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J Spinal Cord Med. 2012 Nov;35(6):611-23. doi: 10.1179/2045772312Y.0000000064.

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

Author information

1
Carolinas Rehabilitation, Charlotte, NC, USA.

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.

PMID:
23318040
PMCID:
PMC3522900
DOI:
10.1179/2045772312Y.0000000064
[Indexed for MEDLINE]
Free PMC Article
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