Resource Facilitation is a process built on three main functions.
First, Resource Facilitators assist with understanding the changes brain injury can cause, collaborative problem solving and supporting the individual with brain injury and/or family members through the critical healing process. The needs for persons with BI and their families often exist well beyond the point of sustaining the brain injury, hospital stay, rehabilitation and hospital discharge. In an effort to better bridge the gap between hospital, home, and return to work or school, the Resource Facilitation program was designed to begin weaving a network of support for persons with brain injury.
Second, referrals are provided from within the clients’ community. If resources are not available locally that meet the client’s needs, the Resource Facilitator will do their best to find the most accessible and closest resources nearby such as seeing if University of Nebraska Medical Center has professionals that go out to their communities to provide services. These resources assist with successful return to school, work or community reintegration. It also assists with long-range community planning. The Resource Facilitator educates about the changes brain injury can cause. The staff will then start to discuss available resources in a supportive manner, which facilitates individual choice, independent decision-making, and utilization of natural supports and personal self-advocacy. Resource Facilitators understand the recognition of the changes brain injury can cause is a process, as is the decision to seek support and services. The length of time this process takes is determined by the client.
Finally, this process leads to identification of gaps in service delivery. A key piece of advocacy for policy change is the identification of gaps and/or barriers to services. This includes the ability to keep people out of institutional settings by providing the necessary interventions to meet individualized goals: including returning to employment, establishing modified support networks, accessing services to meet basic needs, and continued personal growth. The Resource Facilitator conducts visits with clients to determine outcome and assist with additional service needs, if they are necessary.
BA in Social Work, Psychology, Sociology, or Related Human Services Field; Masters preferred. Other qualifications will be considered if individuals are passionate, motivated, and solutions-oriented.
Minimum of two years of direct human service experience with persons with disabilities. Experience working with individuals with brain injury preferred.
Understanding of Nebraska’s disability service system, social service system, and medical service system.
Understanding of disability issues.
Demonstrated involvement in community organizing as a passionate, motivated, and solutions-oriented collaborator.
Excellent verbal and communication skills.
Strong computer skills. Ability to learn and utilize new computer programs to efficiently and effectively collect, compile, evaluate, and share data.
Flexibility in scheduling to meet individual and organizational needs.
Ability to work extremely independently and interdependently in diverse groups.
Ability to drive and travel independently or with self-directed accommodations.
Accommodations to work remotely.
Ability to be a team player.
Highly organized and able to juggle client needs and documentation requirements.
A collegial sense of humor.
At BIA-NE, we've based our RF ethical standards on other nationwide Resource Facilitator and Case Manager programs.
These ethical standards are guidelines designed to ensure that case managers provide professional, ethical, and client-centered services. These standards emphasize respect, integrity, accountability, and adherence to professional roles and responsibilities.
Here are the core ethical standards for Resource Facilitators:
Client Advocacy and Empowerment
Promote Autonomy: Respect clients' right to make their own decisions and support them in achieving their goals.
Act in the Client's Best Interest: Advocate for clients' needs and ensure they receive appropriate services and resources.
Empower Clients: Provide education and resources to help clients become self-sufficient and informed about their care options.
Respect for Clients’ Rights and Dignity
Respect Diversity: Be culturally competent and sensitive to clients' beliefs, values, and backgrounds.
Maintain Confidentiality: Protect clients’ private information and share it only with proper consent or as required by law.
Foster Dignity: Treat clients with respect, compassion, and fairness regardless of their circumstances.
Professional Competence
Stay Within Scope of Practice: Provide services only in areas where you are qualified and knowledgeable.
Continuous Education: Engage in ongoing professional development to maintain and improve skills.
Utilize Best Practices: Employ evidence-based practices and stay informed about current standards in the field.
It is the responsibility of any staff member who holds a professional license or certification to renew their license/certification. Furthermore, licensure status changes must be reported to the Director and Operations.
Integrity and Accountability
Maintain Honesty: Be truthful in all communications and documentation.
Avoid Conflicts of Interest: Disclose and manage any potential conflicts of interest that could influence professional judgment.
Take Responsibility: Acknowledge mistakes, address issues promptly, and strive to prevent future errors.
Professional Boundaries
Define Relationships: Maintain clear, professional relationships with clients, avoiding personal involvement.
Avoid Exploitation: Never use professional relationships for personal gain.
Set Expectations: Clearly communicate the role, scope, and limits of case management services.
Coordination and Collaboration
Interdisciplinary Teamwork: Collaborate with other professionals to provide holistic care.
Facilitate Communication: Ensure effective communication among team members, clients, and their families.
Promote Client-Centered Care: Advocate for care plans that align with the client’s preferences and needs.
Ethical Decision-Making
Prioritize Ethics Over Convenience: Make decisions that align with ethical principles, even when challenging.
Use Ethical Frameworks: Apply established ethical models and consult colleagues or supervisors when faced with dilemmas.
Consider the Impact: Weigh the potential consequences of decisions on all stakeholders.
Legal and Regulatory Compliance
Adhere to Laws: Follow all relevant laws, regulations, and standards of practice.
Document Accurately: Maintain thorough, accurate, and timely records as required by law and organizational policies.
Report Violations: Report unethical or illegal behavior to appropriate authorities.
Non-Discrimination
Treat all clients fairly, without discrimination based on age, gender, race, religion, sexual orientation, socioeconomic status, disability, or any other characteristic.
Self-Care and Professional Growth
Prevent Burnout: Engage in self-care to ensure the ability to provide effective and ethical services.
Seek Supervision: Obtain support and supervision when needed to address challenging cases or ethical dilemmas.
These ethical standards, often outlined by organizations like the Commission for Case Manager Certification (CCMC) or similar governing bodies, ensure that case managers uphold professionalism, foster trust, and provide the highest standard of care for their clients.
Professional boundaries are essential for Resource Facilitators, especially those working with individuals who have brain injuries, for several key reasons:
Protects the Client’s Best Interests
Professional boundaries help maintain a focus on the client’s needs and goals rather than personal interests or emotional attachments.
Clear boundaries ensure ethical decision-making and prevent favoritism or unequal treatment among clients.
Prevents Role Confusion
Boundaries clarify the case manager's role, helping clients and their families understand the scope of services provided.
This avoids misunderstandings about what the case manager can or cannot do, fostering trust and effective collaboration.
Promotes Client Autonomy
Maintaining boundaries empowers clients to make their own decisions and develop self-advocacy skills.
Overstepping boundaries can lead to dependency, which undermines the client’s growth and independence.
Preserves Professional Integrity
Boundaries uphold ethical standards and reinforce the professionalism of the case manager’s role.
They prevent conflicts of interest or behaviors that could compromise the case manager's credibility.
Reduces Risk of Burnout
Establishing clear limits on availability and emotional engagement helps case managers avoid overextension and compassion fatigue.
Boundaries support a sustainable work-life balance, ensuring the case manager can provide consistent, high-quality care.
Ensures Legal and Ethical Compliance
Professional boundaries align with codes of ethics and legal standards in case management.
Violating boundaries could lead to legal liabilities, disciplinary actions, or harm to the client.
Promotes Healthy Relationships
Boundaries help create a respectful, trusting relationship where the client feels supported but not manipulated or over-controlled.
A professional relationship avoids inappropriate familiarity, which can blur the lines of care and responsibility.
Supports Objective Decision-Making
By maintaining a professional distance, Resource Facilitators can make unbiased, well-reasoned decisions in the client’s best interest.
Emotional entanglement can lead to clouded judgment and poor outcomes.
Protects Both Parties
Boundaries safeguard clients from potential exploitation or inappropriate behavior.
They also protect the case manager from false allegations, misunderstandings, or legal repercussions.
Fosters Collaboration with Other Professionals
A clear understanding of the case manager’s role within the care team ensures effective collaboration with other healthcare providers, therapists, and support services.
By upholding professional boundaries, Resource Facilitators can provide ethical, effective, and sustainable support, enhancing outcomes for clients and maintaining the integrity of the profession.
Good professional boundaries include the following:
Maintain Professional Relationships
Focus interactions on the client’s needs and rehabilitation goals.
Avoid personal relationships or favoritism that could blur professional roles.
Communicate Clearly
Set expectations early regarding roles, responsibilities, and the scope of services provided.
Use professional language and tone, avoiding overly casual or inappropriate communication.
Respect Client Autonomy
Encourage and empower clients to make their own decisions.
Avoid overstepping by making decisions for the client unless explicitly needed for safety or legal reasons.
Avoid Dual Relationships
Steer clear of situations where there is both a personal and professional relationship with the client or their family.
Refer clients to other professionals for services outside the scope of case management.
Set Emotional Boundaries
Show empathy without becoming overly involved emotionally.
Seek supervision or support when feeling overwhelmed or overly connected to a client's situation.
Adhere to Confidentiality Standards
Respect the client’s right to privacy, sharing information only with consent or as legally required.
Ensure sensitive information is securely stored and communicated responsibly.
Define Accessibility
Set clear boundaries for availability (e.g., working hours, preferred methods of communication).
Avoid being constantly on-call unless it’s a stipulated part of the role.
Maintain Professional Competence
Stay within the scope of your expertise and role. Refer to specialists or resources when a client’s needs exceed your qualifications.
Commit to continuous education on brain injuries and related case management practices.
Manage Conflicts of Interest
Avoid situations where your judgment might be compromised by external relationships or financial interests.
Disclose any potential conflicts and manage them transparently.
Practice Self-Care
Recognize the potential for compassion fatigue and burnout.
Establish a healthy work-life balance and seek supervision or peer support when needed.
Be Culturally Sensitive
Respect the cultural, religious, and personal beliefs of clients and their families.
Avoid imposing personal values on clients or their care plans.
By adhering to these boundaries, brain injury resource facilitators can foster trust, ensure effective client care, and maintain their professional integrity.
Resource Facilitation is a program by which a trusting relationship with the individual is formed to promote disclosure of changes caused by brain injury. Basic demographic information is collected from the individual to better understand the person and provide the best information about brain injury and referrals to appropriate resources. The process also identifies barriers to services, ways to work through the barriers, and unmet needs.
No one with a brain injury or his/her family will be turned away from participating in the program. It is common to work with individuals several years post injury. Due to the chronic and evolving neurological consequences of brain injury, resource facilitation services are made available throughout the lifespan of the individual being served if they choose this pathway.
Resource facilitation will provide information and referral services in which the client has one-to-one, personal phone contact with a Resource Facilitator. Resource Facilitation consists of using professional and comprehensive interviewing, communication and assessment skills.
Resource Facilitation respects the client’s right to:
Confidential access to information.
Trauma-Informed Care.
Assistance, based on the client’s value system.
To be treated with respect and cultural sensitivity.
Self-determination and self-advocacy.
Opportunity to access the services of their choice.
Accurate and comprehensive information about services.
Establish rapport with the client and use active listening skills to help identify priority needs.
Respond to each client in a professional, non-judgmental and culturally appropriate manner. Under no circumstance will the RF knowingly provide misleading or preferential referrals to an organization.
Be mindful of time and the client’s stamina. The client’s need for rest is more critical than the professional’s wish to complete a call. If they seem fatigued, inquire if they are doing okay or need to schedule an additional follow-up call.
The Resource Facilitator shall remain neutral and mindful that they are only presented with partial views of any situation and are in no position to react negatively. Also, any such critique could confuse the central issues, inflame volatile situations and place BIA-NE at risk.
Make an accurate assessment of the issues presented by the client, asking relevant open-ended questions to elicit information necessary for accurate referral.
Provide the client with various approaches to address the issue/problem.
Where possible, provide at least three referrals to give client a choice (and protect Resource Facilitation from being perceived as making a “recommendation”).
Provide accurate and necessary information to enable the client to choose the most appropriate resources.
Recognize and encourage the client's right to make his/her own choices.
Pursue the problem/issue until both the client and Facilitator are assured that all appropriate options have been exhausted.
Suggest ways the client can advocate for him/herself when appropriate (empowerment/self-determination).
When warranted and with client’s permission (verbal permission or signed Release of Information), make direct contact and communicate with other persons/professionals involved with the client.
Offer to initiate a conference call with the client to another agency or professional.
Provide support, as an advocacy organization, to assist clients in obtaining a needed service when they can not effectively represent themselves or when they have a complaint about a service. The preferred advocacy approach is educational vs. confrontational. The goal is to help the client/family find their own voice and to be empowered to get their needs met.
Ask the client to call back if the information proves incorrect, inappropriate, or insufficient to link them with a needed service.
Follow up as appropriate.
Ensure the client is able to utilize the internet, phone, technology well before requesting them to look up resources or doing some research or requests/calls on their own. This may entail problems with speech, memory, comprehension, etc. Never assume what they are able to do functional wise. You may want to have clients relay back to you what we are requesting of them.
If a BIA-NE Resource Facilitator has reason to believe a vulnerable adult or child has been abused, neglected or exploited the resource facilitator has the duty to report by calling the 24 hour toll-free hotline at 800-652-1999 or by contacting local law enforcement.
For more information about adult and child abuse and neglect go to:
https://dhhs.ne.gov/Pages/Adult-Protective-Services.aspx
https://dhhs.ne.gov/Pages/Child-Welfare.aspx
If there is suspected child or adult abuse the resource facilitator is legally, and ethically, obligated to contact the Child and Adult Abuse Hotline 800-652-1999.
People who have experienced a brain injury will often have experienced an extensive medical trauma. People who had brain injury come from all ages, races, cultural and socio-economic status. Often times the trauma of brain injury requires prolonged hospitalization and rehabilitation, which can result in a change of socio-economic status. Persons who had careers may lose their jobs. People who owned homes may face foreclosure, which results in additional emotional trauma. Therefore, it is critical that BIA-NE professionals are informed of this type of life-changing trauma that our clients face, in order to support them as they face it. The trauma may be different from traditional trauma-informed care, but it has many important similarities for staff to be aware of.
What is Trauma-Informed Care?
Most individuals seeking public behavioral health services and many other public services, such as homeless and domestic violence services, have histories of physical and sexual abuse and other types of trauma-inducing experiences. These experiences often lead to mental health and co-occurrent disorders, such as chronic health conditions, substance abuse, eating disorders, and HIV/AIDS, as well as contact with the criminal justice system.
Trauma-informed organizations, programs, and services are based on an understanding of the vulnerabilities or triggers of trauma survivors that traditional service-delivery approaches may exacerbate, so that these services and programs can be more supportive and avoid re-traumatization.
For more information go to: https://www.traumainformedcare.chcs.org/what-is-trauma-informed-care/
Trauma-specific interventions are designed specifically to address the consequences of trauma in the individual and to facilitate healing. Treatment programs generally recognize the following:
The survivor's need to be respected, informed, connected, and hopeful regarding their own recovery
The interrelation between trauma and symptoms of trauma (e.g., substance abuse, eating disorders, depression, and anxiety)
The need to work in a collaborative way with survivors, family and friends of the survivor, and other human services agencies in a manner that will empower survivors and clients.
Source: (SAMSHA www.samsha.gov)
Person-centered planning is a process-oriented approach empowering people to plan their life, find their voice, and work toward reaching their goals. Person-centered thinking was developed by Carl Rogers which focuses on the perspective of the person with the support of others. Supports choice, dignity, respect, compassion, and self-determination.
Supports are developed in collaboration with the individual. These chosen supports by the individual are the people in their lives who know them best, have heart connections, natural and professional support system, and are rooted in trust and respect. The goal of person-centered planning is to support participants to be the center of planning their supports and goals. Our job is to create safe spaces and support for people to achieve their desired outcomes by listening, supporting, and learning.
More information can be found here:https://dhhs.ne.gov/Pages/DD-Person-Centered-Planning.aspx#:~:text=Person%2Dcentered%20planning%20is%20a,Resource%20Library
I DECIDE Georgia - Supported Decision-Making: Decide Your Future:
https://idecidega.org/about-sdm/
Supported Decision-Making Resources Administration for Community Living - Supported Decision Making Program https://acl.gov/programs/consumer-control/supported-decision-making-program
Autistic Self Advocacy Network - Supported decision making: Why the right to make choices matters https://autisticadvocacy.org/actioncenter/issues/choices/sdm/
National Resource Center for Supported Decision Making https://supporteddecisionmaking.org/
Ensure that you are screening an individual for brain injury since the person may have an unrecognized history. Be supportive and person-centered while realistic in helping them understand BI and how it may be impacting them on a daily basis. Also inform them of the substances they may be using and how this directly affects their healing and recovery and the increased risks incurring another BI. Get a good clinical oversight of their situation and if they have not already sought out treatment for the addiction, encourage them to get enrolled for help. If they have and already are in treatment, continue to work with them and the provider on a continual basis until they are discharged from the treatment facility and create a plan to meet. If the person is not within a Substance Use Disorder (SUD) treatment facility and does not have plans to do so, educate them on the benefits or see what goals they may have in mind.
Develop a personalized plan of recovery for SUD and BI. More often than not, a person that is either thinking of SUD treatment or is ready to be discharged from the SUD treatment center will fail to follow through with the plan that he/she developed for their BI. Make sure that you discuss this with them before this occurs and let them know of your expectations as well as having a follow up plan once they are discharged. Have more than one contact phone number of a close friend or relative that you are able to connect with in case the individual loses or sells their personal cell phone. Establish this outside contact while meeting up with your individual so that you can have a release of information on file and some rapport with that outside contact.
If the individual you are working with is not interested in SUD treatment, you can do as much education with them as they will allow you, although, it is not likely that they will be able to successfully develop a plan for treating and/or dealing with the effects BI has had on them if they continue to use substances. This is where we need to use our judgement, time and resources wisely when the individuals are not yet at a point where they want to work on their problems and improve their lives. Do not tell the individual anything negative, but always leave the door open for them to come back to you when they are ready. If you have already developed a positive relationship with that person, they are more likely to find a way to reconnect if they have hit bottom and will work on the SUD.
Frequent Caller Policy
Brain injury can often leave individuals feeling overwhelmed, and when combined with a dual diagnosis, it might be challenging to understand the different roles played by Resource Facilitators and other community professionals. Please note that Resource Facilitators are here to offer support—they are not a substitute for trained counselors, therapists, or psychologists. This policy is designed to clarify our role and avoid any potential confusion.
Understanding Emotional Responses
We recognize that the effects of a brain injury can sometimes lead to intense emotions. Yelling, crying, or agitation does not automatically indicate a crisis. However, when someone is experiencing significant distress, it may be necessary to prioritize their immediate concerns. Although our approach is client-friendly, the Brain Injury Association is not a crisis center. In such cases, our priority is to connect individuals with the appropriate crisis services to ensure their safety.
Managing Crisis Situations
If you suspect that a caller is at risk of suicide, self-harm, or violence, it is crucial to act immediately. For callers at risk, we work together to develop a safety plan that includes identifying trusted contacts, local suicide hotline numbers, and practical steps for staying safe. Since our calls are conducted from a home-based setting with no additional staff present, if there is an imminent risk (such as suicide, homicide, or self-harm), please ask if you can arrange a three-way call with a local police department or mental health hospital. If the caller disconnects abruptly, you should immediately contact local law enforcement for a wellness check.
Who Is a Frequent Caller?
A caller is considered "frequent" when there is a consistent pattern of daily, weekly, or particularly lengthy calls.
Procedure for Frequent Callers
After providing brain injury education, problem-solving support, and multiple referrals—which may not have been accepted—Resource Facilitators are encouraged to limit calls from frequent callers to about 10 minutes per conversation. It is essential for all staff to consult with the RF Manager to determine the best approach for managing these situations.
Why This Policy Is Important
This policy is in place to set clear boundaries and to encourage callers to seek help from professionals with specialized training in mental health. It aligns with the practices of other non-profit organizations that offer similar phone services, ensuring that support across community providers remains consistent. Ultimately, our goal is to help individuals with brain injuries understand the importance of following up with community resources. Of course, if a situation escalates into a crisis, we will adjust our approach immediately by referring the caller to the county common entry point (Vulnerable Adult Report) or arranging a safety check by local law enforcement.
By following these guidelines, we aim to provide safe, effective, and supportive service while ensuring that each caller gets the help they need.
BIA-NE does not regularly obtain and maintain medical records for clients.
However, if this information is pertinent to providing assistance, an Authorization for Release of Information will be signed and the RF will communicate with identified personnel directly.
Authorization for Release of Information forms should be dated for only one year and the client will be informed that they have the right to cancel authorization at will.
The changes caused by brain injury can create hidden disabilities. These disabilities and changes can create barriers to clients in accessing resources. Resource Facilitation is aware of these barriers and will work to remove these barriers. Resource Facilitation shall provide barrier-free access to its services for individuals and groups who have special needs.
This includes but is not limited to TDD/TTY access for people with hearing impairments, ASL interpreter, language access for clients who speak languages other than English, and physical access to people with disabilities who may drop by physical buildings for information.
E-mail information requests that require a Resource Facilitator’s response will be forwarded to the appropriate staff that will then follow the E-mail procedure.
Resource Facilitation may also make its information and/or services available to the community in a variety of other ways. Resource facilitation may:
Establish a presence at community facilities where clients are helped face-to-face.
Participate in local case management networks.
Compile and distribute a directory of services in print and electronic format such as the web.