Table 7.
Outcome Variable | Association with Mechanism (CM Actions and Intensity) |
---|---|
Progress on the Pathway (progress along the recovery pathway from Recovery to Participation to Maintaining) |
All participants considered to be in the Maintaining phase in Year 10 had a case manager involved, be it ongoing or intermittent. The most frequent CM action was proactive coordination (notably not coordination). This suggests a dependency of the participant on the CM. |
Recovery phase | CM education, training, and skill development, advising in Recovery phase were associated with the target of the participant’s goals |
Participation phase | CM intensity in year 5 was associated with the Participation phase. In the Participation phase there was high frequency of all CM actions with the most common CM action was proactive coordination. Holistic assessment action was associated with the participant being in the Participation phase. Proactive coordination was associated with goal rating in the Participation phase. |
Maintaining health and wellbeing phase | There was an association with CM costs and goal rating, if the participant had reached the Maintaining life phase by year 5. This suggests that the involvement of the case manager is associated with the participant moving further along the recovery pathway within 5 years post injury. |
For participants with SCI, most were in Maintaining phase by Year 5, with associations of all Person-centred CM actions and the plan period. However, only 6 of the 18 participants in the Maintaining phase were working, none were studying (including work preparation and voluntary work). Less than half had therefore established their occupational focus. By Year 10, there were no additional participants employed and only one additional participant had retired, and one was studying. | |
CM action advising and coordination were associated with the Maintaining phase |