Nationwide Occupational Therapy, All Ages, All Injuries


CAYAS (Children and Young Adult Service)

What is this?

CAYAS is a service providing Occupational Therapy Rehabilitation to children, adolescents and young adults with a range of injuries and disabilities, to support them to regain active participation in all areas of their lives. Whether that is at school, home or a sporting club, we recognise that each child and family is unique and that the impact of a severe or catastrophic injury affects not only the injured child or adolescent but is felt across the wider family.  

Think Therapy 1st appreciate that no matter how intense the level of therapy provided, the isolated few hours with a therapist practising a skill during a session is no comparison to the transference of knowledge to the young person, their family and school to incorporate actions into everyday activities.  With this in mind, the focus is always on creating positive partnerships between parent/caregiver, child/young person and the therapist which are in turn built by establishing rapport, active listening, accountability, sharing and learning to foster positive experiences for all. Think Therapy 1st work to empower the client and their parents/caregivers to have confidence in making decisions and work alongside them to develop networks of support for the future with the aim of helping them to become advocates for themselves.  

Think Therapy 1st follow a developmental foundation and work to enhance the engagement and participation of the child/young person by offering highly interactive, fun and targeted therapeutic interventions which promote or restore foundation skill acquisition. By engaging the child/young person in this way, it optimises their opportunities for getting back to valued activities and supports them, and their significant caregivers, to regain confidence in achieving functional and visible outcomes across the domains of self-care, productivity (play/education) and leisure. 

The Think Therapy 1st approach is to identify meaningful and purposeful client focused goals and work alongside the young person and their family to create opportunities for functional improvement and positive change.  Think Therapy 1st work in collaboration with their family/caregivers, school and wider Multi-Disciplinary Teams across all of their environments, (eg. home, school, sports club, specialist interest group etc) to ensure that interventions are delivered consistently, within specific time frames and are reviewed on a regular basis.  

CAYAS - Pricing (Programmes will often include a number of months in each level and will be provided in the order best suited to the client’s needs to ensure a truly bespoke rehabilitation provision.)

CAYAS Rehabilitation Needs Assessment (individual, caregiver, 1 environment*) 

A face-to-face assessment in the child or young person's home in collaboration with the key caregiver. Clinical assessments are completed in accordance with the child or young person's pre-injury developmental level. This includes initial remote liaison with the child or young person’s educational setting. The report outlines the changes in function across all life areas since the index event and a time-based, comprehensive rehabilitation plan (including third-party requirements, proposed providers and costs) is provided to support your client's return to having fun and being a child or young adult.

CAYAS Rehabilitation Needs Assessment (individual, caregiver, teacher & 2 environments*)  

As above but when additional face-to-face attendance at the child or young adult’s educational setting is essential to provide further information to inform the report, e.g. such as in situations of complex physical/cognitive needs where associated adjustments to the educational environment or previous setting are required. To enable a child or young person to participate in or return to education in complex social situations where there may be significant safeguarding concerns or where a key transition milestone is occurring, such as from primary school to secondary school or from secondary school to further education.

Environmental Change Intervention  

Intense clinical support to arrange an environment ready for relocation or return from hospital, arranging major adaptions, equipment, care providers and coordinating acute, community and voluntary resources. Preparing the client and/or caregivers mentally and physically to manage the transition and be ready to start the next stage of rehab.

Crisis Intervention (usually no more than 3 months)  

A short-term package of intensive support required in exceptional and largely unforeseencircumstances where a client is deemed at significant risk or there is a breakdown of support network e.g. homelessness, abuse or mental or physical health emergencies. In these scenarios considerable time may be required outside of Think Therapy 1st's therapeutic delivery model to coordinate services and support the client to enable further functional rehabilitation to continue or be maintained and/or fulfil the duty of care to ensure the client is safe in collaboration with statutory services.

High Intensity Rehabilitation  

Up to 5 sessions per week to deliver bespoke functional restoration via a personalised, goal orientated rehabilitation programme delivered by a SROT. Regular activity-based sessions. Assessment and facilitation of equipment. Training of family and carers. Liaison, training and support for employers or educational providers where appropriate. MDT coordination.

Medium Intensity Rehabilitation  

Up to 2 sessions a week as above. Work hardening activities and liaison for return to work, education or training/contributing to Educational Health Care Plans (EHCPs). MDT coordination. Developing client's/parent/caregivers self-efficacy and autonomy within intervention.

Low Intensity Rehabilitation  

Up to 2 weekly sessions as above. Strong focus on self-led activities between sessions. Liaison with employers and return to work co-ordination including sessions in the workplace where appropriate. Liaison with education as required but with focus on parents/caregivers as experts on their child’s needs for the future. Increased MDT coordination facilitated by client or parent/caregiver.

Specialist Rehabilitation Support (SRS) 

This package allows for increased autonomy and leadership from the client, whilst in receipt of the support and guidance of the SROT. Useful for clients who have completed active rehab but have imminent life events or medical procedures or other circumstances that may challenge their coping. This is mainly delivered remotely but if a face-to-face session is required this can be accommodated. Intensity can be altered each month, guided by the clinically indicated needs of the client.

Transition  Weekly contact with some face-to-face, and some remote contact depending on the individuals' needs.

*Travel costs for assessment and therapy programmes are passed on to the funder at cost and are based on £5 per 5 minutes of travel. This is capped at 120 minutes for assessment and 90 minutes for therapy.

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