Spinal Cord Injuries

Craig, Ashley; Duff, Jane; Middleton, James

doi:10.1016/b978-0-12-818697-8.00061-3

Cited by 5 publications

(10 citation statements)

References 174 publications

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“…All inpatients to have access to specialist evidence-based psychological treatment intervention and include trauma-based intervention. [14][15][16][17][18]20,25,26,63,64,67,68,[70][71][72][73][74] Implementation of the psychometric screening measures across all parts of the pathway and for all levels and completeness of SCI/D. [14,17,18,67] Implementation of the Psychological Health and Wellbeing Matched Collaborative Care Intervention Pathway (Supplementary Table S1) across SCICs and service provision alignment.…”

Section: Admission To Scic/rehabilitationmentioning

confidence: 99%

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Psychological Screening, Standards and Spinal Cord Injury: Introducing Change in NHS England Commissioned Services

Duff,

Ellis,

Kaiser

et al. 2023

JCM

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Psychologist resourcing across the United Kingdom (UK) spinal cord injury centres (SCICs) varies considerably, which has detrimentally impacted standardising service provision for people with spinal cord injuries/disorders (PwSCI/D) compared with other nations. This paper presents the outcome of a project involving the Spinal Cord Injury Psychology Advisory Group (SCIPAG) and NHS England Clinical Reference Group/SCI transformation groups to agree upon screening and standards and shares data from the National Spinal Injuries Centre (NSIC) and the Yorkshire and Midlands Regional SCICs. Inpatients completed the GAD-7, the PHQ-9, and the short form of the Appraisals of DisAbility: Primary and Secondary Scale (ADAPSSsf), assessing adjustment. A total of 646 participants were included, with 43% scoring above the clinical threshold on at least one of the measures on admission. A subset of 272 participants also completed discharge measures and 42% remained above the threshold on discharge, demonstrating sustained psychological need. This paper provides support for services to move to a screen-and-assessment model supplemented by referral options for those with changing needs or who present with difficulties outside the remit of screening. The findings also support the efficacy of universal screening across the system and consideration of screening and standards for psychological care by the wider psychology community.

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Section: Admission To Scic/rehabilitationmentioning

confidence: 99%

“…[ 63,69,71] Documented pathway for access to liaison psychiatry and other specialist services. [14,18,20,25,26,63,64,67,69,73,[75][76][77] Outcome comparison by SCIC and other services to track group trajectory profiles by complexity with revision of pathway as required.…”

Section: Admission To Scic/rehabilitationmentioning

confidence: 99%

Psychological Screening, Standards and Spinal Cord Injury: Introducing Change in NHS England Commissioned Services

Duff,

Ellis,

Kaiser

et al. 2023

JCM

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“…As such, even minor traumas can produce damage in the higher tract, resulting in acute complete sensorimotor tetraplegia (50% of cases). Lower-level traumatic SCIs are mostly caused by high energy traumas, resulting in higher rates of acute complete sensorimotor loss (70% of paraplegia cases) [ 14 ]. Most SCIs are incomplete, and even when complete, they may have spared spinal cord tissue that can be rescued and repaired to restore function.…”

Section: Pathophysiology and Functional Recoverymentioning

confidence: 99%

“…The recovery of motor control is a crucial element in properly reconnecting and adjusting to a physiological state to regain independence and reduce health complications resulting from prolonged inactivity [ 10 , 11 , 12 , 13 , 14 ]. The functional “silence” in the corresponding representative areas of the sensorimotor cortex seriously affects patients’ QOL and functional independence.…”

Section: Pathophysiology and Functional Recoverymentioning

confidence: 99%

Integrated Neuroregenerative Techniques for Plasticity of the Injured Spinal Cord

et al. 2022

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On the slow path to improving the life expectancy and quality of life of patients post spinal cord injury (SCI), recovery remains controversial. The potential role of the regenerative capacity of the nervous system has led to numerous attempts to stimulate the SCI to re-establish the interrupted sensorimotor loop and to understand its potential in the recovery process. Numerous resources are now available, from pharmacological to biomolecular approaches and from neuromodulation to sensorimotor rehabilitation interventions based on the use of various neural interfaces, exoskeletons, and virtual reality applications. The integration of existing resources seems to be a promising field of research, especially from the perspective of improving living conditions in the short to medium term. Goals such as reducing chronic forms of neuropathic pain, regaining control over certain physiological activities, and enhancing residual abilities are often more urgent than complete functional recovery. In this perspective article, we provide an overview of the latest interventions for the treatment of SCI through broad phases of injury rehabilitation. The underlying intention of this work is to introduce a spinal cord neuroplasticity-based multimodal approach to promote functional recovery and improve quality of life after SCI. Nonetheless, when used separately, biomolecular therapeutic approaches have been shown to have modest outcomes.

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“…Most members of the MDT Keywork 1-2 inpatients at any point in time. The exception to this is the Clinical Psychology Team, who Keywork more and anyone with psychological complexity such as significant risk, mood disturbance or adjustment difficulties, as outlined in the NSIC Stoke Mandeville Psychological Care pathway [56] (p. 322).…”

Section: Study Onementioning

confidence: 99%

Building and Sustaining Inpatient-Clinician Collaboration in Spinal Cord Injury Rehabilitation: A Case Example Using the Stoke Mandeville Spinal Needs Assessment Checklist (SMS-NAC) and Goal Planning Programme

Duff

Grant

Gilchrist

et al. 2022

JCM

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Goal planning is core for the delivery of the biopsychosocial model of rehabilitation and is commonly practiced in spinal cord injury (SCI) and other physical health settings. Despite a strong theoretical basis from several branches of psychology, evidence regarding specific practice, interventions and impact has yet to be established, with no universal standards in this area. Study One outlines the standards used at the National Spinal Injuries Centre (NSIC), Stoke Mandeville Hospital since the inception of the SMS-NAC and goal planning programme in 1989. The results outline the impact of a quality improvement project undertaken since 2016 and track the interventions used to improve inpatient care. Study Two reports on an international survey of rehabilitation measure usage and goal planning practice with inpatient adult and children and young people (CYP) with SCI. Respondents replied that inpatient presence at goal planning meetings only took place in 75% (adult) and 76% (CYP) of services, with more services indicating 4 or more members of the multidisciplinary team being present (85% and 90%, respectively). This paper demonstrates the gains that can be made when a structured quality improvement methodology is used and highlights the need for standards regarding goal planning in SCI rehabilitation to be developed.

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Spinal Cord Injuries

Cited by 5 publications

References 174 publications

Psychological Screening, Standards and Spinal Cord Injury: Introducing Change in NHS England Commissioned Services

Psychological Screening, Standards and Spinal Cord Injury: Introducing Change in NHS England Commissioned Services

Integrated Neuroregenerative Techniques for Plasticity of the Injured Spinal Cord

Building and Sustaining Inpatient-Clinician Collaboration in Spinal Cord Injury Rehabilitation: A Case Example Using the Stoke Mandeville Spinal Needs Assessment Checklist (SMS-NAC) and Goal Planning Programme

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