Our San Antonio program serves adults with rehabilitative needs. We provide a continuum of care that includes health care and therapies, home and community support, and Behavioral Health. Contact us today to learn how we can best support you and your loved ones.

Adults: Age 21+

NeuroRestorative is pleased to partner with commercial insurance providers, workers compensation programs, public funding sources-including Medicaid and Medicaid Waiver programs--and funding options for Veterans and Military Service Members, and their dependents, and many others to ensure access to rehabilitative services for individuals with brain and spinal cord injuries, complex medical conditions, and other neurological challenges. We offer cost-effective solutions designed to help an individual regain maximum independence.

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.

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.

I am a Pediatric Occupational Therapist with over 35 years of experience, certified in Sensory Integration. My practice here in San Antonio began in July of 2021.

Children with sensory processing deficits may have difficulty with motor skills, balance, and eye-hand coordination. As an Occupational Therapist, I help children to function optimally in their major life roles.

Neurodevelopmental treatment (NDT) is a hands-on treatment approach used by Occupational Therapists. For example, when a child is reaching for a toy, the therapist works with the child to facilitate the movement to acquire the toy.

Abundant Abilities Pediatric Occupational Therapy provides independent evaluations of developmentally delayed infants, toddlers, preschool, and school-aged clients, from birth through adolescence. 

We accept 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 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

Rehab Without Walls specialized, multidisciplinary and outcome-focused outpatient neuro therapy center in San Antonio, TX treats people who have suffered complex physical and neurological injuries get back to an active life in the community. The center is one-of-a-kind in the area because it addresses the specific medical, physical, cognitive and psychological needs of individuals with neurological deficits and complex orthopedic needs.

Each individual is assessed to determine his/her level of functioning related to impairments, activity and participation. Once the assessment is complete, a team of skilled therapists creates an individualized plan of care.

Therapies We Offer:

• Physical Therapy
• Occupational Therapy
• Speech Therapy
• Cognitive Therapies

Conditions We Treat:

• Stroke
• Traumatic Brain Injury/Head Trauma/ Concussion
• Spinal Cord Injuries
• Complex orthopedic injuries
• Multiple Sclerosis
• Guillain-Barre Syndrome
• Parkinson’s Disease
• Muscular Dystrophy
• Peripheral neuropathies
• Vestibular
• Pelvic floor
• Balance
• Headaches

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

Our Care Model The MAC’s innovative approach provides comprehensive and coordinated medical and non-medical services under one roof. The MAC seeks to help individuals with disabilities and special needs of all ages find the assistance they need to improve their health and well-being.

MAC Navigation: The MAC’s services use a family-centered approach with full collaboration from the family, MAC Member, and community partners known as MACers (pronounced “MACK-ers”). Click here to learn more.

Ultra-Accessible™ means that everyone has the same opportunity to be included and participate intentionally in their community. An Ultra-Accessible™ community should provide environments for people of all abilities where they are set up for mobility, access, and success.

The MAC Navigators The MAC Care Model™ is centered around addressing Non-Medical Drivers of Health (NMDOH) through team members known as MAC Navigators that serve as single points of contact for the individuals with disabilities and special needs that The MAC serves. Click here for the Navigation Road Map.

Pre-screening on The MAC website or in person determines eligibility to become a MAC member.

(For purposes of The MAC at Morgan’s Wonderland™, people with a “special need” are defined as individuals of all ages with long-term impairment of cognitive, sensory, motor and/or communication functions, either congenital or acquired, that are not readily rehabilitated. Furthermore, a special need substantially limits an individual’s ability to perform activities in the range of what is considered typical for a person of the same age and cultural context. A special need may result in associated social, behavioral, or mental health complexities, requiring specialized intervention by a professional. Populations served by the MAC are the range of conditions that are classified as intellectual and developmental disabilities as well as acquired or congenital physical disabilities.)

The MAC serves individuals of all ages.

ADA Adult & Babies Changing Tables available.

There are no income requirements to receive Navigation services.

Our MAC Members are members as long as they continue receiving services at The MAC.

Each of our MACers (community partners) accepts specific forms of insurance. MAC Navigators are able to connect MAC Members with the correct partner.

Always Best Care's In-Home Care Services are always tailored to your loved one's specific personal and specialized needs. 

Services include:

• 24-Hour Care?
• Bathing, Grooming, and Dressing
• Companionship
• Errands and Transportation
• Escort to Activities
• Hospice Support/ End-of-Life
• Hospital to Home
• Incontinence/Toileting
• Laundry Services
• Light Housekeeping
• Live-In Care
• Meal Preparation
• Medication Reminders
• Mobility
• Nutrition Monitoring
• Overnight Care
• Safety Supervision
• Technology Assistance
• Post-Hospitalization Care
• Rehabilitation
• Transitional Care
• Senior Living Referral Services

To view a full list of all services provided, click here.

Get a personal care consultation here.

We offer comprehensive cosmetic, restorative, and surgical dentistry to patients of all ages, including those with unique physiological and behavioral conditions. We understand the wide range of complexities our patients face, and the unique attention each requires.

For those who are especially anxious and unable to receive their cleanings and treatment while awake, we work with a team of board-certified and board-eligible anesthesiologists to make your loved one feel as comfortable as possible.

Dental care is crucial for everyone, and children and adults with special needs benefit from dentists, hygienists, and staff who are experienced and can provide excellent care in a comfortable, compassionate environment.

We offer comprehensive cosmetic, restorative, and surgical dentistry to patients of all ages, including those with unique physiological and behavioral conditions. We understand the wide range of complexities our patients face, and the unique attention each requires.

For those who are especially anxious and unable to receive their cleanings and treatment while awake, we work with a team of board-certified and board-eligible anesthesiologists to make your loved one feel as comfortable as possible.

For information regarding specific treatment planning for yourself or your loved one, please contact one of our offices.

Click here for more information.

Considering the end of life is not easy, whether you are planning for the future or coping with a serious illness right now. VITAS provides compassionate hospice care to patients with a life-limiting illness, and our palliative care team focuses on symptom management, pain relief, and quality-of-life issues for patients facing chronic, complex, or serious illnesses. Explore a range of supportive, VITAS-provided resources in more detail.

Click here to explore by topic

If you are a post-9/11 Veteran or service member with a moderate to severe brain injury, spinal cord injury, or neurological condition that causes you to struggle with day-to-day living, Wounded Warrior Project^® (WWP) can provide the kind of high-touch services that will help you live life to the fullest and as independently as possible. Independence Program starts with a comprehensive service assessment, during which your team of specialists will work with you, your family, and your caregivers to develop a plan of action. From there, you will work with your dedicated team of specialists who are highly trained in helping injured veterans set and achieve goals.

Medicaid Waiver Program that provides services to people of all ages with an intellectual or developmental disability, related condition, or both, who live with their families or in their own home.

To maintain optimal quality of life, we provide services to help with needs related to daily living, independent living and leisure/ recreational activities.

• Residential services
• Host home/ companion care
• Group home
• Respite services
• Day habilitation   
• Employment services   
• Nursing services
• Dental services   
• Behavioral support
• Supported home living (transportation)
• Social work
• Occupational therapy
• Physical therapy
• Speech therapy
• Dietary services
• Audiology services
• Accessible minor home modifications
• Adaptive aids
• Transition assistance services

Community living and support services are needed to maintain a good quality of life.

This program includes:

• Respite services   
• Day habilitation   
• Employment services   
• Nursing services
• Dental services   
• Behavioral support
• Community Support (transportation)
• Social work
• Occupational therapy
• Physical therapy
• Speech therapy
• Dietary services
• Audiology services
• Accessible minor home modifications
• Adaptive aids

To begin the enrollment process, click here to send an email explaining your situation.

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.

Morningside offers long-term care services at two state-licensed communities for individuals with illnesses, injuries or functional and physical disabilities who require full-time nursing care.

Our staff specializes in skilled nursing care, long-term care, and rehabilitation services as well as hospice and respite care. Our medical director and nursing staff provide a wide range of health care services for those with multiple needs and diagnoses including but not limited to:

• Closed Head Injury
• Congestive Heart Failure
• COPD
• CVA/Stroke
• Hip Fracture
• IV Therapy
• Ostomy Care
• Peripheral Vascular Disease
• Physical/Occupational/Speech Therapies
• Total Knee Replacement
• Tube Feeding
• Wound Care

Common areas provide space for activities, socialization, exercise and dining. Beautifully landscaped grounds and outdoor social areas surround the communities.

Click here to fill out our submission form or call (210) 734-1000 for more information about assisted living.

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 to 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.

Hill Country MHDD Centers provide compassionate care and support to individuals with intellectual and developmental disabilities by providing services that offer hope, support, and recovery.

Our Service Coordinators are trained in person-centered thinking and person-centered plan facilitation, which means they have learned skills to better support individuals to achieve their goals at home, school, work, and in the community.

The Service Coordination team assists with:

• determining eligibility for services;
• enrollment into programs;
• coordinating and monitoring ongoing services;
• placing individuals on the Home and Community-Based Services (HCS) and Texas Home Living Interest lists;
• helping students transition from school services to community-based services; and
• aiding families in finding residential services for children and adults.

If you are interested in IDD Services, please call our IDD Centralized Intake Line at 830-387-5970.

Hill Country is a contracted provider of Home and Community-Based Services (HCS) and Texas Home Living (TxHmL) Medicaid waiver programs; however, we also serve as the Local Intellectual and Developmental Authority (LIDDA), which means we cannot and do not endorse any particular provider. If you or someone you help support receives services through HCS or TxHmL, our Service Coordinators will present all available provider options, including Hill Country, in order to help you make an informed choice about the program that will best meet the needs and goals of the person served.

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.

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.