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June 1996
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Shepherd Center Tour

(Graphic: sign e) Experiencing adventure is nothing new to Mike Hufstetler, Outdoor Specialist at this "Specialty Hospital" in Atlanta. In fact, it's the name of a workshop Mr. Hufstetler conducts which includes tree climbing, tubing, jet skiing and a ropes course. Only one admission requirement; you must have a disability such as SCI, acquired brain injury, MS or another neuromuscular disease to participate. With this program, and a full com-plement of state-of-the-art services such as an Assistive Technology Center on site, Shepherd Center pretty much pushes the envelope of concepts like "rehabilitation" and "hospital" onto a new plane altogether. I was fortunate to visit Shepherd recently, and was given a preview of what the paralympics and visitors to Atlanta this August just might learn about the American way of rehab.

First of all, Shepherd doesn't smell or feel like a hospital. The color scheme, (like most of Georgia) is peaches and cream, not Hospital Green.

The walls are covered with original art,from the community, from kids, and from residents. The 100-bed hospital features a Therapeutic Recreation program including classes in calligraphy, performing arts, and dance. The pool is continuously in use by community classes, and the fitness center offers mem-berships to community members regardless of disability.

Equally as impressive as the physical structure of the place is the philosophy expressed by staff member Mike Hufstetler. He tells me that the lushly beautiful garden area, used for resi-dent and staff R & R as well as horticulture class, was purposely placed not in a safe, isolated courtyard, but next to a busy Atlanta street, sans security fence. "Why isolate ourselves from the real world?" he queried. Why, indeed! With course offerings that include white water rafting and all-terrain vehicles, there's not much chance of a dull moment here.

Community Reintegration: A Whole Piece of Cloth

(Graphic: sign f) Founded in 1975, Shepherd is the largest of the 18 Model Spinal Cord Injury Programs nationwide. A private non-profit, the Center was started by one Atlanta family's personal experience. 22 year old James Shepherd's body surfing accident led to a mission to create top-notch spinal cord injury treatment in the Southeast. In the two decades since, services have expanded to include a Ventilator Program, High Quad Program, Acquired Brain Injury Program, Urological Program, and a Day Hospital Program. The population served has grown older and more diverse, while insurance reimbursement has grown more stringent. The average length of stay after a traumatic spinal cord injury has decreased dramatically, with most individuals returning home in 6 - 8 weeks after admission. While this is good news in one sense , Mike likes to talk about recreational and sports activities being immediately integrated into the injured person's rehab program , Shepherd faces the same concerns regarding increasing or stable participant expenses and decreasing subsidies as do all hospitals and rehab programs. Managed care is yet another potential threat to quality programs like this one. Community resources to adapt housing, and provide attendant care and transportation are crucial. In the meantime, programs like Mike Hufstetlers are marketing and reaching out to the community beyond the hospital's lovely garden.

For more information, contact the Shepherd Center at 404-352-2020.


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