Article

PURPOSE: To report on the case manager's activity in a hospital setting as a
supporting professional for families that need to deal with different services
and professionals to get answers on their health and psychosocial needs. METHOD:
A qualitative analysis and interpretation based on the case manager observations
and ICF checklist evaluation with medical and rehabilitation professionals were
employed. RESULTS: The case study presented aimed to show one of the most typical
interventions of the case manager: the creation of a network around a person with
complex and multifaceted needs, where this network does not exist. Case manager
bridged the gap between health and social services, specifically organising
home-based rehabilitation and helping to find appropriate assistive devices.
CONCLUSIONS: This case study showed that the case manager's role is fundamental
to support patients and their families in relating to the different services and
professionals they need, and illustrated one of the most typical interventions of
the case manager: the creation of a network around a person with complex and
multifaceted needs, where this network does not exist.

Langue : ANGLAIS