How CM and CBR works

Following referral we will allocate a case manager who coordinates assessment and treatment by our multidisciplinary team. Our team includes:

  • Clinical Psychologist/Neuropsychologists
  • Occupational Therapists
  • Physiotherapists
  • Rehabilitation Assistants
The case manager will work collaboratively with outside agencies and therapists to implement a rehabilitation plan and guide the client through the stages below.

Stage one: Detailed Goal-Setting Assessment

Our initial assessment involves standard measures, and is followed by working with client and their family to set goals.

Stage two: Design and delivery of a tailored rehabilitation and or support package

Packages are coordinated and led by the case manager. Packages are designed to target the individual needs of the client and their family. If applicable we have a wide range of programmes and materials available. These include: memory retraining, anger management, problem solving/executive skills, managing behaviour/emotions, anxiety management.  The case manager may recommend recruitment of a rehabilitation assistant or support worker to work with the client and their family to practice exercises, skills, and strategies.

Step 3: Monitoring progress

Progress is reviewed on an ongoing basis by the case manager and team. A monthly report is provided identifying progress towards goals, and setting further goals as appropriate. Specific outcomes are targeted and measures specified to assess rehabilitation effectiveness.

Step 4: Discharge planning / final discharge

This is a key consideration from the early stages of the rehabilitation process. Goals should be tailored to enable a smooth transition either to independent living or to any local support networks which may be needed after rehabilitation. It is an integral part of the process to liaise with local services, and arrange further activities, placements, supports, and overall structure. All of this happens during rehabilitation, rather than as an end-stage. At the end of the process, there is a discharge pack for the client, their family and others involved, specifying what is needed to maintain or advance progress.

The Referral Process - who may make a referral?

  • A client or a family member can make a self-referral.
  • GPs, hospital doctors and other health professionals may initiate referrals. Where referrals are to be NHS-funded, they must be made on an ECR basis by the Health Board.
  • Insurers or PI solicitors may also refer individuals. This can be advantageous for both sides in PI litigation.
  • For plaintiff/pursuer, there is the prospect of worthwhile improvement in client’s quality of life, as well as demonstrating the extent and costs of any residual needs.
  • For defender/insurer, improvement in client’s quality of life should reduce long-term costs.

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