Investigating the Model of Community-Based Case Management in the New South Wales Brain Injury Rehabilitation Program: A Prospective Multicenter Study

被引：6
作者：
Simpson, Grahame [1 ,2 ,3 ]
Mitsch, Virginia [4 ]
Doyle, Margaret [5 ]
Forman, Marcella [2 ]
Young, Denise [6 ]
Solomon, Vicki [7 ]
MacPherson, Margaret [8 ]
Gillett, Lauren [1 ,9 ]
Strettles, Barbara [1 ,10 ]
机构：
[1] Ingham Inst Appl Med Res, Brain Injury Rehabil Res Grp, Sydney, NSW, Australia
[2] Liverpool Brain Injury Rehabil Unit, Sydney, NSW, Australia
[3] Univ Sydney, Kolling Inst Med Res, JohnWalsh Ctr Rehabil Res, Sydney, NSW, Australia
[4] South West Brain Injury Rehabil Serv, Murrumbidgee Local Hlth Dist, Albury, NSW, Australia
[5] Westmead Brain Injury Rehabil Serv, Sydney, NSW, Australia
[6] Mid Western Brain Injury Rehabil Program, Bathurst, NSW, Australia
[7] Mid North Coast Brain Injury Rehabil Serv, Portt Macquarie, NSW, Australia
[8] Hunter New England Local Hlth Dist, Rural & Reg Hlth Serv, Tamworth, NSW, Australia
[9] Liverpool Hosp, Dept Neurol, Sydney, NSW, Australia
[10] Agcy Clin Innovat, New South Wales Brain Injury Rehabil Directorate, Sydney, NSW, Australia
来源：
JOURNAL OF HEAD TRAUMA REHABILITATION | 2018年 / 33卷 / 06期
关键词：
acquired brain injury; case management; pediatric; rehabilitation; rural; service model; traumatic brain injury; DWELLING ADULTS; CARE; COMORBIDITIES; CLIENTS; PEOPLE; NEEDS;
D O I：
10.1097/HTR.0000000000000370
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Objective: To investigate a model of community-based case management (CM). Setting: New South Wales (NSW) Brain Injury Rehabilitation Program (BIRP). Participants: All clinicians (N = 72) providing CM within 14 BIRP community rehabilitation teams. Design: A prospective, multicenter study. Main Measures: A purpose-designed survey. Methods: Participants from the 12 adult and 2 pediatric services (8 located in metropolitan areas, 6 in rural areas) completed a 3-part survey investigating their organizational context, clinical approach, and CM interventions. Between-groups analyses explored differences among individual services, as well as differences based on age (adult vs pediatric) and location (metropolitan vs rural). Results: All services provided a direct service model of CM. The underlying principles were uniform across services (more direct than indirect service provision; with more client-related than administrative-related tasks; more holistic than service-led in defining client needs; with decision making equally directed by staff and clients; and undertaking a more comprehensive than minimalist range of tasks). CM interventions included the provision of individual support, family support, advocacy, and community development alongside assessment, monitoring, referral, and liaison tasks. There were little differences in practice based on age or location. Conclusion: The NSW BIRP has drawn upon the results to produce a model of service for CM.
引用
收藏
页码：E38 / E48
页数：11
相关论文
共 42 条
[1]  
ABIKUS, 2007, EV BAS REC REH MOD S
[2]  
Access Economics, 2009, The economic cost of spinal cord injury and traumatic brain injury in Australia
[3]  
Agency for Clinical Innovation, 2017, ACI IN FEBR 2017
[4]  
Arnold Susan, 2013, Care Manag J, V14, P2
[5]  
Australian Bureau of Statistics, 2006, STAT GEOGR
[6]   Outcome of case management based on the strengths model compared to standard care.: A randomised controlled trial [J].
Björkman, T ;
Hansson, L ;
Sandlund, M .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2002, 37 (04) :147-152
[7]   Goodness of fit: Social work education and practice in health care [J].
Bronstein, Laura ;
Kovacs, Pamela ;
Vega, Alex .
SOCIAL WORK IN HEALTH CARE, 2007, 45 (02) :59-76
[8]   Intensive versus standard case management for severe psychotic illness: a randomised trial [J].
Burns, T ;
Creed, F ;
Fahy, T ;
Thompson, S ;
Tyrer, P ;
White, I .
LANCET, 1999, 353 (9171) :2185-2189
[9]  
Case Management Society United Kingdom, 2009, STAND BEST PRACT GUI
[10]  
Clark-Wilson J., 2006, GOOD PRACTICE BRAIN, P15
12345