Brain Health & Neuro-Regeneration Intensive Outpatient Program (IOP)
A VBOHC | Oak Mountain Outdoor Healthcare Program
Program Overview
Green + Blue Space Therapeutics™
Neuromuscular and cognitive restoration protocols
Epigenetic and autonomic regulation approaches
Behavioral health integration and functional skills retraining
Outcome dashboards aligned to CMMI value-based care metrics
Biomarker-informed precision support (HRV, inflammation, gait, cognition)
The program is appropriate for individuals with neurological and neuroimmune conditions who benefit from structured, non-pharmacologic, whole-system neurorecovery.
VBOHC Outcomes Framework includes:
Cognitive function improvement (MoCA/NIH Toolbox)
Mobility and balance gains
Pain and migraine frequency reduction
Autonomic regulation (HRV)
Reduced ED utilization & specialty care over 12 months
Quality-of-life improvement (Neuro-QOL)
CMS Application-Ready Pillars:
Population-specific risk stratification
Multi-disciplinary, team-based interventions
Environment-first therapeutic exposures
Standardized outcome measurement
Cost-of-care reduction through non-pharmacologic recovery pathways
PROGRAM-SPECIFIC HOMEPAGE SECTIONS
Below are ready-to-drop website blocks for each neurological condition.
Migraine & Chronic Headache Syndromes
OMOHC’s migraine and chronic headache track offers a non-pharmacologic, environment-anchored approach that stabilizes the autonomic system and reduces inflammatory triggers. Outdoor movement, sensory regulation, and guided breathing in natural environments modulate pain pathways while reducing frequency and intensity of migraine cycles.
Focus Outcomes:
Reduced headache days per month
Lower medication dependence
Improved sleep & autonomic flexibility (HRV)
Stress-related trigger reduction
Key Interventions:
Nature-based sensory down-regulation, anti-inflammatory lifestyle modules, vestibular retraining, light/sound sensitivity support, biofeedback.
Multiple Sclerosis (MS)
This MS-specific track blends low-impact outdoor mobility, fatigue-management, anti-inflammatory protocols, and resilience training to support neuroplasticity and improve functional stability.
Focus Outcomes:
Improved gait, balance, and endurance
Reduced flare severity and frequency
Cognitive clarity and fatigue management
Mental health stabilization
Key Interventions:
Forest-based endurance pacing, temperature-safe outdoor sessions, anti-inflammatory nutrition, MS-specific strength training, cognitive rehabilitation.
Parkinson’s Disease
Designed to slow motor decline and enhance neuroplasticity, this track integrates rhythmic walking, outdoor amplitude-based movement, sensory cues, vocal activation, and autonomic regulation.
Focus Outcomes:
Gait stability
Reduced tremor severity
Improved motor amplitude and coordination
Mood and cognitive improvements
Key Interventions:
Nature-based gait training, LSVT-style amplitude work, balance trails, voice activation outdoors, neuro-regenerative breathing practices.
Alzheimer’s Disease & Early Dementias
For individuals in early-stage cognitive decline, structured outdoor routines provide predictable sensory input, stress reduction, and cognitive stimulation shown to support brain health and delay progression.
Focus Outcomes:
Stabilized cognitive decline trajectory
Enhanced daily function
Reduced caregiver burden
Increased mood, social engagement, and sleep quality
Key Interventions:
Guided nature walks, memory-activation stations, multisensory cognitive exercises, caregiver integration, biophilic therapeutic routines.
Post-Stroke Syndromes
This track offers an environment-based neurorehabilitation complement to physical and speech therapy, enhancing motor relearning, sensory integration, balance, and emotional regulation.
Focus Outcomes:
Improved functional mobility
Upper extremity strength and fine motor gains
Spatial awareness and gait retraining
Reduced post-stroke anxiety and depression
Key Interventions:
Outdoor task-oriented movement, bilateral coordination, visual-spatial retraining, speech-cognition circuits, breath and nervous system regulation.
Neuropathy (including diabetic neuropathy)
Outdoor terrain variability paired with sensory retraining produces meaningful improvement in neuropathy symptoms while addressing metabolic contributors.
Focus Outcomes:
Increased sensation, proprioception, and balance
Reduced neuropathic pain
Improved glucose regulation and metabolic markers
Reduced fall risk
Key Interventions:
Sensory walking paths, foot mobilization circuits, anti-inflammatory and metabolic education, balance and gait training, heat/cold sensory modulation.
Integrative Behavioral Health (IBH) for Neurological Conditions
Because neurological disorders and mental health are deeply intertwined, every track includes integrated behavioral health focused on:
Anxiety + autonomic dysregulation
Cognitive burden and overwhelm
Sleep disruption
Identity, grief, and adjustment after diagnosis
IBH Components:
Somatic therapy, environmental regulation, cognitive reframing, behavioral activation, nature-based emotional processing modules.
12-WEEK IOP CURRICULUM (DAILY SCHEDULE)
Format: 3–4 days per week • 3-hour sessions • CMS-compliant interdisciplinary model
Each week blends nature-based therapeutic exposure, neuromuscular retraining, behavioral health, and epigenetic lifestyle modules.
WEEKLY THEMES
Autonomic Reset & Sensory Regulation
Neuroplasticity Foundations
Movement Retraining & Gait Stabilization
Cognitive Strength & Executive Function
Inflammation + Metabolic Drivers of Neurological Disease
Pain Pathways & Neuro-recovery
Balance, Coordination & Spatial Awareness
Environmental Rhythm & Stress Recovery
Behavioral Activation & Habit Architecture
Community, Purpose & Support Systems
Lifestyle Medicine Integration
Long-Term Stabilization & Self-Management Plan
DAILY SESSION STRUCTURE (Used Across All 12 Weeks)
1. Outdoor Regulation Warm-Up (20 min)
Breath pacing, HRV priming, light mobility, grounding practices.
2. Condition-Specific Neurorecovery Circuit (45 min)
Examples:
Migraine → sensory down-regulation + gentle vestibular mobility
MS → endurance pacing + neuro-stability work
Parkinson’s → amplitude-based rhythmic movement
Dementia → sensory/cognitive circuits
Neuropathy → sensory walking + proprioception
Stroke → bilateral coordination + task-based movement
3. Integrative Behavioral Health Session (40 min)
Somatic therapy, nervous-system mapping, cognitive reframing, trauma-informed processing, identity shifts after diagnosis.
4. Neuroeducation Mini-Module (20 min)
Topics rotate weekly: inflammation, sleep, metabolism, neuroplasticity, pacing, stress circuitry, nutrition.
5. Outdoor Skill Practice / Functional Integration (30 min)
Applying skills to real environments: trail navigation, terrain variation, mindfulness in motion, visual-spatial tasks.
6. Cool-Down + Biometrics Tracking (15 min)
HRV, pain scores, gait metrics, cognitive quick-checks, subjective well-being.
Clinical Model: How It Works
1. Environment-First Regulation (VBOHC Core)
Patients engage in structured outdoor sessions that lower sympathetic overactivation, improve HRV, and stabilize blood pressure.
2. Behavioral Health Integration
Anxiety reduction protocols
Somatic regulation
Cognitive + experiential approaches
Trauma-informed care
3. Medical Oversight & Monitoring
Blood pressure tracking
Lipid panels
Glucose and A1c monitoring
Weight and metabolic markers
4. Cardiometabolic Lifestyle Support
Nutrition
Sleep interventions
Movement in green/blue spaces
5. Data-Driven Outcomes (CMS Quality Aligned)
Every patient receives a personalized dashboard with validated metrics mapped to CMS value-based care incentives.
12-Week Curriculum (Example Weekly Rhythm)
Daily Structure (IOP Schedule)
Morning Regulation: guided outdoor nervous-system practices
Group Behavioral Health: anxiety, stress, and mind-body integration
Cardiometabolic Education: BP, cholesterol, glucose, inflammation
Movement Therapy: walking, hiking, mobility work
Biometric Tracking: HRV, BP logs, sleep patterns
Nature-Based Recovery Session
Weekly Themes
Understanding the Stress–Heart Connection
Stabilizing Blood Pressure Through Regulation
Metabolic Health + Anxiety Pathways
Inflammation, Sleep, and Recovery Cycles
Nutrition for Cardiometabolic Balance
Trauma-Informed Heart Health
Building Safe Internal + External Environments
Outdoor Movement for Cardiovascular Function
Cognitive + Somatic Behavioral Health Skills
Strengthening Autonomic Flexibility
Reducing Environmental Load + Triggers
Transition Planning + Long-Term Maintenance
Program Outcomes
Patients typically see improvements in:
Reduced anxiety and panic symptoms
Lower systolic and diastolic blood pressure
Improved cholesterol and triglyceride levels
Weight reduction + improved glucose control
Better sleep and heart-rate variability
Increased energy, confidence, and resilience
Reduced reliance on emergency or urgent care
Value-Based Care Alignment
This IOP is structured for:
1115 demonstration alignment
CMMI model-test readiness
Risk-stratified care pathways
Cardiovascular + behavioral health quality measures
Total cost of care reduction