OUR SERVICES | Make it Work
Often when someone sustains an injury there are other factors inhibiting recovery or return to work. These may include psychosocial factors such as financial strain, family concerns or interpersonal relationships at work. Work Rehab employ a very experienced team of health professionals who work together to provide a multi-disciplinary approach to case management ensuring that the client goal is achievable and sustainable.
Case management is a term used in the field of health, rehabilitation and community services and other areas where people’s health and welfare are the primary focus and where several stakeholders are involved. It is also a term used in other fields where numerous parties are working toward a central outcome. This in itself can pose problems if the goals are not clear and transparent to all stakeholders.
Work Rehab offers clinical and occupational case management for those with complex cases and needs, with specific emphasis on the physical, medical and psychological management of the person/worker’s case. This applies often to CTP insurance claims cases or cases under the jurisdiction of the Attorney General for complex cases where a lump sum payment has been awarded to a claimant for lifelong injuries and rehabilitation assistance is required. We are also an accredited workplace rehabilitation provider so often the goal is work focussed. This is the case with Comcare and Workcover cases as well as income and life protection policies as well as CTP cases.
Clinical and Complex Case Management
Case management assumes that clients with complex and multiple needs will require a range of services and that this be achieved as seamless service delivery. Case management is based in service provision arrangements that require different responses from within organisations and across organisational boundaries. The process is seen as a boundary spanning strategy to ensure that service provision is client rather than organisationally driven (Case Management Society of Australia 2002). Although there are numerous definitions, the common theme is seen as a process for ensuring that clients are provided with whatever service/s they require in a coordinated, effective and efficient manner.” ADAHPT Case Management Model – NSW Health.
A clinical framework was established by the Health Service Group (HSG), a collaboration between the TAC (CTP insurer) and WorkSafe (Worker’s Compensation) , which builds on the strengths of each organisation to support healthcare professionals deliver the right care at the right time to individuals with a compensable injury. The information below concisely describes the purpose of the framework and the principles that Work Rehab as a provider of injury management and occupational rehabilitation services adheres to:
The Clinical Framework has been established to:
– optimise participation at home, work and in the community, and to achieve the best possible health outcomes for injured people
– inform healthcare professionals of our expectations for the management of injured people
– provide a set of guiding principles for the provision of healthcare services for injured people, healthcare professionals and decision makers
– ensure the provision of healthcare services that are goal orientated, evidence based and clinically justified
– assist in the resolution of disputes
The Clinical Framework is a set of principles for the provision of health services to injured people.
1. Measure and demonstrate the effectiveness of treatment
2. Adopt a biopsychosocial approach
3. Empower the injured person to manage their injury
4. Implement goals focused on optimising function, participation and return to work
5. Base treatment on the best available research evidence
Occupational Rehabilitation Case Management
Work Rehab is an accredited rehabilitation provider with Comcare and with relevant state agencies and therefore adopts the HWCA (Heads of Workcover Compensation Authorities) model of rehabilitation. This compliments our service delivery model for case management on other rehabilitation cases which generally have a focus on return to occupation (be it vocational or a vocational).
The HWCA Guide for Providers states:
Providers in the field of workplace rehabilitation have the qualifications, experience and expertise appropriate to provide services in accordance with the following definition based on NOHSC (1995):
Workplace rehabilitation is a managed process involving timely intervention with appropriate and adequate services based on assessed need, and which is aimed at maintaining injured or ill employees in, or returning them to, suitable employment.
Work Rehab consultants are engaged to provide specialised expertise in addition to that generally available within the employer’s and insurer’s operations. Providers are engaged for those injured workers where return to work is not straight forward. Service provision is largely delivered at the workplace by facilitating an early return to work of the worker identifying and designing suitable duties for the injured worker to assist employers to meet their obligations in providing suitable employment to injured workers identifying and coordinating rehabilitation strategies that ensure workers are able to safely perform their duties forging the link between the insurer, employer and treatment providers to ensure a focus on return to work arranging appropriate retraining and placement in alternative employment when the worker is unable to return to pre-injury duties.
Work Rehab use a service delivery model of workplace rehabilitation aimed at an early and safe return to work for injured workers.
Workplace rehabilitation is a service delivery model that involves a designated workplace rehabilitation consultant responsible and accountable for coordinating services that are designed to achieve a cost effective, safe, early and durable return to work for the injured worker. Workplace rehabilitation is delivered on a service continuum of assessment of need, planning, active implementation, review and evaluation. This requires effective communication, decision-making, financial accountability and informed purchasing of services and resources.
Activities of Daily Living assessment is the tool used to identify a person’s ability to perform daily living tasks such as cleaning, cooking, gardening and personal care.
The ADL assessment enables the Occupational Therapist to determine the level and type of assistance needed for our clients to:
- Live as independently as possible
- Prevent injury and reduce potential aggravation of an existing condition/ injury in the home,
- Assist to reduce incapacity and disability
- reducing the reliance on other more costly home help services.
Following an ADL assessment, the Occupational Therapist can make recommendations for equipment and/or home modifications where necessary.
Home assessments are conducted when clients are having difficulty managing certain functions in the home or managing with activities of daily living. The physical home environment is properly assessed for any barriers to independent living and safe performance of activities of daily living, in conjunction with information obtained regarding the client’s functional performance with or without external assistance from a care giver.
Our Occupational Therapists can recommend the use of aids/ equipment and/or assistance required to assist the client reach their rehabilitation goals. Our team also advises on any necessary modifications to the home environment if permanent/ ongoing changes are required to support independent living, where assistive equipment does not sufficiently meet client’s needs.
We provide experienced clinicians who can supply expert opinion for the courts on a person’s functional capability and employability and on performance of their Activities of Daily Living. These are provided by Vocational Assessments, Functional Capacity Evaluations and Occupational Therapy Home Assessments.
Adjustment to Injury Counselling
This is usually provided by a social worker or a rehabilitation counsellor and looks primarily at emotional/behavioural problems relating to changes in lifestyle after a work-related incident/accident. An assessment of the worker is performed to clarify the presence of possible adjustment to injury issues and set goals of therapy to optimise rehabilitation outcomes. Treatment looks at whether the worker is currently using unhelpful coping strategies such as avoidance behaviours eg not undertaking physical programs for fear they may cause more hurt/harm OR being stuck in one of the stages of grief reaction. Goals are then put in place and a plan / strategies to achieve these.