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VA Spinal Cord Injury System
The VA runs a specialized nationwide system of care devoted to veterans with spinal cord injuries. Known simply as the "SCI Service", the VA operates this system using the policies and procedures found in VA Handbook 1176.1.
Veterans seeking service from the SCI Service can gain an understanding of the policies and procedures governing the SCI Service in this handbook. Additionally, if necessary, veterans and their advocates can gain useful insights about the SCI Service and the way they operate.
Veterans seeking service from the SCI Service can gain an understanding of the policies and procedures governing the SCI Service in this handbook. Additionally, if necessary, veterans and their advocates can gain useful insights about the SCI Service and the way they operate.
- 1. SCI/D System Overview
- 2. System Responsibilities
- 3. Populations Served
- 4. SCI/D Hub and Spoke System of Care
- 5. SCI Centers
- 5.1. SCI Center Programs and Organization
- 5.2. Scope of SCI Center Services
- 5.3. Admission of Active Duty Service Members (ADSM)
- 5.4. Admission of Veterans with SCI/D
- 5.5. Admission of Non-Veteran SCI/D Patients
- 5.6. Independent Living Programs (ILPs)
- 5.7. Urodynamics Laboratory
- 5.8. Sexuality and Fertility Counseling
- 5.9. SCI Comprehensive Preventative Health Evaluation
- 5.10. SCI Center Personnel & Staff Ratios
- 5.11. SCI Center Inpatient Program
- 5.12. SCI Center Outpatient and Primary Care Services
- 5.13. SCI Center Home Care (HC) Program
- 5.14. Evaluation of Quality
- 5.15. Continuing Education
- 5.16. Use of Clinical Practice Guidelines (CPGs)
- 6. SCI Support Clinic/Primary Care Team in the Non-SCI Center
- 7. System of Care Continuum
- 7.1. Emergency Care of Veterans with SCI/D
- 7.2. Medical and Surgical Stabilization of New Injuries
- 7.3. Rehabilitation
- 7.4. SCI Comprehensive Preventative Health Evaluation
- 7.5. Sustaining Medical, Surgical and Respite Care
- 7.6. SCI Long Term Care (LTC)
- 7.7. Mental Health Services
- 7.8. Home-Based Primary Care (HBPC)
- 7.9. Peer Counseling Services, Programs and Referrals
- 7.10. Prosthetic Appliances and Medical Equipment
- 7.11. Vocational Rehabilitation
- 7.12. Recreation Therapy
- 7.13. Family & Significant Others
- 8. VA Home Modification Programs
- 9. Home Based Care and Services
- 10. Miscellaneous