Journal
SOCIAL WORK IN HEALTH CARE
Volume 57, Issue 2, Pages 95-108Publisher
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/00981389.2017.1401027
Keywords
Case management; care transitions; patient-centered; randomized controlled trial; stroke
Categories
Funding
- Patient-Centered Outcomes Research Institute [IHS-1310-07420-01]
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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.
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