Program
Structured Psycho-Rehabilitation (SPR)
Rowan House Structured Psycho-Rehabilitation (SPR) is a clinically guided, staged recovery pathway designed for individuals experiencing mental health, trauma, addiction, or functional impairment.
SPR integrates psychotherapy, occupational therapy, nervous system stabilization, and real-world functional recovery into a measurable rehabilitation model focused on sustainable return to life roles.
Referral suitability
Who SPR is for
SPR is appropriate for individuals experiencing mental health, trauma, or addiction-related functional impairment who require structured rehabilitation beyond traditional therapy.
This includes clients referred through insurance providers, Workers’ Compensation (WCB), Veterans Affairs (VAC), case managers, employers, and private clinical referral pathways.
SPR is particularly suited for individuals who:
• Require step-based rehabilitation
• Need support translating therapy into real-life functioning
• Are preparing for return-to-work or role restoration
• Have plateaued in standard outpatient therapy
• Require coordinated multidisciplinary support
Program design
SPR Program Structure
SPR is delivered as a structured staged rehabilitation pathway designed to move individuals from stabilization to independent functional recovery.
The program typically runs as a 12-week model delivered through guided cohorts, individual support, and applied functional practice.
SPR is organised into three clinical phases:
Phase 1 — Stabilization
Focus on nervous system regulation, safety, psychoeducation, routine anchoring, and readiness for therapeutic work.
Phase 2 — Psychotherapy & Skill Development
Evidence-based CBT and CBH interventions addressing cognitive patterns, trauma processing, behavioural activation, and graded exposure.
Phase 3 — Functional Recovery & Reintegration
Occupational therapy focused on real-world functioning, return-to-work pathways, identity reconstruction, habit formation, and sustainable recovery planning.
Clinical impact
SPR Outcomes
SPR is designed to produce measurable functional outcomes aligned with insurer, VAC, WCB, and clinical rehabilitation goals.
SPR is designed to produce measurable functional outcomes aligned with insurer, VAC, WCB, and clinical rehabilitation goals.
Expected outcomes include:
• Improved emotional regulation and nervous system stability
• Reduction in symptom severity (anxiety, trauma, depression)
• Increased behavioural activation and daily functioning
• Improved cognitive flexibility and coping skills
• Return-to-work readiness and occupational engagement
• Strengthened identity, self-efficacy, and resilience
• Sustainable relapse prevention strategies
• Community reintegration and long-term recovery stability
Progress is tracked through functional goal setting, session measures, behavioural markers, and therapist observation.
Access
Referral Pathways
Clients can access SPR through multiple referral pathways to ensure flexibility across healthcare, insurance, and private care systems.
Referral pathways include:
• VAC (Veterans Affairs Canada) referrals
• WCB and insurer referrals
• Physician and healthcare provider referral
• Employer or return-to-work program referral
• Private self-referral
• Transition from individual therapy into structured programming
Rowan House provides intake screening to determine suitability, readiness, and appropriate program placement.
Clinical model
Why SPR is Different
SPR bridges the gap between psychotherapy and functional rehabilitation.
Unlike traditional therapy alone, SPR delivers structured progression, measurable outcomes, and real-world application.
Clinical differentiation includes:
• Integrated OT + psychotherapy model (rare in private sector)
• Phase-based progression rather than open-ended therapy
• Functional outcome tracking aligned with insurer metrics
• Nervous system stabilization before cognitive work
• Behavioural activation embedded weekly
• Exposure therapy integrated safely and gradually
• Cohort model improving engagement and accountability
• Designed for VAC, WCB, and complex trauma presentations
SPR is positioned as step-up care between individual therapy and intensive rehabilitation.
Approach
Clinical Framework
SPR is anchored in trauma-informed occupational therapy and exposure-based psychotherapy. Participants engage in structured online modules, facilitated cohort sessions, and guided behavioural implementation within their home and community environments.
Referral suitability
Who SPR is for
SPR is appropriate for individuals experiencing mental health, trauma, or addiction-related functional impairment who require structured rehabilitation beyond traditional therapy.
This includes clients referred through insurance, WCB, VAC, private pay, or clinical providers seeking a step-based recovery pathway focused on measurable functional outcomes.
Program design
Program Structure
SPR is delivered as a structured 12-week rehabilitation pathway organised into sequential phases. Each phase targets nervous system regulation, cognitive restructuring, behavioural activation, and functional reintegration.
Clients progress through guided online modules, facilitated cohort sessions, and real-world implementation tasks designed to restore capacity, confidence, and participation in daily life.
Phase 1 — Stabilization
Nervous system regulation, safety building, psychoeducation, and foundational skill development. Focus on emotional tolerance, routine formation, and readiness for therapeutic engagement.
Phase 2 — Processing & Change
Cognitive restructuring, exposure work, behavioural activation, and trauma processing. Clients begin implementing structured therapeutic change in real-world contexts.
Phase 3 — Functional Reintegration
Return-to-life planning, occupational re-engagement, identity rebuilding, and relapse prevention. Emphasis on sustainable independence and measurable functional outcomes.
Outcomes & Functional Measures
Clients in SPR work toward measurable improvements in daily functioning, emotional regulation, behavioural activation, and participation in meaningful roles.
Outcome tracking may include:
• Functional capacity and return-to-life indicators
• Emotional regulation and nervous system stability
• Activity engagement and routine consistency
• Exposure tolerance and avoidance reduction
• Return-to-work readiness or community participation
• Self-efficacy and independence markers
Progress is reviewed collaboratively using structured goal tracking, therapist observation, and client-reported outcome measures.
Referral & Access
SPR can be accessed through clinical referral, insurance providers, or private registration.
Referral pathways include:
• Workers’ Compensation Board (WCB)
• Veterans Affairs Canada (VAC)
• Extended health insurance
• Employer programs
• Clinical providers
• Private pay clients
Programs are delivered online in structured cohorts, with optional individual sessions and community-based implementation support.
Following referral, clients complete an intake process to determine suitability, goals, and recommended program tier.
Why Rowan House SPR is Different
SPR is designed as a rehabilitation pathway — not traditional talk therapy.
Rowan House integrates Occupational Therapy, Cognitive Behavioural Therapy, Cognitive Behavioural Hypnotherapy, and graded exposure within a structured functional recovery model.
This approach prioritises:
• Measurable functional outcomes
• Real-world implementation between sessions
• Nervous system stabilization before trauma processing
• Structured progression rather than open-ended therapy
• Multidisciplinary rehabilitation thinking
Programs are cohort-based to support accountability, normalisation, and sustained behavioural change while maintaining clinical oversight.
SPR bridges the gap between psychotherapy and rehabilitation, providing a clear pathway toward return-to-life, return-to-work, and long-term stability.
Enquire or Refer to SPR
If you are interested in SPR, Rowan House welcomes enquiries from individuals, clinicians, case managers, and funding bodies.
Referrals can be submitted through the contact form, email, or clinical provider communication.
Following initial enquiry, an intake process determines suitability, program timing, and recommended pathway.
How SPR Connects to Occupational Therapy
Occupational Therapy provides the applied rehabilitation structure within SPR. Therapeutic insight is translated into graded exposure plans, functional performance goals, and real-world behavioural activation tasks. This ensures skills developed in group programming generalize into sustainable occupational engagement.
Delivery Model
• 12-week structured online cohorts
• Weekly facilitated psycho-educational sessions
• Integrated CBT and CBH skill development
• Graded exposure planning
• Community-based task implementation
• Optional individual OT reinforcement sessions