• Flora M Hammond, Julie Gassaway, Nichola Abeyta, Erma S Freeman, Donna Primack, Scott E D Kreider, and Gale Whiteneck.
• Carolinas Rehabilitation, Charlotte, NC, USA.
• J Spinal Cord Med. 2012 Nov 1; 35 (6): 611-23.

ObjectiveTo investigate associations of social work/case management (SW/CM) services during inpatient rehabilitation following spinal cord injury (SCI) and patient characteristics with outcomes.DesignProspective observational cohort of individuals with SCI receiving inpatient rehabilitation.SettingSix inpatient rehabilitation centers.Participants1032 individuals with traumatic SCI.InterventionsNot applicable.Main Outcome Measure(S)Type of residence at the time of rehabilitation discharge. Employment/school status, presence of a pressure ulcer, Patient History Questionnaire, Satisfaction with Life Scale, Craig Handicap Assessment and Reporting Technique (CHART) subscales, and rehospitalization at 1-year post-injury.ResultsThe intensity of specific SW/CM services is associated with multiple outcomes examined. More sessions dedicated to discharge planning for a home discharge and financial planning were associated positively with more discharge to home, while more sessions focused on planning for discharge to a location other than home, e.g. nursing home or long-term acute care facilities, have negative associations with societal participation outcomes (CHART Social Integration, Occupation, and Mobility scores) as well as with residing at home at the time of the 1-year injury anniversary.Conclusion(S)The intensity and type of SW/CM services are associated with outcomes at rehabilitation discharge and at 1-year post-injury. Discharge to home may require assistance from SW/CM in the area of discharge planning and financial planning, while discharge to non-home residence demands directed SW/CM services for such placement. Note: This is the eighth of nine articles of this SCIRehab series.

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