Effectiveness of vocational rehabilitation following acquired brain injury: Preliminary evaluation of a UK specialist rehabilitation programme

  title={Effectiveness of vocational rehabilitation following acquired brain injury: Preliminary evaluation of a UK specialist rehabilitation programme},
  author={Lesley Murphy and Elaine Chamberlain and Jim Weir and Alister Berry and David A. Nathaniel-James and Robert Agnew},
  journal={Brain Injury},
  pages={1119 - 1129}
Primary objective: To report the outcome of 232 clients undertaking Rehab UKs Vocational Rehabilitation Programme, over three consecutive years, in three centres across the UK. Methods and procedures: Data regarding demographic characteristics of participants, type and severity of acquired brain injury were collected on admission to the programme. The duration of the vocational programme and occupational status on discharge is also reported. Interventions: A description of the vocational… 
Long Term Efficacy of an Integrated Neurological and Vocational Rehabilitation Programme for Young Adults with Acquired Brain Injury
  • C. Foy
  • Medicine, Psychology
    Journal of Occupational Rehabilitation
  • 2013
Clients with severe/very severe brain injury can attain a positive vocational outcome following intensive neurorehabilitation consisting of traditional therapies in addition to educational and VR.
The outcomes of a vocational rehabilitation and mentorship program in unemployed young adults with acquired brain injury.
A VR program including a mentor may be a promising program for patients who are unemployed at onset of ABI, despite lack of financial support to complete the program and concurrent health problems were found to hamper the process and outcomes of the program.
Return to work after traumatic brain injury: a cohort comparison study and feasibility economic analysis
As returning to work is a cost effective outcome for individuals and society, this study justifies the need for further investigation of this TBI VR intervention and describes the content of the specialist intervention.
Vocational rehabilitation after traumatic brain injury: models and services.
  • A. Tyerman
  • Psychology, Medicine
  • 2012
There is evidence to support the benefits of a wide range of models of specialist VR after TBI, however, there remains a need for controlled studies to inform service development and more evidence on cost-effectiveness to inform funding decisions.
Approaches to Vocational Rehabilitation After Traumatic Brain Injury: A Review of the Evidence
There is little clear evidence to suggest what should be considered the “best practice” approach to vocational rehabilitation, and three broad categories of vocational rehabilitation for people with TBI were identified on the basis of models that underpin them.
Return to Work after Traumatic Brain Injury: Recording, Measuring and Describing Occupational Therapy Intervention
It was showed that there is potential for using a proforma for quantifying and describing occupational therapy and this is the basis for further work to enable meaningful comparisons with other services and use in future studies.
Early Vocational Rehabilitation After Serious Injury or Illness: A Systematic Review
Integration of vocational rehabilitation professionals within a multidisciplinary team and access to advocacy services were shown to be effective inclusions in early vocational rehabilitation programs for people with a serious injury or illness.
A manual-based vocational rehabilitation program for patients with an acquired brain injury: study protocol of a pragmatic randomized controlled trial (RCT)
If this intervention is proven successful when compared to the conventional VR, it will provide evidence for a manual-based individualized holistic approach in returning to work after an ABI, relevant to clinicians, researchers, and policymakers.
Return to work after acquired brain injury: A patient perspective
The effects of various synergies and processes form the basis for a successful return to work, which are dependent on, influence and reinforce each other and highlights that vocational rehabilitation is inseparable from the individual's capacity, society and the context in which the individual lives.
The Effect of Vocational Rehabilitation on Return-to-Work Rates Post Stroke: A Systematic Review
There was not an adequate number of high-quality trials to make recommendations that support or refute the use of specific vocational rehabilitation programs to increase return-to-work rates following a stroke.


Predictors of success for state vocational rehabilitation clients with traumatic brain injury.
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.
Characteristics of successful and unsuccessful completers of 3 postacute brain injury rehabilitation pathways.
Different rehabilitation pathways result in CBE for a large percentage of persons with brain injury if the intensity of service is appropriately matched to the severity of the disability, the time since injury, and other participant characteristics.
Return to Work as an Integrative Outcome Measure Following Traumatic Brain Injury
In recent years we have witnessed the growing recognition of the centrality of work involvement in the successful rehabilitation of brain injured patients. Evidence from studies conducted at
A medical/vocational case coordination system for persons with brain injury: an evaluation of employment outcomes.
The MVCCS optimized vocational outcome after BI time since injury and impairment/disability best predicted vocational placement and level of initial placement best predicted employment status at follow-up.
Prediction of employment status 2 years after traumatic brain injury.
The present study used a multivariate approach to investigate which of a range of variables relating to demographic factors, injury severity and degree of disability on admission to rehabilitation
The economics of return to work for survivors of traumatic brain injury: Vocational services are worth the investment
There is no single best model of vocational intervention and that it is necessary to identify the most appropriate and cost-beneficial services for placing and retaining individuals with traumatic brain Injury in competitive employment.
Community-based training after acquired brain injury: preliminary findings.
An approach is described here which combines work adjustment training and supported employment; which is helpful in identifying consumer interest, and in improving position attainment, job retention and work satisfaction.
Supported employment for persons with traumatic brain injury: a preliminary investigation of long-term follow-up costs and program efficiency.
This investigation provides additional support for the conclusion that supported employment is cost effective for individuals with disabilities, including individuals with TBI, and that the costs of supported employment decrease over time.
Milieu-based neurorehabilitation in patients with traumatic brain injury: outcome at up to 11 years postdischarge.
A large majority of patients suffering from TBI are able to return to work or a productive life situation after milieu-based neurorehabilitation, and level of outcome did not significantly decline over an 11-year follow-up interval.