Table 1.

SW/CM taxonomy of interventions and sub-interventions

Discharge planning and servicesHomeHome accessibilityBarriers to dischargeNursing home/long-term acute careAssisted livingReferring facilityTransitional living facilityAlternative living environmentHome healthPersonal care servicesOutpatient therapyDay rehabilitation programAdult day careSubstance abuse programMedical follow-upDurable medical equipment (DME)Supplies/meds	Community/in-house servicesWaiver programLifelinesCrime victims assistanceVocationalDepartment of agingCorrespondenceChaplainLegal aide/legal servicesTransportationHousingService recovery/care coordinationOther services
Financial planningSupplemental Security Insurance (SSI)Social Security Disability Insurance (SSDI)FundraisingTrust fund/facility fundsMedicare/MedicaidInsuranceAlternative benefits/funding/self-payWorkers compensation	Supportive counselingPhysical/psychological abuseAlcohol/substance abuseCultural considerationsCoping/adjustmentKnowledge of injuryMedical comorbiditiesSexuality
Peer/advocacy provide information and initiate referralNational organizationsSupport groupsIndependent living centers	EducationSCI written materialsAdvance directivesCommunity re-entryGuardianship
Team and patient/family conferencesMedicalGoal settingDischargeBehaviorLegalOther