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Predictors of success for state vocational rehabilitation clients with traumatic brain injury


Autor/in:

Johnstone, Brick; Vessell, R.; Bounds, T. [u. a.]


Herausgeber/in:

American Academy of Physical Medicine and Rehabilitation (AAPM&R)


Quelle:

Archives of Physical Medicine and Rehabilitation, 2003, Volume 84 (Number 2), Seite 161-167, Philadelphia, Pennsylvania: Saunders, ISSN: 0003-9993 (Print); 1532-821X (Online)


Jahr:

2003



Abstract:


Objectives:

To determine the characteristics of individuals with traumatic brain injury (TBI) who request state vocational rehabilitation services and to determine the best predictors of their successful vocational outcomes.

Design:

Observational study.

Setting:

Vocational services data from the Missouri Division of Vocational Rehabilitation (DVR).

Participants:

Seventy-eight individuals with TBI who requested services from the Missouri DVR.

Interventions:

Not applicable.

Main outcome measures:

Demographic, injury severity, neuropsychologic variables, vocational services offered, and vocational status at time of case closure (successful, unsuccessful, services interrupted, no services provided).

Results:

Individuals requesting DVR services were primarily men (71 percent), white (82 percent), single (47 percent), of low average intelligence (Wechsler Adult Intelligence Scales-III full scale IQ score, 84.8), and of limited education (11.8 y). The majority experienced a significant TBI (id est 66 percent were hospitalized after their TBI; 56 percent reported loss of consciousness; 37 percent reported posttraumatic amnesia; 32 percent reported multiple TBIs; avg time since injury, 9.2 y). At DVR case closure, 17 percent were rated as being successfully employed, with nearly all working in industrial, service, or clerical positions (2 in a sheltered workshop, 1 in a professional position). Stepwise logistic regressions indicated that delivery of DVR services (id est vocational guidance and counseling, on-the-job training) predicted vocational outcome and demographic, injury severity, and neuropsychologic variables did not.

Conclusions:

DVR clients have multiple impairments that affect them several years postinjury; the provision of DVR services may be more important in determining vocational outcomes than traditional medical, psychologic, and demographic variables.


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Dokumentart:


Zeitschriftenbeitrag / Forschungsergebnis




Bezugsmöglichkeit:


Archives of Physical Medicine and Rehabilitation
Homepage: https://www.archives-pmr.org/

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Referenznummer:

R/ZA0721


Informationsstand: 04.02.2004

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