This document summarizes a study on rehabilitation models implemented after the 2008 Sichuan earthquake in China. It describes the establishment of a new institutional based rehabilitation (IBR) and community based rehabilitation (CBR) model through cooperation between local hospitals, health bureaus, disabled persons federations, NGOs, and international aid organizations. Outcome assessments at baseline in 2008 and follow-up in 2010 showed improvements in physical function, mental health, and social integration for earthquake survivors who received treatment through the new rehabilitation model.

1. 中期考核 研究生：朱杰 导师 ：励建安 教授 A new institutional based rehabilitation model after the Sichuan earthquake in China Xia Zhang, MD, PhD candidate Mentor: Jianan Li Nanjing Medical University, Nanjing, China Caring For Children Foundation, Hongkong, China

4. NHV Model NGO(CFCF) Local Hospital Health Bureau Disabled Person’s Federation IBR CBR Handicap International Physiatrician PT/Nurse Rehab equipment Earthquake Survivors Cooperation in NGOs, Health departments and rehabilitation Volunteers

5. NGO(CFCF) Local Hospital Health Bureau Disabled Person’s Federation IBR CBR Handicap International Local hospital NHV Model

6. NGO(CFCF) Local Hospital Health Bureau Disabled Person’s Federation IBR CBR Handicap International Local hospital Health Bureau NHV Model

7. NGO(CFCF) Local Hospital Health Bureau Disabled Person’s Federation IBR CBR Handicap International Local hospital Health Bureau Handicap International NHV Model

8. NGO(CFCF) Local Hospital Health Bureau Disabled Person’s Federation IBR CBR Handicap International Local hospital Health Bureau Handicap International Disabled Person’s Federation NHV Model

9. Demography data Injury classification Rehab needs Physical function Mental health Social integration NHV Model 2008 Baseline 2010 Follow-up M county

10. M county VS A county S county VS VS NHV Model 2008 Baseline 2010 Follow-up

11. Medical outcome in M county—ADL

12. Medical outcome in M county—ADL

13. Functional recovery in SCIs 0.127 -1.58 344±80.8 322±87.0 CHART 0.039 -2.18 35.9±8.2 39.2 ±8.0 PTSD 0.011 -1.66 71.4±10.2 68.3±12 WHOQOL 0.000 -5.01 9.6±8.2 5.8±7.0 WSCI II walking index 0.002 -3.37 81.9±18.7 71.2±25.8 ADL SCI P value Paired t test Follow-up Baseline Outcome Diagnosis

14. Functional recovery in SCIs 0.127 -1.58 344±80.8 322±87.0 CHART 0.039 -2.18 35.9±8.2 39.2 ±8.0 PTSD 0.011 -1.66 71.4±10.2 68.3±12 WHOQOL 0.000 -5.01 9.6±8.2 5.8±7.0 WSCI II walking index 0.002 -3.37 81.9±18.7 71.2±25.8 ADL SCI P value Paired t test Follow-up Baseline Outcome Diagnosis

15. Comparison between M-S county and M-A county M county S county A county ADL 91.1±10.5 87.3±16.5 91.2±11.8 LSQ 55.7±16.5 33.6±9.80 50.0±9.86 SF-36 54.9±16.1 51.9±13.1 54.9±16.8 PCL-C 34.2±10.6 39.3±9.43 33.6±9.80

16. Comparison in M-A county Mianzhu Shifang Anxian P ADL 91.1±10.5 42.1±46.3 93.3±14.2 LSQ 47.3±9.65 50.3±9.53 44.8±8.26 SF-36 54.9±16.1 51.9±13.1 54.9±16.8 PTSD 35.6±10.0 34.3±10.1 39.3±9.60 M county S county A county P ADL 91.1±10.5 87.3±16.5 91.2±11.8 0.113 LSQ 55.7±16.5 33.6±9.80 50.0±9.86 0.068 SF-36 54.9±16.1 51.9±13.1 54.9±16.8 0.172 PCL-C 34.2±10.6 39.3±9.43 33.6±9.80 0.603

17. Comparison in M-S county Mianzhu Shifang Anxian P ADL 91.1±10.5 42.1±46.3 93.3±14.2 LSQ 47.3±9.65 50.3±9.53 44.8±8.26 SF-36 54.9±16.1 51.9±13.1 54.9±16.8 PTSD 35.6±10.0 34.3±10.1 39.3±9.60 M county S county A county P ADL 91.1±10.5 87.3±16.5 91.2±11.8 0.003 LSQ 55.7±16.5 33.6±9.80 50.0±9.86 0.002 SF-36 54.9±16.1 51.9±13.1 54.9±16.8 0.027 PTSD 34.2±10.6 39.3±9.43 33.6±9.80 0.000

18. Economic outcome-average cost 1696 Total 858 191 647 132 P county 130 D county 67 35 92 J county 24 81 Z county 70 B county 226 3 97 A county 303 59 377 M county Surgery Outpatient Inpatient Site

19. Economic outcome-average cost 1696 Total 858 191 647 132 P county 130 D county 67 35 92 J county 24 81 Z county 70 B county 226 3 97 A county 303 59 377 M county Surgery Outpatient Inpatient Site

20. Economic outcome-average cost 1696 Total 858 191 647 132 P county 130 D county 67 35 92 J county 24 81 Z county 70 B county 226 3 97 A county 303 59 377 M county Surgery Outpatient Inpatient Site

21. Economic outcome Average cost: 4,350 yuan

23. 5 Physiatricians 6 Physical Therapists 6 Rehabilitation Nurses 50 Patient Wards

27. Based on the earthquake survivors government and non-government IBR and CBR