Sooner or later, you will be “discharged” from your formal outpatient rehab, either because your insurance has run out or your therapists’ interest has. At that point, you have to decide what you’re going to do: live with your deficits as they are or find a way to get more rehab.
Once you’ve been discharged from outpatient rehab, you’ll need to go back through the justification process with your doctors and insurance. Although I have a fairly generous insurance plan, I have still found that it works better if you present a specific deficit that you want to improve and a plan that needs only 3-6 therapist sessions to develop the rehab plan, check on progress mid-way and evaluate the results.
With most of the work being done by you on your own, you need to be prepared to arrange any equipment or materials necessary and disciplined to carry out the exercises on the schedule you devised with your therapist.
When I created rehab programs that included activities that were part of my regular life, or directly enabled stuff that I wanted to be doing, those efforts were more successful. For example, when I was working on being able to walk more than just from one end of the house to the other, I used my wife’s trips to the library as exercises where I focused on extending my stamina to go further. To help get back to driving, I will be riding a tandem bike with a friend. This will increase my stamina so that I’ll be more alert when driving and give me practice with the kinds of thinking that driving requires.
I have had good luck with this approach in a couple of different areas. If you create your own independent rehab program, please let me know how it works for you.