Cognitive Communication Therapy at Home

Cognitive Communication Therapy at Home: an individual home care plan

A conversation or everyday message may be difficult because attention, memory or organization is affected. Cognitive-communication therapy examines those thinking demands within communication, with tasks selected for the patient's real needs.

Attention in communication

Cognitive-communication therapy examines thinking skills in the context of communication. Attention, memory or organization may affect following a conversation, retaining a message or explaining information in sequence. The clinician assesses the functional pattern within the medical context rather than diagnosing the cause of a cognitive change from a single task.

Message organization

Practice can use situations that matter in the person's day. A structured exchange or selected reminder may be appropriate if the person can understand and use it. More information is not automatically more helpful. Partners can learn individualized strategies for the assessed communication need instead of applying one cue to every conversation.

Functional memory supports

OT may address related cognitive demands within daily activities, while speech therapy focuses on communication. These areas can overlap, making coordination important when both are ordered. Completing exercises does not guarantee improved memory or a change in the underlying condition. Recommendations remain tied to assessment, support needs and review of the actual task.

Related care for cognitive communication therapy at home

Cognitive Rehab at Home (OT). Memory Strategies Training at Home.

Eligibility and insurance review

Original Medicare Part A & B may cover eligible home health care when the applicable homebound, skilled-care, clinician-order and certification requirements are met and services follow an individual plan through a Medicare-certified agency. Coverage and any patient responsibility require verification. Blue Shield of California PPO and Anthem Blue Cross PPO benefits are also reviewed individually. Equipment, medications and separately billed services require their own benefit review.

To discuss cognitive communication therapy at home in Los Angeles County, contact HarvardCare Home Health with the current clinical instructions and the tasks that need support. Referring clinicians can use the patient referral page. Assessment, service availability and individual eligibility determine the next steps.