Psychosocial support for patients and their families emerged as the most common component of care management for all injury groups. Nurses spend a great deal of time providing support to patients and families; traditionally, however, this support is not considered in staffing plans or included in traditional documentation. The provision of psychosocial support is important and may contribute to improved patient outcomes. Decision makers who plan staffing for SCI rehabilitation units should consider time consumed for psychosocial support and apply sufficient weight in staffing and acuity systems to account for the formidable amount of time that nurses spend on this intervention.