Vocational interventions and supports following job placement for persons with traumatic brain injury

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Study measured the type, amount, and location of vocational rehabilitation interventions provided to people with traumatic brain injury (TBI) after job placement. Treatment was measured prospectively for 6 months after job placement for 65 people with moderate to severe TBI treated at 5 TBI Model System centers. Centers were found to differ substantially in the amount and location of treatment provided following job placement; centers providing more intensive treatment and treatment at the workplace also served more severely impaired clients at a longer interval after injury. Within centers, participants’ cognitive speed and emotional distress predicted certain aspects of amount and type of treatment provided. Three-fourths of the sample still worked at the placement job after 6 months. Due to the confounding between case mix and treatment variables, unique effects of treatments on outcomes could not be determined.

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