Abstract
BackgroundThe use of the biopsychosocial model of health and case management for effective vocational rehabilitation (VR) has been confirmed for many health conditions. While Case and Condition Managers (CCMPs) use this approach in their everyday work, little is known about their views on training needs. A review of the training curriculum for General Practitioners’ (GPs) revealed little training in VR and the biopsychosocial model of care. This study aims to identify Case and Condition Managers and GPs perceptions of their training needs in relation to employability and VR.Methods80 Case and Condition Managers and 304 GPs working in NHS Lanarkshire, providing a comparison group, were invited to participate in this study. A self-completion questionnaire was developed and circulated for online completion with a second round of hardcopy questionnaires distributed.ResultsIn total 45 responses were obtained from CCMPs, 5 from occupational health nurses (62% response rate) and 60 from GPs (20% response rate). CCMPs and the nursing group expressed a need for training but to a lesser extent than GP’s. The GP responses demonstrated a need for high levels of training in case/condition management, the biopsychosocial model, legal and ethical issues associated with employment and VR, and management training.ConclusionsThis survey confirms a need for further training of CCMPs and that respondent GPs in one health board are not fully equipped to deal with patients employability and vocational needs. GPs also reported a lack of understanding about the role of Case and Condition managers. Training for these professional groups and others involved in multidisciplinary VR could improve competencies and mutual understanding among those advising patients on return-to-work.
Highlights
The use of the biopsychosocial model of health and case management for effective vocational rehabilitation (VR) has been confirmed for many health conditions
All Case and Condition Management Practitioners (CCMPs), a group primarily involved in vocational rehabilitation, throughout Scotland and one group from Manchester were invited to participate in the online survey
In total 45 CCMPs participated in the online survey, and a small group (n = 5) of Occupational Health related professionals responded, utilising the online survey
Summary
The use of the biopsychosocial model of health and case management for effective vocational rehabilitation (VR) has been confirmed for many health conditions. While Case and Condition Managers (CCMPs) use this approach in their everyday work, little is known about their views on training needs. Dame Black’s report elucidated the underlying principle of such an approach as one of ‘holistic care’ including the ‘biopsychosocial model’ [6] The latter simultaneously considers the biological, psychological and social determinants that may negatively impact on health and well-being including work, as well as the links between all three factors [7]. Case Management Society UK define Case Management as: “a collaborative process which: assesses, plans, implements, co-ordinates, monitors and evaluates the options and services required to meet an individual’s health, social care, educational and employment needs, using communication and available resources to promote quality cost effective outcomes” [11]. Common barriers to rehabilitation include the priority given to other medical conditions, economic factors, coupled with a lack of top-level organisational commitment and a coordinated approach among rehabilitation providers [19]
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