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Breifini Perkins BSc(Hons)OT

Case Management

Breifini Perkins is an occupational therapist with specialist experience in neurology, complex disability, trauma and acquired brain injury in adults and teenagers, and children with cerebral palsy. She qualified as an occupational therapist in 2005 and is registered with the Health and Care Professions Council. Before becoming an occupational therapist Breifini worked for several years in a variety of administrative and customer service posts.

Breifini started her occupational therapy career working for the Royal Devon and Exeter Hospital from 2005 until 2008, completing rotations in adult medicine, stroke and orthopaedics. She prescribed care packages to enable safe discharge from hospital and set goals for community rehabilitation teams.  She then held a senior role on the stroke unit, training and supervising junior staff and delivering training to the multidisciplinary team.  Whilst at the Royal Devon and Exeter Hospital Breifini was a manual handling trainer for the therapy team.

Breifini then moved to Dorset and worked in Poole Hospital from 2008 until 2014.  She completed senior rotations in acute stroke and rehabilitation and neurology.  She remained in neurology for five years where she worked with clients with head injuries, multiple sclerosis and various other long term complex neurological conditions. Her main role was enabling safe hospital discharge, by prescribing equipment, care packages and community rehabilitation programmes.  She carried out inpatient assessment and rehabilitation, mental capacity assessments and led best interest meetings.  She provided evidence for continuing healthcare funding.  She acted as senior support to the hospital palliative care team, supervised junior rotational staff and delivered training to the neurological therapy team.  Breifini co-wrote local neurological therapy service standards, in line with national guidelines for brain injury, stroke and long term conditions, to promote quality and to enable audit of good practice.

From 2014 to 2018 Breifini worked for Treloar School and College in Hampshire where she worked with teenagers with cerebral palsy, muscular dystrophy and other severe neurological conditions in a residential educational setting. She carried out mental capacity assessments with students who had complex cognitive and communication difficulties. She supported students in Child in Need meetings.  She wrote reports for Education Health Care Plans and contributed to annual reviews.  She had a lead role in establishing students’ access to technology using adaptive equipment. She helped students to develop their community skills and daily routines using a combination of high and low technological aids and specialist techniques. 

Since qualifying Breifini has completed additional training in sensory integration, the Bobath concept, Cognitive Rehabilitation Therapy and behaviour management. 

Breifini joined Harrison Associates as a case manager. The majority of her caseload has been traumatic brain injuries and multiple orthopaedic injuries for adults, children and young people. She is experienced in working with the education system for younger clients, to ensure additional needs are met following their injuries. She manages clients who have low mood and behavioural difficulties. Breifini manages the recruitment and supervision of privately employed care teams and works jointly with care agencies to provide care packages. Breifini keeps up to date with continuing professional development.  She is a member of the Royal College of Occupational Therapists, and a member of CMSUK.