Brain Injury Outcomes

Who we treat

Each year, we provide inpatient treatment for 30 adolescents with brain injuries.

Injury types

• Traumatic brain injury (TBI): 80%
• Other brain injuries: 20%

Patient ages

12-17 years old (average age is 16)

Patient genders

• Male: 87%
• Female: 13%

Admission and length of stay

• Average length of stay: 38 days
• Time to admission: On average, adolescent patients begin inpatient rehabilitation 30 days after injury

Therapy and rehabilitation

Our patients receive extensive therapy, typically ranging from 3-5 hours daily. This includes physical, occupational, and speech therapy, tailored to each patient’s needs.

Patient satisfaction

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center a 96 out of 100.

Where our adolescents go after discharge

93% of adolescents return to the community after discharge.

Self-care goals

63% of adolescent inpatients achieve or exceed their anticipated value of self-care upon discharge from Shepherd Center, compared to 62% nationally.

Mobility goals

65% of adolescent inpatients achieve or exceed their anticipated value of mobility upon discharge from Shepherd Center, compared to 62% nationally.

Mobility scores tell us how much help a patient needs with activities like sitting, standing, walking, using a wheelchair, or going up and down stairs. A physical therapist helps patients get better at doing these activities on their own. If the scores go up from when the patient first came in to when they left, it means the patient got better at doing these activities independently.

Who we treat

Each year, we provide inpatient treatment for 278 adults with brain injuries.

Injury types

• Traumatic brain injury (TBI): 74.8%
• Non-traumatic brain injury: 17.6%
• Other brain injuries: 7.6%

Patient ages

The average adult inpatient with a brain injury at Shepherd Center is 40 years old. The age breakdown includes:

• 18-25: 26%
• 26-35: 21%
• 36-45: 17%
• 46-55: 17%
• 56-65: 13%
• 65+: 7%

Patient genders

• Male: 77%
• Female: 23%

Admission and length of stay

• Average length of stay: 43 days
• Time to admission: On average, adult patients begin inpatient rehabilitation 34 days after injury

Therapy and rehabilitation

Our patients receive extensive therapy, typically ranging from 3-5 hours daily. This includes physical, occupational, and speech therapy, tailored to each patient’s needs.

Patient satisfaction

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center a 98 out of 100.

Where our patients go after discharge

• Community: 91%
• Acute care: 3.9%
• Long-term care: 3.2%
• Other Rehabilitation: 1.1%
• Hospice: 1%

Who we treat

Each year, we provide inpatient treatment for 33 individuals with disorders of consciousness.

Patient ages

The average inpatient with disorders of consciousness at Shepherd Center is 29 years old. The age breakdown includes:

• Under 18: 17%
• 18-25: 31%
• 26-35: 14%
• 36-45: 29%
• 46-55: 9%
• 56-65: 0%
• 65+: 0%

Patient genders

• Male: 77%
• Female: 23%

Average length of stay

• Patients who emerge from a minimally conscious or unresponsive wakefulness state and advance to a rehabilitation level of care typically spend 86 days at Shepherd Center and 52 days in rehabilitation.
• Patients who are discharged in a minimally conscious or unresponsive wakefulness state typically spend 86 days at Shepherd Center.

Patient satisfaction

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center 98 out of 100.

Where our patients go after discharge

Patients with disorders of consciousness at Shepherd Center who emerge from a minimally conscious or unresponsive wakefulness state and advance to a rehabilitation level of care typically transition to:

• Home: 80%
• Other rehabilitation: 10%
• Skilled nursing facility: 10%
• Long-term care: 0%
• Hospice: 0%

Patients with disorders of consciousness at Shepherd Center who are discharged in a minimally conscious or unresponsive wakefulness state typically transition to:

• Home: 87%
• Skilled nursing facility: 9%
• Long-term care: 4%
• Acute care: 0%
• Hospice: 0%

Neurobehavioral condition

Shepherd Center uses the Coma Recover Scale-Revise (CRS-R) to measure behavioral responses to stimuli. The higher the score, the higher the level of consciousness.

Patients with disorders of consciousness who emerge from a minimally conscious or unresponsive wakefulness state and advance to a rehabilitation level of care have the following CRS-R measurements at admission and discharge:

• Admission: 8
• Discharge: 18

Patients with disorders of consciousness who are discharged in a minimally conscious or unresponsive wakefulness state have the following CRS-R measurements at admission and discharge:

• Admission: 7
• Discharge: 8

The CRS-R test helps medical professionals understand how the brain is working for people who are asleep or can’t speak. The test has 23 parts and yields a total score of 0-23. It looks at how patients react to sounds, what they see, movement, and if they can follow basic instructions or speak. The score shows if consciousness is improving.

Who we treat

Each year, we provide outpatient treatment for 20 adolescents with brain injuries.

Patient ages

12-17 years old

Patient genders

• Male: 96%
• Female: 4%

Recommended supervision after discharge

Shepherd Center uses the Supervision Rating Scale (SRS) to measure the recommended level of supervision a patient receives from caregivers upon discharge. SRS percentages for adolescent outpatients with brain injuries include:

• Can be alone for 8+ hours: 37.5%
• Other: 62.5%

The category of “other” represents varying supervision levels, such as:

• Patient can be left alone for up to 1 hour: Supervision is provided to the patient overnight & part-time during waking hours. Supervising caregiver cannot work a full-time job.
• Full-time indirect supervision: Patient is never left alone. Supervising person checks in 30 minutes or less.
• Full-time direct supervision: Patient is never left alone. Supervising person checks in more than every 30 minutes.
• Physical control of exits: Patient lives in a setting in which exits are physically controlled by others, plus a supervising person is designated to provide full-time line-of-sight supervision.
• Physical restraints: The patient is in physical restraints.

Who we treat

Each year, we provide outpatient treatment for 376 adults with brain injuries.

Patient ages

The average adult outpatient with a brain injury at Shepherd Center is 37 years old. The age breakdown includes:

• 18-25: 30%
• 26-35: 22%
• 36-45: 12%
• 46-55: 16%
• 56-65: 14%
• 65+: 6%

Patient genders

• Male: 67%
• Female: 33%

Type of outpatient visits

• Day program: 89 visits
• Outpatient program: 33 visits

Patient satisfaction

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center a 99 out of 100.

Recommended supervision after discharge

Shepherd Center uses the Supervision Rating Scale (SRS) to measure the recommended level of supervision a patient receives from caregivers upon discharge. SRS percentages for adult outpatients with brain injuries include:

• Can be alone for 8+ hours: 36%
• Other: 64%

The category of “other” represents varying supervision levels, such as:

• Patient can be left alone for up to 1 hour: Supervision is provided to the patient overnight & part-time during waking hours. Supervising caregiver cannot work a full-time job.
• Full-time indirect supervision: Patient is never left alone. Supervising person checks in 30 minutes or less.
• Full-time direct supervision: Patient is never left alone. Supervising person checks in more than every 30 minutes.
• Physical control of exits: Patient lives in a setting in which exits are physically controlled by others, plus a supervising person is designated to provide full-time line-of-sight supervision.
• Physical restraints: The patient is in physical restraints.

Who we treat

Each year, we provide outpatient treatment for 76 adolescents with concussions.

Patient genders

• Female: 51%
• Male: 49%

Patient satisfaction

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center a 100 out of 100.

Reduction in concussion symptoms

77% of adolescent outpatients experienced a reduction in the number and severity of their concussion symptoms between starting and finishing treatment.

Person-centered goals

85% of adolescent outpatients reach or exceed the expected performance of their person-centered goals. Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:

• “I want to return to playings sports.”
• “I want to be able to play video games with my friends.”
• “I want to be able to make my own meals.”

Who we treat

Each year, we provide outpatient treatment for 386 adults with concussions.

Patient ages

• 18-30: 35%
• 31-50: 32%
• 51-64: 20%
• 65+: 13%

Patient genders

• Male: 56%
• Female: 44%

Patient satisfaction

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center a 95.2 out of 100.

Reduction in concussion symptoms

89% of adult outpatients experienced a reduction in the number and severity of their concussion symptoms between starting and finishing treatment.

Person-centered goals

85% of adult outpatients reach or exceed the expected performance of their person-centered goals. Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:

• “I want to be able to cook a meal with my grandchildren.”
• “I can manage my household finances.”
• “I want to be able to feed myself.”

Who we treat

Each year, we treat 201 clients in the SHARE Military Initiative.

Client ages

• 18-30: 9%
• 31-50: 71%
• 51-64: 19%
• 65+: 1%

Client genders

• Male: 88%
• Female: 12%

Branches of service

SHARE clients represent the following branches of services:

• Army: 44%
• Marine Corps: 24%
• Navy: 20%
• Air Force: 5%
• Coast Guard: 1%
• First Responder: 6%

Average length of stay

• 0-4 weeks: 35%
• 4-8 weeks: 16%
• 8-12 weeks: 19%
• 12 weeks or more: 30%

Client satisfaction

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center 98 out of 100.

Person-center goals

94% of SHARE clients reach or exceed the expected performance of their person-centered goals. Clients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:

• “I want to be able to cook a meal with my grandchildren.”
• “I can manage my household finances.”
• “I want to be able to feed myself.”