Module 7: Case Management Brain Injury Rehabilitation


1. Orientation checklist

2. Case Management Process  

  1. Engagement                                   
  2. Assessment
  3. Goal setting and planning
  4. Implementation
  5. Monitoring and review
  6. Outcomes and evaluation

3. Case Management Principles

  1. Needs-driven
  2. Goal-directed
  3. Community-based
  4. Participation-focused
  5. Involves family

4. Primary components / activities

  1. Assessment
  2. Goal setting and support planning
  3. Referral and liaison
  4. Monitoring and reviewing
  5. Individual client work
  6. Advocacy
  7. Coordination
  8. Support of family and social networks
  9. Education
  10. Community and service development

5. Factors influencing BIRP Case management

  1. BIRP activity and case management
  2. The consequences of TBI for the person with the TBI
  3. The impact on families and the carer experience
  4. Geographical factors
  5. Workload factors
  6. Funding

6. Common BIRCM - Case Managers experiences

  1. Being a BIRCM: How do I make sense of what I do?
  2. Being a BIRCM in a rural area
  3. Being a BIRCM with split roles
  4. Being a BIRCM:  My moral dilemmas
  5. Being a BIRCM:  Recognising and responding to my biases
  6. How do I know I am doing a good job as a brain injury rehabilitation case manager?
  7. How do I learn from the successes and mistakes of the year
  8. What are the dilemmas and solutions in being part of a team
  9. How can my professional development make me a better case manager

7. Common BIRCM challenges

  1. Motivating unmotivated people.
  2. When the person, family and clinicians are pulling in different directions
  3. Ensuring service systems are responsive to individual and family needs
  4. Staying focussed on what actually needs work
  5. When people and families are untruthful
  6. Pulled to cross boundaries (professional boundaries/friendship, team, role, etc.).
  7. Working with external services, especially mental health, drug and alcohol, domestic violence and child protection services,
  8. Aboriginal and Multi‐cultural challenges: What have you found? What worked?
  9. Clients who don’t engage: are there benefits in not getting better? What else could it be?

8. Hypotheticals (what would you do?)  

9. Useful tools

10. Knowledge, competencies and skills