Concussion (also sometimes called mild traumatic brain injury) is the most common form of traumatic brain injury. A new study initiated by ONF (not yet published), found that there were 148,710 concussions diagnosed in Ontario in 2013. Most people will recover whether it takes one or several weeks, however 15-20% of people who sustain a concussion have longer, potentially difficult and persistent symptoms that interfere with their functioning and daily lives.
This site has been designed to provide information on the work we’ve done in collaboration with our partners; using research to drive practice and policy. Whether you are a medical professional, service provider, patient, family member, or decision-maker, this site provides credible information on the state of concussion care in Ontario and management tools and resources.
Standards for High Quality Post-Concussion Services and Concussion Clinics
Every patient who sustains a concussion should be assessed by a qualified practitioner able to make a diagnostic decision (physician, nurse practitioner, or neuropsychologist).
Post-concussion care and concussion clinics should have direct access to a physician to provide ongoing involvement regarding medical stability, trajectory of care, need for medical speciality referral and decisions on clearance to return to activity.
Individuals with concussion should have access to the following types of care at the time points below, according to the post-concussion care pathway.
Healthcare providers and concussion clinics should provide the following information and respond to the following questions/needs of the patient and family.
Every patient diagnosed with concussion should receive follow-up (usually from his/her primary care provider) within 1-2 weeks.
A person treating patients for concussion symptoms should be a regulated health care professional, licensed by a regulatory body under the regulated health professions act
A concussion clinic or network of providers should offer/utilize an interdisciplinary team with varying scopes of practice, with a minimum of three (3) different health care provider disciplines.
A concussion clinic or network of providers should clearly outline for patients whether it is able to provide the full spectrum of care from initial management to longer term management of persistent symptoms (if required).
A concussion clinic or network of providers should have the following core functions/services in place to manage patients comprehensively and provide the best post-concussion care:
Concussion Clinic teams and networks should delineate each other’s roles and professional scopes of practice.
A concussion clinic or network of providers should follow practices and use treatments that are evidence- based or recommended by provincial, national or international guidance or consensus statements.
Primary care practitioners, concussion clinic teams/networks of providers should follow referral indicators to refer patients to appropriate specialists, services and allied professionals.
If post-concussion care is provided within a network of providers rather than a clinic, it should;
A concussion clinic or network of providers should have clear internal and external communication mechanisms in order to improve coordination of care.
A concussion clinic or network of providers should have timely access to service, suggested reporting and common data elements, and collect patient-level clinical data, demographic data and administrative data.