Where the person comes first, the goals are functional, and the care is exceptional...

The Project

My son Darwin showing collaboration between preschool show-and-tell and the things his mom tells him about his snuggly brain plushie.

My nearly 18-year career has centered on neurological rehabilitation across the lifespan; specifically children, adolescents, and young adults who have had both congenital and acquired neurological deficits and disorders (stroke, brain injury, neurocognitive disorders, genetic disorders etc.).  I have been a certified brain injury specialist since 2016. One of the things that I noticed when working with pediatric patients is that collaboration between team members led to progress and improved function in children.  However, I also noticed that collaboration was inconsistent.

Through the coursework (outlined and discussed in the Clinical Doctorate page) I developed a better understanding of the broader view of neurological rehabilitation.  Learning about the teamwork components of neurorehab led me to want to know more about the various aspects of collaborative care.   

One of the hardest things to find during research was a consistent defnition of interdisciplinary care.  Some articles would cite interdisciplinary practice, but instead demonstrated characteristics of multidisciplinary care.  Likewise, multidisciplinary care would be used to describe the gamut of intervention.  Across disciplines, countries, researchers and clinicians, there was not one solid definition of interdisciplinary care.  In considering a survey, I knew what I would want to ask. 

I knew that it would be important to identify the team members taking the survey, where they were located (within the United States), and what they were doing in this realm of care. 

So I divided a map into regions...

And did the most Speech-Language Pathologist thing ever...

...I made a WH- question list.

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According to the National Institute of Health (NIH),
“Neurorehabilitation is the medical process that aims to aid recovery of functioning from a central nervous system lesion or injury, thus improving resulting functional deficits.”
At SNR, the focus of neurological rehabilitation is to improve quality of life and function for people with neurologically based deficits.  In short, we do therapy to help the brain work better and smarter.
For more information on neurological rehabilitation, click here

At this time, SNR provides therapeutic intervention in the area of Speech-Language Pathology for persons birth to 30 years.  Current clinicians are well-versed in the following areas of therapeutic intervention:

For SLP:

  • Attention
  • Auditory comprehension
  • Auditory processing
  • Cognitive communication
  • Dysphagia (swallowing disorders)
  • Executive function
  • Expressive language
  • Feeding (physiological difficulty) 
  • Feeding (aversion)
  • Information processing
  • Language
  • Memory/recall
  • Problem solving/math
  • Reasoning
  • Receptive language
  • Social skills
  • Speech sound disorders
  • Verbal expression

 

Services available in English and Spanish.

Synapse NeuroReLab, LLC is happy to announce that it is accepting Missouri and Kansas Medicaid, Blue Cross/Blue Shield of KC, and private pay.  SNR can also produce a “super bill” for you to submit to your insurance.  This page will be updated as provider status is achieved.  Please contact us for information regarding rates and charges.

About Robin

Robin received her undergraduate degree in Spanish and master’s degree in Communication Sciences and Disorders at Rockhurst University. She is currently working on her clinical doctorate (SLPD) through KU. She has been an American Speech-Language Hearing Association certified clinician since 2008. She is licensed in the states of Missouri and Kansas and is also a Certified Brain Injury Specialist.
Her area of clinical expertise is neurological rehabilitation in pediatric patients, but she has also worked extensively across the lifespan. She created the concept for SNR because she wanted to be a part of a true, patient-centered company.
Synapse NeuroReLab, LLC was created in 2022 by Robin Miller-Gioia. An intense advocate for her patients in neurological rehabilitation, Robin wanted to develop a program that would encourage more interdisciplinary care and innovation for children, adolescents and young adults with neurological deficits and disorders as well create a network of clinical expertise to support each individual patient. While we are at the very start of our journey, SNR has high hopes to improve the quality of care for individuals, improve equity in healthcare delivery, and provide person-centered growth and support as the patient transitions back into their community.
There is always going to be paperwork, productivity standards, and a plethora of things that contribute to a business, but before we are companies or workers, we are people. In healthcare, the patient oftentimes gets lost in all the plans and doesn’t get what is needed because we are throwing all the things at them and not listening to what they need.
In starting SNR, Robin hopes to bring about change, even if it is small, to remind people that they are worth the time and effort.
Robin was born and raised in the heart of Kansas City. While she loves to travel, her heart and home are here. She loves to spend time with her husband and two magical, creative, awesome children. In her spare time she loves plants and flowers, reading in her hammock, watching soccer, kayaking and playing with her dogs.

What is a synapse?

A synapse is the moment in the brain where two neurons connect and pass messages to each other. We create these as we learn and grow throughout our lifetimes. These synapses create the thoughts, the movements, and actions that we need to complete basic life functions. 

In naming the company Synapse NeuroReLab (SNR), We aim to provide the connection to improve the quality of life for our patients and families by utilizing a combination of therapeutic techniques and tools. The goal of SNR is to provide intelligent, comprehensive, and compassionate care that helps foster growth and independence.

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