title: Outcomes of social work and case management services during inpatient spinal cord injury rehabilitation: the SCIRehab project.
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.
  
  
  METHODS
  Prospective observational cohort of individuals with  SCI receiving inpatient rehabilitation.
  
  
  METHODS
  Six inpatient rehabilitation centers.
  
  
  METHODS
  1032 individuals with traumatic SCI.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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: Carolinas Rehabilitation, Charlotte, NC, USA.
authors: Flora M
authors: FM
authors: Hammond
authors: Julie
authors: J
authors: Gassaway
authors: Nichola
authors: N
authors: Abeyta
authors: Erma S
authors: ES
authors: Freeman
authors: Donna
authors: D
authors: Primack
authors: Scott E D
authors: SE
authors: Kreider
authors: Gale
authors: G
authors: Whiteneck
mesh_terms: D000293:Adolescent; D000328:Adult; D004522:Educational Status; D004651:Employment; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007297:Inpatients; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D003668:Pressure Ulcer / Q000209:etiology*; D012044:Regression Analysis; D012047:Rehabilitation Centers; D058992:Social Participation; D012947:Social Work / Q000379:methods*; D013119:Spinal Cord Injuries / Q000150:complications / Q000523:psychology / Q000534:rehabilitation; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult