Case management after severe head injury

BMJ 1994;309:807 (24 September)

Letters

Case management after severe head injury

EDITOR, - We accept what seems to be the principal message ofRJ Greenwood and colleagues' study of the effects of case managementafter severe head injury - that is, that case management isnot a substitute for improvement in rehabilitation services.¹While recognising the need for evaluation of services, however,we believe that case management should not be disregarded asa potentially important element in a well integrated service.Our concept of case management differs from the model evaluatedby Greenwood and colleagues.

The fact that the case managers in the study increased the numberof contracts with the less commonly used rehabilitation servicessuch as social work, psychology, and speech therapy is to beapplauded. This, however, is only the first step in a successfulrehabilitation and reintegration programme. The failure of thecase managers to increase the time spent in therapy and to influenceoutcomes might have . . . [Full text of this article]

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Relevant Article

Effects of case management after severe head injury: R J Greenwood, T M McMillan, D N Brooks, G Dunn, D Brock, S Dinsdale, L D Murphy, and J R Price
BMJ 1994 308: 1199-1205. [Abstract] [Full Text]