The Impact of a Structured Rehabilitation Program for Uninsured Individuals

Christina Draganich, Jeffrey Berliner, Mitch Sevigny, William Niehaus, Angela Philippus, Lisa Payne, Don Gerber, Kimberley R. Monden

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


PURPOSE/OBJECTIVE: Health disparities in rehabilitation have been identified in brain injury (BI), spinal cord injury (SCI), stroke, and amputee populations. A free clinic was established to serve such uninsured individuals. The purpose of this exploratory study was to characterize the sample of patients attending a free rehabilitation clinic by investigating their demographics, access to care, trends in quality of life, and satisfaction with the rehabilitation program.

METHOD/DESIGN: This is a retrospective chart review of data from 15 individuals admitted to the free clinic program who were administered an admission questionnaire, the abbreviated World Health Organization Quality of Life assessment (WHOQOL-BREF), and a postcare assessment survey.

RESULTS: A majority of patients reported not having a primary care provider nor a checkup within the past 5 years. This sample also reported extensive physical needs at admission. Seventy-three percent of the sample improved on the WHOQOL-BREF physical domain by discharge with a large effect size. The psychological, social, and environmental domain scores did not show a reliable pattern of change in this sample. Conclusions/Implication: These results support previously noted gaps in care among individuals with BI, SCI, stroke, and amputation and suggest that a monthly clinic can improve physical quality of life. This exploratory study aims to lay the foundation for future research that is needed to understand the factors that exclude these individuals from the health care system and to help key stakeholders to advocate for these patients and improve their early access to rehabilitation care. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Original languageEnglish (US)
Pages (from-to)235-240
Number of pages6
JournalRehabilitation Psychology
Issue number2
StatePublished - Apr 4 2022

Bibliographical note

Funding Information:
We thank the patients, families, and volunteers of our local free clinic. The authors received no financial support for the research, authorship, and/or publication of this article.We have no known conflicts of interest to disclose.

Publisher Copyright:
© 2022. American Psychological Association


  • Free clinic
  • Healthcare disparities
  • Quality of life
  • Rehabilitation
  • Uninsured
  • Stroke
  • Humans
  • Medically Uninsured
  • Surveys and Questionnaires
  • Retrospective Studies
  • Quality of Life/psychology
  • Spinal Cord Injuries/rehabilitation

PubMed: MeSH publication types

  • Journal Article


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