Can independence positively influence health and wellbeing?

Numerous health studies show independence positively influences health and wellbeing as it allows clients to manage their own health and make informed decisions about their care and treatment.

This is an important aspect of improving health and wellbeing because, suffering from a long-term illness or injury can be detrimental to one’s physical and mental wellbeing, especially if the recovery process is not handled in an effective and meaningful way. Numerous studies have shown that a client’s independence effectively utilised throughout the recovery process, can positively influence their own health and wellbeing.1,2,3,4,5,6,7,8

Independence can be fostered through any activity that seeks to restore a person’s feeling of dignity and self-esteem whilst recovering. By restoring these aspects, people feel more inclined to succeed in recovery with a positive outlook to further enjoying life’s undertakings once recovery is complete.

Independence boosts morale and motivates individuals’ to succeed in overcoming illness or injury. Health and wellbeing can then be measured by participation in meaningful activities which enhance engagement, enjoyment and health.

Independence throughout recovery should be encouraged. Encouragement to engage in daily activities that are meaningful to each individual is significant as the process of patient participation during recovery will not work if the activities are not tailored to the individual’s needs and lifestyle. Failing to tailor daily activities according to each individuals’ needs could cause disengagement between the health care provider(s) and client, resulting in prolonged recovery time. Therefore individuals should be supported to improve their health in ways which give them the best opportunity to lead the life that they desire.

Promoting independence during recovery of illness or injury is a concept that should therefore be explored and appreciated as a positive influencer on client recovery.


1. Law, M., Steinwender, S. and Leclair, L. (1998). Occupation, Health and Well-Being. Canadian Journal of Occupational Therapy, 65(2), pp.81-91.

2. Glass, T., de Leon, C., Marottoli, R. and Berkman, L. (1999). Population based study of social and productive activities as predictors of survival among elderly Americans. BMJ, 319(7208), pp.478-483.

3. Jensen, L. and Allen, M. (1994). A Synthesis of Qualitative Research on Wellness-Illness. Qualitative Health Research, 4(4), pp.349-369.

4. Lokk, J., Arnetz, B. and Theorell, T. (1993). Physiological effects on patients following temporary closing of a geriatric day care unit. Scandinavian Journal of Social Medicine, 21, pp.122-125.

5. WiderlöV, E., Bråne, G., Ekman, R., Kihigren, M., Norberg, A. and Karlsson, I. (1989). Elevated CSF somatostatin concentrations in demented patients parallel improved psychomotor functions induced by integrity-promoting care. Acta Psychiatrica Scandinavica, 79(1), pp.41-47.

6. Harris, J., Pedersen, N., Stacey, C., McClearn, G. and Nesselroad, J. (1992). Age diff e rences in the etiology of the re l a t i o n s h i p b e t ween life satisfaction and self-rated health. Journal of Ageing and Health, 4, pp.349 – 368.

7. Clark, F., Azen, S., Zemke, R., Jackson, J., Carlson, M. and Mandel, D. (1997). Occupational Therapy for Independent-Living Older Adults. Journal of the American Medical Association, 278(16), pp.1321-1326.

8. Blaxter, M., Cox, B.D., Buckle, A.L.J., Fenner, N.P., Golding, J.F., Gore, M., Huppert, F.A., Nickson, J., Roth, M., Stark, J. and Wadsworth, M.E.J., 1990. The health and lifestyle survey.

Good nutrition can transform mental health

Improving nutrition can transform a person’s mental state when suffering from conditions such as depression, says Chroma Case Management, who support people recovering from life changing injuries.

Studies are increasingly showing that poor diet can be detrimental to mental health and proving that lower rates of mental illness can be linked to healthy diets.

Incorporating evidence-based approaches that place equal emphasis on clients’ psychosocial wellbeing and physical needs, Chroma Case Management includes nutrition as an essential part of their clients’ rehabilitation programmes.

The brain demands a constant supply of nutrients and energy in order to function optimally, and according to Sheri Taylor, director of Specialist Nutrition Rehab, who supports Chroma Case Management, some simple changes to diet can considerably improve and maintain good mental health.

Sheri adds: “Many mental health conditions are accompanied by changes to food intake for example, loss of appetite or binging on sugary snacks. It has also been noted that various unhelpful food patterns that occur during depression also precede depression. These may include poor appetite, skipping meals, and an overwhelming desire for sweet foods.

“As a result, inadequate consumption of vitamins, minerals, and healthy fats will have a negative effect upon mood and brain function.”

Sheri offers the following tips on how to up your intake of brain-healthy foods:

  • Eating at least 5 portions of fruits and vegetables daily to help prevent cellular damage as well as provide the body with essential vitamins and minerals.
  • The brain has one of the highest levels of lipids (fats) and essential fatty acids will help fuel the brain. Consume healthy fats such as olive oil, nuts, seeds and avocado. Oily fish is a great source of omega-3 fatty acids and the most important for supporting brain health.
  • Reducing intake of saturated fats and trans-fats such as butter, cheese, fatty meats, high fat dairy products and processed foods, because these foods are associated with poor mental health.
  • Don’t fear carbohydrates. Carbs such as oats, brown rice, whole grains and vegetables support the production of chemicals in the brain that encourage a greater sense of wellbeing, including serotonin. Carbs with a low glycaemic index will also slowly release energy to fuel the brain
  • Fibre is key. There is a growing body of evidence suggesting good mental health is directly correlated with a healthy gut. Whole grains, fruit, vegetables, legumes, nuts and seeds as well as probiotics, feed the bacteria in your gut, helping support good mental health.

Victoria Collins, Director of Service at Chroma Case Management, says: “Chroma Case Management aims to facilitate clients’ wellbeing and recovery by addressing issues such as sleep disturbance, poor nutrition and lack of exercise within our biopsychosocial rehabilitation model”.

Working with claimant solicitors and insurers, Chroma Case Management’s case managers will develop personalised rehabilitation plans for clients recovering from serious to low-level catastrophic category personal injury events.

Chroma Case Management services cover Immediate Needs Assessments (INAs) and devising bespoke rehabilitation plans, which include client-centered case management and a strong focus on psychosocial and vocational rehabilitation.


  1. Psychosomatic Medicine. Publish Ahead of Print():, FEB 2019 DOI: 10.1097/PSY.0000000000000673, Issn Print: 0033-3174,
  2. Nutritional medicine as mainstream in psychiatry Lancet Psychiatry 2015; 2: 271–74

Welcoming new case managers to CCM’s Induction Day

On 26 February, Chroma Case Management were delighted to welcome four new case managers from across Southern England to our first Induction Day, held at our offices in Ross-on-Wye.

There is always an enormous amount of information to impart at such events and as we were also competing with the unseasonably beautiful weather, we were thrilled to see how engaged our case managers were and how passionate and excited they are about Chroma Case Management’s approach and vision for case management.

We can’t wait to introduce them all individually in due course. Watch this space for more details.

We are Recruiting!

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Rehabilitation Case Managers

CCM is recruiting self-employed Rehabilitation Case Managers in or near Bristol, Birmingham and Leeds.

We are looking for HCPC or NMC registered occupational therapists, physiotherapists and nurses who are innovative and passionate about client-centred and holistic care to design and implement comprehensive and evidence-based rehabilitation programmes for clients who have sustained severe injuries e.g. orthopaedic trauma, brain injury or amputation.

  • Working with claimant solicitors and insurers in a civil litigation setting, you will need to be an experienced clinician, confident communicator and negotiator, and have excellent interpersonal, organisational and report writing skills.
  • This is a self-employed role which offers flexible working hours, working from home and travelling regularly to meet your clients. A driving license and car are therefore essential.
  • Previous case management experience is desirable, but not essential.

The Benefits

  • Self-employed, flexible working arrangements
  • Excellent rates of pay
  • Opportunity to work from home, with travel for client visits
  • Professional support and guidance

Next Steps

To apply, please email your CV with a covering letter to