Constantly focused on our patients’ success, the CNS case management approach was designed to maximize treatment effect from admission to discharge. Each patient’s treatment team is a multidisciplinary group that fine tunes rehabilitation as patients advance. Therapists update each other on patient status in regular meetings so that key changes in every aspect of treatment is shared and, if need be, modified. Challenges addressed include:
- Activities of daily living
- Return to work potential and preparation prior to discharge
- Return to driving
- Preparation for returning home and family after rehabilitation
- Specialized care needed, including:
- Neuro vision services
- Medical assessment and referrals
- Substance misuse counseling
The team discusses these issues with the family or caregiver to ensure all are in agreement with next steps. As the patient’s plan evolves, their sphere of support is informed. Attorneys, insurers, conservators, and care givers are all apprised of patient status, treatment changes, and issues that arise and require consensus. Rather than offer a one size fits all program, CNS ensures that care is specifically designed for each person.
A CNS team typically includes a case manager, therapists, the patient and his or her family, and may also involve ancillary specialists such as neurologists or physicians. CNS pioneered this collaborative approach over 38 years ago.
From the outset, case managers introduce and reinforce structured routines with predictable schedules. Patients practice self-care, task completion, and safety precautions with staff prompts and guidance. Our focus is on self-sufficiency and community reintegration and our goal is 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, physical limitations, and emotional adjustment.
Advocates for Quality Care
CNS partners with worker’s compensation insurers, HMOs, and the legal and mental health systems to secure adequate coverage. Case managers often interface with a host of professionals to monitor, manage, and review medical protocols. They also accompany patients on appointments to ensure that instructions and feedback are conveyed to the patient’s family.
Comprehensive case management is crucial for a successful recovery. CNS offers a proven method of evidence-based care that emphasizes independence and reintegration. 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.