Upload
others
View
1
Download
0
Embed Size (px)
Citation preview
Complex Cases: A shift in thinking
Kay Clark and Janet McPherson
• What is it?• Roles and expectations• Different rehab phases and how they
interact• Case studies• Putting it all together• Your thoughts or questions
• DVA• Catastrophic injuries• CTP• Tail claims - 10% of all claims are over 52
weeks duration*
*Australian Worker's Compensation Statistics 2011-2012: Safe Work Australia
Where do we find complex cases?
• Co-morbid conditions• Mental health condition/s• Treatment non-compliance • Drugs and/or alcohol • Previous rehab ‘failures’• Relationship difficulties• Financial strain• Compensation issues
What is a complex case?
Role of the case manager in complex cases
• Holistic assessment• Educate • Advocate• Liaison/communication• Develop trusting relationship with client:
create positive experiences• A co-facilitator of solutions not a ‘problem
fixer’• Manage expectations
• Explain RTW process and roles
• Early intervention
• Start rehab without a fitness for work
• Change your perspective about timeframes
• Small gains at a time
• A worker can move through various rehab phases at
any point in time
Managing Expectations
Phases of Rehab
• Treatment access• Multi-disciplinary and collaborative approach• Education• Appropriate treatment• Establish capacity
Medical Management
Psychosocial RehabilitationDefinition:• Psychosocial rehabilitation promotes personal recovery,
successful community integration and satisfactory quality of life for persons who have a health concern.
• Findings from research indicate that psychosocial factors are one of the main predictors of successful rehabilitation outcomes.
• World Health Organisation, 2001. International Classification of Functioning, Disability and Health.
• Worksafe Victoria, 2012. Clinical framework for the delivery of health care.
What does Psychosocial Rehab look like?
Community Engagement Support Activities
Training Volunteering
Sarah* (name changed)and Tiger *(name not changed)
Graded RTW
Work trials
Job seeking activity
RPLRetraining
Vocational assessment vs
Vocational counselling
• Facilitate relationships • Clear expectations vs flexibility
Vocational Rehabilitation
L5-S1 Disc Degeneration
Peter*
PTSD
Major Depressive Disorder
Alcohol Abuse
Right Biceps Tendon Repair
Sinus injury
Tinnitus
Bilateral Carpal Tunnel Syndrome
Bursitis Left Shoulder with impingement
Left Supraspinatus tendinopathy with impingement
*Peter: Name used with permission
Neck InjuriesConcussion
May 2015Medically
discharged from the
army.
June 2015
Commenced psychosocial
rehabilitation –Certificate III in
Dog TrainingOctober 2015
Underwent detox
January 2016Commenced
work trial
April 2016Long term
vocational goal identified –
Asbestos removal
Peter
Peter 2016
PTSD
Behavioural issues
Plantar fasciitis
Sensorineural hearing loss
Tinnitus
Lives in rural area
Frostbite – left and right feet
Cervical spondylosis with chronic headache
Indigenous
*Ben: Name has been changed
Ben
Putting it all together• Rapport is vital to a successful RTW program• A holistic and collaborative approach with all parties will assist• Re-evaluate and review on a regular basis• Manage expectations• Think outside of the box
Your thoughts or questions
Janet McPherson, BSc (Psych), B.App.Sci (OT) Hons
Kay Clark, (BOccThy)
Thank you
NEW SOUTH WALESHEAD OFFICE -SYDNEYSuite W3B5 Building 2 Sydney Corporate Park 75 O’Riordan StAlexandria NSW 2015
AUSTRALIAN CAPITAL TERRITORYCANBERRA12 Albany St,Canberra ACT 2609
SOUTH AUSTRALIAADELAIDE311 / 147 Pirie StAdelaide SA 5000
SUNSHINE COASTSuite 1.08, 90 Goodchap StNoosaville Qld 4566
QUEENSLANDBRISBANEUnit 2,107 Latrobe Terrace,Paddington QLD 4064
1300 856 440 [email protected]
www.workrehab.com.au