For clinicians & providers
Two jobs, not one.
You do the testing, you set the goals, and you decide what a body is cleared for. We run the ongoing functional work in the weeks and years after that, and we teach the people at home how to keep it going. Those have always been two jobs. Most families only ever get offered the first one.
Based at Pinnacle Performance in Troy. Serving Oakland County and beyond.
The moment we exist for
Discharge.
A family finishes an episode of care with real gains and a home program, and then the appointments stop. The home program lasts about as long as the energy for it does. Six months later the gains are gone and nobody is quite sure when that happened.
That is the part we take. Not the assessment, not the plan of care, not the clinical decisions. The long ordinary middle, once a week, for years, in a gym, with somebody who knows the person well enough to notice a change before a chart would.
We see people most often, longest, and least clinically. An hour in a strange room shows you a person's best behavior. A Tuesday shows you the rest.
What we hold
- Ongoing strength, mobility, and functional movement, week after week
- Daily-living skills taught across the whole life, not one task at a time
- Caregiver and parent teaching, including hands-on assist when a helper's own body limits what they can deliver
- Somebody who sees the person often enough to notice a change early
Where the line sits
What we never do.
This is the part worth reading closely, because a community provider who blurs it is a liability to you and to the family.
We do not diagnose or evaluate
We run no clinical instrument, we reproduce nobody's assessment, and we do not interpret one. If a family brings us a report, we hold your goals as context and leave the measuring to you.
We do not clear a body
Clearance belongs to a physician. Our safety system is built to hold a gate closed until somebody qualified opens it, and to keep it closed when the answer is "not sure."
We do not undo your plan
If there is a behavior plan, we run it the way it is written. If a cue is already landing with you, we borrow it rather than inventing a second one that competes.
The handoff
You will hear from us, and it costs you nothing.
For any shared client, we can send a short note to the rest of the team. What we are working on in plain language, what we noticed that you might not get to see, and one real question for you.
It is free, it is not a pitch, and it is not an opinion about anybody else's work. The person it is about reads it first and can say no. If they say no, it never goes, and nothing else about their care changes.
The only person currently carrying a whole picture of most of these families is a parent, in their head. We would rather it were written down and shared between the people doing the work.
Who this is for
If you are discharging people into nothing, we should talk.
There is nothing to sign and no agreement to enter. If you want to hand a card to a family at discharge, we will bring you cards. If you would rather see how we work first, come watch a session.
And if somebody comes to us who needs a clinician rather than a coach, we say so and send them back to you. That happens, and it should.