Improving stroke transitions: Development and implementation of a social work case management intervention. (7th February 2018)

• Record Type: Journal Article
• Authors: Hughes, Anne K.; Woodward, Amanda T.; Fritz, Michele C.; Reeves, Mathew J.
• Is Part Of: Social work in health care. Volume 57:Number 2(2018)
• Page Start: 95
• Page End: 108
• Publication Date: 2018-02-07
• Subjects: Case management -- care transitions -- patient-centered -- randomized controlled trial -- stroke; Medical social work -- Periodicals; 362.10425
• DOI: 10.1080/00981389.2017.1401027
• Languages: English
• ISSNs: 0098-1389

Abstract

ABSTRACT: Strokes impact over 800, 000 people every year. Stroke care typically begins with inpatient care and then continues across an array of healthcare settings. These transitions are difficult for patients and caregivers, with psychosocial needs going unmet. Our team developed a case management intervention for acute stroke patients and their caregivers aimed at improving stroke transitions. The intervention focusses on four aspects of a successful care transition: support, preparedness, identifying and addressing unmet needs, and stroke education. This paper describes the development and implementation of this program, and is an example of the synergy created between neuroscience and clinical practice.