Employment outcomes of persons following traumatic brain injury: pre-injury, post-injury, and supported employment

Wehman, Paul; Kreutzer, Jeffrey S.; West, Michael; Sherron, Pam; Diambra, Joel; Fry, Robyn; Groah, Christine; Sale, Paul; Killam, Sue

doi:10.3109/02699058909004563

Cited by 38 publications

(16 citation statements)

References 7 publications

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“…In the late eighties, practical strategies to help individuals with TBI with return to work were just evolving and implementation of supported employment for individuals with TBI has been described in detail. 36,37 This model was based on demonstration projects with other populations and had become a vocational rehabilitation option by way of the 1986 Amendments to the Rehabilitation Act. 38 Today, supported employment is defined as "competitive work in integrated work settings, or employment in integrated work settings in which individuals are working toward competitive work, consistent with the strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice of the individuals."…”

Section: Nonapplicablementioning

confidence: 99%

Helping Persons With Traumatic Brain Injury of Minority Origin

Wehman

Targett²,

Yasuda³

et al. 2007

Journal of Head Trauma Rehabilitation

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Racial and ethnic minorities have a disproportionately high rate of disability compared to white Americans, with African and Hispanic Americans overrepresented in all disability categories. Subsequently, the demand for quality employment and rehabilitation services for individuals with disabilities from minority racial or ethnic groups is increasing. In order to meet the increasing demands of minorities who are severely impaired, vocational rehabilitation professionals and other team members assisting those with traumatic brain injury (TBI) with employment need to become familiar with effective models of service delivery. This article reviews the literature related to return to work following TBI for minorities. A brief review of the supported employment for TBI and supported education literature is also provided. Afterwards, 2 case studies, illustrating the effectiveness of supported employment and educational services, are offered to show how minority individuals with severe TBI can return to work or college postinjury, when services are individualized to meet personal needs.

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Section: Nonapplicablementioning

confidence: 99%

Helping Persons With Traumatic Brain Injury of Minority Origin

Wehman

Targett²,

Yasuda³

et al. 2007

Journal of Head Trauma Rehabilitation

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“…Several factors have been identified that add predictive value. These include injury severity, age at time of injury, number of neuropsychological deficits, level of physical disability, premorbid employment, and educational level [3,[7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Minimizing the effect of TBI-related physical sequelae on vocational return

McNamee

Walker²,

Cifu³

et al. 2009

JRRD

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Abstract-This article evaluated the common physical sequelae that affect return to work (RTW) after traumatic brain injury (TBI). We performed a Medline search and evaluation of current TBI rehabilitation texts. The information presented is a combination of published literature and clinical guidelines. The limitations faced by many patients with TBI can best be overcome through clever job search, job redesign, and community linkages with business and industry that are willing to partner in helping the patient with TBI regain employment. The physician plays a key role in communicating suggestions to the vocational specialist. The comorbidities described represent challenges to successful RTW. These problems are recurrent, long-term, and clearly affect job procurement, nature of job, level of required support, and likelihood of job retention. Conversely, these challenges should not be viewed as impenetrable obstacles. With appropriate supports such as compensatory strategies, job coaching, assistive technology, medical management, and job restructuring, successful RTW is viable option. Physicians must focus on employment outcomes in real jobs and not settle for volunteer work, sheltered work, or assessment and planning. Individuals should be placed in real work for real pay. Through close collaboration between the survivor of TBI, the physician, the vocational specialist, and community resources, successful employment for survivors of TBI is possible and must be prescribed a high value.

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“…Kreutzer et al [3] and Wehman et al [4,7] discuss a means to tailor individual compensatory strategies to overcome the isolated effects of laboratory-type training. This is a good start and shows promise in case studies, but more should be done.…”

Section: Discussionmentioning

confidence: 99%

Utilizing neuropsychological measures to predict vocational outcome in a head trauma population

et al. 1992

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The present study examined the ability of traditional neuropsychological measures to predict successful vocational training in a severely neurologically impaired population. Eighty head trauma patients were evaluated prior to pre-vocational training which involved cognitive remediation and psychosocially-based intervention. Subjects were approximately 2 years post-injury. Results showed that of the total population studies, 73.8% participated in vocational evaluations, 23.8% did not, and 2.4% of the sample returned to work or college. Neuropsychological assessments were over 77% accurate in predicting whether subjects would successfully complete this vocational evaluation. The most significant predictors were reading comprehension, immediate and delayed verbal memory, level of depression, and dysphasic symptomatology. Issues relating to generalizability of cognitive retraining to the vocational evaluation and/or vocational training setting are discussed. Future considerations for both clinical practice and research include the use of ecologically valid measures.

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Employment outcomes of persons following traumatic brain injury: pre-injury, post-injury, and supported employment

Cited by 38 publications

References 7 publications

Helping Persons With Traumatic Brain Injury of Minority Origin

Helping Persons With Traumatic Brain Injury of Minority Origin

Minimizing the effect of TBI-related physical sequelae on vocational return

Utilizing neuropsychological measures to predict vocational outcome in a head trauma population

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