (e.g. voice box removed, vocal nodules, hoarse voice)
- Stuttering
- Swallowing
Services are provided to babies, toddlers, pre-school children (ages birth to school entry) and adults.
Referrals are accepted from clients, family members, health professionals and other community-based agencies/groups. Referrals for speech language pathology services can be made by calling:
- St. Anthony – 454-0137
- Happy Valley-Goose Bay – 897-2142
- Labrador City – 285-8370
For swallowing concerns, a referral from a physician or allied health professional (e.g. nurse practitioner) is required.
Social Work Services (Acute Care)
Acute care social work services are provided to clients in the acute care facilities, clients presenting in the emergency departments and/ or those under the oncology and dialysis programs.
The focus of social work services is to assist clients and their families in coping with problems that result from illness/hospitalization.
Services include: coordinating discharge planning services, counselling, advocating on behalf of clients/families, locating and arranging resources, and referring for hospital/community-based services.
Referrals are accepted from clients, family members, health professionals and other community-based agencies/groups.
Referrals for social work services (acute care) can be made by calling:
- St. Anthony – 454-0324 / 0316
- Happy Valley-Goose Bay – 897-2296
- Labrador City – 285-8374
Social Work Services (Long-term Care)
Social work services are available to all clients who reside in a long-term care residential facility including the Personal Care Homes, Long Term Care facilities and cottages.
The focus of social work services in long-term care is to assist clients/residents and families in coping with problems that arise when he/she can no longer remain in their own home/community.
Services include: accepting/reviewing application for placement; coordinating placement in approved facilities; counselling clients and families; consulting with colleagues in other service areas (acute and community), referring for community-based services; organizing and facilitating multidisciplinary rounds and resident council meetings ; and assisting with the monitoring of Personal Care Homes.
Referrals are accepted from clients, family members, health professionals and other community-based agencies/groups.
Referrals for social work services (LTC) can be made by calling:
- St. Anthony – 454-0376
- Happy Valley-Goose Bay – 896-4601
- Labrador City – 285-8374
Direct Home Services Program (DHSP)
The Direct Home Services Program (DHSP) is a free and voluntary service for families of infants or preschool children who have or are at risk for delayed development. It is provided in the child’s home, is family-centered with full parental input and emphasizes early intervention to maximize the child’s development.
The goals of the program are:
- Assist each child in reaching their potential in all areas of development
- Enhance parenting skills
- Assist parents in managing their child’s behavior
- Work directly with families to develop skill-teaching activities for the child
- Promote community inclusion
Referrals are accepted from parents, family members, health professionals and other community-based agencies/groups. Services are provided by Child Management Specialists (CMS) located at the following locations:
- St. Anthony, 454-3054
- Port Hope Simpson, 960-0271
- Labrador City, 285-8173 / 8174 / 8149
- Happy Valley-Goose Bay, 897-2295 / 3133 / 3134
- Nain, 922-2912
https://www.health.gov.nl.ca/health/personsdisabilities/fundingprograms_hcs.html
Intensive Applied Behavioral Analysis (ABA) Home Therapy
Intensive Applied Behavioral Analysis (ABA) Home Therapy is a free and voluntary service available to children who have a confirmed diagnosis of Autism Spectrum Disorder (ASD) with the number of home therapy hours determined through individualized assessment of needs:
- 18 months to school entry age, eligible for up to 30 hours per week of home therapy
- Enrolled in Kindergarten program (but not repeating Kindergarten), eligible for up to 15 hours per week of home therapy
- In Grades 1, 2, or 3, eligible for up to 10 hours per week of home therapy
This service is an intensive client-centered service with full parental input with emphasizes on intensive early interventions to maximize the child’s development.
The goals of this program are:
- Assist each child in reaching their potential in all areas of development
- Work with children one-on-one, using a combination of ABA and play-based activities, to develop skills, promote generalization and encourage community inclusion
Referrals are accepted from parents, family members, and health professionals (pediatricians, psychologists, psychiatrists, multidisciplinary teams using state-of-the-art diagnostic procedures and standardizes development assessment). Services are provided by Child Management Specialists (CMS) located at the following locations:
- St. Anthony, 454-3054
- Port Hope Simpson, 960-0271
- Labrador City, 285-8173 / 8174 / 8149
- Happy Valley-Goose Bay, 897-2295 / 3132 / 3133 / 3134
- Nain, 922-2912
https://www.health.gov.nl.ca/health/personsdisabilities/fundingprograms_hcs.html
Community Behavioral Service Program (CBSP)
The Community Behavioral Service Program (CBSP) is a free and voluntary service which is available to individuals who:
- Are 5 years of age or older
- Have an identifiable behavioral problem
- Are living within a non-institutional setting
- Have a diagnosed developmental disability with an accompanying intellectual impairment
CBSP emphasizes the use of non-aversive techniques and naturally-occurring consequences in developing interventions.
The goals of this program are to:
- Assist persons in developing more appropriate behaviors
- Assist parents/caregivers in managing the child’s or youth’s behaviors
- Enhance parenting skills
- Promote community inclusion
Referrals are accepted from parents, family members, health professionals and other community-based agencies/groups. Services are provided by behavioral management specialists (BMS) located at the following locations:
- St. Anthony, 454-3054
- Port Hope Simpson, 960-0271
- Labrador City, 285-8149 / 8173 / 8174
- Happy Valley-Goose Bay, 897-2295 / 3133 / 3134
- Nain, 922-2912
https://www.health.gov.nl.ca/health/personsdisabilities/fundingprograms_hcs.html
Home Support Services
Home support services are available to eligible individuals of all ages who require assistance with activities of daily living to reside in their own home, board and lodging, alternate family care home, assisted living unit or shared living arrangement. Home support is intended to supplement, not replace, services provided by the individual’s family, friends, and neighbours.
The programs under home supports are:
- Regular home support – services for clients requiring supports on a long-term basis
- Short-term acute – regular services on a short-term basis (49 hours, over two a week period)
- End-of-life program – services for individuals who are palliative (28 days)
To receive home support services, individuals must:
- Have an unmet personal care and/or supervisory care need
- Be financially eligible and/or willing to pay the identified co-pay
- Meet other eligibility criteria specific to each program option
There are three choices of service delivery for the regular home support program:
- Self-Managed Care – the individual/family has the option to hire their own home support worker(s).
- Agency Care – an approved home support agency provides the care. The individual/family is responsible for the selection of an agency.
- Paid Family Caregiver – to allow payment for family member to care for a loved one at home, based on the eligibility criteria- being able to demonstrate increased capacity of family member and is in the best interest of the client.
The types of services provided under home supports are:
- Personal Care – this includes help with bathing, shaving, getting dressed, using the toilet, walking and feeding yourself
- Household Management – this includes help with light housekeeping, laundry, meal preparation, home management and shopping.
- Respite Care – caregiver relief, and/or help with recreational activities.
- Behavioral Aids – provided assistance to clients with intellectual disability who are demonstrating challenging behaviours.
Referrals for home support services are accepted from clients, family members, health professionals and other community-based agencies/groups.
Home support services may be accessed by calling 1-833-284-4751.
Social workers and Community Health Nurses provide assessment, counselling and follow-up for home support services and are located at the following sites:
- St. Anthony
- Roddickton
- Flower’s Cove
- Port Hope Simpson
- Happy Valley-Goose Bay
- Labrador City
- Forteau
Resources:
Special Assistance Program (SAP)
The Special Assistance Program (SAP) is available to eligible clients who require equipment and/or supplies to remain in their own home/community.
Benefits provided by the Special Assistance Program are:
- Medical supplies (such as dressings, catheters, ostomy and in incontinence supplies)
- Minor equipment (such as feeding pumps, etc.)
- Oxygen and related equipment and supplies (such as home oxygen, CPAPs, etc.)
- Orthotics (such as orthopedic footwear, braces, and burn garments)
- Prosthetics
To access services under the Special Assistance Program, the client must have a clinical assessment completed by a health professional such as: physician, physiotherapist, occupational therapist, community health nurse, ostomy nurse, or social worker.
To qualify for services under the Special Assistance Program, the client must also be financially eligible. The client must use other funding services (e.g. private health insurance, etc.) if available. If the client is eligible for SAP, he/she still may have to pay a portion of the cost.
Any inquiries about the Special Assistance Program can be directed to the Special Assistance Coordinator at 897-2352.
https://www.health.gov.nl.ca/health/personsdisabilities/fundingprograms_hcs.html
Personal Care Homes (PCH)
Personal care homes are facility-based, privately-owned and operated homes that provide care to adults who are unable to live independently due to social circumstances or disabilities as a result of emotional or physical illness, injury, or aging.
Services available in a personal care home include: supervision, domestic services, recreational activities and assistance with activities of daily living.
Labrador-Grenfell Health provides a financial subsidy to residents who meet the eligibility criteria.
Labrador-Grenfell Health completes the assessment of these homes for licensing and monitors compliance with provincial standards.
Clients are also assessed and recommended for placement by Labrador-Grenfell Health staff and receive other professional nursing/social work services as needed.
There are four personal care homes in the Labrador-Grenfell Health Region:
- Shirley’s Haven (St. Anthony)
- Ivy Durley Place (Flower’s Cove)
- Roddickton House (Roddickton)
- Harbourview Manor (Mary’s Harbour)
https://www.health.gov.nl.ca/health/personsdisabilities/fundingprograms_hcs.html
Alternate Family Care Home Program (AFC)
The Alternate Family Care Home Program is one residential option available to adults with intellectual disabilities who are unable to live independently or reside with his/her family.
An Alternate Family Care Home is a private residence/home that is approved by the Regional Health Authority to provide room and board, supervision and personal and social care for up to two unrelated adults with intellectual disabilities.
Community Support Social Workers complete assessments for individuals requesting to be an Alternate Family Care Home provider as well as provide services to the homes and clients in these homes.
Social workers are located at the following locations:
- St. Anthony – 454-3054 ext. 1 or 4
- Flower’s Cove – 456-2401 ext. 6274
- Roddickton – 457-2284 ext. 258 or 262
- Port Hope Simpson – 960-0271 ext. 230
- Happy Valley-Goose Bay – 897-3122, 897-3127, 897-3125
- Labrador City – 285-8171
https://www.health.gov.nl.ca/health/personsdisabilities/fundingprograms_hcs.html
Individualized Living Arrangements (ILA)
Individualized Living Arrangements are available for adults with an intellectual disability whose complex care needs cannot be met in any other type of living arrangement. The individuals requiring this type of living arrangement also require many other services including home supports, behavior management and financial services.
The program usually supports one client per home; however, there may be situations where the living arrangements are shared by individuals who are able to live together. The funding for basic income support is provided by the Department of Advanced Education, Skills and Labour (AESL) and other related costs are provided by Labrador-Grenfell Health.
The management of an ILA is the responsibility of the family and/or an operations committee.
Services are provided by Community Support Social Workers at the following locations:
- St. Anthony – 454-3054 ext. 1 or 4
- Flower’s Cove – 456-2401 ext. 6274
- Roddickton – 457-2284 ext. 258 or 262
- Port Hope Simpson – 960-0271 ext. 230
- Happy Valley-Goose Bay – 897-3122, 897-3127, 897-3125
- Labrador City – 285-8171
https://www.health.gov.nl.ca/health/personsdisabilities/fundingprograms_hcs.html
Board and Lodging Supplement
The Board and Lodging Supplement is a financial service that is available to an adult with psychiatric, physical and/or intellectual disabilities, 18 years of age and older, who resides with relatives or non-relatives. These adults must be identified as having needs and must require a higher board and lodging rate to live in these arrangements. The basic rate of board and lodging is available through the Department of Advanced Education, Skills and Labour (AESL) and the supplement is available through Labrador-Grenfell Health.
The assessment and follow-up services are completed by Social Workers at the following locations:
- St. Anthony – 454-3054 ext. 1 or 4
- Flower’s Cove – 456-2401 ext. 6274
- Roddickton – 457-2284 ext. 258 or 262
- Port Hope Simpson – 960-0271 ext. 230
- Happy Valley-Goose Bay – 897-3122, 897-3127, 897-3125
- Labrador City – 285-8171
https://www.health.gov.nl.ca/health/personsdisabilities/fundingprograms_hcs.html
Special Child Welfare Allowance Program (SCWA)
The SCWA program is available to families with a child who has been diagnosed with a developmental or physical disability. The family must meet the financial eligibility criteria. The program is designed to assist with additional expenses incurred by families directly due to the child’s disability. Services include: medical transportation, medical equipment, respite services and drug cards.
Referrals are accepted from clients, family members, health professionals and other community-based agencies/groups. Services are provided by social workers located at the following locations:
- St. Anthony – 454-3054
- Flower’s Cove – 456-2401
- Roddickton – 457-2284
- Port Hope Simpson – 960-0271
- Happy Valley-Goose Bay – 897-3122 / 3127 / 3125
- Labrador City – 285-8171
https://www.health.gov.nl.ca/health/personsdisabilities/fundingprograms_hcs.html
Adult Protection Services
Adult Protection Services are provided under the direction of the Adult Protection Act for any adult who is at risk of abuse and/or neglect when he/she does not understand or appreciate that risk.
The act applies to all adults in Newfoundland and Labrador regardless of where they live, including own home, personal care home, hospital, or long-term care facility.
Any person who is aware of an adult who does not understand the risk, is unable to make a decision for him/herself and is being neglected, abused or self-neglecting must report this to the Social Worker or Police Officer or the Provincial Adult Protection telephone number -1 855-376-4957.Social workers complete an evaluation to determine the risk, complete an investigation, and proceed to court if necessary.
Other services provided include: counseling, advocacy, and coordinating other community services.
Community Support social workers oversee services provided under this program and are located at the following locations:
- St. Anthony – 454-3054 ext. 1 or 4
- Flower’s Cove – 456-2401 ext. 6274
- Roddickton – 457-2284 ext. 258 or 262
- Port Hope Simpson – 960-0271 ext. 230
- Happy Valley-Goose Bay – 897-3122, 897-3127, 897-3125
- Labrador City – 285-8171
Children, Seniors and Social Development – Adult Protection Act