Objective: To define a unique program, Real Life Rehab (RLR) was designed for transitioning traumatic or acquired brain injury and spinal cord-injured patients home successfully within a healthcare continuum. A collaborative relationship among Neuro- and Rehabilitation Psychology and the in-home treatment team is described. An outcome measure is introduced that predicts and monitors stability of independence in home, community, and work. Design: Retrospective survey. Setting: General community. Participants: Patients (N = 213) from 2 cohorts traumatic/acquired brain injury (n = 133) and spinal cord injury (n = 80) admitted to inpatient rehabilitation and discharged home into the community with RLR. Interventions: Not applicable. Main outcome measure: The RLR Independence Assessment Measure (RLR-IAM) was used to assess activity independence in home, work, and community. The measure is done at RLR admit and discharge; standardized survey scripts are used to collect data at 5 weeks, 6 months; and 1 year. The measure is based on a 4-point scale for each environmental category: home, community, work/work/alternative. Results: The RLR-IAM showed that at 5 weeks following discharge from RLR patients either retained or exceeded their level of independence in return to work, home, and community. The same pattern was seen at 6 months when compared to the 5-week level. At 1 year, patients continued to retain or exceed their previous level of independence in home and community but not for work or work alternative. Conclusions: RLR has a high accuracy of predicting patient overall outcomes; stability and improvement over time are successfully addressed via systematic yearlong monitor. RLR's unique intervention approach addresses the multidimensional needs of the rehabilitation population identified.