When a brain injury doesn't improve with standard care, recovery can feel stuck. The Brain Injury Rehabilitation Program, BIRP is designed for exactly that moment. It brings together a full team of specialists working on your recovery at the same time: physical, cognitive, emotional, and vocational. Instead of seeing one provider at a time, you get coordinated care where everyone is working toward the same goals together.

Physical therapy focuses on movement and strength. That is valuable, but for many brain injury patients, the challenges go further than that. Memory, concentration, balance, fatigue, and emotional wellbeing all affect recovery, and they affect each other. BIRP addresses all of these at once through a team that communicates daily. The difference is coordination. Your providers are not working in sequence, they are working together.

BIRP is a good fit when standard care has run its course and you are still not where you need to be. Common signs include: memory or concentration problems that haven't improved, ongoing dizziness or balance issues, fatigue that limits more than just physical activity, low confidence about returning to work, and feeling like progress has stalled. Your doctor can request an evaluation, and the team at Convivio Health will take it from there.

The program runs Monday through Friday, 9:00 AM to 4:00 PM. Each day includes a mix of physical rehabilitation, cognitive exercises, group sessions, psychological support, and vocational training. Your schedule is built around your goals and adjusted as you progress. It is structured, but the structure is there to support you, not overwhelm you.

The active phase is 8 weeks. After that, some patients move into a follow-up phase based on clinical need. The team decides together what follow-up looks like for each person, there is no one-size-fits-all answer.

Before you finish, the team builds a discharge plan with you. This covers what progress you made, what you can do independently, and what the recommended next steps are, whether that is a graduated return to work, modified duty, or ongoing community support. You leave with a clear picture, not just a completion date.

Yes. Your attending physician sends the referral to Convivio Health. If your injury is covered by Washington State L&I, the referral goes through your claim. Once we receive it, we coordinate directly with your provider and case manager to get you scheduled.

Yes. Convivio Health is an L&I-approved BIRP provider in Washington State. If your injury is a covered L&I claim and your doctor has referred you, L&I can authorize the program. Your case manager can confirm the details for your specific claim.

Distance should not be a barrier to care. Convivio Health has a Travel for Treatment program, and depending on your claim, L&I may authorize travel and lodging support. Contact us or ask your case manager what options are available for your situation.

Before you start, Convivio Health will collect your medical records and coordinate with your referring provider. On your first day, wear comfortable clothing you can move in. The team will walk you through the schedule and answer any questions before you begin. You do not need to prepare anything special, just show up ready to participate.