Productive work and employment for persons with traumatic brain injury: what have we learned after 20 years?
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.
SourceAvailable from: Sabri El Banna
Article: Occupational Reintegration in Patients with Traumatic Brain Injury Antonio Catano1*, Paul Robert1, Myriam Houa1, Dan Hutanu1, Luc Bissen2 and Sabri El Banna3 1Department of Rehabilitation, CHU-Charleroi-Vésale, Belgium 2Medical director, CHU-Charleroi-Vésale, Belgium 3Department of Orthopaedics & Traumatology, CHU-Charleroi-Vésale, Belgium[Show abstract] [Hide abstract]
ABSTRACT: There is little information on the efficiencies and limits of the professional reintegration models among patients having suffered from a traumatic brain injury (TBI). In order to identify which factors should be taken into account to establish an accurate individual professional reintegration program, we have studied retrospectively the data from 56 consecutive patients having suffered a TBI with initial loss of consciousness. Our results indicate that many patients evidenced cognitive and executive functions disorders with negative impacts upon employment outcomes. In the patients who returned to work after the TBI, professional reintegration was achieved along with social integration process. Socioeconomic status also appears to affect the possibilities of work recovery as patients with lower levels of education and employment showed a poor outcome in returning to work. Among other positive features, young age at the time of the onset and facilities of arrangement of the work conditions tended to be useful for occupational reintegration and job recovery. However, our results have to be confirmed at a larger scale. Due to the low success of the professional reintegration process, we conclude that further research is needed to improve the management of patients after a TBI.
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ABSTRACT: Nearly 1.7 million Americans sustain a traumatic brain injury (TBI) each year. These injuries can result in physical, emotional, and cognitive consequences. While many individuals receive cognitive rehabilitation from occupational therapists (OTs), the interdisciplinary nature of TBI research makes it difficult to remain up-to-date on relevant findings. We conducted a literature review to identify and summarize interdisciplinary evidence-based practice targeting cognitive rehabilitation for civilian adults with TBI. Our review summarizes TBI background, and our cognitive remediation section focuses on the findings from 37 recent (since 2006) empirical articles directly related to cognitive rehabilitation for individuals (i.e., excluding special populations such as veterans or athletes). This manuscript is offered as a tool for OTs engaged in cognitive rehabilitation and as a means to highlight arenas where more empirical, interdisciplinary research is needed.OTJR Occupation Participation Health 02/2015; 35(1):5-22. DOI:10.1177/1539449214561765 · 0.80 Impact Factor
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ABSTRACT: People with catastrophic injuries face many long-term challenges in the community as a result of their injury: one of the most problematic can be in returning to work (RTW). It may not only be a significant issue for the person with a catastrophic injury but also for their family, friends, the employment industry, and society. Worldwide mean RTW rates for people with catastrophic injury are approximately 30-40%; however, in Australia the overall mean rate is unknown. Internationally, the best RTW rates reported for moderate to severe traumatic brain injury (TBI) come from the UK, Sweden and USA, whilst for spinal cord injury (SCI) they are in Switzerland and Sweden. There are several differences in the way rates reported are calculated such as the time post-injury, making it difficult to definitively identify whether one country achieves better RTW rates than another. Several studies have been conducted to determine the factors which facilitate and limit RTW for people with catastrophic injury. These include having pre-injury employment, age, education, severity of injury, level of cognitive impairment, being functionally independent, fatigue, psychological adjustment to the change, social support and the work environment to name a few. There is a general lack of understanding of the experience of people with catastrophic injury who return to work and, therefore, little known about how job retention can be successful in the long-term.