Eligibility Eligibility includes: 18 years of age and older must be aware and agree with the referral must be medically stable Must require involvement of at least 2 disciplines (OT, SLP, PT, RN, Rec, SW) Must have recent decline (3 months) in independence, function or mobility. May be at risk of needing placement in a facility or increased level of care but formal placement process has not been initiated/completed Client can safely manage in their home environment (with or without family/other informal support) Cognitively able to participate (i.e. demonstrates carry over from session to session) Motivated & able to participate for 60-90 minutes/day (up to 30 minutes of activity), up to 5 days/week and up to 12 weeks duration Service Access Healthcare providers should consult the Alberta Referral Directory for service referral information. Self referrals are accepted but will require the client to provide demographic and medical information over the phone (Meet & Greet process).