We are a last mile service – which means we can help with transitioning home after a hospital stay, help those in the community who have functional difficulties or those who want to prevent complications arising due to lifestyle or a recent diagnosis. We offer long interventions and high frequency sessions hospitals seldom provide.
And unlike in the hospital, you don’t need a doctor’s referral for us to see you, you can self refer. That also means get immediate feedback and recommendations from the therapy.
Open Minded Approach
Some patients have come to us because they want to try different types of therapy from what they’ve previously received. In these cases, we help explore what the other available options are, advise on the pros and cons and guide them through interventions they want to try. We are here to help people make informed decisions and support them through treatments that are meaningful to them. We are also proudly open minded.
The one-on-one sessions with a therapist are intensive. The therapist facilitates all the activities, giving direct feedback. This allows the therapist to make ongoing assessment and on-the-spot evaluations so treatment can be adjusted immediately to reap maximum benefits.
We provide frequent and long term one-to-one sessions depending on the client’s tolerance and goals. We also make ‘post-therapy goals’ to help clients plan how they are going to maintain the benefits they have gained.
If there are two people in the home who require therapy, we can design programs for both of them at the same time! For example, when assessing grandma and grandpa, we can create individual and joint goals, and then show them how to support each other. Additional session and documentation time will be required for the initial assessment.
Balanced & Holistic
We work with both ‘client-centered’ and ‘family-centric’ models of care depending on the case. A client-centered model ensures all care, goal setting, decision making and participation is focused around the individual receiving treatment. This promotes autonomy and self resilience.
A family-centric model requires more involvement from the clients social support, which means they must be present for the sessions too. If people cannot attend due to other commitments, the therapist will request for a spokesperson to be appointed to receive and feedback session information. It’s important for the family to be on the same page for this work, frequent changes in decisions will impact the flow of the therapy.
Some follow up sessions can be done over the phone. For example, reinforcing strategies or to solve a particular issue on the go. These can range from 15 minutes up to 1 hour of call time and will be built into an intervention.
We can also offer telephone consultation for those who do no want to engage face to face, or for those enquiring on behalf of a loved one. However, there will be limitations to this. In the event that a person feels this is the only suitable option we are happy to help.
It’s all about your goals. The therapist can advise on this after the initial assessment. If the patient cannot be present or a caregiver is looking for advice, we can arrange a meeting without the patient. There may be limitations to knowing how much therapy is needed in this case.
That is why we always start with a comprehensive initial assessment. This will help the therapist to discuss how realistic the goals are and assess how much therapy is needed to achieve them.
Programs are designed based on current evidence to holistically address issues. We, both the therapists and patient, will not get the full picture when parts of the program is missing, akin to missing a piece of a jigsaw puzzle. Hence programs aims to yield higher quality outcomes.
However, if you have specific therapy goals you can choose to buy single sessions.
We follow international guidelines for gold standard services. Based on comprehensive guidelines for a complete intervention, missing modules may reduce the effectiveness of therapy. By following gold standard, we aim to achieve better outcomes and a more holistic treatment for the patient. Change takes time. It is a process and maintenance is key. It also takes time for our therapists to build a relationship with the patient and their support system. Single sessions are not silver bullets.
Knowledge is king. Occupational Therapy investigates problems, analyses the issues, then, develops the logic and reason for solution. Occupational therapists help people become more informed as a patient and caregiver, so education is key. We devote several sessions in a packaged program for education, sometimes together with the patient’s family and support system, so they can develop “the therapist’s mindset”.
Understanding the therapist’s logic in relation to your case will enable you to be your own problem solver. This is an important skill and will help you sustain your achievements in therapy. Together with the caregivers and family, it will be a concerted effort towards more effective recovery or rehabilitation.
We involve patients as much as possible in every aspect of their therapy, however there are some circumstances where meeting with family or carers without the person present may be appropriate or necessary to discuss some aspects of the therapy involved.
For example, patients who have cognitive impairments, such as difficulties with memory and thinking may not be able to give accurate information during the initial assessment. They may become distressed or confused if a caregiver is answering on their behalf.
In other instances, a person may say they have never fallen down or that they are still working and become angry if someone tries to correct them. This will make it difficult for the therapist to gather an accurate background to develop a baseline. A session without the patient present will help the therapist assess the extent of the cognitive issues from another observer and factor this into subsequent sessions.
Programs are designed to structure around evidence based practice. They can range from a month to a year, with an OT following up every session or at planned intervals if some of the sessions are carried out by a therapy technician. Each program has predetermined goals which we based on our research to ensure all important areas are holistically addressed.
Everything starts with a detailed Initial Assessment. We use international gold standard methods and tools, combined with years of experience to determine the functional ability, challenges and potential problems to help establish individualised short and long term goals to be achieved and maintained.
We look into the setting of the home, work and/or places of interest that is meaningful to the patient and work closely with their support network to ensure the program is delivered with relevance to the individual. Our therapists will also build up a rapport with the patient and caregivers to help manage the case with better context.
Programs are also important to help a client determine how much therapy they need to commit to get the best results. Change takes time, which is why programs are good to help client follow through on their commitment, to achieve their goals. This also allows the therapist to better understand the patient, in order to decide on the most effective approach, design strategies and activities that are holistic and personal. With a series of sessions, the therapist will enable better evaluation of the patient’s progress and identify when to correct, re-enforce or move to the next step with better control.
When the main program is over, the patient can opt to switch to a maintenance package with our therapy technicians to upkeep on their current performance or work on long term goals. Your therapist will still oversee the case through technician reports and follow-up assessments.
Lifeweavers are made up of a team of allied health practitioners led by occupational therapy. Our therapists have a wealth of experience from working in public and private settings in Europe but also have localised experience with patients in Singapore, even with abilities to communicate in basic local dialects and languages!
All our therapists are fully registered with Singapore’s Allied Health Professionals Council.