TY  - BOOK
AU  - Groah, Suzanne L
AU  - Libin, Alexander V
AU  - Ljungberg, Inger H
AU  - Silver, Jeremy
TI  - Barriers for individuals with spinal cord injury returning to the community: a preliminary classification
PY  - 2012///
KW  - *Activities of Daily Living
KW  - *Delivery of Health Care/st [Standards]
KW  - *Health Services/st [Standards]
KW  - *Hospitalization
KW  - *Patient Discharge
KW  - *Residence Characteristics
KW  - *Spinal Cord Injuries/rh [Rehabilitation]
KW  - Adolescent
KW  - Adult
KW  - Aged
KW  - Aged, 80 and over
KW  - Environment Design
KW  - Equipment and Supplies
KW  - Female
KW  - Home Care Services
KW  - Humans
KW  - Insurance
KW  - Male
KW  - Middle Aged
KW  - Mobility Limitation
KW  - Nursing Homes
KW  - Pilot Projects
KW  - Young Adult
KW  - MedStar National Rehabilitation Network
KW  - MedStar Washington Hospital Center
KW  - Physical Medicine and Rehabilitation
KW  - Journal Article
KW  - Randomized Controlled Trial
KW  - Research Support, N.I.H., Extramural
KW  - Research Support, Non-U.S. Gov't
KW  - Research Support, U.S. Gov't, Non-P.H.S
N2  - BACKGROUND: With decreased length of stay for inpatient rehabilitation, individuals with newly acquired spinal cord injury (SCI) might be discharged back into the community without the level of knowledge and functional skills necessary to live successfully post injury. This research studied the course of recovery and outcomes after the delivery of a coordinated inpatient rehabilitation system of care for individuals with SCI; CONCLUSION: Our findings provide a preliminary classification of the barriers newly injured persons with SCI encounter during the post-acute period. Copyright  2012 Elsevier Inc. All rights reserved; METHODS: This 1-year study is the qualitative arm of a randomized controlled pilot study. Twenty-six people with SCI participated (mean age 40.6 years, 81% male and 54% tetraplegic). Self-reported data were collected during the first year post discharge from inpatient rehabilitation; OBJECTIVE: Individuals with newly acquired SCI face numerous barriers during reintegration into the community. The purpose of this article is to identify and develop a preliminary classification of barriers to community reintegration that persons with SCI experience during the post-acute period; RESULTS: The three most common categories of self-reported barriers were mobility and equipment issues (23%), lack of environmental, and home assistance (20%), and insurance issues (18%). The two most common specific barriers were lack of insurance coverage (6.5% of all reported barriers) and residing in a nursing home (5.4%)
UR  - http://dx.doi.org/10.1016/j.dhjo.2012.03.005
ER  -