Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-28T03:14:02.122Z Has data issue: false hasContentIssue false
  • English
  • Français

An Australian Survey of the Clinical Practice Patterns of Case Management for Clients with Brain Injury

Published online by Cambridge University Press:  09 October 2012

Natasha Lannin ,
Kareena Henry ,
Michelle Turnbull ,
Megan Elder  and
Josephine Campisi
Natasha Lannin*
Affiliation:
Faculty of Health Sciences, La Trobe University, Melbourne, Victoria, Australia Occupational Therapy Department, Alfred Health, Melbourne, Victoria, Australia Rehabilitation Studies Unit, University of Sydney, Sydney, New South Wales, Australia
Kareena Henry
Affiliation:
All About Rehabilitation Pty Ltd, Camden, New South Wales, Australia
Michelle Turnbull
Affiliation:
All About Rehabilitation Pty Ltd, Camden, New South Wales, Australia
Megan Elder
Affiliation:
All About Rehabilitation Pty Ltd, Camden, New South Wales, Australia
Josephine Campisi
Affiliation:
All About Rehabilitation Pty Ltd, Camden, New South Wales, Australia
*
Address for correspondence: Natasha Lannin, Alfred Clinical School, La Trobe University, The Alfred Centre, 99 Commercial Road, Melbourne VICTORIA 3004, Australia. E-mail: N.Lannin@latrobe.edu.au.
Get access

Abstract

Aim: To investigate the characteristics of Australian organisations providing case management to individuals who have acquired brain injury, and to determine the methods of case management service delivery including professional development and evaluation of outcomes.

Method: An anonymous 23-item web-based survey was used. Respondents were case managers who deliver services to adults and/or children with brain injuries. A snowball sampling method was used to recruit respondents from around Australia.

Findings: Fifty-one case managers completed the survey. Respondents were from a wide range of professions, the largest group being occupational therapy. The majority of respondents were based in metropolitan areas, were employed within the public health system and were based in the community. Respondents reported that the main determinant for clients receiving case management was the severity of the brain injury followed by complex family needs. Variations in practice and a lack of consistency in outcome measurement, goal setting and professional development were noted.

Discussion: This study provides an overview of characteristics of case management practices for people with acquired brain injury (ABI). Identifying roles and responsibilities of case managers is the first step to developing future research designs, which determine the effectiveness of case management.

Keywords

acquired brain impairmentcare coordinationmanaged careassessment
Type
Articles
Information
Brain Impairment , Volume 13 , Issue 2 , September 2012 , pp. 228 - 237
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

Ashley, M.J., Persel, C.S., Lehr, R.P., Feldman, B., & Krych, D.K. (1994). Post-acute rehabilitation outcome: relationship to case-management techniques and strategy. Journal of Insurance Medicine, 26 (3), 348–350.Google ScholarPubMed
Australian Institute of Health and Welfare (2007). Disability in Australia: Acquired brain injury. Canberra: Australian Institute of Health and Welfare.Google Scholar
Babbie, E. (1995). The practice of social research (7th ed.). Belmont, New Jersey: Wadsworth.Google Scholar
Case Management Society of Australia (2004). National standards of practice for case management (unpublished).Google Scholar
Case Management Society of Australia (2011). What is case management? Retrieved from http://www.cmsa.org.au/definition.htmlGoogle Scholar
DePompei, R., Frye, D., DuFore, M., & Hunt, P. (2001). Traumatic brain injury collaborative planning group: A protocol for community intervention. Journal of Head Trauma Rehabilitation, 16 (3), 217–237.CrossRefGoogle Scholar
Genrich, S.J., & Neatherlin, J.S. (2001). Case manager role. A content analysis of published literature. Care Management Journals, 3 (1), 14–19.CrossRefGoogle Scholar
Grech, E. (2002). Case management: a critical analysis of the literature. International Journal of Psychosocial Rehabilitation, 6, 89–98.Google Scholar
Greenwood, R.J., McMillan, T.M., Brooks, D.N., Dunn, G., Brock, D., Dinsdale, S., . . . Price, J.R. (1999). Effects of case management after severe head injury. BMJ 308, 1199.CrossRefGoogle Scholar
Hosack, K. (1999). Suggestions for case managers who work with patients with severe traumatic brain injury. Nursing Care Management, 4, 14–18.Google ScholarPubMed
Khan, F., Baguley, I.J., & Cameron, I.D. (2003). Rehabilitation after traumatic brain injury. Medical Journal of Australia, 178, 290–295.CrossRefGoogle ScholarPubMed
Malec, J.F., Buffington, A.L.H., Moessner, A.M., & Degiorgio, L. (1995). A medical/vocational case coordination system for persons with brain injury: An evaluation of employment outcomes. Archives of Physical Medicine and Rehabilitation, 81 (8), 1007–1015.CrossRefGoogle Scholar
Patterson, P.K., Maynard, H., Chestnut, R.M., Carney, N., Clay Mann, N., & Helfand, M. (1999). Evidence of case management effect on traumatic brain injured adults in rehabilitation. Care Management Journals, 1 (2), 87–97.CrossRefGoogle ScholarPubMed
Polit, D.F., & Hungler, B.P. (1997). Essentials of nursing research methods, appraisal, and utilisation (4th ed.). Philadelphia: Lippincott.Google Scholar
Pressman, H.T. (2007). Traumatic brain injury rehabilitation: case management and insurance-related issues. Physical Medicicine and Rehabilitation Clinics of North America, 18, 165–174.CrossRefGoogle ScholarPubMed
Scheinberg, A.M., Gibson, W., Hughes, A., Murphy, P., & Noronha, J. (2005). Survey of paediatric case management practices in Australia for children and young people with acquired brain injury (ABI). Child: Care, Health and Development, 31 (6), 679–684.CrossRefGoogle Scholar
Tate, R., Cameron, I.D., Winstanley, J., Myles, B., & Harris, R. (2004). Brain injury outcome study: Final report. Retrieved from http://www.lifetimecare.nsw.gov.au/FileHandler.ashx?name=Brain%20Injury/Brain_Injury_Outcomes_Study___Final_Report_(May_2004)_pdf%5Bdoc%5DGoogle Scholar
Thurman, D.J., Alverson, C., Dunn, K.A., Guerrero, J., & Sniezek, J.E. (1999). Traumatic brain injury in the United States: A public health perspective. Journal of Head Trauma Rehabilitation, 14 (6), 602–615.CrossRefGoogle ScholarPubMed