Selection of professionals for training to appropriately administer the Cognitive Systems Internet enabled rehabilitation therapy program for customers with cognitive deficits will be limited to Occupational Therapists-Registered (OTR), Speech Language Pathologists (SLP), neuropsychologists, licensed Professional Counselors (LPC) and licensed Special Education Instructors. Other professionals who are not licensed by the state will be required to participate in an Internship in addition to successfully completing the prescribed course of study. Before these professionals will be allowed to administer the Cognitive Systems System, they will be required to attend 13.5 contact hours of training in a “hands-on” workshop, co-sponsored by an Oklahoma Technology Center, Cognitive Systems and Jim Thorpe Rehabilitation and Development Center.

After the completion of the Cognitive Systems System training program, each participant will take a written exam, based on rehabilitation principles and the Cognitive Systems applications. This exam is based on use of the Cognitive Systems Internet Enabled System for rehabilitation of cognitive impairment resulting from traumatic brain injury, stroke, disease, and other neurologically based anomalies. Passing scores must be above 75%. Those passing this special 20 question exam will receive a Certificate of Completion as a qualified CRT. Continuing education units (CEUs) will be awarded by the various accrediting organizations through Jim Thorpe Rehabilitation and Development Center.

After qualifying, the specially trained and Cognitive Systems System certified cognitive therapists can be supplied with their own dedicated Cognitive Systems System computer. The Complete System includes a library of Cognitive Systems software, auto-dialer, and a color monitor. The Cognitive Systems System is Internet ready and can automatically connect to the Cognitive Systems server. Once the client makes this connection, the Cognitive Systems rehab therapy program disconnects from the Internet. This feature reduces the length of time on the Internet, thus a cost savings. The therapist’s system stays connected until the prescription is downloaded to the Cognitive Systems server and the results are retrieved from the clients’ files to be printed by the therapist. Telephone calls are generally local for the ISP connections, dependent on the local telephone company. Some rural areas with private telephone companies may require 800# dial-up capability.

Once the Cognitive Rehabilitation Therapist (CRT) is assigned clients that are approved by a professional neuro/clinical psychologist, in conjunction with Cognitive Systems then the qualified CRT will be responsible for setting the parameters of the cognitive tasks, monitoring the client’s progress and making appropriate changes in the prescribed exercises, keeping and managing the subjects records, and sending printed reports to appropriate individuals involved in the subjects’ cognitive restoration and enhancement processes. Once a month it is recommended that the CRT meet with the caregivers and the client on a face-to-face basis to observe the client’s performance and to discuss the client’s progress and any changes in behavior that may indicate improvements in daily living and social skills.

Training Objectives:

  1. To be knowledgeable about the use of the Rancho Los Amigos – Revised Scale, especially for subjects at the at Level VI – X, including the social, psychological, and behavioral patterns of persons with cognitive disabilities.
  2. To understand the basic principles on which the cognitive rehabilitation exercises were developed.
  3. To demonstrate knowledge of the Cognitive Systems System computerized processing, regarding how to manage the information, send e-mail messages through the private e-mail feature, and how and when to change the prescribed exercise or move the subject into new or modified cognitive tasks following a logical progression.
  4. To understand the focus of the exercises that are developed from simple attention and executive skills, through multiple avenues and modalities of visual-spatial and memory to complex problem-solving skills.
  5. To interpret and explain the meaning of the progress charts and raw scores to the subject and caregiver (if applicable).
  6. To effectively use the telephone and the Cognitive Systems System’s closed e-mail capability to develop a continuity of communication between the client/caregivers and the therapist, supplementing the monthly or bi-weekly face-to-face sessions.
  7. To recognize the importance of involving the family/caregivers’ role in the client’s recovery process, especially in fostering the client’s regular use of the Cognitive Systems Internet enabled System at home or in a community setting.
  8. To understand that the goal of the rehabilitation process is to remove as many barriers as feasible to the patient’s/student’s progress, leading to independence without being constantly dependent on others for assistance, except when assistance is absolutely needed.
  9. To recognize that the client’s/student’s needs and wants are critical in establishing realistic goals and expectations through the use of the Cognitive Systems System.
  10. To be sensitive to and focus on the clients’/students’ strengths and capabilities, instead of dwelling on their obvious limitations; this is critical for effective therapeutic practice and educational applications.

Cognitive Systems Support System:

  • Cognitive Systems is committed to providing the CRT Training Program as outlined above.
  • Cognitive Systems will provide the Cognitive Systems System Users’ Manual, complete with step-by-step processes and related materials.
  • Cognitive Systems will provide on-going support and consultation to the Cognitive Rehabilitation Therapists.
  • Cognitive Systems System dedicated computers will be supplied for use by the clients and CRTs, connected to the Internet, providing they have clients paying for use of the System.
  • Cognitive Systems will provide technical assistance and repair for the Cognitive Systems dedicated computers placed in the homes of clients and offices of CRTs.