Outcomes of social work and case management services during inpatient spinal cord injury rehabilitation: The SCIRehab project

Flora M. Hammond, Julie Gassaway, Nichola Abeyta, Erma S. Freeman, Donna Primack, Scott E.D. Kreider, Gale Whiteneck

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Objective: To investigate associations of social work/case management (SW /CM) services during inpatient rehabilitation following spinal cord injury (SCI) and patient characteristics with outcomes. Design: Prospective observational cohort of individuals with SCI receiving inpatient rehabilitation. Setting: Six inpatient rehabilitation centers. Participants: 1032 individuals with traumatic SCI. Interventions: Not applicable. Main outcome measure(s): Type of residence at the time of rehabilitation discharge. Employment/school status, presence of a pressure ulcer, Patient History Questionnaire, Satisfaction with Life Scale, Craig Handicap Assessment and Reporting Technique (CHART) subscales, and rehospitalization at 1-year post-injury. Results: The intensity of specific SW/CM services is associated with multiple outcomes examined. More sessions dedicated to discharge planning for a home discharge and financial planning were associated positively with more discharge to home, while more sessions focused on planning for discharge to a location other than home, e.g. nursing home or long-term acute care facilities, have negative associations with societal participation outcomes (CHART Social Integration, Occupation, and Mobility scores) as well as with residing at home at the time of the 1-year injury anniversary. Conclusion(s): The intensity and type of SW/CM services are associated with outcomes at rehabilitation discharge and at 1-year post-injury. Discharge to home may require assistance from SW/CM in the area of discharge planning and financial planning, while discharge to non-home residence demands directed SW/CM services for such placement. Note: This is the eighth of nine articles of this SCIRehab series.

Original languageEnglish (US)
Pages (from-to)611-623
Number of pages13
JournalJournal of Spinal Cord Medicine
Volume35
Issue number6
DOIs
StatePublished - Nov 1 2012

Keywords

  • Case management
  • Outcomes
  • Paraplegia
  • Participation
  • Patient discharge
  • Practice-based evidence
  • Rehabilitation
  • Social work
  • Spinal cord injuries
  • Tetraplegia

ASJC Scopus subject areas

  • Clinical Neurology

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