Returning to work after spinal cord injury: exploring young adults' early expectations and experience

Bergmark, Lisa; Westgren, Ninni; Asaba, Eric

doi:10.3109/09638288.2011.579224

Cited by 32 publications

(50 citation statements)

References 17 publications

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“…16 Similarly, a Swedish study of young adults aged 20-34 who had sustained a SCI indicated that this population perceived themselves as ready to and capable of work, but required guidance in making vocational decisions and support in sourcing appropriate work experience or training. 7 Those who do return to work early tend to return to their previous employer, 16 and supportive employers have been recognised as promoting employment in this population. 24 Early vocational intervention could preserve this relationship and maximise employer support through liaison with the employer and use of appropriate workplace supports.…”

Section: Early Interventionmentioning

confidence: 99%

“…Employment rate has traditionally been used as the primary outcome measure of both return to work (RTW) programmes post-SCI research investigating this area. [7][8][9][10] Employment rate differs broadly between countries due to different cultural, economic and legislative environments, with estimates ranging between 15 and 60%. 5 Recent literature regarding Australian employment rates for people who have sustained a SCI estimates median RTW rates between 21 and 35%, compared with a general workforce participation rate of 65%.…”

Section: Spinal Cord Injury and Employmentmentioning

confidence: 99%

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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 Interventionmentioning

confidence: 99%

Section: Spinal Cord Injury and Employmentmentioning

confidence: 99%

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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“…Notwithstanding the challenges and disincentives, most people with SCI report being motivated to work (Bergmark, Westgren, andAsaba 2011, 2556;Krause and Reed 2011, 288). The factors most likely to translate this hope into reality include the level of education, the severity of injury, and whether or not a person is able to return to their former employer (Krause et al 2010, 487).…”

Section: The Cold Hard Factsmentioning

confidence: 99%

“…. I have never had much of a head for studying and never liked reading and such' (see Bergmark, Westgren, andAsaba 2011, 2556). Even so-called white-collar employment presents a challenge, whether or not pre-injury skills 'suit' people with SCI.…”

Section: The Cold Hard Factsmentioning

confidence: 99%

Spinal cord injury and the joy of work

Clifton

2013

Scandinavian Journal of Disability Research

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Work, which plays such a prominent part in the narrative of human life, is central to a person's happiness (or unhappiness). Because this is so, the fact that spinal cord injury (SCI) tends to take a person out of the workforce (sometimes permanently) is recognized as a central part of post-injury loss. This paper draws on the insights of the virtue tradition and the discipline of positive psychology, to explore the notion of happiness (well-being) and its relationship to the vocations of people with SCI. In particular, it describes the virtues that can contribute to a person's capacity to obtain and sustain employment. This includes virtues relating to dependency and independency, as well as the role of hope, optimism and the like. It concludes with a brief discussion of the contribution that people with SCI can make to the culture of the workplace.

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“…Identified barriers include transportation, health complications related to SCI, perceived discrimination in the work environment, lack of private insurance coverage, and loss of financial benefits. [1][2][3][4] Predictors of employment include being male, having higher education, having higher motivation, being younger at the time of SCI, having lived for more years with SCI, and having been employed before the SCI. 2,3,5 Demographic and injury variables only explain 30% of variance in employment 2 ; therefore, more research on facilitators and barriers to employment is needed.…”

mentioning

confidence: 99%

Facilitators and Barriers to Employment Among Veterans with Spinal Cord Injury Receiving 12 Months of Evidence-Based Supported Employment Services

Cotner

Njoh

Trainor

et al. 2015

Topics in Spinal Cord Injury Rehabilitation

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Background:Return to work is associated with positive rehabilitation outcomes for persons with spinal cord injury (SCI); however, more research is needed on vocational support for persons with disabilities seeking employment. Objective: The association between facilitators and barriers of employment and employment outcome was examined among Veterans with SCI who participated in an evidence-based supported employment (EBSE) program. Methods: Using a mixed-methods, nested case-control design, data on facilitators and barriers to employment were extracted from qualitative interviews and quantitative measures administered in person to 34 Veterans with SCI who completed 12 months of an EBSE program. Participants who did (case) and did not (control) obtain competitive employment were matched on time since SCI. Facilitators and barriers to employment were compared between the groups. Results: Self-report measures administered at baseline were examined; there were no statistically significant factors that predicted employment outcomes after 12 months of EBSE program participation. Qualitative interview data revealed program-specific facilitators and Veteran characteristics that were associated with employment outcomes. Conclusions: Qualitative data illustrate how the integration of the vocational rehabilitation specialist on the medical team is helpful for addressing identified disability-specific barriers, including practical matters such as transportation and caregiving schedules, to facilitate employment outcomes.

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Returning to work after spinal cord injury: exploring young adults' early expectations and experience

Abstract: The participants represent a vulnerable group in vocational rehabilitation due to their young age and recent injury. Without formal training or suitable work experience, they need tailored work support as part of their general rehabilitation.

Cited by 32 publications

References 17 publications

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

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

Spinal cord injury and the joy of work

Facilitators and Barriers to Employment Among Veterans with Spinal Cord Injury Receiving 12 Months of Evidence-Based Supported Employment Services

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