Case Management for People with Acquired Brain Injury with Complex Problems (Part 2): Process Evaluation of a One-Group Trial

Introduction: People with acquired brain injury (PwABI) and their families may face psychosocial problems and unmet needs. We assessed the feasibility of Case Management (CM) for PWABI in the Netherlands which aims to facilitate access to and integration of health care and social services for people with complex problems.

Methods: We evaluated if CM was delivered according to plan, if participants and case managers (CMrs) were satisfied with CM, and which factors affected implementation. Data were collected using evaluation forms, logs and minutes, and interviews.

Results: Twenty-eight PwABI, 13 caregivers, 17 CMr and all 3 project leaders participated. CM key elements were applied. PwABI and their caregivers generally expressed satisfaction with CM, though for some it did not meet expectations. CMrs valued the continuous involvement and the ability to support family. Facilitators were CMr working independent from existing care services and the diversity in expertise in the CMr teams. Barriers were imposed when a region offers medical stroke care but no integrated long-term services after brain injury.

Discussion: It is important to ensure clear communication with PwABI and their family regarding the roles of CMr, as well as managing and aligning expectations.

Conclusion: CM after ABI is feasible and warrants further research.