Potential benefits include reduced travel costs, more equitable access to health services and closer engagement with local health services and primary care providers. Telehealth delivers a range of advantages, particularly for patients living in rural and remote areas. Common examples include communication between patients and therapists via email, telephone or videoconference. Telehealth is defined as the delivery of health services at a distance through telecommunication technologies. Outreach visits are scheduled by SPOT to 14 locations throughout Queensland, generally once per year, see Table 1 and map shown in Fig. Supporting local health professionals in their intervention with people with SCI is a key objective of the service and the SPOT provides consultancy to a range of health professionals and services in the community in order to achieve this objective. On a daily basis the service can visit clients within a 200 km radius of Brisbane and regional visits are scheduled to clients living outside 200kms of Brisbane throughout the year. In addition, face to face visiting in a client’s home or other community location such as local hospital or workplace is utilised. Hence methodologies such as telephone and email are most frequently used to support individuals with SCI and their service providers. The nature of the intervention and the method of implementing depend on the presenting problem and its complexity, other health and support services the client can access, the client’s location and maximising the resources of the team. The Spinal Outreach Team, which commenced in late 1995, is a goal directed allied health and nursing consultancy and early intervention service and provides interdisciplinary management of spinal cord injury (SCI) along the lifespan for people with SCI, their significant others and for health professionals and service providers throughout Queensland. Sex and Fertility Clinic (Rehabilitation Medicine)Īdult Spina Bifida Clinic (Rehabilitation Medicine)
Musculoskeletal (Rehabilitation Medicine) Spasticity (Rehabilitation Medicine and MDT including physiotherapy and occupational therapy from SPOT as required) Pressure Injury / Plastics (Multi-disciplinary team (MDT) including Plastic Surgeons and Rehabilitation Medicine) General SCI medical / rehabilitation (Rehabilitation Medicine) SIU Outpatient Clinics offer a range of specialist and general rehabilitation clinics including
The need for life long monitoring to more effectively address prevention of secondary conditions and ameliorate decline in function is recognised as people with SCI become older. It provides a comprehensive range of services for people with SCI through its three component services – the Spinal Injuries Unit (inpatient acute management and primary rehabilitation as well as life-long outpatient services), the Transitional Rehabilitation Program (TRP) (early discharge and transitional rehabilitation) and the Spinal Outreach Team (ongoing rehabilitation, outreach and long term follow-up ).
The Queensland Spinal Cord Injuries Service is the state-wide, tertiary referral centre and only specialist service for the management of people with significant neurological deficit following spinal cord injury (SCI). Queensland Spinal Cord Injuries Service (QSCIS) Life-long follow-up for health maintenance, surveillance and management of complications is offered to all people with SCI in Queensland by the Queensland Spinal Cord Injuries Service (QSCIS), through the Spinal Outreach Team (SPOT) and SIU Outpatient Clinics, see Fig. While most people with significant neurological deficit following SCI are transferred to the Spinal Injuries Unit at the Princess Alexandra Hospital (PAH) for initial management and primary rehabilitation almost all are discharged back to live in their local communities upon completion of their inpatient program and transitional rehabilitation program. The average length of stay in the SIU is 2–3 months but some people require hospital admission for 6–12 months or longer due to the complexity of acute management, primary rehabilitation and discharge planning. An increasing number of admissions to the SIU in Brisbane are also related to non-traumatic causes of SCI including infection, transverse myelitis and prolapsed intervertebral discs. Motor vehicle accidents, falls, and sport are the most common causes of traumatic spinal cord injury. In Queensland, approximately 90 people each year suffer significant neurological loss secondary to an acute spinal cord injury (SCI) and require admission to the Spinal Injuries Unit (SIU) in Brisbane.
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