Community Reintegration

Prior to this injury, Mr. LM was living in a three-story townhouse with his parents. His room was on the top floor, and was accessible by stairs. The home has three steps to the porch, and one step to cross the front door threshold. The home has 1.5 bathrooms, and neither doorway is wheelchair accessible. The full bathroom is fitted with a bathtub, and is on the top floor. Mr. LM’s parents both work full time, and he is an only child.

Mr. LM drove a two-door truck prior to the injury, which he owns. He has a close group of friends, and a new girlfriend who is also a university student.

Mr. LM attended a large University, which offers accessible classrooms and resources for students with disabilities. His parents’ home is a 30 minute drive from campus. Mr. LM enjoyed his participation on the varsity track and field team, and as a volunteer for campus security. At one month post injury, Mr. LM is despondent about the future, and unsure if he will continue with his dream of becoming an architect.

L.M was attending a party at a friend’s apartment when the balcony collapsed, and his parents have obtained a personal injury lawyer who plans to sue the apartment building corporation.

List those issues which must be addressed by individuals with SCI who are returning to the community.

Basic Requirements: To be discharged from rehabilitation
Primary Health Care Housing / Independent Living
Attendant Care
Case Management
Income Support
Equipment Provision

Personal Maintenance Requirements: To remain active in the community
Transportation (see Figure 5)
Active Living

Self-Actualization Requirements: To claim an identity in the community
Family Adjustment
Affective Counseling
Peer Mentoring
Social Policies

For more information please see: Housing and Work

Figure 5. Vehicle modification for post-SCI use. With permission granted from Wheelchair Pictures and Photos, 2010. Source: Wheelchair pictures and photos. (2010). Retrieved from http://www.wheelchairpicture.com.