Texas HCS (TX HCS) is our company that provides HCS services (Home and Community-Based Services) in our Beaumont, Harlingen, McAllen, and San Antonio service regions…offering 3 and 4 person group residences, along with the entire array of available HCS services since 1993 in San Antonio and McAllen, since 2000 in Beaumont, and most recently since 2007 in Harlingen.

We take great pride in the development of each of these companies, each serving many people with great success.

In the Arc's Adult Life Enrichment Program, we build upon the education that our participants received while in the school system by providing community and site-based programming at two facilities.

Our domain-based curriculum focuses on strengthening life skills within an environment conducive to growth and socialization. Many things set The Arc apart as a premier provider of direct-care services, some of which include: Full-Time Nursing staff, which allows us to care for individuals needing more physical assistance and to provide an educational focus on healthy lifestyle choices, a fleet of accessible vehicles, which help facilitate community-based programming, and a Volunteer Involvement Program, which allows our participants to serve the community through partnerships with Meals on Wheels, The San Antonio Food Bank, local animal shelters, and more!

Behavioral Supports: The Arc provides behavioral support services for our Life Enrichment Program participants on an individual basis and works with individual Arc participants to address and modify behaviors that may be problematic for the participant and their families.

The overall goal of behavior support is to improve the quality of life for the individual. Behavior supports will utilize the application of applied behavior analysis and target socially significant behaviors. Those targets are identified as a result of a thorough assessment (i.e. skill or behavioral) and could address areas such as:

• Functional communication (i.e. development and utilization of a communication system);
• Social Skills (i.e. initiating and reciprocating greetings, sharing/turn-taking with others, accepting no, waiting);
• Daily Living Skills (i.e. wiping tables, identifying the value of currency, washing dishes, preparing a meal);
• Behavior enhancement procedures (i.e. increasing compliance, increasing participation in activities)
• Behavior reduction procedures (i.e. decreasing incidents of aggression, classroom disruptions, verbal outbursts).
• All behavioral interventions are individualized and aim to increase functional living skills.

Program eligibility requirements:

• Diagnosis of an intellectual and/or developmental disability (IDD), autism spectrum, Cerebral Palsy, Down Syndrome, or dual diagnosis with IDD.
• Are 18 or older.
• Have state program funding or the ability to pay privately for program fees.
  
  

ICF facilities are 6-bed group homes funded by Medicaid. These homes are certified and licensed by the state to provide a full range of training and care to individuals with intellectual and other developmental disabilities.

ICF group homes include:

• 24-hour nursing support
• Therapy
• Nutritional and dietary supports
• Behavior supports
• Medical and dental support not funded by Medicaid
• Active training to master new skills

This program is for individuals with intellectual and other developmental disabilities (IDD).

All services are paid by Medicaid and personal income is managed by the provider, representative payee, or the client. If the client works, a percentage of earnings is refunded to Medicaid. SSDI (Social Security Disability Income) funds can continue with a percentage repaid to Medicaid.

RMI's Life Enrichment Day Program provides life skills training and social activities that help adults with developmental disabilities live and work successfully in the community.

The Life Enrichment curriculum includes training in personal care and hygiene, communication skills, academic skills, and job preparation.

Parties, group projects, and community outings provide opportunities for social, educational, and cultural experiences.

This program is for individuals with intellectual and other developmental disabilities (IDD).

RMI’s Life Enrichment Day Program provides life skills training and social activities that help adults with developmental disabilities live and work successfully in the community. The Life Enrichment curriculum includes training on personal care and hygiene, communication skills, academic skills, and job preparation. Parties, group projects, and community outings provide opportunities for social, educational, and cultural experiences.

Reaching Maximum Independence takes pride in providing one of San Antonio's finest Job Placement Programs for people with disabilities. Through a network with the Texas Workforce Vocational Rehabilitation Services (TWS-VRS), local employers, as well as trained and experienced staff, participants receive an array of services designed to enhance employment. Our motto is Find, Get, and Keep employment.

Multi-Assistance Center (MAC)
Reaching Maximum Independence is happy to announce that we have partnered with the Multi-Assistance Center (MAC) to provide Work Experience Placement (WEP) and Work Experience Training (WET) services!

Selected individuals will work alongside qualified staff who have the Job Placement and/or Job Skills Trainer credential. The selected individual will gain the necessary knowledge and skills while at The Mac to obtain competitive and integrated employment.

Work experience services are intended to be short-term (12 or fewer weeks) and part-time.

This program is for adults with intellectual and other developmental disabilities (IDD).

Workforce Solutions Alamo (WSA) and Texas Workforce Solutions Vocational Rehabilitation program (TWS-VRS) are working together to provide a variety of services that assist eligible people with disabilities prepare for, obtain, retain or advance in employment.

Services include (as needed):

• vocational counseling and guidance
• referrals for hearing, visual and other examinations
• assistance with medical appointments and treatment
• rehabilitation deceives, including hearing aids, wheelchairs, artificial limbs, and braces
• therapy to address a disability, including occupational or speech therapy and applied behavioral analysis
• physical restoration services
• medical, psychological, and vocational assessments
• assistance with college education or trade certification
• on-the-job training
• training in workplace and employer expectations
• vocational adjustment training
• rehabilitation teachers services to help you learn Braille, orientation and mobility, and home and health management skills if you are blind or have a visual impairment
• supported employment

Job Matching & Placement Services

• transportation assistance to and from your job, including travel vouchers and vehicle modifications
• follow-up and supported employment services to help you maintain employment
• referral to Business Enterprises of Texas program, Criss Cole Rehabilitation Center, and other state, federal, and community agencies and organizations

Services may also include:

• referral to community support systems, such as peer support and advocacy organizations.
• vocational counseling and guidance, including exploring employment options and postsecondary education programs with high school students who have disabilities
• required assessments to determine eligibility and VR needs
• interpreter services for people who are deaf and hard of hearing
• needs assessment of assistive technology
• assistive devices such as hearing aids, prosthetics, braces, and wheelchairs to improve functioning on the job
• assistive technology and training, including training to use hearing aids, Braille, low-vision aids, and other types of technology to improve communication, access to information, and performance of job functions
• orientation and mobility training for participants who are blind.
• speech, physical, and occupational therapies
• outpatient psychiatric and psychological services
• Personal assistance services
• medical treatment to reduce or remove barriers to employment
• work-based learning experiences for high school students with disabilities, such as job shadowing, volunteer work, internships, and summer employment
• training in behaviors that are expected by employers in a work environment
• job coaches and support for customized employment, self-employment, and supported employment
• college, technical, and on-the-job training
• return-to-work, job retention, job development, and job placement assistance
• instruction in self-advocacy

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

Get help preparing for post-secondary education and employment through the following individualized services.

Services are based on eligibility and your individual need and are provided in collaboration with the family, high school, community college, or Educational Service Center.

Receive core services, as needed, to help prepare for post-secondary education and employment opportunities:

• Vocational counseling, including counseling in job exploration and post-secondary training opportunities
• Counseling on opportunities for post-secondary education such as college, vocational schools, etc.
• Work-based learning experiences, including internships and on-the-job training
• Training in workplace and employer expectations
• Training in self-advocacy and social skills

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

HIP is a company that seeks to provide employment opportunities along with behavioral health and wellness services for persons with disabilities (even when they don't realize that they need help).

HIP  provides job / employment opportunities  for behavioral health and wellness positions such as massage therapists, nutritionists, acupuncturists, and life coaches. Our credentialed providers include LCDC, LCSW, LMFT, LPC and Psychiatric NP's.

We at HIP look forward to working with you as we all need a little help every now and then. It is our privilege help and serve all persons.

Persons with disabilities

Workforce Solutions Alamo (WSA) and Texas Workforce Solutions Vocational Rehabilitation program (TWS-VRS) are working together to provide a variety of services that assist eligible people with disabilities prepare for, obtain, retain or advance in employment.

Services include (as needed):

• vocational counseling and guidance
• referrals for hearing, visual and other examinations
• assistance with medical appointments and treatment
• rehabilitation deceives, including hearing aids, wheelchairs, artificial limbs, and braces
• therapy to address a disability, including occupational or speech therapy and applied behavioral analysis
• physical restoration services
• medical, psychological, and vocational assessments
• assistance with college education or trade certification
• on-the-job training
• training in workplace and employer expectations
• vocational adjustment training
• rehabilitation teachers services to help you learn Braille, orientation and mobility, and home and health management skills if you are blind or have a visual impairment
• supported employment

Job Matching & Placement Services

• transportation assistance to and from your job, including travel vouchers and vehicle modifications
• follow-up and supported employment services to help you maintain employment
• referral to Business Enterprises of Texas program, Criss Cole Rehabilitation Center, and other state, federal, and community agencies and organizations

Services may also include:

• referral to community support systems, such as peer support and advocacy organizations.
• vocational counseling and guidance, including exploring employment options and postsecondary education programs with high school students who have disabilities
• required assessments to determine eligibility and VR needs
• interpreter services for people who are deaf and hard of hearing
• needs assessment of assistive technology
• assistive devices such as hearing aids, prosthetics, braces, and wheelchairs to improve functioning on the job
• assistive technology and training, including training to use hearing aids, Braille, low-vision aids, and other types of technology to improve communication, access to information, and performance of job functions
• orientation and mobility training for participants who are blind.
• speech, physical, and occupational therapies
• outpatient psychiatric and psychological services
• Personal assistance services
• medical treatment to reduce or remove barriers to employment
• work-based learning experiences for high school students with disabilities, such as job shadowing, volunteer work, internships, and summer employment
• training in behaviors that are expected by employers in a work environment
• job coaches and support for customized employment, self-employment, and supported employment
• college, technical, and on-the-job training
• return-to-work, job retention, job development, and job placement assistance
• instruction in self-advocacy

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

Get help preparing for post-secondary education and employment through the following individualized services.

Services are based on eligibility and your individual need and are provided in collaboration with the family, high school, community college, or Educational Service Center.

Receive core services, as needed, to help prepare for post-secondary education and employment opportunities:

• Vocational counseling, including counseling in job exploration and post-secondary training opportunities
• Counseling on opportunities for post-secondary education such as college, vocational schools, etc.
• Work-based learning experiences, including internships and on-the-job training
• Training in workplace and employer expectations
• Training in self-advocacy and social skills

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

We partner with teens and young adults, including those with special needs, to gain life skills and retail experience by volunteering at San Antonio Threads.

While with us, team members learn skills such as client interactions, daily housekeeping, merchandising, and counting stock; all while gaining confidence and the skills they need to apply for a job out in our community.

Call for more information or to schedule an interview.

Workforce Solutions Alamo (WSA) and Texas Workforce Solutions Vocational Rehabilitation program (TWS-VRS) are working together to provide a variety of services that assist eligible people with disabilities prepare for, obtain, retain or advance in employment.

Services include (as needed):

• vocational counseling and guidance
• referrals for hearing, visual and other examinations
• assistance with medical appointments and treatment
• rehabilitation deceives, including hearing aids, wheelchairs, artificial limbs, and braces
• therapy to address a disability, including occupational or speech therapy and applied behavioral analysis
• physical restoration services
• medical, psychological, and vocational assessments
• assistance with college education or trade certification
• on-the-job training
• training in workplace and employer expectations
• vocational adjustment training
• rehabilitation teachers services to help you learn Braille, orientation and mobility, and home and health management skills if you are blind or have a visual impairment
• supported employment

Job Matching & Placement Services

• transportation assistance to and from your job, including travel vouchers and vehicle modifications
• follow-up and supported employment services to help you maintain employment
• referral to Business Enterprises of Texas program, Criss Cole Rehabilitation Center, and other state, federal, and community agencies and organizations

Services may also include:

• referral to community support systems, such as peer support and advocacy organizations.
• vocational counseling and guidance, including exploring employment options and postsecondary education programs with high school students who have disabilities
• required assessments to determine eligibility and VR needs
• interpreter services for people who are deaf and hard of hearing
• needs assessment of assistive technology
• assistive devices such as hearing aids, prosthetics, braces, and wheelchairs to improve functioning on the job
• assistive technology and training, including training to use hearing aids, Braille, low-vision aids, and other types of technology to improve communication, access to information, and performance of job functions
• orientation and mobility training for participants who are blind.
• speech, physical, and occupational therapies
• outpatient psychiatric and psychological services
• Personal assistance services
• medical treatment to reduce or remove barriers to employment
• work-based learning experiences for high school students with disabilities, such as job shadowing, volunteer work, internships, and summer employment
• training in behaviors that are expected by employers in a work environment
• job coaches and support for customized employment, self-employment, and supported employment
• college, technical, and on-the-job training
• return-to-work, job retention, job development, and job placement assistance
• instruction in self-advocacy

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

Get help preparing for post-secondary education and employment through the following individualized services.

Services are based on eligibility and your individual need and are provided in collaboration with the family, high school, community college, or Educational Service Center.

Receive core services, as needed, to help prepare for post-secondary education and employment opportunities:

• Vocational counseling, including counseling in job exploration and post-secondary training opportunities
• Counseling on opportunities for post-secondary education such as college, vocational schools, etc.
• Work-based learning experiences, including internships and on-the-job training
• Training in workplace and employer expectations
• Training in self-advocacy and social skills

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

Unicorn Centers provides vocational and life skills training programs, as well as, our Day Activity program for adults diagnosed with IDD.  We are located near the medical center in Northwest San Antonio. As a program of Mission Road Developmental Center, Unicorn Center provides appropriate vocational and social activities to both residents of Mission Road community homes and those living elsewhere.

Join us every month to share, learn, and find support with other caregivers who also care for someone with a disability.

Click here to register

Click here to view calendar of events

For additional information, contact Shelia Brown

This workshop is offered at no cost and open to all caregivers.

Adults Believing, Learning & Expressing.

The A.B.L.E. training program is designed to help adults with Down syndrome develop the ability to make their own personal decisions based on their individual talents and interests.

Trainers:

• Cristina Kazmierczak, A.B.L.E. Self-Determined Adult
• Faith Levario, DSASTX Program & Outreach Coordinator

Click here for registration.

Click here for program dates and times.

Free

The Adult Continuing Education (ACE) program offers tutoring for adults with Down syndrome in the areas of reading, math, and writing.

Tutoring is available for those who are 18 years and older and is offered once a week for 90 minutes.

All lessons are individualized to the level of each student. Each student gets his/her own academic binder with lessons chosen specifically for his/her abilities. This is an ideal one-on-one tutoring situation where the student receives individualized attention.

The process is simple. If a student is interested in participating in this program, an application is completed followed by an informal assessment performed by the director. This information is used to develop the academic lessons.

Students and tutors are matched based on personalities and availability of tutoring times. All lessons are created by the director.

Reaction to this program is outstanding. Real friendships have developed with these tutoring sessions. The tutor learns from the student, as well as the student learning from the tutor. The academics are a plus for our students! The friendships are even better!

Volunteers are asked to complete an application and participate in an orientation.

Anyone interested in this program, please email Magaly Diaz at [email protected] or call us at 210-349-4372.

Free.

The TU CASA model is designed to allow students with intellectual disabilities to receive a true university experience while gaining the skills and knowledge needed to transition to independent adult lives.

TU CASA addresses the critical needs in the community by establishing a sustainable program that:

(a) provides 18 months of fully inclusive PSE opportunities with access to typical and specialized A&M-SA services and supports; 

b) offers a meaningful credential upon completion that addresses academic, employment, and independent living domains;

(c) utilizes a person-centered approach to meet unique student needs and enhance their quality of life;

d) employs comprehensive program evaluation; and

(e) includes a plan for replication on regional and state levels.

The Rehab Without Walls Post COVID/PICS Program is a coordinated interdisciplinary approach developed to care for patients following a critical illness, like Covid-19. This is designed for patients who have spent significant time in an acute setting with ventilator support and are returning home or to work. This program helps patients with long-term Covid-19 symptoms or long-term neurological effects.

Our combined team expertise provides a holistic and comprehensive approach to care. All members of the team consistently address physical and cognitive challenges to improve self-care and return to functional independence.

• Hospitalization and ventilator supported stay
• Stroke
• Guillain-Barre symptoms
• General deconditioning
• Amputation
• Cognitive decline
• Respiratory compromised
• Neuromuscular changes
• Nerve injury
• Decreased functional capacity
• Significant weakness
• Dependence on caregiver
• Depression/ Anxiety/ PTSD

Program Goals:

• Return to prior level of function and independent living
• Increase in strength, physical ability and endurance
• Decrease in respiratory symptoms and complications
• Increase in confidence and improve emotional well-being
• Increase in energy levels
• Understanding of oxygen use and medications
• Decrease of dependence on supplemental oxygen
• Decrease in depression and feelings of hopelessness
• Increase in quality of life
• Increase self-management and self-efficacy skills
• Improve breathing techniques through retraining
• Improve areas of cognition
• Reduction in hospitalization and re-admission risk

Click here for more information.

Counties served: Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, Wilson.

• Commercial health insurance: We work with 200-plus commercial health insurance companies. If you have a question about a specific plan or type of coverage, please contact us.
• Workers compensation: We work with all workers’ compensation companies.
• Medicaid & Medicare
• Private Pay

Rehab Without Walls® goes beyond traditional home health or outpatient therapy. Rehab Without Walls® specializes in providing functional, intensive, individualized therapy within your home and community. 

Goals are developed collaboratively with family, patient, and a therapy team to focus on how best to return your family member to their desired activity or discover new hobbies and tasks after injury. The therapy takes place in your home and community so learning can be realistic and immediately applicable.

As our name suggests, our therapy is without bounds. The goal is to extend your therapy to meet your individual goals at home, at school, at work, a return to driving, and within your community.

Our expert team creates a customized therapy plan for each home and community rehab patient. The plan may include:

• Physical Therapy
• Occupational Therapy
• Speech-Language Pathology
• Neuropsychology
• Community reintegration
• Counseling
• Social Work
• Dietician
• Vocational Rehab

We have experience with a variety of diagnoses such as Spinal Cord Injury, Stroke, Multiple Sclerosis, Traumatic Brain Injury, concussion, vestibular, catastrophic and multi-trauma, post-COVID syndrome, Guillain-Barre Syndrome, Parkinson’s Disease, other neurodegenerative processes, and Muscular Dystrophy.

Click here for more information on Home & Community Rehab.

Home and community neuro therapy is best suited for adult and pediatric patients who:

• Reside in a home or community setting
• Have a brain injury, spinal cord injury, stroke, or have a complex diagnosis requiring a multi-disciplined rehabilitation
• Have complex/continuing therapy goals
• Are focused on functional community re-entry
• Would experience a clinical advantage from working on functional goals in a real-life setting

Counties served: Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, Wilson.

• Commercial health insurance: We work with 200-plus commercial health insurance companies. If you have a question about a specific plan or type of coverage, please contact us.
• Workers compensation: We work with all workers’ compensation companies.
• Medicaid & Medicare
• Private Pay

Each year, about 12,500 Americans are newly diagnosed with a spinal cord injury (SCI).* Many of these people are young and active. They have jobs and hobbies and family responsibilities. And then, quite suddenly, everything changes.

While neuro rehab can’t reverse permanent spinal cord damage, it can help people who have SCI lead the fullest life possible. For example, Rehab Without Walls ® helps our patients improve mobility, learn how to use adaptive equipment and manage the emotional challenges of their new life.

Our approach combines science, compassion and creativity to deliver the best results for each patient. Rehab Without Walls is unique and successful for a few main reasons:

Functional and personal goals 

In addition to typical goals of spinal cord rehab, we work with the patient and family to establish more personal goals. Our experience and clinical studies agree that this approach keeps patients more motivated and engaged in therapy. 

For example, functional goals might include improving standing balance and multi-limb coordination. By contrast, personal goals might include traveling to Europe within five years.

Many specialties, one team

Because spinal cord injury can affect so many parts of the body, we think it’s important for multiple specialties to work together. A team approach is also more efficient. For example, an occupational therapist (OT) and physical therapist (PT) might both go to the workplace with a patient. The OT will focus on navigating environmental barriers safely, while the PT will focus on coordination.

A physician oversees all team members. A clinical coordinator keeps everyone on the team aligned and also serves as the main point of contact for the patient’s family during the course of treatment.

Family member education and involvement

Like all catastrophic illnesses and injuries, spinal cord injury has a ripple effect on the survivor’s family.

That’s why we help both the patient and family develop coping strategies to adjust to their new reality. The health of the family and the health of the client are so interconnected that both need to be a part of the treatment process.

Click here for more information.

Counties served: Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, Wilson.

• Commercial health insurance: We work with 200-plus commercial health insurance companies. If you have a question about a specific plan or type of coverage, please contact us.
• Workers compensation: We work with all workers’ compensation companies.
• Medicaid & Medicare
• Private Pay

A stroke – also known as a cerebrovascular accident, or “CVA” – can affect many parts of the body such as movement, speech and memory. As a result, the road to recovery can be long and complex.

Fortunately, the outlook for stroke survivors today is more hopeful than ever. While rehabilitation doesn’t reverse the damage caused by a stroke, it can help a survivor achieve the highest level of independence and quality of life possible.

The Rehab Without Walls® approach to stroke rehab centers on a few main principles:

Many specialties, one team

A stroke can affect many parts of the body and mind, so we think it’s important for multiple specialties to work together.

A team approach is often more efficient, too. For example, an occupational therapist (OT) and physical therapist (PT) might go for a walk with the patient together. The OT will focus on pathfinding and comprehension, while the PT will focus on gait and balance.

Family member education and involvement

Stroke has a ripple effect on the survivor’s family. The family dynamic may have changed. There may be worries if the main breadwinner is unable to work. Expectations for recovery may not be in line with reality.

That’s why we help both the patient and family develop coping strategies to adjust to their new reality. The health of the family and the health of the client are so interconnected that both need to be a part of the treatment process.

Long-term, real-world goals

In addition to typical “functional goals” of post-stroke therapy, like being able to walk unassisted, we work with the patient and family to establish goals that are more personal – like hosting a party, coaching soccer again or returning to work.

Because stroke can occur in people of all ages (not just the elderly, as the stereotype would have you believe), this approach is particularly beneficial for younger patients who want to participate as fully as possible in home and work life.

While it’s important to measure progress during therapy, our real success lies in what comes after. That’s why we say we’re focused on “durable outcomes.”

Click here for more information.

Counties served: Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, Wilson.

• Commercial health insurance: We work with 200-plus commercial health insurance companies. If you have a question about a specific plan or type of coverage, please contact us.
• Workers compensation: We work with all workers’ compensation companies.
• Medicaid & Medicare
• Private Pay

Brain injuries that occur due to a medical condition (like an aneurysm) or trauma (like a fall or car accident) often thrust. While neuro rehab can’t reverse damage to the brain, it can help remove the barriers that stand in the way of living the best life possible.

As a leader in neuro rehab for more than 30 years, Rehab Without Walls ® addresses the unique needs of people who have experienced an acquired brain injury (ABI) or traumatic brain injury (TBI). Our proven approach combines multiple specialties and we’re not just focused on what patients can do today; we’re looking months and years down the road.

Our innovative model of care is based on research, best practices and our many years of experience with complex neurorehabilitation. The model has four key parts:

• Assessment
• Setting Goals
• Assembling an Interdisciplinary Team
• Creating and Implementing a personalized rehab team

Click here for more information.

• Commercial health insurance: We work with 200-plus commercial health insurance companies. If you have a question about a specific plan or type of coverage, please contact us.
• Workers compensation: We work with all workers’ compensation companies.
• Medicaid & Medicare
• Private Pay

Brain injuries that occur due to a medical condition (like an aneurysm) or trauma (like a fall or car accident) often thrust. While neuro rehab can’t reverse damage to the brain, it can help remove the barriers that stand in the way of living the best life possible.

As a leader in neuro rehab for more than 30 years, Rehab Without Walls ® addresses the unique needs of people who have experienced an acquired brain injury (ABI) or traumatic brain injury (TBI). Our proven approach combines multiple specialties and we’re not just focused on what patients can do today; we’re looking months and years down the road.

Our innovative model of care is based on research, best practices and our many years of experience with complex neurorehabilitation. The model has four key parts:

• Assessment
• Setting Goals
• Assembling an Interdisciplinary Team
• Creating and Implementing a personalized rehab team

Click here for more information.

Counties served: Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, Wilson.

• Commercial health insurance: We work with 200-plus commercial health insurance companies. If you have a question about a specific plan or type of coverage, please contact us.
• Workers compensation: We work with all workers’ compensation companies.
• Medicaid & Medicare
• Private Pay

The experienced team at Rehab Without Walls® is trained to work with patients who have been diagnosed with a wide variety of complex neurologic conditions, including:

• Progressive neurologic diseases such as Parkinson’s disease and multiple sclerosis
• Neuromuscular disorders such as muscular dystrophy, amyotrophic lateral sclerosis (ALS, also known as Lou Gehrig’s disease) and Guillain-Barre
• Post-concussive syndrome
• Toxic exposure such as toxic leukoencephalopathy
• Brain and central nervous system tumors
• Brain infections
• Angelman syndrome
• Cerebral palsy
• Down syndrome
• Dysautonomia
• Encephalitis
• Meningitis
• Prader Willi syndrome
• Seizures

Regardless of diagnosis, our goal is to help patients who have neurological conditions live as fully and independently as possible.

For example, Rehab Without Walls helps patients with neurological conditions:

• Maintain or improve mobility as much as possible
• Relearn fine motor skills
• Participate in exercises appropriate to their diagnosis
• Develop strategies to make daily life safer and easier
• Learn how to use adaptive equipment, assistive technologies
• Properly use medications and devices (such as infusions and implantable pumps)
• Manage the emotional challenges of their diagnosis

Like with all of our rehab programs, we work with the patient and family to set functional and personal treatment goals. We then create a customized rehab program around those goals. We also provide supportive services, connecting patients and families with support services in the community.

Click here for more information.

Counties served: Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, Wilson.

• Commercial health insurance: We work with 200-plus commercial health insurance companies. If you have a question about a specific plan or type of coverage, please contact us.
• Workers compensation: We work with all workers’ compensation companies.
• Medicaid & Medicare
• Private Pay

The experienced team at Rehab Without Walls® is trained to work with patients who have been diagnosed with a wide variety of complex neurologic conditions, including:

• Progressive neurologic diseases such as Parkinson’s disease and multiple sclerosis
• Neuromuscular disorders such as muscular dystrophy, amyotrophic lateral sclerosis (ALS, also known as Lou Gehrig’s disease) and Guillain-Barre
• Post-concussive syndrome
• Toxic exposure such as toxic leukoencephalopathy
• Brain and central nervous system tumors
• Brain infections
• Angelman syndrome
• Cerebral palsy
• Down syndrome
• Dysautonomia
• Encephalitis
• Meningitis
• Prader Willi syndrome
• Seizures

Regardless of diagnosis, our goal is to help patients who have neurological conditions live as fully and independently as possible.

For example, Rehab Without Walls helps patients with neurological conditions:

• Maintain or improve mobility as much as possible
• Relearn fine motor skills
• Participate in exercises appropriate to their diagnosis
• Develop strategies to make daily life safer and easier
• Learn how to use adaptive equipment, assistive technologies
• Properly use medications and devices (such as infusions and implantable pumps)
• Manage the emotional challenges of their diagnosis

Like with all of our rehab programs, we work with the patient and family to set functional and personal treatment goals. We then create a customized rehab program around those goals. We also provide supportive services, connecting patients and families with support services in the community.

Click here for more information.

Counties served: Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, Wilson.

• Commercial health insurance: We work with 200-plus commercial health insurance companies. If you have a question about a specific plan or type of coverage, please contact us.
• Workers compensation: We work with all workers’ compensation companies.
• Medicaid & Medicare
• Private Pay

The Rehab Without Walls Post COVID/PICS Program is a coordinated interdisciplinary approach developed to care for patients following a critical illness, like Covid-19. This is designed for patients who have spent significant time in an acute setting with ventilator support and are returning home or to work. This program helps patients with long-term Covid-19 symptoms or long-term neurological effects.

Our combined team expertise provides a holistic and comprehensive approach to care. All members of the team consistently address physical and cognitive challenges to improve self-care and return to functional independence.

• Hospitalization and ventilator supported stay
• Stroke
• Guillain-Barre symptoms
• General deconditioning
• Amputation
• Cognitive decline
• Respiratory compromised
• Neuromuscular changes
• Nerve injury
• Decreased functional capacity
• Significant weakness
• Dependence on caregiver
• Depression/ Anxiety/ PTSD

Program Goals:

• Return to the prior level of function and independent living
• Increase in strength, physical ability, and endurance
• Decrease in respiratory symptoms and complications
• Increase in confidence and improve emotional well-being
• Increase in energy levels
• Understanding of oxygen use and medications
• Decrease of dependence on supplemental oxygen
• Decrease in depression and feelings of hopelessness
• Increase in quality of life
• Increase self-management and self-efficacy skills
• Improve breathing techniques through retraining
• Improve areas of cognition
• Reduction in hospitalization and re-admission risk

Click here for more information.

Counties served: Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, Wilson.

• Commercial health insurance: We work with 200-plus commercial health insurance companies. If you have a question about a specific plan or type of coverage, please contact us.
• Workers compensation: We work with all workers’ compensation companies.
• Medicaid & Medicare
• Private Pay

Each year, about 12,500 Americans are newly diagnosed with a spinal cord injury (SCI).* Many of these people are young and active. They have jobs and hobbies and family responsibilities. And then, quite suddenly, everything changes.

While neuro rehab can’t reverse permanent spinal cord damage, it can help people who have SCI lead the fullest life possible. For example, Rehab Without Walls ® helps our patients improve mobility, learn how to use adaptive equipment and manage the emotional challenges of their new life.

Our approach combines science, compassion and creativity to deliver the best results for each patient. Rehab Without Walls is unique and successful for a few main reasons:

Functional and personal goals 

In addition to typical goals of spinal cord rehab, we work with the patient and family to establish more personal goals. Our experience and clinical studies agree that this approach keeps patients more motivated and engaged in therapy. 

For example, functional goals might include improving standing balance and multi-limb coordination. By contrast, personal goals might include traveling to Europe within five years.

Many specialties, one team

Because spinal cord injury can affect so many parts of the body, we think it’s important for multiple specialties to work together. A team approach is also more efficient. For example, an occupational therapist (OT) and physical therapist (PT) might both go to the workplace with a patient. The OT will focus on navigating environmental barriers safely, while the PT will focus on coordination.

A physician oversees all team members. A clinical coordinator keeps everyone on the team aligned and also serves as the main point of contact for the patient’s family during the course of treatment.

Family member education and involvement

Like all catastrophic illnesses and injuries, spinal cord injury has a ripple effect on the survivor’s family.

That’s why we help both the patient and family develop coping strategies to adjust to their new reality. The health of the family and the health of the client are so interconnected that both need to be a part of the treatment process.

Click here for more information.

• Commercial health insurance: We work with 200-plus commercial health insurance companies. If you have a question about a specific plan or type of coverage, please contact us.
• Workers compensation: We work with all workers’ compensation companies.
• Medicaid & Medicare
• Private Pay

A stroke – also known as a cerebrovascular accident, or “CVA” – can affect many parts of the body such as movement, speech and memory. As a result, the road to recovery can be long and complex.

Fortunately, the outlook for stroke survivors today is more hopeful than ever. While rehabilitation doesn’t reverse the damage caused by a stroke, it can help a survivor achieve the highest level of independence and quality of life possible.

The Rehab Without Walls® approach to stroke rehab centers on a few main principles:

Many specialties, one team

A stroke can affect many parts of the body and mind, so we think it’s important for multiple specialties to work together.

A team approach is often more efficient, too. For example, an occupational therapist (OT) and physical therapist (PT) might go for a walk with the patient together. The OT will focus on pathfinding and comprehension, while the PT will focus on gait and balance.

Family member education and involvement

Stroke has a ripple effect on the survivor’s family. The family dynamic may have changed. There may be worries if the main breadwinner is unable to work. Expectations for recovery may not be in line with reality.

That’s why we help both the patient and family develop coping strategies to adjust to their new reality. The health of the family and the health of the client are so interconnected that both need to be a part of the treatment process.

Long-term, real-world goals

In addition to typical “functional goals” of post-stroke therapy, like being able to walk unassisted, we work with the patient and family to establish goals that are more personal – like hosting a party, coaching soccer again or returning to work.

Because stroke can occur in people of all ages (not just the elderly, as the stereotype would have you believe), this approach is particularly beneficial for younger patients who want to participate as fully as possible in home and work life.

While it’s important to measure progress during therapy, our real success lies in what comes after. That’s why we say we’re focused on “durable outcomes.”

Click here for more information.

Counties served: Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, Wilson.

• Commercial health insurance: We work with 200-plus commercial health insurance companies. If you have a question about a specific plan or type of coverage, please contact us.
• Workers compensation: We work with all workers’ compensation companies.
• Medicaid & Medicare
• Private Pay

In the Arc's Adult Life Enrichment Program, we build upon the education that our participants received while in the school system by providing community and site-based programming at two facilities.

Our domain-based curriculum focuses on strengthening life skills within an environment conducive to growth and socialization. Many things set The Arc apart as a premier provider of direct-care services, some of which include: Full-Time Nursing staff, which allows us to care for individuals needing more physical assistance and to provide an educational focus on healthy lifestyle choices, a fleet of accessible vehicles, which help facilitate community-based programming, and a Volunteer Involvement Program, which allows our participants to serve the community through partnerships with Meals on Wheels, The San Antonio Food Bank, local animal shelters, and more!

Behavioral Supports: The Arc provides behavioral support services for our Life Enrichment Program participants on an individual basis and works with individual Arc participants to address and modify behaviors that may be problematic for the participant and their families.

The overall goal of behavior support is to improve the quality of life for the individual. Behavior supports will utilize the application of applied behavior analysis and target socially significant behaviors. Those targets are identified as a result of a thorough assessment (i.e. skill or behavioral) and could address areas such as:

• Functional communication (i.e. development and utilization of a communication system);
• Social Skills (i.e. initiating and reciprocating greetings, sharing/turn-taking with others, accepting no, waiting);
• Daily Living Skills (i.e. wiping tables, identifying the value of currency, washing dishes, preparing a meal);
• Behavior enhancement procedures (i.e. increasing compliance, increasing participation in activities)
• Behavior reduction procedures (i.e. decreasing incidents of aggression, classroom disruptions, verbal outbursts).
• All behavioral interventions are individualized and aim to increase functional living skills.

Program eligibility requirements:

• Diagnosis of an intellectual and/or developmental disability (IDD), autism spectrum, Cerebral Palsy, Down Syndrome, or dual diagnosis with IDD.
• Are 18 or older.
• Have state program funding or the ability to pay privately for program fees.