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Service utilisation in a public post-acute rehabilitation unit following traumatic brain injury

Citation

Ta'eed, G and Skilbeck, C and Slatyer, M, Service utilisation in a public post-acute rehabilitation unit following traumatic brain injury, Neuropsychological Rehabilitation, 25, (6) pp. 841-863. ISSN 0960-2011 (2015) [Refereed Article]

Copyright Statement

Copyright 2014 Taylor & Francis

DOI: doi:10.1080/09602011.2014.990043

Abstract

Traumatic brain injury (TBI) causes disability in a proportion of survivors across the spectrum of injury severity. Previous research suggests physical changes are the primary focus of rehabilitation, although cognitive, emotional and behavioural difficulties cause greater concern in the long-term. There is little information about services accessed by those with mild injuries, who often have no physical disabilities. This study investigated factors determining service utilisation in a population-based sample which included 52% mild injuries (PTA ≤ 24 hours). Chi-squares and t-tests were used to examine the impact of demographic, clinical, psychological and physical variables on referral of 175 TBI patients to clinical disciplines in a public, community-based rehabilitation facility in Hobart, Tasmania. Increased service intensity (total disciplines referred to), was associated with greater injury severity (p = .006) and previous TBI (p = .041). Less traditional rehabilitation services (nursing, psychology) received more referrals than traditional disciplines (physiotherapy, occupational therapy, social work). Referral to physiotherapy and occupational therapy was associated with greater injury severity, functional dependence, hospitalisation and older age. Referral to nursing, psychology and social work was associated with more post-concussion symptoms, younger age, anxiety, depression and assault-related injury. The large number of referrals to psychology strengthens the case for including it as a core rehabilitation discipline.

Item Details

Item Type:Refereed Article
Keywords:clinical disciplines, community, rehabilitation, service utilisation, TBI
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Rehabilitation and Therapy (excl. Physiotherapy)
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Mental Health
Author:Ta'eed, G (Dr Gillian Ta'eed)
Author:Skilbeck, C (Associate Professor Clive Skilbeck)
ID Code:106033
Year Published:2015
Deposited By:Psychology
Deposited On:2016-01-25
Last Modified:2016-07-29
Downloads:0

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