Work and Community Re-Entry


Madonna’s Work Re-Entry Program provides comprehensive rehabilitation services to help patients successfully return to the workforce.  It is a collaborative effort of transdisciplinary rehabilitation professionals who support patients in resuming their careers or volunteer positions.

On-site care

Employment helps fulfill basic human needs and promotes well-being by providing a sense of identity and life satisfaction.  Our mission is to help patients return to as normal a lifestyle as possible and reach their highest level of independence.

To participate in the Work Re-Entry  program, patients must be motivated to return to work, as well as: 

  • 16 years of age or older
  • Require skilled physical, occupational or speech-language therapy
  • Medically stable and able to tolerate a minimum of three hours of activity per day

The clinician gathers information regarding the person’s previous employment history, details about their previous job, including the physical, cognitive and behavioral capacities required, environmental factors and any barriers to returning to work. These barriers may be directly related to the specific job duties, or in related areas, such as accessing transportation, completing self care or managing finances.

If appropriate, and with the person’s permission, a copy of their job description is obtained and a job site assessment may be performed. If the person has not already had a neuropsychological assessment, one will be
obtained. The rehabilitation team reviews the assessment and develops an individualized return to work plan. Specialized therapy is tailored to each participant and may include:

  • Cognitive rehabilitation
  • Job skill training/re-training
  • Job simulation intervention
  • Energy conservation
  • Adaptive techniques
  • Employer education

At some point in the person’s program, they may be asked to be involved in a work trial, where the individual follows steps similar to those in a real work environment by volunteering at Madonna. The work trial may be for a couple hours a day, one day a week, or much longer depending upon the volunteer job, the person’s ability, and other factors, and may last weeks, months or longer.

Roger's Story
Missouri brain injury survivor grateful for Madonna's Work Re-Entry Program

Missouri brain injury survivor grateful for Madonna's Work Re-Entry Program

Returning to the Community

Rehabilitation does not stop when the patient gains basic skills of self-care and mobility. Madonna is the only facility in the region to incorporate a simulated community throughout its therapeutic space, called Independence Square, where patients may practice real-life tasks such as grocery shopping, doing laundry and completing household chores. 

Returning to school

School-aged patients are able to continue academic pursuits with educational specialists in the Therapeutic Learning Center.  There they are exposed to real-life challenges within the classroom and work with their therapy team to overcome any limitations that would prevent them from returning to their community school system.