Implementation of resource facilitation to assess referral needs and promote access to state vocational rehabilitation services in people with traumatic brain injury
Publications
Model System:
TBI
Reference Type:
Journal article
Accession No.:
J79341
Journal:
Neuropsychological Rehabilitation
Year, Volume, Issue, Page(s):
, 28, 7, 1145-1160
Publication Website:
Abstract:
Study examined resource facilitation (RF) needs of people recruited from acute trauma settings seeking return to work (RTW) after traumatic brain injury (TBI). RF seeks to improve outcomes by eliminating barriers to accessing existing resources/services. RF can also be referred to as case management, case coordination, service coordination, or resource coordination. Objectives of the study were to track referral needs, describe problems in accessing state vocational rehabilitation (VR) services, and highlight the role of RF in overcoming these difficulties. Participants were 45 adults with complicated mild-to-severe TBI who received a referral to the state VR agency, along with RF services for up to one year. Case coordinators (CCs) conducted biweekly assessments, provided referrals, and helped address problems in accessing services. On average, 4.92 referrals were generated per participant; 91 percent required referrals. CCs made 44 percent of referrals, while physicians/other healthcare professionals generated 33 percent and VR counsellors generated 23 percent. CCs filled a gap in referring for financial and transportation difficulties. Two case studies illustrate implementation of the RF paradigm. Findings indicate that RF fills a gap in the continuum of care for people with TBI seeking RTW who are recruited from acute trauma settings within the US. It provides systematic assessment and referral for a wide variety of services and can help facilitate access to state VR services. Additionally, CCs provide types of referrals that are not generated by other sources, such as healthcare providers and VR counsellors.
Author(s):
Davis, Lynn C.|Sander, Angelle M.|Bogaards, Jay A.|Pappadis, Monique R.|