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A case manager reviewing a client's care plan

Services · In Toronto (GTA)

Case
Management.

A case manager reviewing a client's care plan

01

Coordinating your care.

Case Management (CM) for Acquired Brain Injury (ABI) is a collaborative process of assessing, planning, implementing, and coordinating services to meet an individual's health, well-being, and occupational needs. It involves a case manager acting as a central point of contact to help you and your family navigate the complex healthcare system, access necessary resources, and develop a tailored care plan.

Picture a Bicycle Wheel with the many Spokes emanating from the center outward. As Case Manager, I communicate with you and each party — Doctor, Specialists, Rehab Team Therapists, Insurer, Lawyer, Family Members, Pharmacist, Transportation Company, Gym, and other community professionals.

Assessment Planning Coordination Advocacy

02

Key functions of case management.

Assessment
Evaluating your specific needs — cognitive, physical, emotional, social, and vocational challenges resulting from the brain injury.
Planning
Working with you and your family to create a customized, long-term care plan that addresses present and future needs.
Coordination
Organizing services and communication among multiple professionals to ensure a seamless continuum of care.
Implementation
Putting the care plan into action, from direct support and information to intensive coordination of specialist care.
Monitoring & Evaluation
Continuously reviewing and updating the care plan as needs change over time, potentially for many years.
Support for Families
Helping families navigate the challenges of caring for a loved one with an ABI, including resources for their own well-being.

03

Principles & characteristics.

Person-Centered
The care plan is built around the individual's specific needs, strengths, and goals.
Stepped Care
The level of support can be adjusted over time, starting with the least complex care and increasing in intensity as needed.
Long-Term Support
Case managers can work with individuals for their entire lives, providing support during periods of transition.
Expertise
A background in health or social care, with specialist knowledge about brain injuries and local services.
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