The vocational rehabilitation continuum

Maximizing outcomes through bridging the gap from hospital to community-based services

Angela L H Buffington, James F. Malec

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Objective: To describe and examine the effects of a specialized brain injury vocational service delivery model on vocational outcome for individuals with traumatic or other acquired brain injury. Design: A prospective case series was used. Setting: Inpatient and outpatient rehabilitation departments at a large midwest regional trauma center. Participants: Eighty adults with traumatic or other acquired brain injury were residents of the state of Minnesota, did not have a primary psychiatric or substance abuse diagnosis, and did not live in a residential care facility. Main Outcome Measures: Vocational Outcome Scale (VOS), Client Satisfaction Survey, and data on participant's level of independent living, job type and setting, rate of pay, and number of hours worked per week. Results: Through emphasizing early vocational intervention, closely integrating this with medical rehabilitative treatment, and providing a smooth transition from medical to community-based services, 40% of project participants were placed in a job within the first 3 months of project participation; about 70% were placed within 12 months of project participation. Those placed have an average rate of pay of $7.70 per hour and a 90-day job retention rate of 100%. Conclusions: Results indicate that this system of specialized brain injury vocational service delivery is effective.

Original languageEnglish (US)
Pages (from-to)1-13
Number of pages13
JournalJournal of Head Trauma Rehabilitation
Volume12
Issue number5
StatePublished - Oct 1997
Externally publishedYes

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Vocational Rehabilitation
Social Welfare
Brain Injuries
Residential Facilities
Independent Living
Trauma Centers
Substance-Related Disorders
Psychiatry
Inpatients
Outpatients
Rehabilitation
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Clinical Neurology
  • Rehabilitation
  • Health Professions(all)

Cite this

The vocational rehabilitation continuum : Maximizing outcomes through bridging the gap from hospital to community-based services. / Buffington, Angela L H; Malec, James F.

In: Journal of Head Trauma Rehabilitation, Vol. 12, No. 5, 10.1997, p. 1-13.

Research output: Contribution to journalArticle

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