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Art therapists are 'dedicated to the belief that the creative process in the making of art is healing and enhancing' (Mission Statement, AATA, 2/2000). They work in a variety of settings. One setting that has been generally undeveloped is the home; domiciliary art therapists are rare. This article addresses art therapy for home-bound people, giving special attention to the set of needs for this environment, the desired personality traits of the in-home therapist, the unique structure of the therapeutic relationship and appropriate art therapy goals. In-home art therapy is based on the idea of enhancing life and is not aligned with cure-oriented therapy. Two case studies of home-bound art therapy are presented; one is with a person who is restricted as a result of multiple sclerosis, the other with a patient who has Alzheimer's disease. Both case studies demonstrate the complexities and possibilities for art therapy services for the adult homebound. [ABSTRACT FROM AUTHOR]

Objectives: To investigate frequency of and reasons for readmission to acute care (RTAC) during inpatient rehabilitation after traumatic spinal cord injury (SCI), and to identify factors associated with RTAC., Design: Prospective observational cohort., Setting: Inpatient rehabilitation., Participants: Individuals with SCI (N=1376) consecutively admitted for inpatient rehabilitation; 1032 randomly selected for model development; 344 selected for model cross-validation., Interventions: Not applicable., Main Outcome Measures: RTAC, RTAC reasons, rehabilitation length of stay (LOS), discharge location and FIM, rehospitalization between discharge and year 1, and 1-year outcomes: FIM, Craig Handicap Assessment and Reporting Technique, and Patient Health Questionnaire-9., Results: Participants (n=116; 11%) experienced RTAC with a total 143 episodes--96 patients experienced only 1 RTAC, while 14 had 2 RTACs, 5 had 3 RTACs, and 1 had 4 RTACs. The most common RTAC reasons were surgery (36%), infection (22%), noninfectious respiratory (14%), and gastrointestinal (8%). Mean days ± SD from rehabilitation admission to first RTAC was 27 ± 30 days. Seventy-four (7%) patients had at least 1 RTAC for medical reasons and 46 (4%) for surgical reasons. Regression analyses indicated several variables were associated with RTACs: greater admission medical severity, lower admission cognitive FIM, pressure ulcer acquired in acute care, and study site. Medical RTACs were associated with higher body mass index, lower admission cognitive and motor FIM, payer, and study site. Predictors of surgical RTAC were longer time from injury to rehabilitation admission and study site. After controlling for the other variables, the only outcome RTAC influenced was longer rehabilitation LOS., Conclusions: Approximately 11% of SCI patients experience RTAC during the course of rehabilitation for a variety of medical and surgical reasons. RTACs are associated with longer rehabilitation LOS., (Copyright © 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)