Identifying models, processes, and components of vocational rehabilitation following acquired brain injury: a systematic scoping review

Murray, A. Simon; Watter, Kerrin; McLennan, Vanette; Vogler, Jessica; Nielsen, Mandy; Jeffery, Sarah; Ehlers, Shelley; Kennedy, Areti

doi:10.1080/09638288.2021.1980622

Cited by 8 publications

(15 citation statements)

References 89 publications

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“…Employers and employees with positive RTW experiences often express that they miss such long-term support, when problems at work arose for example due to changes in the work environment, a restructuring of the company or a new supervisor or colleague. It is thus crucial that long-term support services (42)(43)(44)(45) are offered, accessible and financed for all persons with a disability especially since current policies do not account for the changing, temporal impact of disability on activities of daily life and potential fluctuations in work ability (41).…”

Section: Discussionmentioning

confidence: 99%

Facilitators and Barriers to Sustainable Employment After Spinal Cord Injury or Acquired Brain Injury: The Person's Perspective

Karcz¹,

Schiffmann²,

Schwegler³

et al. 2022

Front. Rehabilit. Sci.

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BackgroundSustaining employment after initial return to work represents a major challenge for people with a disability. While individuals with spinal cord injury (SCI) and acquired brain injury (ABI) make a prime example for this challenge, their view on factors supporting and hindering sustainable employment have rarely been investigated in depth so far.PurposeTo examine facilitators and barriers to sustainable employment, as perceived by persons with SCI or ABI.MethodsFourteen focus groups and four individual interviews were conducted and thematically analyzed.ResultsPerceived facilitators and barriers to sustainable employment reflected the three biopsychosocial areas of personal, impairment-related and environmental factors. For both condition groups, key facilitators included environmental factors (i.e., aspects of the work organization, the workplace, supportive private and work environment) and personal factors (i.e., the ability to self-advocate, to communicate and to learn how to live with one's own disability). Major barriers comprised injury-related impairments, including decreased mobility and pain for people with SCI and fatigue and limited cognitive resources for persons with ABI, as well as environmental factors related to insurance procedures and the social security system for both conditions.ConclusionsThe biopsychosocial factors identified in our study as well as their interplay should receive particular attention to optimally support sustainable employment in vocational integration and work retention practice. Interventions should particularly focus on the empowerment of those affected as well as on the creation of supportive work environments that match their abilities and needs.

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Section: Discussionmentioning

confidence: 99%

Facilitators and Barriers to Sustainable Employment After Spinal Cord Injury or Acquired Brain Injury: The Person's Perspective

Karcz¹,

Schiffmann²,

Schwegler³

et al. 2022

Front. Rehabilit. Sci.

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“…As previous research has identified, a common problem in the ‘black box’ of case management and other complex interventions is defining and describing the dependent and independent components, measuring them for analysis and quality appraisal [ 14 , 18 , 25 , 34 ]. The CMTaxonomy was developed as a tool to support analysis of case management, adopting the definition of ‘action’ as consistent with the international ontological framework of the World Health Organization International Classification of Health Interventions (ICHI) [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…The CMTaxonomy was developed as a tool to support analysis of case management, adopting the definition of ‘action’ as consistent with the international ontological framework of the World Health Organization International Classification of Health Interventions (ICHI) [ 35 ]. Murray et al [ 14 ] identified nine process steps and components in their systematic scoping review. Seven of these are aligned to the ICHI definition of an action, whilst other components align with the ICHI definition of target, or means.…”

Section: Discussionmentioning

confidence: 99%

“…VR services for people with ABI can be defined as a complex community-based rehabilitation intervention [ 12 , 13 , 14 ]. A recent systematic scoping review identified five established practice models for VR in ABI [ 14 ], of which the case coordination/resource facilitation (CC/RF) model has the strongest evidence of efficacy [ 15 ]. This model involves a partnership between health-based rehabilitation and external (non-health-based) VR services in delivering RTW programs for people with ABI.…”

Section: Introductionmentioning

confidence: 99%

“…However, the specific elements within this service model (e.g., assessment, education, interventions) can vary across studies, tending to be both atheoretical and pragmatic. This then leads to difficulties in finding a common language to unpack the various elements within the ‘black box’ of VR rehabilitation for this clinical group [ 14 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

What Does It Take to Get Somebody Back to Work after Severe Acquired Brain Injury? Service Actions within the Vocational Intervention Program (VIP 2.0)

McRae

Kobel

Lukersmith

et al. 2022

IJERPH

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Little is known about service actions delivered in the complex intervention of vocational rehabilitation (VR) for people with severe acquired brain injury (ABI). Scale-up of the Vocational Intervention Program (VIP) across the 12 Community teams of the NSW Brain Injury Rehabilitation Program provided an opportunity to analyse the intensity and profile of actions delivered in providing VR programs. Seventy-two participants with severe TBI were supported in returning to either pre-injury employment (FastTrack, FT, n = 27) or new employment (NewTrack, NT, n = 50), delivered by two types of VR providers (Disability Employment Service DES; private providers). VR providers documented their service actions in hours and minutes, using the Case Management Taxonomy, adapted to VR. The NT pathway required significantly higher levels of intervention in comparison to FT (25 h, five minutes vs. 35 h, 30 min, p = 0.048, W = 446). Case coordination was the most frequent service action overall (41.7% of total time for FT, 42.3% for NT). DES providers recorded significantly greater amounts of time undertaking engagement, assessment and planning, and emotional/motivational support actions compared to private providers. Overall duration of the programs were a median of 46 weeks (NT) and 36 weeks (FT), respectively. This study helps illuminate the profile of VR interventions for people with severe TBI.

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A vocational intervention that enhances return to work after severe acquired brain injury: A pragmatic trial

Simpson,

McRae,

Gates

et al. 2023

Annals of Physical and Rehabilitation Medicine

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Identifying models, processes, and components of vocational rehabilitation following acquired brain injury: a systematic scoping review

Cited by 8 publications

References 89 publications

Facilitators and Barriers to Sustainable Employment After Spinal Cord Injury or Acquired Brain Injury: The Person's Perspective

Facilitators and Barriers to Sustainable Employment After Spinal Cord Injury or Acquired Brain Injury: The Person's Perspective

What Does It Take to Get Somebody Back to Work after Severe Acquired Brain Injury? Service Actions within the Vocational Intervention Program (VIP 2.0)

A vocational intervention that enhances return to work after severe acquired brain injury: A pragmatic trial

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