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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
Pediatric Concussion: Managing Persistent Symptoms With an Interdisciplinary Approach.
Shannon E Scratch1, Peter Rumney, Sabrina Agnihotri
1Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada (Drs Scratch, Rumney, Agnihotri, and Reed); and Department of Paediatrics (Dr Scratch), Rehabilitation Sciences Institute (Drs Scratch and Reed); Department of Psychiatry (Dr Agnihotri), and Occupational Science and Occupational Therapy (Dr Reed), University of Toronto, Canada.
This clinic helps youth with persistent concussion symptoms by offering an interdisciplinary team approach. The model provides consistent treatment plans for complex cases, improving care for this underserved population.
Area of Science:
- Pediatric Rehabilitation
- Neuroscience
- Clinical Psychology
Background:
- Persistent concussion symptoms significantly impact youth, leading to complex psychosocial, cognitive, and physical challenges.
- Limited access to specialized interdisciplinary care exists for youth experiencing prolonged post-concussion symptoms.
- Existing healthcare models often struggle to address the multifaceted needs of this patient group.
Purpose of the Study:
- To outline the development and operational model of a specialized clinic for youth with persistent concussion symptoms.
- To describe the clinic's interdisciplinary team assessment pathway, designed with client and family input.
- To provide a framework for establishing similar clinics and improving care for underserved populations.
Main Methods:
- Development of a novel interdisciplinary team assessment pathway.
- Direct collaboration with youth clients, caregivers, and family members.
- Description of client referral characteristics, clinic flow, and procedures.
Main Results:
- The clinic successfully integrates interdisciplinary expertise to address complex presentations.
- A client- and family-centered approach ensures consistent treatment plans, education, and direction.
- The model facilitates comprehensive care for youth with persistent concussion symptoms.
Conclusions:
- The Persistent Concussion Clinic model offers a viable solution for addressing the needs of youth with persistent concussion symptoms.
- The clinic's practices can inform the development of clinical care pathways nationally and internationally.
- Addressing facilitators and barriers to access is crucial for expanding care for this population.
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