alexa A Clinical Perspective on the Need for Psychosocial Care Guidelines in Spinal Cord Injury Rehabilitation
ISSN: 2329-9096

International Journal of Physical Medicine & Rehabilitation
Open Access

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Research Article

A Clinical Perspective on the Need for Psychosocial Care Guidelines in Spinal Cord Injury Rehabilitation

James Middleton1,2*, Kathryn Nicholson Perry3,4 and Ashley Craig1

1Rehabilitation Studies Unit, Sydney Medical School-Northern, Kolling Institute, The University of Sydney, NSW, Australia

2State Spinal Cord Injury Service, NSW Agency for Clinical Innovation, Sydney, NSW, Australia

3Australian College of Applied Psychology, Sydney, NSW, Australia

4School of Social Sciences and Psychology, University of Western Sydney, NSW, Australia

*Corresponding Author:
Associate Professor James Middleton
Rehabilitation Studies Unit
Sydney Medical School-Northern
Kolling Institute of Medical Research
The University of Sydney, corner Reserve Road and First Avenue
Royal North Shore Hospital, St Leonards, NSW, Australia
Tel: +61299264938
Fax:+61299264045
Email: [email protected]

Received Date: July 21,2014; Accepted Date: August 29,2014; Published Date: September 03, 2014

Citation: Middleton J, Perry KN, Craig A (2014) A Clinical Perspective on the Need for Psychosocial Care Guidelines in Spinal Cord Injury Rehabilitation. Int J Phys Med Rehabil 2:226. doi: 10.4172/2329-9096.1000226

Copyright: © 2014 Middleton J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Objective: Spinal cord injury (SCI) is a catastrophic physical injury presenting substantial obstacles to adjustment in the long-term, often being associated with additional challenges, including traumatic brain injury, frequent hospitalization, substance abuse, co-morbid psychiatric conditions, chronic pain and fatigue, social discrimination and poor employment prospects. Methods: In an effort to improve rehabilitation and outcomes for people with SCI in the state of NSW, Australia, psychosocial guidelines have been developed to provide direction for enhanced service delivery, staff training and care processes. A major goal was to ensure persons with SCI would receive comprehensive psychosocial care, arguably leading to improved quality of life and functionality in daily living. It is believed that implementation of psychosocial recommendations into care settings will improve decision-making concerning assessment, treatment, referral and living arrangements by rehabilitation health professionals (such as physicians, psychologists, social workers, occupational and physical therapists, rehabilitation counselors and nurses). A secondary goal was to provide guidelines that would promote improved understanding of the psychosocial needs of people with SCI in legislators, policy-makers and other stakeholders within the health and social care environments. Conclusion: This paper provides details of the developed guidelines, discussing implications for their application in rehabilitation practice within the hospital inpatient setting, as well as the significance for research directions into psychosocial aspects of SCI rehabilitation.

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