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.
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.
Authors: Ralph J Marino; Tarcisio Barros; Fin Biering-Sorensen; Stephen P Burns; William H Donovan; Daniel E Graves; Michael Haak; Lesley M Hudson; Michael M Priebe Journal: J Spinal Cord Med Date: 2003 Impact factor: 1.985
Authors: Julie Gassaway; Susan D Horn; Gerben DeJong; Randall J Smout; Crystal Clark; Roberta James Journal: Arch Phys Med Rehabil Date: 2005-12 Impact factor: 3.966
Authors: Gale Whiteneck; Julie Gassaway; Marcel P Dijkers; Allen W Heinemann; Scott E D Kreider Journal: J Spinal Cord Med Date: 2012-11 Impact factor: 1.985
Authors: R F Averill; T E McGuire; B E Manning; D A Fowler; S D Horn; P S Dickson; M J Coye; D L Knowlton; J A Bender Journal: Health Serv Res Date: 1992-12 Impact factor: 3.402
Authors: Kimberley R Monden; Julie Hidden; C B Eagye; Flora M Hammond; Stephanie A Kolakowsky-Hayner; Gale G Whiteneck Journal: J Spinal Cord Med Date: 2021-03-11 Impact factor: 1.985