Ta'eed, G and Skilbeck, CE and Slatyer, M, Which factors determine who is referred for community rehabilitation following traumatic brain injury?, Brain Impairment, 14, (2) pp. 222-234. ISSN 1443-9646 (2013) [Refereed Article]
Copyright 2013 Cambridge University Press
Primary objective: To investigate which variables predict referral for rehabilitation in the participants of the Tasmanian Neurotrauma Register (TNTR), a large (N = 1226) prospective population-based study of adult traumatic brain injury (TBI) in southern Tasmania.
Method: Over a 3-year period, only 54 TBI patients were referred by hospital or local health services for public community rehabilitation, with 121 referred by TNTR research assistants. A further 247 accessed private rehabilitation and 804 received no rehabilitation. These four groups were compared on a range of variables to identify which factors determine referral.
Results: Those referred by hospital or community services and those receiving private rehabilitation had more severe TBI (p <.001), greater disability (p <.001) and were more likely to have been hospitalised post-injury (p <.001). The TNTR-referred group reported more post-concussion symptoms (PCS; p <.001), anxiety (p <.001) and depression (p <.001). TNTR-referral was more likely (p <.001) following assault, compared with other causes of injury. Sixteen per cent of those not referred for rehabilitation had suffered moderate or severe TBI.
Conclusions: These results indicate that no recognised pathway existed for non-hospitalised TBI patients to access public rehabilitation, even if they were reporting high levels of PCS and psychological distress. Furthermore, routine follow-up to assess rehabilitation needs was not occurring in Tasmania, even for some with moderate and severe TBI.
|Item Type:||Refereed Article|
|Keywords:||TBI, rehabilitation, community, referral, population-based sample|
|Research Division:||Health Sciences|
|Research Group:||Allied health and rehabilitation science|
|Objective Group:||Provision of health and support services|
|Objective Field:||Mental health services|
|UTAS Author:||Ta'eed, G (Dr Gillian Ta'eed)|
|UTAS Author:||Skilbeck, CE (Associate Professor Clive Skilbeck)|
|UTAS Author:||Slatyer, M (Dr Mark Slatyer)|
|Web of Science® Times Cited:||3|
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