Making the Case for Case Management
A Holistic Care Approach for Athletic Organizations
DOI:
https://doi.org/10.33043/27dc47cz3Keywords:
athlete well-being, case management, holistic care, interdisciplinary careAbstract
Due to recent athlete advocacy and changing organizational policy, sport organizations need to implement policies and procedures to meet the mental health needs of athletes. Scholars have suggested that a holistic approach—addressing an athletes’ mental, social, spiritual, and physical health — is the most effective care. However, the sport industry lacks a practical and interprofessional model of care that encapsulates holistic wellness of athletes on an individual and systematic level. To address this gap, this conceptual study reviewed the strengths and limitations of eight different evidence-based healthcare models to understand what an empirically based, athlete-specific holistic model of care could look like. Although all models had their strengths, most take an individualistic approach and do not offer implementation tactics that can be adapted to sport organizations. Taking these critiques, we proposed three best practices that emphasize an athlete-centered, collaborative approach: (1) taking an interdisciplinary approach, (2) hiring case managers, and (3) investing in top-down organizational training
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References
About Chronic Diseases | CDC. (2022).
Agency for Clinical Innovation. (2022, June 27). Principles. https://aci.health.nsw.gov.au/palliative-care/blueprint/principles
Arvinen-Barrow, M., & Walker, N. (2013). The psychology of sport injury and rehabilitation. Routledge.
Barkley, L., Taliaferro, L. A., Baker, K. M., & Garcia, J. M. (2018). The holistic athletic
healthcare model: Addressing the developmental, social, and cultural needs of collegiate athletes. Journal of Higher Education Athletics & Innovation, 3, 26–47. https://doi.org/10.15763/issn.2376-5267.2018.1.3.26-47
Beasley, L., Cox, A. E., & Hardin, R. (2023). Incorporating mental health literacy into the sport management curriculum. Sport Management Education Journal, 1–10. https://doi.org/10.1123/smej.2022-0036
Beasley, L., Hardin, R., Magliocca, J., & Smith, Z. T. (2021). The experiences of social workers in NCAA division I athletic departments. Journal for the Study of Sports and Athletes in Education, 15(3), 193–218. https://doi.org/10.1080/19357397.2021.1916307
Beasley, L., Hardin, R., & Palumbo, D. J. (2022a). Athletic trainers’ perceptions of their role in the mental health care of student-athletes. Journal of Issues in Intercollegiate Athletics, 15, 483–505.
Beasley, L., Hardin, R., Smith, Z. T., & Magliocca, J. (2022b). Examination of the licensure differences of mental health professionals in National Collegiate Athletic Association Division I athletic departments. Journal of Higher Education Athletics & Innovation, 1(9), 1–16. https://doi.org/10.15763/issn.2376-5267.2021.1.9.1-16
Beasley, L., & Hoffman, S. (2023). A descriptive look at the mental health literacy of student-athletes. Journal of Sport & Social Issues, 47(3), 256–276. https://doi.org/10.1177/01937235231171369
Berg, B., & Warner, S. (2019). Advancing college athlete development via social support. Journal of Issues in Intercollegiate Athletics, 12, 87–113.
Breitbach, A.P., Sargeant, D.M., Gettemeier, P.R., Ruebling, I., Carlson, J., Eliot, K., Kienstra, K., & Gockel-Blessing, EA. (2013) From buy-in to integration: Melding an interprofessional initiative into academic programs in the health professions. J Allied Health. 42(3) 67-73. https://doi.org/10.18060/24406
Bridges, D. R., Davidson, R. J., Odegard, P. S., Maki, I. V., & Tomkowiak, J. (2011). Interprofessional collaboration: Three best practice models of interprofessional education. Medical Education Online, 16(1). 1-10. https://doi.org/10.3402/meo.v16i0.6035
Chang, C. J., Putukian, M., Aerni, G., Diamond, A. B., Hong, G., Ingram, Y. M., Reardon, C.
L., & Wolanin, A. T. (2019). Mental health issues and psychological factors in athletes: Detection, management, effect on performance and prevention: American Medical Society for Sports Medicine Position Statement—Executive Summary. British Journal of Sports Medicine, 54(4), 216–220. https://doi.org/10.1136/bjsports-2019-101583
Choi, B. C., & Pak, A. W. (2006). Multidisciplinarity, interdisciplinarity and transdisciplinary
in health research, services, education and policy: 1. Definitions, objectives, and evidence of effectiveness. Clinical and investigative medicine. Medecine clinique et experimentale, 29(6), 351–364.
Chouvarda, I., Goulis, D. G., Lambrinoudaki, I., & Maglaveras, N. (2015). Connected health and integrated care: Toward new models for chronic disease management. Maturitas, 82(1), 22–27. https://doi.org/10.1016/j.maturitas.2015.03.015
Dobrina, R., Tenze, M., & Palese, A. (2014). An overview of hospice and palliative care nursing models and theories. International Journal of Palliative Nursing, 20(2), 75–81.
Eckenrod, M. R., Hill, H. D., Thompson, M., Neelis, L., & Donahue, P. T. (2023). National Collegiate Athletic Association division I assistant coaches’ understanding and use of Mental performance and Mental health services. Sport Psychologist, 37(3), 190–200. https://doi.org/10.1123/tsp.2022-0163
Epstein, R. M., & Street, R. L. (2011). The values and value of patient-centered care. Annals of Family Medicine, 9(2), 100–103. https://doi.org/10.12968/ijpn.2014.20.2.75
Grace, S. (2020). Models of interprofessional education for healthcare students: a scoping
review. Journal of Interprofessional Care, 35(5), 771–783.
https://doi.org/10.1080/13561820.2020.1767045
Gorczynski, P., Currie, A., Gibson, K., Gouttebarge, V., Hainline, B., Castaldelli-Maia, J. M., & Swartz, L. (2021). Developing mental health literacy and cultural competence in elite sport. Journal of Applied Sport Psychology, 33(4), 387-401. https://doi.org/10.1080/10413200.2020.1720045
Hammick M, Freeth D, Koppel I, Reeves S, Barr H. (2007) A best evidence systematic review of interprofessional education: BEME Guide no. 9. Med Teach. 29(8), 735–751. https://doi.org/10.1080/01421590701682576
Kadu, M., & Stolee, P. (2015). Facilitators and barriers of implementing the chronic care model in primary care: A systematic review. BMC Family Practice, 16(1).
John, J. R., Jani, H., Peters, K., Agho, K. E., & Tannous, W. K. (2020). The effectiveness
of patient-centered medical home-based models of care versus standard primary care in chronic disease management: A systematic review and meta-analysis of randomised and non-randomised controlled trials. International Journal of Environmental Research and Public Health, 17(18), 68-86. https://doi.org/10.3390/ijerph17186886
Lake, J. A., & Turner, M. S. (2017). Urgent need for improved mental health care and a more collaborative model of care. The Permanente Journal, 21(4) 17-24. https://doi.org/10.7812/TPP/17-024
Lash DB, Barnett MJ, Parekh N, Shieh A, Louie MC, Tang TT. (2014) Perceived benefits and challenges of interprofessional education based on a multidisciplinary faculty member survey. Am J Pharm Educ.78(10), 180. https://doi.org/10.5688/ajpe7810180
Mazerolle, S. M., Faghri, P., Marcinick, M., & Milazzo, S. (2010). Athletic trainers’ workload
in NCAA division I athletic programs. Athletic Therapy Today, 15(3), 34–
https://doi.org/10.1123/att.15.3.34
Mazerolle, S. M., Pitney, W. A., & Goodman, A. (2013). Retention factors for head athletic
trainers in the NCAA division I athletic setting. International Journal of Athletic Therapy & Training, 18(4), 10-13. https://doi.org/10.1123/ijatt.18.4.10
McHenry, L., Beasley, L., Zakrajsek, R. A., & Hardin, R. (2022). Mental performance and mental health services in sport: A call for interprofessional competence and collaboration. Journal of Interprofessional Care, 36(4), 520–528. https://doi.org/10.1080/13561820.2021.1963218
Meranius, M. S., Holmström, I., Eklund, J. H., Breitholtz, A., Moniri, F., Skogevall, S., Skoglund, K., & Rasoal, D. (2020). Paradoxes of person‐centred care: A discussion paper. Nursing Open, 7(5), 1321–1329. https://doi.org/10.1002/nop2.520
Moore, M., Gorczynski, P., Aron, C. M., & Bennett, P. (2022). Leaving professional competition on the field: Professional collaboration in promoting college athlete mental health. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.1079057
Newman, T. J., Magier, E., Okamoto, K., Kimiecik, C., Shute, L., Beasley, L., & Tucker, A. R. (2021). Social work in sport: Playmakers in the athletic arena. Journal of Social Work, 22(3), 692–714. https://doi.org/10.33043/SSWJ.1.1.35-52
National Football League. Player health and wellness: Mental health. (2023). NFL.com. https://www.nfl.com/playerhealthandsafety/health-and-wellness/mental-health/#:~:text=Mental%20Health%20Resources%20for%20Players&text=NFL%20Life%20Line%20is%20a,week%2C%20365%20days%20a%20year.
Parreira, P., Costa, P. J., Neri, M., Marques, A., Queirós, P. J. P., & Salgueiro-Oliveira, A. (2021). Work Methods for Nursing Care Delivery. International Journal of Environmental Research and Public Health, 18(4), 2088. https://doi.org/10.3390/ijerph18042088
Paton, F., Wright, K., Ayre, N., Dare, C., Johnson, S., Lloyd-Evans, B., Simpson, A., Webber, M., & Meader, N. (2016). Improving outcomes for people in mental health crisis: A rapid synthesis of the evidence for available models of care. Health Technology Assessment, 20(3), 1–162. https://doi.org/10.3310/hta20030
Pregnant and Parenting Student-Athletes Recourses and Model Policies. (2020). NCAA.org. http://s3.amazonaws.com/ncaa.org/documents/2021/1/18/Ch_1_Intro.pdf.
Professional Practice Model | UC Davis Nursing. (2023). UC Davis Health. https://health.ucdavis.edu/nurse/practicemodel/index.html#:~:text=What%20is%20a%20professional%20practice,those%20served%20by%20the%20organization.
Purcell, R., Gwyther, K., & Rice, S. (2019). Mental health in elite athletes: Increased awareness requires an early intervention framework to respond to athlete needs. Sports Medicine - Open, 5(1). https://doi.org/10.1186/s40798-019-0220-1
Redinger, A. S., Winkelmann, Z. K., & Eberman, L. E. (2020). Collegiate student-athletes’ perceptions of patient-centered care delivered by athletic trainers. Journal of Athletic Training, 56(5), 499–507. https://doi.org/10.4085/130-20
Reeves S, Perrier L, Goldman J, Freeth D, Zwarenstein M. (2013) Interprofessional education: Effects on professional practice and healthcare outcomes (update). Cochrane Database Syst Rev. 3. https://doi.org/10.1002/14651858.CD002213.pub3
Sandall, J., Soltani, H., Gates, S., Shennan, A., & Devane, D. (2016). Midwife-led continuity models versus other models of care for childbearing women. The Cochrane Library, 4(4). https://doi.org/10.1002/14651858.CD004667.pub5
Santi, G., & Pietrantoni, L. (2013). Psychology of sport injury rehabilitation: A review of models and interventions. Journal of Human Sport and Exercise, 8(4), 1029–1044. https://doi.org/10.4100/jhse.2013.84.13
Saxe, K., Beasley, L., & Abdulhussein, R. (2022). Team environments influence student-athlete mental health through mesolevel interactions: An ecological systems perspective. Journal of Issues in Intercollegiate Athletics, 15, 558-584.
Sheldon M, Cavanaugh JT, Croninger W, Osgood W, Robnett R, Seigle J, Simonsen L. (2012) Preparing rehabilitation healthcare providers in the 21st century: Implementation of interprofessional education through an academic-clinical site partnership. Work. 41(3), 269-275. https://doi.org/10.3233/WOR-2012-129
Singh, S. P., & Tuomainen, H. (2015). Transition from child to adult mental health services: Needs, barriers, experiences and new models of care. World Psychiatry, 14(3), 358–361. https://doi.org/10.1002/wps.20266
Staff Directory - Baylor. (2024). Baylor. https://baylorbears.com/staff-directory
Staff Directory - Tulane University Athletics. (2024). Tulane University Athletics. https://tulanegreenwave.com/staff-directory
Staff Directory - University of Alabama Athletics. (2024). University of Alabama Athletics. https://rolltide.com/staff-directory
Ströhle, A. (2018). Sports psychiatry: Mental health and mental disorders in athletes and exercise treatment of mental disorders. European Archives of Psychiatry and Clinical Neuroscience, 269(5), 485–498. https://doi.org/10.1007/s00406-018-0891-5
Tran, A. G. T. T. (2024). Called up: Calling to social justice action (SJA) and mental health of athletes. Sport in Society (Print), 1–16. https://doi.org/10.1080/17430437.2023.2300427
Van Slingerland, K. J., DesClouds, P., Durand-Bush, N., Boudreault, V., & Abraham, A. (2022). How collaborative mental health care for competitive and high-performance athletes is implemented: A novel interdisciplinary case study. Frontiers in Psychology, 13, 1-13. https://doi.org/10.3389/fpsyg.2022.994430
Wagner EH. (1998). Chronic disease management: What will it take to improve care for chronic illness? Effective Clinical Practice. 1(1), 2-4.
Waller, S. N., Huffman, L. T., & Hardin, R. L. (2016). The sport chaplain’s role in the holistic
care model for collegiate athletes in the United States. Practical Theology, 9(3), 226-241. https://doi.org/10.1080/1756073X.2016.1221642
What Are Palliative Care and Hospice Care? (2021). National Institute on Aging. https://www.nia.nih.gov/health/what-are-palliative-care-and-hospice-care.
Wilson, C. J., Eberman, L. E., Redinger, A. S., Neil, E. R., & Winkelmann, Z. K. (2022).
Athletic trainers’ viewpoints of patient-centered care: Preliminary findings. PLOS ONE, 17(9), 1-14. https://doi.org/10.1371/journal.pone.0274577
Wolf, Z. R., Cara, C., Bernard, N., Turkel, M., & Drenkard, K. (2023). Components of professional practice models. Nurse Administration, 53(4), 204–213. https://doi.org/10.1097/NNA.0000000000001271
Women’s health advocacy at Center of 2023 WNBA Commissioner’s Cup presented by Coinbase - WNBA. (2023). https://www.wnba.com/news/2023-commissioners-cup-womens-health-advocacy
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