title: Factors influencing community case management and care hours for clients with traumatic brain injury living in the UK.
abstract: 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.
  
  
  METHODS
  Prospective descriptive study.
  
  
  METHODS
  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).
authors.affiliation: a Head First , Hawkhurst , Kent , UK.
authors.forename: Jo
authors.initials: J
authors.lastname: Clark-Wilson
authors.affiliation: b Samuel Merritt University , Oakland , CA , USA.|c Crestwood Treatment Center , Fremont , CA , USA.
authors.forename: Gordon Muir
authors.initials: GM
authors.lastname: Giles
authors.affiliation: a Head First , Hawkhurst , Kent , UK.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Seymour
authors.affiliation: a Head First , Hawkhurst , Kent , UK.
authors.forename: Ross
authors.initials: R
authors.lastname: Tasker
authors.affiliation: a Head First , Hawkhurst , Kent , UK.
authors.forename: Doreen M
authors.initials: DM
authors.lastname: Baxter
authors.affiliation: a Head First , Hawkhurst , Kent , UK.
authors.forename: Mark
authors.initials: M
authors.lastname: Holloway
mesh_terms: D000328:Adult; D000070642:Brain Injuries, Traumatic / Q000534:rehabilitation*; D019090:Case Management; D056344:Executive Function; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D006113:United Kingdom; D055815:Young Adult
keywords: Traumatic brain injury; behaviour disorder; brain injury; care needs; case management; executive function; neurobehavioural disability