SIRC adopt an integrated approach which is based on
initial assessment of the patient, which recognizes economic
status, suitable vocational training and psychosocial
needs.
A rehabilitation program assists the patient in
recognizing what skills and training he will need, a trained
counselor addresses physiological needs, regular group
counseling sessions, mediated by social services, help
patients interrelate with each other and motivate them
to cope better with daily activities. The psychosocial
improvement of the patients is closely monitored; feedback
is provided to the other departments who may modify the
treatment plans.
To ensure that SIRC does provide an effective service,
monitoring patients after return to the home environment
is essential. Despite difficulties reaching people, especially
in the more remote areas, all patients are posted a follow
up questionnaire which they are encouraged to complete,
with help if literacy is a problem. Based on patient feedback,
a decision is taken on the need for a home visit by the
Multi Disciplinary Team (MDT). Visits which are scheduled
are led by social services and include all relevant therapists.
SIRC aim is to link seamlessly with other organizations
providing community based rehabilitation and health services.
This will take time due to the infrastructure in Nepal.