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Table 2 Service configuration for each level of community reintegration service area

From: Using knowledge translation to establish a model of hospital-based early supported community reintegration for stroke patients in South Korea

Area

Service title

Related occupation/dept.

Expected participants

Area of personalized support

Recreation

SW

PWS

Mentoring

SW

PWS

Psychological counseling

SW, CP

PWS

Medical & nursing counseling

MD, NR

PWS, family/caregiver

Self-exercise education

PT, OT

PWS, family/caregiver

Area of family and caregiver cooperation

Smart home experience

SW, OT

PWS, family/caregiver

House renovation

SW, OT

PWS, family/caregiver

Welfare information provision

SW

PWS, family/caregiver

Area of multidepartmental collaboration

Rehabilitation exercise

Dept. of rehabilitation exercisea

PWS

Driving rehabilitation

Dept. of disability prevention and driving servicea

PWS

Education for acceptance of disability

Dept. of disability prevention and driving servicea

PWS, family/caregiver

Area of community connection

Social life experience

SW, PT, OT

PWS, family/caregiver

Social life training

SW, PT, OT

PWS, family/caregiver

Vocational training

SW

PWS

Community resources linkage

SW

PWS, family/caregiver

Education for social reintegration preparation

SW

PWS, family/caregiver

Community resource information provision

SW

PWS, family/caregiver

  1. Note: a indicates the department responsible for designing and providing related community reintegration service in collaboration with the social reintegration support team. Unless otherwise indicated, the community reintegration support team is responsible for designing and providing services in collaboration with other departments and the patient’s community
  2. CP clinical psychologist, MD medical doctor, NR nurse, OT occupational therapist, PT physical therapist, PWS patient with stroke, SW social worker