The findings of this study do not support the hypotheses. Postrehabilitation functioning was better than anticipated in adults with dual diagnosis. The contribution of rehabilitation factors, such as longer admission time to develop compensatory techniques and strategies for adaptation in the community, may have contributed to these positive findings.

When considering the impact of contextual factors on paid employment for people with a dual diagnosis of spinal cord injury/traumatic brain injury, personal factors may be of greater influence than environmental factors. Study participants experienced few physical or attitudinal barriers and reported highly supportive interpersonal relationships.

This paper reports on the outputs and outcomes of a productive garden used to facilitate participate to learn activities in an inpatient rehabilitation centre. We explore the thinking behind the novel use of a horticultural therapist and make suggestions for further areas of research into using participate to learn as an approach to inpatient rehabilitation.