Examples of our case management in practice

Parenthood

Paul is a 28 year old man who sustained severe brain injury aged 17 as a result of a road traffic accident. After a period of residential rehabilitation it was clear that due to significant cognitive and behavioural difficulties he would need a full package of support. His case manager implemented and co-ordinated a team providing 24 hour support to Paul for many years.

In 2007 Paul met his partner Sarah and they had a daughter shortly after. Due to Paul’s severe brain injury it was understood by all those working with him that he was unable to parent his daughter independently – something he was desperate to do.

Paul's team of professionals worked hard to find a way in which Paul could do this and after much discussion, Paul and Sarah agreed to work with Paul's case manager and their daughter’s health visitor, under a ‘Team Around the Child’ (TAC*) approach. An assessment was undertaken under the Common Assessment Framework (CAF*) to ensure that their daughter’s needs were met and a plan was devised to enable Paul to spend time with his daughter without his partner always being present to enable him build and develop his relationship with her.

Outcome: The CAF approach was successful and has empowered Paul to develop a strong bond with his daughter whilst safeguarding her. Without this approach he may not have been able to do this without significant risk of harm.

*For more information about TAC and CAF please refer to: Co-ordinating and delivering integrated services for children and young people – A guide for Managers, 2009

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University

Jane, 21, moved to a new city to attend university. Jane sustained an acquired brain injury 8 months earlier and as a result had impairments in memory, initiation, organisation, planning and insight.

Year 1 – first attempt

Case manager role: To support and monitor Jane; orienteering her to the new environment.

Jane could not plan and organise at the required level; she couldn’t access the computer network, wasn’t going to the library/lectures etc. Her JSP case manager visited Jane weekly and tried to provide practical solutions. Jane had no insight into her difficulties or what was expected of her academically. Jane failed her first year.

Plans were made for Jane to re take the year with support in place. Her case manager recruited a PA to support Jane and work alongside an occupational therapy community-based rehabilitation programme.

Year 1 – second attempt

Jane’s case manager continued to coordinate all the services that Jane required: organising a note-taker; accessing Student Wellbeing Services; advocating for extensions to coursework deadlines and a special environment for exams.

Jane’s occupational therapist prepared a maintenance manual outlining effective strategies both for Jane and her PA to use.

Outcome: With the structured framework of support and rehabilitation in place, Jane successfully completed the first year of her course.