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For over a decade, 黑料网 Movement Disorders Center has partnered with allied health therapists and others who specialize in Parkinson鈥檚 to create an interdisciplinary team, to support the best outcomes and improve quality of life for people who have been diagnosed with Parkinson鈥檚 disease.

The 黑料网 Interdisciplinary Parkinson鈥檚 Disease Clinic is a half-day clinic that provides individualized evaluations from five clinicians including a movement disorders specialist/neurologist, a clinical social worker, a physical therapist, an occupational therapist and a speech therapist. The team provides patients with comprehensive notes on their condition and performance, and then works with them to provide any necessary referrals and other resource connections.

 

Appointments

The 黑料网 Interdisciplinary Parkinson鈥檚 Disease Clinic is held from 8 am 鈥 12 pm, usually on the 2nd Wednesday of the month.

In order to schedule an appointment, we must receive a referral from a neurologist or primary care physician (PCP). (Note: For PCP referrals, we ask that neurology notes be sent as well.)

If you are a physician and would like to refer a patient, please use this referral form. Please fax the referral form along with demographic and insurance information and recent neurology/relevant notes to (984) 974-2285, ATTN: Maggie Ivancic. All patients referred to this specialty clinic will be screened first.

Please direct any questions about the Interdisciplinary Parkinson Disease Clinic to the Center Coordinator, Maggie Ivancic, MSW, LCSW, at (919)-843-2777 or mivancic@neurology.unc.edu.

  • Prior to your appointment, the social worker will complete a full clinical social work evaluation with you over the phone, and gather information about your history, concerns, goals, lifestyle, mood, etc. This information will be shared with the other clinicians involved to prepare them in advance for your appointment, so they can tailor their assessments and recommendations to you.
  • On the evaluation day, you will come to the Outpatient Rehabilitation Clinic for four hours, where you will receive four full evaluations: neurological, physical therapy, occupational therapy and speech-language.
  • You will leave at the end of the last evaluation with a packet of general information and resources. The interdisciplinary team will then meet to discuss your case and share their recommendations.
  • The team鈥檚 assessment and recommendations will be mailed to you within 3-4 weeks of the appointment. They will also be sent to your referring physician and any other physician or family member you may choose.
  • After receiving our team鈥檚 notes and recommendations, you will be contacted by the Center Coordinator & Clinical Social Worker, Maggie Ivancic. She will review the notes and recommendations with you and provide you with assistance and referrals in following up with the options that you would like to pursue in your local area.
A visit to the clinic is most often a one-time consultation. If you live locally, you are welcome to return to see any of our therapists or return for a full evaluation after a year or two for comparison. We are happy to work with your referring primary care physician or neurologist in order to provide you with the best care possible.

As a patient-centered clinic, we will provide thorough information on treatment options and recommendations, but it is up to the you and your family to decide upon what to pursue. We are available to provide assistance if and when you choose to follow-up with a treatment.

  • You are functioning well and/or more newly diagnosed, but you would like some baseline measurements taken and would like to receive information and exercises to help maintain functioning over time;
  • Physical, cognitive and/or mood symptoms of your Parkinson鈥檚 disease are interfering with your work and leisure activities or general quality of life;
  • You have never been seen by any rehabilitative therapists or it has been a long time since you did rehab therapies;
  • Your current treatment plan is not working or you have complications from medical therapy;
  • You or your family need advice and counseling on coping with Parkinson鈥檚 disease;
  • Cognitive and behavioral problems (i.e., depression and anxiety) are interfering with your activities of daily living.
  • Note: this clinic is not meant for people seeking a diagnosis.
The clinic cost will vary depending upon each patient鈥檚 insurance, so be sure to check with your insurance company ahead of time to learn about what portion of the costs you will be held responsible for. We will put you in touch with our financial counselor before your appointment to help look into your insurance coverage and estimate out-of-pocket costs.

The neurology appointment should cost the same as your usual neurology visits.

Charges for each of the three allied health clinicians (PT, OT, SLP) reflect what regular evaluations by these clinicians would generally cost with your insurance. Our allied health clinicians are billed as outpatient, hospital-based. This means that if you have not met your deductible or your insurance does not cover 鈥渉ospital-based鈥 rehabilitation, you may be responsible for the full charges involved with your visit.

Also keep in mind that if you are currently doing outpatient rehabilitation at a different facility, home health rehabilitation, or are in an inpatient rehabilitation facility or under hospice care, insurance may not cover our clinic鈥檚 rehabilitation appointments.

Medicare typically covers 80% of outpatient, hospital-based rehabilitation therapies. Please note that there is a cap on how much therapy will be covered within a 6-month time period.

 

Community Outreach

Moving Day庐 NC Triangle

The 黑料网 Movement Disorders Center team initiated North Carolina鈥檚 Moving Day event in 2013, and has continued to play an active role in its organization ever since.

We hope you can join us for the event next fall! For more information, please visit the Moving Day庐 website at .

ParkNC: A Referral Network for Parkinson’s-trained Allied Health Clinicians

Aware that people with Parkinson鈥檚 receive the highest quality of care and have the best health outcomes when they work with clinicians who are knowledgeable about this complex disease, the 黑料网 Movement Disorders Center established www.ParkNC.org, a growing referral network for allied health clinicians (physical therapists, speech therapists, psychiatrists) who have received specialized training in Parkinson鈥檚 disease. ParkNC also lists NC鈥檚 movement disorder specialists and PD support groups.

 

Support Groups

Meets the first Tuesday of each month and alternates between in-person and virtual groups. Our split groups meet in-person (with an online option) for open discussion from 1:30-3:00 with care partners in one room and people with PD in another. Our full groups (meet only online) for either a presentation or a discussion on a specific topic meets from 1:30-3:00pm. All are welcome! Contact Maggie Ivancic for more information mivancic@neurology.unc.edu or 919-843-2777. This group is supported by the Parkinson鈥檚 Foundation and in partnership with the Orange County Department on Aging.
Meets the first Wednesday of each month from 1:30-3:00pm, offered online only. This group is for people living with progressive supranuclear palsy or corticobasal syndrome and anyone who loves or supports them. Contact Maggie Ivancic for more information mivancic@neurology.unc.edu or 919-843-2777. This group is offered in partnership with CurePSP.
Meets on the fourth Wednesday of every other month from 3:00-4:30 pm, offered online only. This group is for people living with multiple system atrophy and anyone who loves or supports them. Contact Maggie Ivancic for more information mivancic@neurology.unc.edu or 919-843-2777. This group is offered in partnership with CurePSP and Mission MSA.
Meets quarterly on the third Friday of the month from 1:00-2:30 pm in-person at the 黑料网 Neurology clinic or online. This group is for people with Deep Brain Stimulation who are looking to meet others and for those who would like to learn more and are considering pursuing Deep Brain Stimulation. Contact Maggie Ivancic for more information mivancic@neurology.unc.edu or 919-843-2777. This group is offered with support from the Parkinson鈥檚 Foundation.

 

Professional Education

Colloquium on Interdisciplinary Care for Parkinson’s

We offer this one-day training on Parkinson鈥檚 in various areas of North Carolina about once per year. Physicians, physical therapists, occupational therapists, speech therapists, and rehabilitation administrators are invited. The goal is to enhance quality of care for people with Parkinson鈥檚 across the state.

In-Services

We are available to do brief presentations on Parkinson鈥檚 care for audiences such as long-term care communities and in-home care agencies.

 

Patient & Family Educational Opportunities

We host multiple educational seminars each year for the Parkinson鈥檚 community, varying which one we offer annually.

Past seminars have included:

This is an educational program for individuals with early-stage Parkinson鈥檚 disease and their family members. It offers an overview of Parkinson鈥檚 symptoms, treatment options, and coping challenges around being diagnosed with Parkinson鈥檚.
This is an educational program for individuals with mid-stage Parkinson鈥檚 disease and their family members. Participants hear about common symptoms experienced by people who have had Parkinson鈥檚 for a few years, as well as treatment options and common coping challenges at this point in the disease.
This is an educational program for individuals with advanced Parkinson鈥檚 disease and their family members. Participants hear an overview of symptoms and treatments in advanced Parkinson鈥檚 as well as presentations on equipment needs, speech and swallowing treatments, the spectrum of long-term care options, hospice care, and coping strategies.
This educational program is for couples where one person has Parkinson鈥檚. During this event we address challenging symptoms for couples, sex and intimacy, communication, staying connected, and adapting to changing roles.
This is a larger educational program we have offered in various areas of North Carolina. We share an overview of symptoms and multidisciplinary treatment options with a focus on how people living with this complex disease can empower themselves with knowledge and meaning.
This program is meant for people affected by progressive supranuclear palsy, multiple systems atrophy, and corticobasal degeneration. It is offered in partnership with CurePSP, and addresses symptoms, treatment options, clinical trials, coping and care-giving.
Fight the cold with new exercises! Exercise is medicine for Parkinson鈥檚. During this hands-on program, participants can learn about boxing, LSVT BIG, Pilates and dance.
This educational program is for individuals with Parkinson鈥檚 disease and their families to learn about complementary and alternative medical techniques such as biofeedback therapy, acupuncture, the Feldenkrais method and music therapy.
This educational program is for individuals with Parkinson鈥檚 disease and their families to normalize topics that are difficult to discuss and how they intersect with Parkinson鈥檚 Disease. The topics within this series include: Genetics, Death & Dying, Cannabis& CBD, Racial Disparities, Sex & Intimacy, and Spirituality.

To learn more about any of these opportunities, please contact Center Coordinator, Maggie Ivancic, MSW, LCSW, at (919)843-2777 or mivancic@neurology.unc.edu.

All of our programs are offered with support by the Parkinson’s Foundation.


Parkinson's Center of Excellence
The Parkinson’s Foundation Center of Excellence has been supported by research and outreach grants from the Parkinson’s Foundation.