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Factors influencing community case management and care hours for clients with traumatic brain injury living in the UK

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posted on 2023-06-09, 04:18 authored by Jo Clark-Wilson, Gordon Muir Giles, Stephanie Seymour, Ross Tasker, Doreen M Baxter, Mark Holloway
Objective: To investigate the relationship between deficits associated with traumatic brain injury (TBI) and case management (CM) and care/support (CS) in two UK community samples. Research design: Prospective descriptive study. Method: Case managers across the UK and from a single UK CM service contributed client profiles to two data sets (Groups 1 and 2, respectively). Data were entered on demographics, injury severity, functional skills, functional-cognition (including executive functions), behaviour and CM and CS hours. Relationships were explored between areas of disability and service provision. Results: Clients in Group 2 were more severely injured, longer post-injury and had less family support than clients in Group 1. There were few significant differences between Groups 1 and 2 on measures of Functionalskill, Functional-cognition and Behaviour disorder. Deficits in Functionalskills were associated with CS, but not CM. Deficits in measures of executive functions (impulsivity, predictability, response to direction) were related to CM, but not to CS. Insight was related to both CM and CS. Variables related to behaviour disorder were related to CM, but were less often correlated to CS. Conclusions: The need for community support is related not only to Functionalskills (CS), but also to behaviour disorder, self-regulatory skills and impaired insight (CM).

History

Publication status

  • Published

File Version

  • Published version

Journal

Brain Injury

ISSN

0269-9052

Publisher

Taylor & Francis

Issue

7

Volume

30

Page range

872-882

Department affiliated with

  • Social Work and Social Care Publications

Research groups affiliated with

  • Centre for Social Work Innovation and Research Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2017-04-19

First Open Access (FOA) Date

2017-04-19

First Compliant Deposit (FCD) Date

2017-04-19

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