@article{ref1,
title="Team-based rehabilitation after mild traumatic brain injury - description of the clinical pathway",
journal="Brain injury",
year="2024",
author="Mills, Simon J. and Halstead, Hannah and Howie, Joanne and Hutchins, Selena and Forte, Leah and Unsworth, David and Walters, Terri and Jelbart, Miranda and Dodd, Beverley and van den Berg, Maayken and Killington, Maggie",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: Describe clinical practice, inter-disciplinary clinical pathway and core principles of care within a mild traumatic brain injury (mTBI) rehabilitation team. <br><br>METHODS: An observational study examined inter-disciplinary practice, nested within an observational trial investigating team-based mTBI rehabilitation. Data were collected to describe clinical service over 12 months. Activity data quantified clinical sessions per participant, mode of service delivery and content of sessions using custom-designed codes. The clinical team gathered narrative data to confirm the inter-disciplinary clinical pathway and individual discipline practice. <br><br>RESULTS: 168 participants entered the rehabilitation program during the 12 months. A single Allied Health Screening Assessment identified patient priorities. Occupational Therapy (OT) and Physiotherapy (PT) provided the majority of clinical sessions; the team also comprised Social Work, Rehabilitation Medicine, Speech Pathology and Clinical Psychology. Telehealth was the most common service delivery mode (54%). Median session numbers per participant ranged 1-4 for all disciplines; mean/maximum occasions of service were highest for PT (6.9/44) and OT (6.8/39). <br><br>CONCLUSION: A small proportion of participants received much higher number of sessions, consistent with intractable issues after mTBI. High attendance rates indicate the predominantly telehealth-delivered model was feasible. The clinical approach included early prioritizing of discipline input and follow-up after discharge.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2024.2347570",
url="http://dx.doi.org/10.1080/02699052.2024.2347570"
}