Trabajadora de Salud, a care transitions intervention, for Latinas/os with brain injuries: Three case examples

ABSTRACT

With implementation of Centers for Medicare and Medicaid’s Hospital Readmissions Reduction Program, which lowers payments to hospitals with high 30-day readmission rates, hospitals have a financial incentive to improve hospital-to-home care transitions. Brain injury is a leading cause of 30-day hospital readmissions. Traditional discharge planning has not met the needs of brain injury survivors and caregivers especially Latinas/os whom experience worse rates of depression and caregiver burden. Trabajadora de Salud, a bilingual, bicultural, 90-day home visitation, family-focused, care transitions intervention, has demonstrated efficacy in improving outcomes among Latinas/os with brain injuries and their caregivers. This study described three case examples from the intervention to illustrate common needs among Latinas/os with brain injuries and methods of intervention.

KEYWORDS:

• Brain injury
• care transitions
• Latino
• lay health worker
• discharge planning
• Hispanic

Additional information

Funding

This work was supported by the Solution Focused Brief Therapy Association.