Whose Outcome is it Anyway? Outcome and Brain Injury Case Management

Context: The acquired brain injury (ABI) literature highlights various factors that can prevent successful community rehabilitation and hinder good long-term outcomes. Brain injury case management is a service model with the potential to overcome these barriers within rehabilitation and longer-term...

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Main Authors: Jessica Lowry, Thomas Wakeham, Alyson Norman, Jackie Dean, Mark Holloway, Ben Needham-Holmes, Jo Clark-Wilson, Philippa Feltham-White
Format: Article
Language:English
Published: LSE Press 2022-04-01
Series:Journal of Long-Term Care
Subjects:
Online Access:https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/107
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author Jessica Lowry
Thomas Wakeham
Alyson Norman
Jackie Dean
Mark Holloway
Ben Needham-Holmes
Jo Clark-Wilson
Philippa Feltham-White
author_facet Jessica Lowry
Thomas Wakeham
Alyson Norman
Jackie Dean
Mark Holloway
Ben Needham-Holmes
Jo Clark-Wilson
Philippa Feltham-White
author_sort Jessica Lowry
collection DOAJ
description Context: The acquired brain injury (ABI) literature highlights various factors that can prevent successful community rehabilitation and hinder good long-term outcomes. Brain injury case management is a service model with the potential to overcome these barriers within rehabilitation and longer-term care and support, but there is minimal research surrounding the effectiveness of case management in ABI. Objectives: This study aims to gain a better understanding of outcomes in brain injury case management and what facilitates good outcomes when working with clients from the perspective of brain injury case managers. Methods: A mixed qualitative study using both conventional content analysis and thematic analysis. Twenty-eight brain injury case managers completed an online questionnaire about what constitutes a good outcome in brain injury case management. Of these, five took part in a follow-up interview. Findings: The analysis identified four themes related to brain injury case management outcomes; 1) A client-centred approach to outcome, 2) the role of the brain injury case manager, 3) monitoring outcome in case management, and 4) issues of funding. Limitations: Participation in the survey and interviews was somewhat low, largely due to conducting the study during the COVID-19 pandemic. The study only included brain injury case mangers and future studies should examine clients’ and family members’ perspectives. Implications: This study identified that brain injury case management is a holistic approach to rehabilitation and case coordination that requires further attention to develop evidence-informed practice. Appropriate holistic measures of quality of life and outcome need to be developed to support the evidence base for case management.
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spelling doaj.art-77b8d190857e464fbfd2218dc95acd092023-11-12T06:24:47ZengLSE PressJournal of Long-Term Care2516-91222022-04-012022Whose Outcome is it Anyway? Outcome and Brain Injury Case ManagementJessica Lowry0Thomas Wakeham1Alyson Norman2Jackie Dean3Mark Holloway4Ben Needham-Holmes5Jo Clark-Wilson6Philippa Feltham-White7University of PlymouthUniversity of PlymouthUniversity of PlymouthN-Able ServiceHead First Case ManagementAshton’s LegalHead First Case ManagementBush & Co Context: The acquired brain injury (ABI) literature highlights various factors that can prevent successful community rehabilitation and hinder good long-term outcomes. Brain injury case management is a service model with the potential to overcome these barriers within rehabilitation and longer-term care and support, but there is minimal research surrounding the effectiveness of case management in ABI. Objectives: This study aims to gain a better understanding of outcomes in brain injury case management and what facilitates good outcomes when working with clients from the perspective of brain injury case managers. Methods: A mixed qualitative study using both conventional content analysis and thematic analysis. Twenty-eight brain injury case managers completed an online questionnaire about what constitutes a good outcome in brain injury case management. Of these, five took part in a follow-up interview. Findings: The analysis identified four themes related to brain injury case management outcomes; 1) A client-centred approach to outcome, 2) the role of the brain injury case manager, 3) monitoring outcome in case management, and 4) issues of funding. Limitations: Participation in the survey and interviews was somewhat low, largely due to conducting the study during the COVID-19 pandemic. The study only included brain injury case mangers and future studies should examine clients’ and family members’ perspectives. Implications: This study identified that brain injury case management is a holistic approach to rehabilitation and case coordination that requires further attention to develop evidence-informed practice. Appropriate holistic measures of quality of life and outcome need to be developed to support the evidence base for case management. https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/107brain injurycase managementrehabilitationcommunity support
spellingShingle Jessica Lowry
Thomas Wakeham
Alyson Norman
Jackie Dean
Mark Holloway
Ben Needham-Holmes
Jo Clark-Wilson
Philippa Feltham-White
Whose Outcome is it Anyway? Outcome and Brain Injury Case Management
Journal of Long-Term Care
brain injury
case management
rehabilitation
community support
title Whose Outcome is it Anyway? Outcome and Brain Injury Case Management
title_full Whose Outcome is it Anyway? Outcome and Brain Injury Case Management
title_fullStr Whose Outcome is it Anyway? Outcome and Brain Injury Case Management
title_full_unstemmed Whose Outcome is it Anyway? Outcome and Brain Injury Case Management
title_short Whose Outcome is it Anyway? Outcome and Brain Injury Case Management
title_sort whose outcome is it anyway outcome and brain injury case management
topic brain injury
case management
rehabilitation
community support
url https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/107
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