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Role Definitions

A Dedicated Team

To meet the needs of the children and teenagers registered in the different programs, including those of their families, the Centre de réadaptation Marie Enfant (CRME) relies on a dedicated team that works in interdisciplinarity.

Each program has a team made up of doctors, rehabilitation professionals and support staff.
The doctors are different specialists:

  • pediatrician
  • physiatrist
  • neurologist
  • orthopedist
  • pneumologist
  • plastic surgeon
  • cardiologist

And rehabilitation professionals (465 employees):

Audiologists, nutritionists, occupational therapists, speech therapists, physiotherapists, psychologists, neuropsychologists, respiratory therapists, nurses, auxiliary nurses, rehabilitation monitors, technicians en orthotics-prosthetics, equipment and auxiliary attendants, psychotechnicians, special education technicians, recreation technicians and social workers.

The qualified managing team and support staff also directly contribute to the quality of the services offered:

  • Program managers, clinical coordinators, administrative assistants, computer technicians, a variety of support staff, etc.

Professional Role Definitions

Assistant Head Nurse

This individual assists the head nurse or the immediate supervisor with their duties.

The assistant head nurse plans, supervises and coordinates the activities of a given service for the whole duration of their term; and acts as a resource to fellow colleagues in the planning, provision and evaluation of nursing care.

The assistant head nurse collaborates in the development, implementation, evaluation and review of service programming and clinical tools; assists in evaluating the quality of the care provided; and also collaborates in identifying and orienting training needs as well as participates in employee performance appraisals.

This individual also exercises standard nursing duties, when required.


The audiologist evaluates hearing, language, vocal and speech functions; develops and implements treatment and intervention plans with the objective of improving or restoring communication abilities; and participates in clinical training.

Program manager

The program manager oversees the planning, organization, coordination and operations of the program within the establishment and exercises their hierarchical authority over professional and clerical resources.

Professional discipline leader

Overview of duties :
Professional discipline leaders supervise the professional practice of the staff members within their discipline, and work to promote any contributions they make toward achieving the organization’s mission and objectives. Their responsibility is to ensure that clinical expertise are maintained and furthered for the benefit of the clientele. They are also responsible for managing and developing academic activities, and for participating in the development of research initiatives within their discipline.

Professional discipline leaders collaborate with administrative/service managers in the identification and distribution of all required human, material and physical resources, taking into account the particularities of each of the program’s clientele.


Clinical Coordinator

The clinical coordinator develops, coordinates and organizes clinical services based on the clients’ individual intervention plans (PII) or individual service plans (PSI).

Occupational Therapist

Occupational therapists conduct functional skills assessments, and apply different interventional approaches in all forms of activities, which include the sensory integration approach, the neurodevelopmental approach and the biomechanical approach.

Their goal is to maximize the child’s autonomy in areas considered important to the lives of both the child and family, which is achieved through sensory, motor and perceptual-cognitive skill development as well as through compensatory skill learning (for example, by using technical aids or by making adjustments to physical environments).


In the immediate moments following an accident, the nurse administers emergency care, tends to injuries, stimulates the patient during consciousness and ensures constant supervision along with the treating doctor.

In the rehabilitation process, the nurse monitors the well-being of the patients, provides moral support and supervises the administration of certain prescribed treatments. This individual also maintains contact with the family of the patient who is under his/her care.

Auxiliary Nurse

The auxiliary nurse participates in the overall provision of nursing care in collaboration with the health care team. This individual collaborates in evaluating the health condition of the user and in developing the user’s health care plan. The auxiliary nurse also provides nursing and health care as well as nursing and medical treatments with the goal of maintaining, restoring and protecting the user’s health.

Respiratory Therapist

The respiratory therapist assumes the responsibility for the overall techniques of respiratory therapy. This individual contributes to the evaluation of cardiorespiratory functions to determine a diagnosis or therapeutic treatment; contributes to the administration of anesthesia and treats problems that affect the cardiorespiratory system.

The respiratory therapist is responsible for handling, distributing, maintaining and ensuring the proper operation of respiratory equipment.

Mechanic in Orthotics-Prosthetics

This individual makes, corrects, repairs and mounts orthoses and prostheses according to medical prescriptions.

Rehabilitation Monitor

This individual responds to the user’s physical, psychological and general rehabilitation needs in collaboration with fellow rehabilitation colleagues and specialists on site. This individual participates in the evaluation, programming, execution and monitoring of the general programs applied to users under his/her care.

The rehabilitation monitor documents the user’s progress and feedback and is also responsible for producing control documents about the user who is under his/her care.


The neuropsychologist conducts evaluations, establishes the prognosis and treats users who have suffered craniocerebral traumas while focusing on higher mental functions, personality and social integration skills (family, school and work).


The nutritionist assesses the individual’s nutritional status; determines an interventional strategy and ensures that the diet plan is adapted to the individual’s needs in order to maintain or restore the individual’s state of health. The nutritionist also takes part in the provision of clinical training.

Speech Therapist

The speech therapist evaluates the status of users who have language disorders and makes sure that users receive the necessary treatment in order to improve or restore comprehension and language skills (speech, reading and writing). Generally, this individual works in collaboration with the family and members of the treating team.


Following an assessment of the user’s physical condition, the physiotherapist develops and implements a treatment program consisting of exercises, which aim to increase the user’s physical autonomy or to decrease the physical effects caused by a craniocerebral trauma (ex: motor skills).

Equipment and auxiliary attendant

The equipment and auxiliary attendant participates in projects involving the production or adjustment of therapeutic equipment and functional accessories used in therapeutic activities; and also maintain and updates inventory.


The prosthesist designs, makes, adjusts and repairs orthoses and prostheses according to medical prescriptions that aim to improve the user’s functional autonomy. This individual also designs and determines fittings based on the user’s diagnosis and medical prescription. The prosthesist makes and supervises the making of fittings; prepares moulds and draws preliminary sketches; makes adjustments and modifications; participates in the user’s rehabilitation process; and collaborates in the initiation and training of support staff.


Psychologists are often referred to as “specialists of human behaviour”. Using scientific methods, the psychologist evaluates and treats users with personal problems. 


The psychotechnician administers and corrects psychological tests such as personality, intelligence, aptitude, interest and skill tests, including all other tests that take part in psychological evaluations. This individual also produces graphical charts that present the collected data and conducts all of the required statistical calculations.

Special Education Teacher

Special education technicians participate in identifying and prioritizing the child’s needs. They also provide counseling to family members on Behavioural issues. They contribute to the child’s ability to carry out and continue his or her activities in different daily living environments (home, daycare, school, community, etc.).

Recreational Technician

Recreation technicians organize and supervise individual and group activities for clients who are admitted to the Intensive Functional Rehabilitation Unit and to the Residence and Respite Unit. These recreational, sociocultural and sports activities serve to enhance the clients’ well-being and rehabilitation.

Technician in Orthotics-Prosthetics

This individual designs, makes, adjusts, repairs and modifies orthoses and prostheses according to medical prescriptions that aim to improve the user’s functional autonomy. The technician in orthotics-prosthetics also participates in the user’s rehabilitation process; and collaborates in the initiation and training of support staff.

Social Worker

Social workers provide the children and their families with support throughout the different stages of the rehabilitation process; and help them cope with the psychosocial difficulties associated to the disability.

As such, social workers conduct psychosocial evaluations with the children and their families. They offer support to parents during difficult moments of their child’s rehabilitation process and contribute to fostering their child’s social integration. They also provide information about available programs and resources as well as work on mobilizing community resources. If needed, they also offer guidance in taking the necessary steps.

About this page
Updated on 11/7/2023
Created on 9/10/2014
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The CHU Sainte-Justine Foundation’s Mélio Fund – formerly the Fondation Mélio – is an essential pillar of support for the centre of excellence in musculoskeletal disorders and in rehabilitation medicine. It is dedicated to providing ongoing and indispensable support for the 5,000 children with locomotor or speech impairments being cared for at the Marie Enfant Rehabilitation Centre (CRME).


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