Facilitating Transition to Living with SCI: The Navigator Program
Funded by the Craig H. Neilsen Foundation from 2014 to 2016
with continued support from Methodist Rehabilitation Center
The purpose of the Navigator Program is to facilitate the transition of persons with traumatic spinal cord injury (SCI) from inpatient rehabilitation to the home and community setting. This is achieved through regular follow-up contacts to ensure that all needs of persons with SCI are fully and timely met. Relevant education is also provided in order to reduce the occurrence of secondary complications. Achieving the goals of The Navigator Program is expected to improve the quality of life in persons with traumatic SCI.
- Ease transition from rehabilitation to home settings
- Guide goal-setting and decision-making processes
- Ensure regular follow-ups and access to health care
- Facilitate access to available resources
- Assist resource providers
- Empower persons to take greater control over their lives
- Increase satisfaction with life
- Assure program continuation beyond the funding period
The Navigator Program is managed by the Care Coordinator, who serves as an advocate and a primary contact for a person with SCI. The Care Coordinator and the person with SCI work together on defining the individual needs and setting the specific goals. The Care Coordinator seeks input from other members of the Navigator team, including a physician, nurse, therapist, psychologist, social worker, and a case manager, to determine the best course of action for achieving the specific goals. On the other side, the Care Coordinator works closely with representatives of state-wide organizations providing resources to persons with SCI. The Care Coordinator navigates a person with SCI through the network of resource providers within the state of Mississippi in order to meet identified needs timely and efficiently.
Any person with a spinal cord injury resulting from a trauma (e.g. motor vehicle accident, fall, violence, etc.) and who received services within the Methodist Rehabilitation Center system of SCI care is eligible for The Navigator Program. Both persons with recent and long-standing traumatic spinal cord injuries are eligible to participate.
The Navigator Program does not aim to replace services already offered in the community. Instead, the purpose of The Navigator Program is to facilitate the process of accessing available resources and coordinate activities between a person with SCI and different resource providers. Specifically, to:
- Facilitate communication between person with SCI and resource providers
- Coordinate provision of services between different resource providers
- Assist resource providers with accessing necessary documentation
- Provide reminders about scheduled appointments