CNS Case Management
Patient-Centered Care for Lifelong Independence
No two brain injuries are alike. At Centre for Neuro Skills® (CNS), case managers see each patient as unique, and develop an individualized plan based on the person’s capabilities, injury, and goals.
A CNS clinical treatment team typically includes a case manager, staff therapists, the patient and his or her family, and may also involve insurers, attorneys, caregivers, and ancillary specialists, such as, neurologists, physicians, or neuro-optometrists. Before the team is formed, a preadmission evaluation determines patient needs. Recovery protocols and time frames are then set, so that all involved remain informed of the patient’s status.
CNS pioneered this multidisciplinary approach over 35 years ago, helping patients recover in real-world settings. Speaking, walking, controlling emotions and behaviors, integrating into the community, working again and returning to family life–these are some of the challenges that brain injured people face. However daunting, they can be resolved with effective case management planning.
Reinforcing Consistency, Setting Expectations
Measurable achievement is a cornerstone of each patient’s path of progress. From the outset, case managers introduce and reinforce structured routines with predictable schedules. Patients practice self care, task completion, communication and appropriate behavior, and safety precautions, with staff prompts and guidance.
“Our focus is on self sufficiency and community reintegration,” said Chris Persel, Regional Director of Clinical Services. “We want to discharge patients back into their environment and prepare them for the transition by reinforcing consistency.” Case managers support this by focusing treatment on such deficits as speech, cognitive problems, or physical limitations. At the same time, patients can progress by engaging in repetitive tasks to relearn basic living skills. These are carried out in real-life environments, such as cooking in the facility’s kitchen during actual meal times.
The CNS Residential Rehabilitation program is another opportunity for case managers to arrange skill building in a setting that mirrors reality. Patients live in CNS homes and apartments which replicate domestic life and responsibilities such as cleaning, doing laundry, and observing safe practices.
Advocates for Quality Care
Case managers are passionate about providing the best patient care possible. From admission to discharge, they partner with worker’s compensation insurers, HMOs, a variety of payors, and the legal and mental health systems to secure adequate coverage.
They also work with consulting physicians to secure specialized care that patients require. Case managers often interface with these professionals to monitor, manage, and review medical protocols. They will also accompany patients on medical appointments to ensure that instructions and feedback are conveyed to the patient’s family and CNS team.
Research Translates into Clinical Practice
Since its inception, CNS has conducted brain injury research on effective treatment and positive outcomes. These findings are often instituted as best practices and case management guidelines at CNS facilities. Articles written by staff researchers, neuroscientists, and CNS founder and CEO, Dr. Mark J. Ashley, have appeared in numerous scientific and academic journals.
An in-house research entity, CNS-CREF (Clinical Research and Educational Foundation) has published articles on outcome prediction after brain injury and use of visual images of the brain to better educate the public. Its independent research examines a broad spectrum of scientific discovery related to neuroscience, brain trauma, and rehabilitation.
Instilling Hope, Inspiring Change
Comprehensive case management is crucial for a successful recovery. CNS offers a proven method of evidence-based care that emphasizes independence and re-integration. Case managers inspire patients to live with dignity and achieve their own level of accomplishment, so they may return to the normal rhythm of living.