Cognitive Rehabilitative Therapy


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Rehabilitation for the Brain

Brain injuries can cause a range of challenges - some of them major, others more subtle. Patients may have trouble concentrating, organizing their thoughts, planning, or solving problems.  They may be easily confused or forgetful, and their judgment may be impaired. Sometimes speech is hard to understand. And patients may have trouble interpreting the actions of others. Cognitive Rehabilitative Therapy (CRT) is designed to address these and other complexities following a brain injury.

Inpatient Cognitive Therapy

At Crotched Mountain, our inpatient CRT program is tailored to each patient's particular deficits and strengths. Our model focuses on intensive, daily, multidisciplinary therapies that help rebuild cognitive ability in areas including improved safety, self-awareness, visual and auditory processing, memory, attention span, functional independence and social interaction. These skills build a foundation for successful transitions to home and to communities.


Program Components

Because this is an inpatient program, we customize our therapeutic approach to the endurance level of each patient and may provide services for as few as two or as many as eight hours a day. Activities can include:


  • Attention, communication and memory exercises
  • Individual therapy
  • Social exposure
  • Physical therapy
  • Functional skills training
  • Group therapy for cognitive and motor skills
  • Supervised recreation (swimming, skiing, etc.)
  • Meeting with a cognitive coach

Our Cognitive Rehabilitation Team

Because brain injuries acquired from trauma and stroke often have complex outcomes, we assemble a team of professionals, chosen for their experience, competence and empathy. Team members across the spectrum of therapies meet frequently to address challenges and support patients as they gain higher levels of function.


Our cognitive therapy team includes therapists licensed in:

  • Speech-language pathology
  • Occupational therapy
  • Social work
  • Therapeutic recreation
  • Rehabilitation technology 

Functional Independence Measure (FIM)

Throughout each patient’s stay, progress is measured through Functional Independence Measure (FIM) scores, which measure an individual’s functional independence across eighteen physical and cognitive categories – from comprehension to walking to social interaction to personal grooming. Read more about FIM 


Contact us to learn more about our cognitive rehabilitative therapy program:
Lisa Walsh, LPN
Nurse Referral Coordinator
603.547.3311 ext. 2010 

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One Verney Drive Greenfield, NH 03047 Tel. 603.547.3311