Citation

Scratch SE, Rumney P, Agnihotri S, Reed N. J. Head Trauma Rehabil. 2019; 34(6): 385-393.

Affiliation

Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada (Drs Scratch, Rumney, Agnihotri, and Reed); and Department of Paediatrics (Dr Scratch), Rehabilitation Sciences Institute (Drs Scratch and Reed); Department of Psychiatry (Dr Agnihotri), and Occupational Science and Occupational Therapy (Dr Reed), University of Toronto, Canada.

Copyright

(Copyright © 2019, Lippincott Williams and Wilkins)

DOI

10.1097/HTR.0000000000000542

PMID

31688376

Abstract

OBJECTIVE: We outline the development of a clinic that works directly with youth clients, their caregivers, and family members to help address symptoms that are persisting long after the youth sustained a concussion. Client referral characteristics are described, as well as general clinic flow and procedures. Particular emphasis is placed on a novel interdisciplinary team assessment pathway designed with input from clients and families to help provide consistent treatment plans, education, direction, and conclusions for those clients with complex psychosocial, cognitive, and physical presentations. SETTING AND PARTICIPANTS: The Persistent Concussion Clinic at Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada.

CONCLUSIONS: Youth with persistent concussion symptoms have limited access to interdisciplinary clinics and supports. This article outlines the practices of a large, hospital-based interdisciplinary clinic whose model can inform clinical care pathways and practices for this underserved population. Facilitators and barriers to access are discussed and future directions for the clinic and persistent concussion care in Ontario and internationally are reviewed.

Language: en