Inter-Professional Clinical Practice Guideline for Vocational Evaluation Following Traumatic Brain Injury: A Systematic and Evidence-Based Approach

Stergiou-Kita, Mary; Dawson, Deirdre R.; Rappolt, Susan

doi:10.1007/s10926-011-9332-2

Cited by 25 publications

(28 citation statements)

References 101 publications

(103 reference statements)

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“…Although several studies in this review supported the use of cognitive assessment as part of RTW assessments, the method of testing varied widely across the studies. Some studies used standardized tests [10,38] while other studies used task and domain specific assessments [37,58]. Interestingly, one study interviewed the employer to gain information about the cognitive capacity of an employee with TBI [41].…”

Section: Discussionmentioning

confidence: 99%

Cognition and return to work after mild/moderate traumatic brain injury: A systematic review

Mani¹,

Cater

Hudlikar

2017

WOR

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Abstract. BACKGROUND:Approximately two percent of the United States population are traumatic brain injury (TBI) survivors. The unemployment rate among them is substantial. Cognitive skills are essential to perform any job. OBJECTIVE: We analyzed the literature on cognitive rehabilitation (CR) related to mild/moderate TBI to learn the influence of cognition on return to work (RTW) post TBI. METHODS:We conducted a systematic review of the studies on CR related to RTW post TBI that were published between 2000 and 2015. RESULTS: We critically reviewed 30 studies that met the inclusion criteria. Ten studies highlighted cognition as a predictor variable, seven studies demonstrated support for cognitive testing in RTW assessments, and 13 studies showed the efficacy of CR in facilitating RTW post TBI. CONCLUSION: Cognition plays a significant role in predicting and facilitating RTW in patients with TBI.

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Section: Discussionmentioning

confidence: 99%

Cognition and return to work after mild/moderate traumatic brain injury: A systematic review

Mani¹,

Cater

Hudlikar

2017

WOR

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“…Research on the recommended categories of accommodations that should be considered in discussions to help people with TBI enhance their job satisfaction and productivity is helpful in this regard. In their qualitative study, Stergiou-Kita, Dawson, and Rappolt [29] asked clinical providers to generate principles of vocational evaluation following TBI. From the point of view of clinical providers, quality vocational assessments and reports should include recommendations regarding "accommodations and or job modifications in relation to work activities, work hours, and graduated return to work schedules; workstation modifications (including reductions to distractions) and adaptive aids/devices and opportunities to apply compensatory strategies; availability of workplace supervision (identification of individuals able to provide ongoing feedback regarding work performance; availability of instrumental support from natural sources in the community such as family, volunteer, or hired support); and availability of vocational rehabilitation supports and services and transportation if the individual is unable to drive" (p. 173).…”

Section: Discussionmentioning

confidence: 99%

Qualitative case studies of professional-level workers with traumatic brain injuries: A contextual approach to job accommodation and retention

Roessler

Rumrill

et al. 2017

WOR

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Abstract.BACKGROUND: Traumatic brain injury (TBI) is a multi-systemic disability that causes a wide range of difficulties with personal and social functioning. METHODS: Four individuals with TBI participated in an evaluation of barriers to their continued employment following graduation from college. A trained interviewer completed the Work Experience Survey (WES) in teleconsultation sessions with each participant. RESULTS: Researchers applied a qualitative case study research design. Participants reported a wide range of difficulties in performing essential functions of their jobs (3 to 24) that have the potential to significantly affect their productivity. Career mastery problems reflected outcomes associated with TBI such as 'believing that others think I do a good job' and 'having the resources (e.g., knowledge, tools, supplies, and equipment) needed to do the job.' Indicative of their wish to continue their current employment, participants reported high levels of job satisfaction. CONCLUSIONS: The WES is a cost-effective needs assessment tool to aid health and rehabilitation professionals in providing on-the-job supports to workers with TBI.

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“…Rehabilitation counselors and vocational rehabilitation professionals use a number of counseling and rehabilitative approaches to help persons with TBI make positive psychological adjustments to life in the community [ 16 , 30 , 32 , 59 , 62 , 63 ]. Rigorous, comprehensive, and consistent vocational assessment and evaluation practices are essential for facilitating successful return to work for individuals with TBI [ 32 , 59 , 64 ]. Vocational assessments identify an individual's characteristics, education, training, and placement needs; serve as the basis for planning an individual's educational program; and provide insight into his or her vocational potential [ 65 , 66 ].…”

Section: Introductionmentioning

confidence: 99%

“…Until recently, there were no specific detailed guidelines for VE of cases involving TBI [ 31 , 32 , 64 , 67 ]. However, Stergiou-Kita and colleagues [ 64 ] identify seven process domains, with key factors integrated in each domain, evaluators should utilize when they conduct VE with individuals with TBI.…”

Section: Introductionmentioning

confidence: 99%

Exploring Vocational Evaluation Practices following Traumatic Brain Injury

Dillahunt-Aspillaga

Smith

Hanson

et al. 2015

Behavioural Neurology

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Background. Individuals with traumatic brain injury (TBI) face many challenges when attempting to return to work (RTW). Vocational evaluation (VE) is a systematic process that involves assessment and appraisal of an individual's current work-related characteristics and abilities. Objective. The aims of this study are to (1) examine demographic and employment characteristics of vocational rehabilitation providers (VRPs), (2) identify the specific evaluation methods that are used in the VE of individuals with TBI, and (3) examine the differences in assessment method practices based upon evaluator assessment preferences. Methods. This exploratory case study used a forty-six-item online survey which was distributed to VRPs. Results. One hundred and nine VRPs accessed the survey. Of these, 74 completed the survey. A majority of respondents were female (79.7%), Caucasian (71.6%), and holding a master's degree (74.3%), and more than half (56.8%) were employed as state vocational rehabilitation counselors (VRCs). In addition, over two-thirds (67.6%) were certified rehabilitation counselors (CRCs). Respondents reported using several specific tools and assessments during the VE process. Conclusions. Study findings reveal differences in use of and rationales for specific assessments amongst VRPs. Understanding VRP assessment practices and use of an evidence-based framework for VE following TBI may inform and improve VE practice.

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Inter-Professional Clinical Practice Guideline for Vocational Evaluation Following Traumatic Brain Injury: A Systematic and Evidence-Based Approach

Abstract: The guideline may be useful to individually practicing clinicians, health care teams, employers and individuals with TBI. Future research will formally examine the success of the guideline's implementation.

Cited by 25 publications

References 101 publications

Cognition and return to work after mild/moderate traumatic brain injury: A systematic review

Cognition and return to work after mild/moderate traumatic brain injury: A systematic review

Qualitative case studies of professional-level workers with traumatic brain injuries: A contextual approach to job accommodation and retention

Exploring Vocational Evaluation Practices following Traumatic Brain Injury

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