What is the NBI Program and how does it work?

Any damage to the brain may potentially impair a person’s ability to regulate their behavior. When such impairment is so severe that the person is a danger to themselves or others, a special setting and approach is required.

The NeuroIntensive Program – or NBI – treats individuals whose brains are trying to function normally but cannot. Providing a small, secure community and predictable routine are the keys to helping the individual become re-engaged.

Every Resident-Neighbor on the NBI unit receives regular medical & neuropsychiatric care, neuropsychological & behavioral assessments, nursing & social work services, a specially designed daily activities program conducted by therapeutic recreation staff, monthly team reviews of progress, and neuropsychiatry rounds. Medications are used to promote cognitive function and behavioral stability, but never as a restraint. Therapies such as occupational, physical, speech, and neuro-feedback can be introduced as soon as the individual is ready to participate.

All of our participants are adults whose behavior is a result of confusion, frustration, and discomfort in response to a variety of conditions they did not choose, cannot control, and may not understand. Our job is to reduce their frustration and confusion as much as possible, to increase their personal comfort and feelings of security, and to promote an understanding of what has happened to them. We do not use ‘behavioral modification’ approaches involving rewards and punishments. Instead, we attempt to build the person’s capacity to comprehend and navigate everyday life as a series of positive, methodical steps.

Lengths of stay in the NBI Program are highly individualized, and discharge from the program is of readiness based on the psychiatrist’s determination of readiness. Our success rate in transitioning individuals off the secure unit is very high.