Supported Independent Living Program Description

Supported Independent Living > Supported Independent Living Program Description

Supported Independent Living

The Florida Institute for Neurologic Rehabilitation, Inc. provides a Supported Independent Living Program which offers an opportunity for individuals with brain injuries and other neurologic impairments to be afforded supported living in a dignified community setting at a reasonable daily cost.  The program is designed to provide normalized community living and meaningful daily activities along with the support and supervision necessary to ensure safety and security.

The Supported Independent Living Program offers the client:

  • A program designed and managed by nationally recognized experts in the field of brain injury rehabilitation.
  • Professionally trained staff that provide daily support and supervision.
  • Daily community integration activities.
  • Supervision 24 hours per day.
  • Staff to client ratios based on individual needs.
  • Supported residential living based on supervision and intensity of needs.
  • Opportunities to access resources available in the Central Florida area for recreational and therapeutic programming (i.e., voc/tech community college, parks, shopping, etc.)
  • Medical and nursing oversight

The Supported Independent Living Program offers the funder:

  • A comprehensive per diem that is individually negotiated based on the client’s needs.  The per diem includes daily support and supervision as well as therapeutic activities, community living training, daily vocational/avocational activities, transportation and room & board.
  • A daily rate that is typically lower than competitive programs.
  • A proactive attempt to increase the client’s independence thereby allowing us to reduce the daily rate.
  • A variety of medical, rehabilitation, educational, and vocational options are available on-site and in the Central Florida area.
  • Internal Case Management to insure quality of service as well as cost effectiveness.
  • Recognized experts in brain injury rehabilitation managing day-to-day operation.
  • An individual extended service plan with updates being provided in writing on a regular basis.
  • Program activities and outcomes that are data based and reviewed on a monthly basis.
  • Active involvement of the client, family and funder in decision making.
  • Utilization review conducted weekly to evaluate levels of service and supervision and the cost of care.

The Florida Institute for Neurologic Rehabilitation’s innovative and cost conscious Supported Independent Living Program is designed to provide individualized programs that teach the skills needed to become more independent and provide necessary support and supervision.  The overall goals of the program are increased self sufficiency and improved quality of life in a safe and secure environment.

Program Description

The Supported Independent Living (SIL) Program of FINR is dedicated to enriching the quality of life for persons with traumatic brain injuries, neurologic injuries, and neuropsychiatric disorders by providing normalized community living opportunities combined with meaningful, productive and therapeutic daily activities.

The goal of the SIL program is to provide each resident the opportunity to live in a community environment and to access vocational, educational and recreational opportunities in the community.  The SIL program provides the support, supervision and guidance to insure that each resident has the opportunity to experience the quality of life to which we all aspire - security, identity and community involvement, as well as meaningful vocational activities, recreation pursuits and social support.  The residents of the SIL program reside in comfortably furnished home settings in Wauchula, Florida.  This shared living arrangement provides opportunities for immediate and meaningful social relationships.   These opportunities provide for a greater sense of independence and identity for each resident.  Support and supervision are provided as needed, twenty-four hours per day.

Coordinated daily activity programs insure that each resident is provided meaningful vocational and recreational activities.  Residents will be involved on a daily basis in vocational and/or pre-vocational activities.  Vocational activities include competitive, supported and volunteer employment.  Job seeking skills training, vocational training, job development, job placement and job coaching are provided to insure that each resident sees him or herself as a productive member of the workforce and not a patient.  Recreational and leisure activities are also an important component of the program.  In addition to making life fun, recreational activities broaden our identity and enhance the development of social relationships.  In addition, for those residents interested in pursuing educational opportunities, encouragement and daily assistance will be provided to access various academic options.

Program Objectives

An individual Treatment Plan will be developed for each resident and generally will include the following services:

  • Independent living skills training and/or structured opportunities in the following areas:
    • Personal health management education.
    • Self-care/activities of daily living.
    • Housing issues.
    • Homemaking chores.
    • Self-Advocacy.
    • Transportation.
    • Disability adjustment.
    • Social/recreational.
    • Financial management.
    • Vocational rehabilitation services.
  • Training in the use of strategies to increase self-direction and self-advocacy.
  • Support and assistance in applying independent living practices and procedures which result in the resident having more control over his or her life and participate more productively in society.
  • Training to increase abilities to seek, attain, and manage independent living opportunities and situations.
  • Assistance in the enhancement and development of social support networks.
  • Vocational rehabilitation, in the form of job seeking skills training, job development and supportive work-sites.
  • Assistance in developing social support networks, which includes the maintenance of friends and intimate relationships.
  • Assistance in the use of compensatory strategies and physical adaptation for use in living, employment and recreational/leisure settings.
  • Use of natural consequences and the opportunity for choice of acceptable options to minimize reliance on others and maximize independence.
  • Training and assistance to maximize cognitive, physical, behavioral, and emotional function.

Transportation to and from vocational, educational, recreational, medical, and family visits as scheduled through the Program Case Manager.  Where appropriate, training is provided to access and utilize public transportation.

Case Management

Comprehensive and coordinated case management is a critical component of any supported living program.  Each resident of the SIL program will be assigned a case manager.  The case manager will develop and supervise the implementation of the resident's individualized treatment plan, insuring that the plan incorporates community resources, specialized services, vocational endeavors, and recreational activities.  The case manager is the primary advocate for the resident and revises the treatment plan as service needs change over time.

Program Costs

The SIL program offers a comprehensive per diem rate that is negotiated based on individual client needs for support, supervision and daily assistance.  The per diem charge is reviewed on a monthly basis and as residents become more independent, appropriate adjustments will be made.  The comprehensive per diem rate includes the following services.

  • All services as outlined in the Proposed Treatment Plan or as identified by the interdisciplinary treatment team.
  • Support, supervision and care up to twenty-four hours per day to maintain health, safety and well-being of the client.
  • Room and Board.
  • Case management.
  • Medical and nursing oversight.
  • Activities of daily living and community mobility evaluations by licensed occupational therapist.
  • Productive daily activity, based on an individualized treatment plan.
  • Organized leisure and recreational programs.
  • Transportation related to program services.

Consultative Services Available on a Fee for Service Basis

  • Physical Therapy
  • Occupational Therapy
  • Physical Therapy
  • Speech Therapy
  • Cognitive Therapy
  • Neuopsychology
  • Psychotherapy
  • Personal Care Attendant
  • One-to-one Supervision
  • Job Coach
  • Behavior Services

Specialized medical, rehabilitation, orthotic, prosthetic and diagnostic services can also be arranged.

Services Not Included in per Diem

  • Services/supplies not related to the brain injury.
  • Personal care attendant/One-to-one supervision.
  • Medications.
  • Laboratory Services/Diagnostic Services.
  • Transportation not related to program services.
  • Wheelchair rental/purchase.
  • Durable medical equipment.
  • Podiatry services.
  • Personal care items.


Admission criteria includes:

  • Documented brain injury or other neurologic disorder.
  • Eighteen years of age or older.
  • Stable physical and mental health.
  • Ability to participate.
  • Completion of specialized rehabilitation.
  • Identified payment source.