Manager, Acquired Brain Injury Transitional Rehabiltiation Service (ABI TRS) – Division of Rehabilitation, Metro South Health
Areti has worked extensively in ABI community rehabilitation, with a keen interest in peer involvement in service design and delivery, and the role of self-management in community ABI rehabilitation. She is currently manager of the newly-established Acquired Brain Injury Transitional Rehabilitation Service (ABI TRS) at PA Hospital. Areti is interested in undertaking collaborative research to investigate the context and activity of ABI rehabilitation services in the immediate post- hospital discharge period, which has been identified as a critical phase in recovery and rehabilitation after Acquired Brain Injury (ABI), during which individuals and their families begin adjusting and adapting to living with the impact of ABI in the home and community environments.
Responding to a transitional care gap: First year outcomes of the Acquired Brain Injury Transitional Rehabilitation Service (ABITRS) Pilot Project
The ABITRS is a 5-year pilot program aiming to facilitate earlier discharge from hospital and improve community reintegration for persons with ABI and their families.Rationale: To determine the impact of ABITRS on community re-integration, a service evaluation is in progress. This study presents outcomes from the first year (2017–2018).Method: Persons with ABI (n=68) completed the 3-month ABITRS community-based program, involving allied health service visitation 3-4 d/wk. Self or practitioner-rated questionnaires were completed at 0 (baseline) and 3mths, and compared to a quasi-control (CON) where no transition service existed. Data were analysed using linear mixed models in a Bayesian framework. Qualitative interviews were conducted with key stakeholders to explore the impact of the new service on existing services.Results: Baseline ratings in all outcomes measures were statistically worse at baseline compared to CON. There were statistical improvements in measures of global function (MPAI-4) and psychological wellbeing (DASS-21) compared to CON. Psychosocial function (SPRS-2) was statistically improved at 3 months compared to baseline. Qualitative data indicates ABITRS provides a valued service to an under-served client group.Conclusion: ABITRS clients demonstrated statistically improved/matched outcomes at 3mths compared to the quasi-control. ABITRS clients generally exhibit superior outcomes following program completion.