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Case Managemement Services

Brain injury Case Management

Both through clinical work and through research, we recognise that those who have sustained traumatic brain injury (TBI) may need expert help to achieve and maintain a reasonable quality of life.

Case Management Services provides brain injury case managers in order to:

• Find, train, and support suitable carers
• Co-ordinate the team of carers
• Find and co-ordinate any therapists that need to be involved
• Identify suitable activities and supports for the TBI survivor
• Ensure that the TBI survivor's time is structured with suitable activities

Why is case management needed?
Following severe brain injury, individuals may be left with a range of permanent deficits. While the exact difficulties experienced vary, some problems are very common indeed, including:

Cognitive deficits

• Language/communication difficulties
• Memory problems
• Difficulty learning new information
• Reduced mental speed
• Poor concentration
• There is often difficulty with future planning, even of simple activities.

• Lack of initiative and motivation
• Lack of insight into their condition
• Increased tiredness
• Irritability
• Childishness
• Depressed mood
• Social withdrawal

• Balance difficulties
• Reduced strength and power in muscles
• Lack of precise control of movement

• Setting up a care regime
  Recruiting, maintaining and training carers. Putting forward an appropriate and cohesive care package. Acting as support and confidante to members of the care team.


• Organising therapy and training
  Introducing remedial activities and retraining. Maintenance of current fitness and mobility. Improvement and maintenance of daily independence.


• Family intervention
  Acting as a mediator, informing families what the individual can and cannot do, and what they need to be prompted to do for themselves.


• Researching activities
  Exploring possible social activities, encouraging any current interests, and prompting new ones. Investigating the possibility of some form of employment, if appropriate.

How do we provide a case manager?
Following a referral for case management we conduct a full assessment of the client's needs by reviewing the relevant records and meeting with the client and a close family member.

From this we identify the client's key requirements and match these to a case manager we believe is equipped to do the job in terms of qualifications, experience and personality.

We find a case manager who is local to the client, so that the case manager has local knowledge and will be on the spot when needed.

Once the client has been assessed and a case manager found, we are able to prepare a proposal. This details our recommendations as regards the package of case management, and care where necessary.

For areas in which we are able to provide this service, please see map.

What are the costs involved?
We charge a flat monthly fee depending on the complexity of the case. This will be assessed on the basis of:

• The amount of input/activity the client requires
• A risk assessment based on the client's behavioural, mood, or psychiatric problems, and family involvement

Such a role involves an on-call element, with the case manager being available for support and guidance when required, and should a particular difficulty arise. The case manager should apply his/her mind generally to finding suitable activities, courses, and so on for the person being case-managed.

The case manager is supervised, and there are regular case reviews in-house. The case manager uses a system of record-keeping and goal setting. Monthly progress reports are provided.

What do you do now?
If you have a client who you consider may benefit from our services please contact us.