Advanced Rehabilitation Training for Case Managers Working in Major Trauma

Questions? Email us at hello@art-training.co.uk

Module 1: Major Trauma – 2-day course

Day 1

Morning: Understanding the Common Injuries in Major Trauma

• Peripheral nerve pain: neurophysiological mechanisms and impact on functional capacity
• Burns and degloving injuries: classification, healing processes, and functional implications
• Orthopaedic trauma: external fixation types, pin site care, and rehabilitation considerations
• Traumatic and elective limb loss, including limb salvage considerations
• Overview of post-traumatic amnesia and its relevance even without identifiable brain injury
• Statutory and private pathways: NHS Major Trauma Centre pathways and identifying where private funding may be required

Afternoon: Understanding Trauma

• Physiological and psychological trauma response: acute stress, autonomic dysregulation, PTSD spectrum
• Behavioural adjustment patterns: hypervigilance, avoidance, emotional dysregulation, changes in self-identity
• How trauma responses impact engagement and participation in rehabilitation
• Compassionate approaches to assessment and coordination
• Professional boundaries, self-care, and vicarious trauma prevention

Day 2

Morning: Compassionate Rehabilitation

• Building trust and positive engagement with trauma survivors
• Graded exposure approaches and supporting progressive desensitisation
• Holding space for normal responses to an abnormal situation
• Integrating compassion with clinical rigour and ambitious rehabilitation goals
• Recognising when professional psychology input is needed and appropriate referral pathways

Afternoon: Holistic Case Management Assessment

• Housing and environmental adaptation: evaluations, funding pathways, coordinating with local authority OTs
• Mental health and psychological wellbeing: recognising psychological sequelae, commissioning appropriate interventions, coordinating with psychology services
• Family and social systems: impact on family, caregiver burden, changed roles, peer support networks
• Supporting the MDT to integrate coherent and consistent psychological strategies into treatment

Module 2: Assessment and Therapy Prescription – 2-day course

Day 3: Assessment Skills

Morning: Comprehensive Assessment

Understand the scope and limitations of the case management role versus therapist assessment responsibilities

• Trauma-informed assessment approaches building therapeutic rapport and psychological safety
• Comprehensive subjective assessment: pain, function, goals, psychological adjustment
• Objective assessment protocols: examination, joint integrity, muscle strength, proprioception, balance
• Clinical reasoning frameworks for evidence-based treatment planning
• Occupational performance assessments across self-care, domestic, work, and leisure domains

Afternoon: Holistic Considerations

• Vocational rehabilitation: the role of work in identity, reasonable adjustments, phased returns, employer liaison
• Nutrition and metabolic health: role in tissue healing, recognising deficiencies, dietitian referral
• Equipment provision and assistive technology: mobility aids, environmental controls, funding routes
• Coordinating with specialist suppliers, NHS services, and occupational therapy services

Day 4: Therapeutic Major Trauma Treatment Toolbox

Morning: Therapy Intervention

Understand key therapeutic interventions to identify and commission appropriate specialist providers

• Peripheral nerve injury management: evidence-based interventions, graded exposure, orthotic prescription
• Scar tissue management: assessment, treatment of hypertrophic and keloid scarring, contracture management
• Orthopaedic trauma rehabilitation: timelines, precautions for different fixation types, complication management
• Limb loss rehabilitation: prosthetic pathway, residual limb care, functional rehabilitation programmes

Afternoon: Coordinating Holistic Rehabilitation

• Identifying and commissioning appropriate specialist providers with due diligence on scope and qualifications
• Navigating statutory, private, and charitable funding pathways across all rehabilitation domains
• Setting and driving documentation standards for treating therapists
• Managing disclosure of records and maintaining documentation fit for legal scrutiny

Module 3: Clinical Reasoning and Report Writing – 1-day course

Session 1: Clinical Reasoning

• Systematic clinical reasoning frameworks integrating all assessment domains
• Biopsychosocial framework for complex presentations
• Evidence-based treatment prioritisation
• Integration of housing, mental health, family, vocational, nutritional, and equipment considerations

Session 2: Vision Setting and Goal Development

• Patient-led vision setting vs therapist-led goal setting
• Motivational interviewing and person-centred techniques
• Translating visions into SMART clinical functional goals
• Addressing barriers to ambitious rehabilitation
• Interprofessional goal alignment

Session 3: Report Writing and Case Management Documentation

• Professional report structure for legal and insurance contexts
• Writing for different audiences: solicitors, insurers, healthcare providers
• Evidence-based justification of clinical opinions and recommendations
• Cost-benefit analysis and funding justification
• Report critique workshop and practical writing exercises