Early access to vocational rehabilitation for spinal cord injury inpatients

Middleton, James; Johnston, Deborah; Murphy, Gregory C.; Ramakrishnan, Kumaran; Savage, Nerida; Harper, Rachel; Compton, Jacquelyn; Cameron, Ian D.

doi:10.2340/16501977-1980

Cited by 48 publications

(80 citation statements)

References 26 publications

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“…11 Early results were promising, with 34.5% of participants engaging in paid employment at a median of 3 weeks post discharge, a rate which can be expected to increase over time. 22 Similar results have been found in New Zealand's Kaleidoscope Vocational Program upon which the In-Voc Programme was based.…”

Section: Early Intervention In Practicesupporting

confidence: 74%

“…22 This is despite the fact that work is viewed by people with SCI as being a central part of returning to a normal life. 14,23 Conventional wisdom generally holds that vocational considerations are inappropriate in the primary rehabilitation phase due to the significant physical and psychosocial adjustment process a person must undertake.…”

Section: Early Interventionmentioning

confidence: 70%

“…This is the most common pathway back into the workforce for those who achieve an earlier return. 22 Cross-sectional research in the USA echoes these findings, with returning to the previous employer identified as a 'fast track' to RTW following a SCI. 6 Furthermore, Krause et al 6 suggest that there is a limited time span in which to achieve this through capitalising on pre-injury skills and maintaining the occupational bond.…”

Section: Early Interventionmentioning

confidence: 84%

“…Current early intervention approaches incorporate motivational interviewing in order to assess and work within the client's motivational state and potentially overcome this barrier. 22 The attitudes and motivations of treating clinicians are just as vital as those of the clients to the success of early vocational intervention. Many clinicians may subscribe to traditional thought regarding SCI rehabilitation and may reject vocational intervention at such an early stage.…”

Section: Challenges In Early Interventionmentioning

confidence: 99%

“…For example, early consideration of vocational goals during the rehabilitation process communicates to clients that returning to work is not only possible, but likely. 22 Evidence suggests that identifying RTW as a treatment goal enhances hope and motivation and in turn reinforces treatment adherence.…”

Section: Benefits Of Early Interventionmentioning

confidence: 99%

See 4 more Smart Citations

Integrated services and early intervention in the vocational rehabilitation of people with spinal cord injuries

Bloom

Dorsett

McLennan

2017

Spinal Cord Ser Cases

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INTRODUCTION:The design was a narrative review. The objective of the study was to investigate the potential for early vocational rehabilitation (VR) interventions for people with spinal cord injury (SCI) in overcoming barriers in returning to work, and to pinpoint factors contributing to effectiveness in early VR intervention for this population. The setting was at Queensland, Australia. MATERIALS AND METHODS: Synthesis of the findings of a literature search of online databases ProQuest and CINAHL, using keywords relating to the employment situation and VR of people with SCI. Themes were identified and analysed in accordance with the research objectives. RESULTS: Despite increasing government commitment to the workforce and social participation of people with disabilities, Australians living with SCI have significantly diminished employment outcomes compared with the general population. Current VR approaches usually do not commence until some months post discharge, potentially missing a window of opportunity to preserve pre-existing employment or assist in vocational decision making. The review found that there are opportunities for enhancing VR service provision following SCI, namely integrating the VR programme within the primary rehabilitation team thus facilitating early VR intervention. DISCUSSION: Emerging evidence shows promising results for early intervention in VR; however, questions remain regarding ideal intervention approaches, and it is clear that further empirical investigation is required to support the use of early intervention models post SCI. The study was sponsored by Motor Accident Insurance Commission (MAIC).

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Section: Early Intervention In Practicesupporting

confidence: 74%