目的：调查英国两个社区样本中与创伤性脑损伤（TBI）相关的缺陷与病例管理（CM）和护理/支持（CS）之间的关系。
方法：前瞻性描述性研究。
方法：英国各地的案例管理员和来自单个英国CM服务的案例管理员将客户档案提供给两个数据集（分别为第1组和第2组）。数据是根据人口统计输入的，损伤严重程度,功能技能，功能认知(包括执行功能)，行为和CM和CS小时。探讨了残疾和服务提供领域之间的关系。
结果：第2组的客户受伤更严重，与第1组的客户相比，受伤后的时间更长，家庭支持较少。第1组和第2组在功能技能测量上几乎没有显著差异，功能认知和行为障碍。功能技能的缺陷与CS有关，但不是CM。执行职能衡量的缺陷(冲动性，可预测性,对方向的反应)与CM有关，但不是CS。洞察力与CM和CS都有关。与行为障碍有关的变量与CM有关，但与CS的相关性较低。
结论：社区支持的需求不仅与功能技能（CS）有关，还有行为障碍，自我调节能力和洞察力受损(CM)。
OBJECTIVE: To investigate the relationship between deficits associated with traumatic brain injury (TBI) and
case management (CM) and care/support (CS) in two UK community samples.
METHODS: Prospective descriptive study.
METHODS: Case managers across the UK and from a single UK CM service contributed client profiles to two data sets (Groups 1 and 2, respectively). Data were entered on demographics, injury severity, functional skills, functional-cognition (including executive functions), behaviour and CM and CS hours. Relationships were explored between areas of disability and service provision.
RESULTS: Clients in Group 2 were more severely injured, longer post-injury and had less family support than clients in Group 1. There were few significant differences between Groups 1 and 2 on measures of Functionalskill, Functional-cognition and Behaviour disorder. Deficits in Functionalskills were associated with CS, but not CM. Deficits in measures of executive functions (impulsivity, predictability, response to direction) were related to CM, but not to CS. Insight was related to both CM and CS. Variables related to behaviour disorder were related to CM, but were less often correlated to CS.
CONCLUSIONS: The need for community support is related not only to Functionalskills (CS), but also to behaviour disorder, self-regulatory skills and impaired insight (CM).
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