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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 ,
Jessica Barnes ,
Anna Rose  and
Craig Veitch
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: Nicole.Kennedy@royalrehab.com.au
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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.

Keywords

traumatic brain injury (TBI)transitionsdischarge planningservice deliveryevaluationcase management
Type
Articles
Information
Brain Impairment , Volume 13 , Issue 1: Transition to Community Living after Acquired Brain Injury , July 2012 , pp. 62 - 71
Copyright
Copyright © The Authors 2012

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