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

Welcome!!!

Interdisciplinary care is intervention where the person is at the center of care, their goals for improving function for improved quality of life are their focus, and the team is the supporting component working collaboratively to help the person achieve their goals.

I formally entered the work force as an SLP in January, 2008.   I worked in post-acute neurological rehabilitation mainly with the pediatric/adolescent population.  I liked almost every aspect of being an SLP, but I had always been drawn to the medical and clinical/neurological aspect.  As I was able to treat patients across the lifespan (the facility worked with adults and pediatrics and census drove the caseload) I realized that “my thing” wasn’t a specific area of Speech Therapy, it was the all encompassing world of neurorehabilitation. 

I wanted to understand how to care for the people on my caseload.  I learned how to help transfer them, how to get them into therapeutic positioning, how to don splints and orthotics.  I observed the other disciplines and would implement tasks that would  help them work on their other goals in speech as carryover while working on speech/language goals.  The best stories of recovery were ones where the different disciplines worked together to improve skills for functional goals and quality of life.  

In 2020, I started working on my clinical doctorate (SLPD).  The courses I chose as a part of my individualized curriculum were in different areas of neurological rehabilitation. I looked at the perspective of different team members and contributors to the field (occupational therapy, physical therapy, psychology, nursing, cellular neurobiology,etc).  This gave me a wider lens to look through regarding neurological rehabilitation.  These courses really inspired me to explore the different aspects of collaborative care.  From there, I easily identified that interdisciplinary care would be the focus of my capstone project in the context of pediatric neurological rehabilitation.

The following information about neurological rehabilitation, interdisciplinary care, my IDC project, the survey completed for the project, as well as resources, supports and (finally) the dream are below. 

© 2025 Synapse NeuroReLab, LLC/Robin Miller-Gioia C/SLPD, CBIS

All rights reserved.  Please direct questions or comments about this website to robin@synapseneurorelab.com

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.

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

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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