Systems analysis of community and health services for acquired brain injury in Ontario



Sarah E. P. Munce, Rika Vander Laan, Charissa Levy, Daria Parsons, Susan B. Jaglal

Brain Injury

March 21, 2014. (doi:10.3109/02699052.2014.890744)



Primary objective: To conduct a systems analysis on community and health services for individuals with acquired brain injury (ABI) in the province of Ontario, Canada.

Research design: This study employed a triangulation design. This design is used when there is a need to validate quantitative results with qualitative data, as is the case in the present study.

Methods and procedures: Forty-two healthcare professionals and/or healthcare administrators from organizations across the province and across the continuum of care were surveyed. A 1-day focus group was also held to validate the study findings.

Main outcomes and results: The main results of this study revealed: (1) a lack of services for children/adolescents; (2) service gaps for individuals with co-existing mental health conditions; (3) a lack of services related to employment; (4) changes in casemix, in terms of more individuals with co-morbid medical and mental health conditions (with many of the organizations reporting medical instability and severe behavioural disorders as exclusion criteria); and (5) a need for more organizations to track patient outcomes for evaluation and/or accountability purposes.

Conclusions: Findings from this study will lead to improvement of current services but also improved planning of future services for individuals with ABI.