Productive work and employment for persons with traumatic brain injury: what have we learned after 20 years?

Virginia Commonwealth University Rehabilitation Research and Training Center on Workplace Supports, Richmond, VA 23284, USA.
Journal of Head Trauma Rehabilitation (Impact Factor: 2.92). 01/2005; 20(2):115-27. DOI: 10.1097/00001199-200503000-00001
Source: PubMed

ABSTRACT This article describes return to work outcomes for individuals with traumatic brain injury (TBI) through a selective review of the published literature and an examination of TBI labor force participation from the Rehabilitation Services Administration 91l and the Social Security Administration Benefits Planning, Assistance and Outreach databases. Implications and recommendations to further our understanding about the different parts of the work outcome profile of individuals with TBI are offered.

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Available from: Pamela Targett, Nov 20, 2014
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    • "al integration within the community , more frequent pursuit of leisure and home activities , and greater health status , less usage of health services , more social contact , greater autonomy and a clearer sense of personal identity ( Webb et al . , 1995 ; O ' Neill et al . , 1998 , 2004 ; Corrigan et al . , 2001 ; Steadman - Pare et al . , 2001 ; Wehman et al . , 2005 ) . The World Health Organization ' s International Classification of Functioning , Disability and Health ( IFC ) highlights that returning to work is a key component of rehabilitation and should not remain a marginal outcome of recovery ( WHO , 2001 ) . Powell et al . ( 2012 ) reported that participants who demonstrated higher levels o"
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    ABSTRACT: The idea that acquired brain injury (ABI) caused by stroke, hemorrhage, infection or traumatic insult to the brain can result in post-traumatic growth (PTG) for individuals is increasingly attracting psychological attention. However, PTG also attracts controversy as a result of ambiguous empirical findings. The extent that demographic variables, injury factors, subjective beliefs, and psychological health are associated with PTG following ABI is not clear. Consequently, this systematic review and meta-analysis explores the correlates of variables within these four broad areas and PTG. From a total of 744 published studies addressing PTG in people with ABI, eight studies met inclusion criteria for detailed examination. Meta-analysis of these studies indicated that growth was related to employment, longer education, subjective beliefs about change post-injury, relationship status, older age, longer time since injury, and lower levels of depression. Results from homogeneity analyses indicated significant inter-study heterogeneity across variables. There is general support for the idea that people with ABI can experience growth, and that various demographics, injury-related variables, subjective beliefs and psychological health are related to growth. The contribution of social integration and the forming of new identities post-ABI to the experience of PTG is explored. These meta-analytic findings are however constrained by methodological limitations prevalent in the literature. Clinical and research implications are discussed with specific reference to community and collective factors that enable PTG.
    Frontiers in Psychology 08/2015; 6. DOI:10.3389/fpsyg.2015.01162 · 2.80 Impact Factor
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    • "An interesting finding was that contrary to the TBI rehabilitation literature [59], supported employment was not a significant predictor of employment outcome for VR clients in this study. Primarily concerned with maintaining employment, supported employment programs have traditionally been defined as involving competitive employment, integrated work settings, and the provision of on-going job support [30]. "
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    ABSTRACT: This study analyzed the Rehabilitation Services Administration (RSA) case service report (RSA-911) data for fiscal year 2004 to examine effects of demographic characteristics, work disincentives, and vocational rehabilitation services patterns on employment outcomes of persons with traumatic brain injuries (TBI). The results indicated that European Americans (53%) had appreciably higher competitive employment rates than Native American (50%), Asian Americans (44%), African Americans (42%), and Hispanic/Latino Americans (41%). Clients without co-occurring psychiatric disabilities had a higher employment rate (51%) than those with psychiatric disabilities (45%). Clients without work disincentives showed better employment outcomes (58%) than those with disincentives (45%). An important finding from this analysis was the central role of job search assistance, job placement assistance, and on-the-job support services for persons with TBI in predicting employment outcomes. A data mining technique, the exhaustive CHAID analysis, was used to examine the interaction effects of race, gender, work disincentives and service variables on employment outcomes. The results indicated that the TBI clients in this study could be segmented into 29 homogeneous subgroups with employment rates ranging from a low of 11% to a high of 82%, and these differences can be explained by differences in work disincentives, race, and rehabilitation service patterns.
    Neurorehabilitation 02/2006; 21(4):279-93. · 1.12 Impact Factor
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    • "There are factors related to the person (i.e. demographic factors [30], injury factors [30] [44], cognitive functioning [30] [40], emotional functioning [40], awareness [1] [44], and pre and post injury coping skills [21] [30] [38]) as well as factors related to the environment (i.e. a supportive work environment and health insurance [31] [44]) that are predictors of whether or not a TBI client is likely to return to work. Let's now look specifically at * Address for correspondence: C.A. Mateer, Department of Psychology , University of Victoria, P.O. "
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    ABSTRACT: The effects of a traumatic brain injury on vocational outcome can be predicted on the basis of several factors. Environmental factors such as a supportive work environment, and person specific factors, including the client's age, premorbid occupation, injury variables, level of awareness, psychosocial adjustment, coping skills, and cognitive deficits have all been found to predict return to work following a traumatic brain injury. Some of these factors are amenable to treatment, and clinicians can impact clients' likelihood of returning to work by intervening in various ways. Through case studies and a literature review on the effectiveness of cognitive rehabilitation interventions, we have outlined specific strategies and recommendations for interventions. Cognitive rehabilitation strategies that address attention, memory and executive deficits can improve clients' abilities to manage workplace tasks and demands. Many clients continue to experience problems with social and emotional adjustment following a brain injury that impact return to work. Cognitive behavioural therapy is well suited for improving coping skills, helping clients to manage cognitive difficulties, and addressing more generalized anxiety and depression in the context of a brain injury.
    Neurorehabilitation 02/2006; 21(4):315-26. · 1.12 Impact Factor
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