SPECIAL Symposia

SPECIAL SYMPOSIUM: Development of a Chronic Care Model for Individuals With Traumatic Brain Injury

Presenter(s)

• 

  Angelle M. Sander, PhD, FACRM

  Professor
  Baylor College of Medicine
  Houston, Texas, United States

  Slides
• 

  John D. Corrigan, PhD

  Professor
  Ohio State University, Department of Physical Medicine and Rehabilitation
  Columbus, Ohio, United States

  Slides
• 

  Flora M. Hammond, M.D.

  Professor and Chair
  Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine
  Indianapolis, Indiana, United States

  Slides
• 

  Kurt Kroenke, MD

  Professor of Medicine
  Indiana University School of Medicine
  Greenwood, Indiana, United States

Moderator(s)

• 

  Wendy Waldman, BSW

  Brain Injury Continuum Outreach Manager
  Rehabilitation Hospital of Indiana
  Indianapolis, Indiana, United States

Chronic brain injury is associated with specific neurologic, medical and psychological conditions that may decrease function, relationship quality, employment, quality of life, and life expectancy. Brain injury can evolve into a chronic condition that requires proactive management and surveillance to optimize outcomes for those living with the effects of Traumatic brain injury (TBI). Thus, people with chronic brain injury have a lifelong need for medical and community-based support to identify, treat, and prevent primary and secondary consequences. Unfortunately, this is not currently the standard of care experienced after brain injury. The majority of medical care for brain injury is rendered in the first weeks or months after injury, with care, support, and other resources dwindling over time. The 2013 Galveston Brain Injury developed a clear vision for the management of brain injury as a chronic condition: “Brain injury will be identified and proactively managed as a life-long chronic disease that will result in improvements in longevity, level of disability, expense to society, and quality of life. This will be achieved through modification of our medical and psychosocial health care delivery systems, health care education curricula, research agenda, and legislative/health care policy.”   To address this vision, a self-directed chronic care model is being developed: The BeHEALTHY Model. This presentation will provide researchers and clinicians with information on the evidence base for chronic care and self-management in populations with relevance for TBI, as well as on the clinical guidelines for management of TBI-related difficulties. The presentation will also describe a preliminary innovative and person-centered chronic disease model for people with TBI with the opportunity for input to refine the model.

Learning Objectives:

• Describe the evidence base regarding guidelines for clinical management of TBI
• Describe three lessons from the evidence base for collaborative and chronic care models with other chronic disease populations that can be applied to individuals with TBI
• Describe three lessons from the evidence base on effectiveness of self-management intervention with other chronic disease populations that can be applied to individuals with TBI
• Describe the components of a model for chronic care of individuals with TBI