Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-05T05:26:15.309Z Has data issue: false hasContentIssue false

Clinicians’ Expectations and Early Experiences of a New Comprehensive Rehabilitation Case Management Model in a Specialist Brain Injury Rehabilitation Unit

Published online by Cambridge University Press:  14 June 2012

Nicole Kennedy*
Affiliation:
Royal Rehabilitation Centre, Sydney, Australia
Jessica Barnes
Affiliation:
Royal Rehabilitation Centre, Sydney, Australia
Anna Rose
Affiliation:
Royal Rehabilitation Centre, Sydney, Australia The University of Sydney, Australia Community Based Health Care Research Unit, Sydney, Australia
Craig Veitch
Affiliation:
Royal Rehabilitation Centre, Sydney, Australia The University of Sydney, Australia Community Based Health Care Research Unit, Sydney, Australia
*
Address for correspondence: Nicole Kennedy, Royal Rehabilitation Centre, Sydney, PO Box 6, Ryde, NSW 1680. E-mail: [email protected]
Get access

Abstract

This article presents early findings from the implementation and ongoing evaluation of a new model of care that employs a comprehensive approach to rehabilitation case management for clients with traumatic brain injury, with the aim of improving transition from inpatient rehabilitation to community settings. The evaluation explores the design, implementation, utility and acceptability of the new model using clinicians’ perceptions and experiences. Method: The evaluation framework employs a participatory evaluation approach, drawing on semistructured interview data. Interviews were conducted with brain injury unit clinicians, rehabilitation case managers and external stakeholders at the model's implementation and four months later, as part of a 12-month evaluation period. The data were descriptively organised, then coded and subjected to interpretative analysis to identify key issues. Results: Early findings suggest that the new model provides increased consistency for staff, clients and carers; promotes efficiency in discharge planning and facilitates a more streamlined and seamless transition between inpatient rehabilitation and community services. Data gathered across the remainder of the implementation trial will extend understanding of this comprehensive rehabilitation case management model and its potential utility in other services and settings.

Type
Articles
Copyright
Copyright © The Authors 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Australian Institute of Health and Welfare. (2007). Disability in Australia: Acquired brain injury (Bulletin no. 55. Cat no. AUS 96). Canberra: Author.Google Scholar
Bowling, A. (2009). Research methods in health (3rd ed.). New York: MacGraw-Hill.Google Scholar
Case Management Society of Australia. (2008). What is case management? Retrieved from http://www.cmsa.org.au/definition.htmlGoogle Scholar
Commonwealth of Australia. (2009a). National health and hospital reform commission: A healthier future for all Australians. Retrieved from www.health.gov.au/internet/nhhrc/publishing.nsf/content/nhhrc-reportGoogle Scholar
Commonwealth of Australia. (2009b). Primary health care reform in Australia: Report to support Australia's first national primary health care strategy. Retrieved from http://www.yourhealth.gov.auGoogle Scholar
Cott, C. (2004). Client-centered rehabilitation: Client perspectives. Disability and Rehabilitation, 26 (24), 14111422.CrossRefGoogle Scholar
Dahlberg, C., Cusick, C., Hawley, L., Newman, J., Morey, C., Harrison-Felix, C., & Whiteneck, G. (2007). Treatment efficacy of social communication skills training after traumatic brain injury: A randomised treatment and deferred treatment controlled trial. Archives of Physical Medicine and Rehabilitation, 88, 15611573.Google Scholar
Degeneffe, C. (2001). Family caregiving and traumatic brain injury. Health and Social Work, 26 (4), 257268.CrossRefGoogle ScholarPubMed
Gage, M., Cook, J., & Fryday-Field, K. (1997). Understanding the transition to community living after discharge from an acute hospital: An exploratory study. American Journal of Occupational Therapy, 51, 96103.CrossRefGoogle ScholarPubMed
Higgins, J., & Cole-Poklewski, T. (2010). Case management reform. An illustrative study of one hospital's experience. Professional Case Management, 15 (2), 7989.CrossRefGoogle ScholarPubMed
Keightley, M., Kendall, V., Shu-Hyun, J., Parker, C., Agnihotri, S., Colantonio, A., Minore, B., Katt, M., Cameron, A., White, R., Longboat-White, C., & Bellavance, A. (2011). From health care to home community: An Aboriginal community-based ABI transition strategy. Brain Injury, 25 (2), 142152.CrossRefGoogle ScholarPubMed
Majdan, M., Walter, M., Brazinova, A., Rusnak, M., Leitgeb, J., Janick, I., & Wilbacher, I. (2011). Severity and outcome of traumatic brain injuries (TBI) with different causes of injury. Brain Injury, 25 (9), 797805.Google Scholar
McCabe, P., Lippert, C., Weiser, M., Hilditch, M., Hartridge, C., & Villamere. (2007). Community reintegration following acquired brain injury. Brain Injury, 21 (2), 231257.CrossRefGoogle ScholarPubMed
McColl, M., Davies, D., Carlson, P., Johnston, J., Harrick, L., Minnes, P., & Shue, K. (1999). Transitions to independent living after ABI. Brain Injury, 13 (5), 311330.Google Scholar
O'Callaghan, A., McAllister, L., & Wilson, L. (2011). Experiences of care reported by adults with traumatic brain injury. International Journal of Speech-Language Pathology, 12, 107123.Google Scholar
Patterson, P., Maynard, H., Chesnut, R., Carney, N., Mann, N., & Helfand, M. (1999). Evidence of case management effect on traumatic-brain-injured adults in rehabilitation. Case Management Journals, 1 (2), 8797.Google ScholarPubMed
Patton, M. (1990). Qualitative evaluation and research methods (2nd ed.). London: Sage.Google Scholar
Patton, M. (1997). Utilization-focused evaluation: The new century text (3rd ed.). Thousand Oaks, CA: Sage.Google Scholar
Royal Rehabilitation Centre Sydney. (2010, July 1). Rehabilitation case management model and guidelines Sydney, Australia: Royal Rehabilitation Centre Sydney.Google Scholar
Schlossberg, N. (1984). Counselling adults in transition: Link practice with theory. New York: Springer.Google Scholar
Sinnakaruppan, I., & Williams, D. (2001). Family carers and the adult head-injured: A critical review of carers’ needs. Brain Injury, 15, 653–627.Google Scholar
Sheppard, S., McClaren, J., Phillips, C., Lannin, N., Clemson, L., McClusky, A., Cameron, I., & Barras. (2010). Discharge planning from hospital to home (Review). Cochrane Database of Systemic Reviews, 2010 (1). doi:10.1002/14651858.CD000313.pub3Google Scholar
Smith, J., & Smith, D. (2000). No map, no guide: Family caregivers’ perspectives on their journeys through the system. Case Management Journals, 2 (2), 2733.Google ScholarPubMed
Turner, B., Fleming, J., Cornwell, P., Worrall, L., Ownsworth, T., Haines, T., Kendall, M., & Chenoweth, L. (2007). A qualitative study of the transition from hospital to home for individuals with acquired brain injury and their family caregivers. Brain Injury, 21 (11), 11191130.CrossRefGoogle ScholarPubMed
Turner, B., Fleming, J., Ownsworth, T., & Cornwell, P. (2008). The transition from hospital to home for individuals with acquired brain injury: A literature review and research recommendations. Disability and Rehabilitation, 30 (16), 11531176.Google Scholar
Turner, B., Ownsworth, T., Cornwell, P., & Fleming, J. (2009a). Reengagement in meaningful occupations during the transition from hospital to home for people with acquired brain injury and their family caregivers. American Journal of Occupational Therapy, 63 (5), 609620.Google Scholar
Turner, B., Fleming, J., Cornwell, P., Haines, T., & Ownsworth, T. (2009b). Profiling early outcomes during the transition from hospital to home after brain injury. Brain Injury, 23 (1), 551–60.Google Scholar
Turner, B., Fleming, J., Ownsworth, T., & Cornwell, P. (2011). Perceptions of recovery during the early transition phase from hospital to home following acquired brain injury: A journey of discovery. Neuropsychological Rehabilitation, 21 (1), 6491.CrossRefGoogle ScholarPubMed
Voss, R., Gardner, R., Baier, R., Butterfield, K., Lehrman, S., & Gravenstein, S. (2011). The care transitions intervention: Translating from efficacy to effectiveness. Archives of Internal Medicine, 171 (14), 12321237.Google Scholar