Survey of paediatric case management practices in Australia for children and young people with acquired brain injury (ABI).
OBJECTIVE
To investigate the characteristics of paediatric acquired brain injury (ABI) case managers and their organizations in Australia, and to determine the ways in which case managers deliver their service, maintain professional development and evaluate outcomes.


METHODS
Postal survey of 57 known paediatric ABI case managers working at 24 separate organizations in Australia.


RESULTS
Out of 40 questionnaires returned (70%), the majority of respondents had been providing case management for over 5 years (55%). Co-ordination of services was ranked the most important component of case management, with services most frequently delivered by telephone. Evaluation of case management outcomes was reported by only 52% of the case managers. Whilst the majority of case managers had received some form of training (83%), this varied widely from informal in-house training, to workshops run by insurance companies and government agencies.


CONCLUSIONS
This survey provides information about current case management practices for children with ABI in Australia. Detailing what case managers do is a first step towards developing controlled research designs which are required to demonstrate whether case management is effective in terms of clinical outcomes and cost-benefit.
Scheinberg
A M
AM
Department of Rehabilitation, The Children's Hospital at Westmead, Westmead, NSW, Australia. adams2@chw.edu.au
Gibson
W
W
Hughes
D
D
Miles
A
A
Murphy
P
P
Noronha
J
J
D000293:Adolescent; D001315:Australia / Q000453:epidemiology; D001930:Brain Injuries / Q000453:epidemiology / Q000628:therapy*; D019090:Case Management / Q000458:organization & administration*; D002648:Child; D003695:Delivery of Health Care / Q000379:methods / Q000458:organization & administration; D004502:Education, Medical, Continuing / Q000379:methods; D019538:Health Care Surveys / Q000379:methods; D006282:Health Personnel; D006801:Humans; D011361:Professional Competence; D011364:Professional Practice / Q000458:organization & administration; D016896:Treatment Outcome