18 | Social Service Support In SCI Rehabilitation

Importance of Social Services Support

General Introduction

For persons with spinal cord injury (SCI), there are issues beyond the physical disability, including financial and insurance issues, issues related to employment, and various other environmental factors, that often need to be addressed for rehabilitation and community reintegration to be successful. Social service support in rehabilitation is essential to help navigate through these issues.

Read more: General Introduction

Major Environmental Factor


To get an overall picture of Conrad's functioning, the Rehab-Cycle® began with a comprehensive assessment that encompassed a series of discipline-specific testing and evaluations (health professional perspective), as well as a face-to-face interview with Conrad (patient perspective).

Read more: Assessment

Intervention To Address the Cycle Goal of Improve Mobility

Assignment and Intervention

While the social worker was responsible primarily for addressing Conrad's global goal, the other members of Conrad's rehabilitation team provided interventions that targeted the service-program goal, the three cycle goals, and the respective intervention targets.

Read more: Assignment and Intervention

Issue Regarding Conrad's Wheelchair-inaccessible Home Still Unresolved


After four months of interventions, Conrad’s functioning was again assessed in order to evaluate whether changes had occurred and whether the goals Conrad and the rehabilitation team had set in the beginning of the Rehab-Cycle® had been achieved.

Read more: Evaluation

The Road Ahead


For persons with spinal cord injury (SCI) participating in rehabilitation, social workers provide critical support for a range of socioeconomic issues that impact their return to the community .

Read more: Discussion


  1. Abeyta N, Freeman ES, Primack D, Hammond FM, Dragon C, Harmon A, Gassaway J. SCIRehab Project series: The social work/case management taxonomy. J Spinal Cord Med. 2009; 32(3): 336-342.
  2. Whiteneck G, Gassaway J, Dijkers MP, Heinemann AW, Kreider SED. Relationship of patient characteristics and rehabilitation services to outcomes following spinal cord injury: The SCIRehab Project. J Spinal Cord Med. 2012; 35(6): 484-502.
  3. Hammond FM, Gassaway J, Abeyta N, Freeman ES, Primack D, Kreider SED, Whiteneck G. Outcomes of social work and case management services during inpatient spinal cord injury rehabilitation: The SCIRehab Project. J Spinal Cord Med. 2012; 35(6): 611-623.
  4. Hammond FM, Gassaway J, Abeyta N, Freeman ES, Primack D. The SCIRehab Project: Social work and case management treatment during inpatient spinal cord injury rehabilitation. J Spinal Cord Med. 2011; 34(2): 216-226.
  5. Bickenbach J, Officer A, Shakespeare T, von Groote P. (eds.) International perspectives on spinal cord injury (IPSCI). Geneva, Switzerland: World Health Organization; 2013.
  6. AVS/AI Information Centre, Federal Social Insurance Office and State Secretariat for Economic Affairs. Social Security in Switzerland. AVS/AI Information Centre. [Internet] Update January 2016. Available from: www.ahv-iv.ch. Accessed December 2016.
  7. Relyea-Chew A, Hollingworth W, Chan L, Comstock BA, Overstreet KA, Jarvik JG. Personal bankruptcy after traumatic brain or spinal cord injury: The role of medical debt. Arch Phys Med Rehabil 2009; 90(3): 413-419.
  8. Lidal IB, Huynh TK, Biering-Sørensen F. Return to work following spinal cord injury: A review. Disabil and Rehabil. 2007; 29(17): 1341-1375.
  9. Escorpizo R, Trenaman LM, Miller W. Spinal cord injury: Vocational rehabilitation and disability evaluation. In: Escorpizo R, Brage S, Homa D, Stucki G. Eds. Handbook of vocational rehabilitation and disability evaluation: Application and implementation of the ICF. New York: Springer; 2015. p. 239-261.
  10. International Federation of Social Workers (IFSW). Global definition of social work. [Internet] Available from: www.ifsw.org/get-involved/global-definition-of-social-work/. Accessed December 2016.
  11. AvenirSocial  – Soziale Arbeit Schweiz. Profile of the social work profession. (In German: Berufsbild der Professionellen Sozialer Arbeit). [Internet] Updated 2014. Available from: http://www.avenirsocial.ch/. Accessed December 2016.
  12. Saleeby P. Using the International Classification of Functioning, Disability and Health in social work settings. Health Soc Work. 2011; 36(4): 303-305.
  13. World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva, Switzerland: World Health Organization; 2001.
  14. Saleeby P. Applications of a capability approach to disability and the International Classification of Functioning, Disability and Health in social work practice. J Soc Work Disabil Rehabil. 2006; 6(1-2): 217-232.
  15. Barrow F. The International Classification of Functioning, Disability and Health (ICF) - a New Tool for Social Workers. J Soc Work Dis Rehab 2006; 5(1): 65-73.
  16. World Health Organization. International Classification of Diseases 11th revision (ICD-11) beta-browser. [Internet] Update November 2016. Available from: http://apps.who.int/classifications/icd11/browse/f/en. Accessed November 2016.
  17. Blanchard J. Epidemiology of abdominal aortic aneurysms. Epidemiologic Reviews. 1999; 21(2): 207-221.
  18. Yokoyama O, Sakuma F, Itoh R, Sashika H. Paraplegia after aortic aneurysm repair versus traumatic spinal cord injury: Functional outcome, complications, and therapy intensity of inpatient rehabilitation. Arch Phys Med Rehabil. 2006; 87(9): 1189-1194.
  19. Kirchberger I, Cieza A, Biering-Sørensen F, Baumberger M, Charlifue S, Post MW, Campbell R, Kovindha A, Ring H, Sinnott A, Kostanjsek N, Stucki G. ICF Core Sets for individuals with spinal cord injury in the early post-acute context. Spinal Cord 2010; 48(4): 297-304.
  20. Miller W, Chan C. Spinal Cord Independence Measure (SCIM). [Internet] 1 February 2013. Available from: http://www.scireproject.com/outcome-measures-new/spinal-cord-independence-measure-scim. Accessed November 2016.

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