Rehabilitation and Community Resources
Case managers connect clients to the services and supports that restore function and sustain independence. This domain tests your knowledge of rehabilitation disciplines, community-based resources, and how to match client needs to available supports.
Concepts to master
- Rehabilitation disciplines: physical therapy (mobility), occupational therapy (activities of daily living), speech-language therapy (communication/swallowing), and vocational rehabilitation (return to work).
- Community resources: home health, adult day programs, Meals on Wheels, transportation services, support groups, and area agencies on aging.
- Assistive technology and home modifications that support aging in place.
- Benefits and entitlements: Social Security Disability Insurance, Supplemental Security Income, and state waivers for home- and community-based services.
- Continuity of care: warm handoffs and follow-up after referral.
Traps in questions
- Confusing PT and OT. Physical therapy targets mobility and gross motor function; occupational therapy targets daily living tasks and adaptive strategies.
- Assuming a resource exists without verifying eligibility. Always confirm eligibility, availability, and cost before committing.
- Referral without follow-up. A referral is not complete until the client is connected and confirmed.
- Overlooking the caregiver. Family and caregiver supports are legitimate, necessary resources.
Worked example / rule of thumb
A client recovering from stroke cannot dress or bathe independently but can walk with a walker. The priority referral is occupational therapy for ADL training. Rule of thumb: mobility → PT; daily living → OT; communication/swallowing → SLP.