The Role of Social Networks for Veterans With Spinal Cord Injury in Obtaining Employment

Cotner, Bridget A.; Keleher, Jennie; O'Connor, Danielle; Trainor, John K.; Ottomanelli, Lisa

doi:10.1111/napa.12034

Cited by 4 publications

(2 citation statements)

References 32 publications

(39 reference statements)

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“…Employment rate has traditionally been used as the primary outcome measure of both return to work (RTW) programmes post-SCI research investigating this area. [7][8][9][10] Employment rate differs broadly between countries due to different cultural, economic and legislative environments, with estimates ranging between 15 and 60%. 5 Recent literature regarding Australian employment rates for people who have sustained a SCI estimates median RTW rates between 21 and 35%, compared with a general workforce participation rate of 65%.…”

Section: Spinal Cord Injury and Employmentmentioning

confidence: 99%

Integrated services and early intervention in the vocational rehabilitation of people with spinal cord injuries

Bloom

Dorsett

McLennan

2017

Spinal Cord Ser Cases

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INTRODUCTION:The design was a narrative review. The objective of the study was to investigate the potential for early vocational rehabilitation (VR) interventions for people with spinal cord injury (SCI) in overcoming barriers in returning to work, and to pinpoint factors contributing to effectiveness in early VR intervention for this population. The setting was at Queensland, Australia. MATERIALS AND METHODS: Synthesis of the findings of a literature search of online databases ProQuest and CINAHL, using keywords relating to the employment situation and VR of people with SCI. Themes were identified and analysed in accordance with the research objectives. RESULTS: Despite increasing government commitment to the workforce and social participation of people with disabilities, Australians living with SCI have significantly diminished employment outcomes compared with the general population. Current VR approaches usually do not commence until some months post discharge, potentially missing a window of opportunity to preserve pre-existing employment or assist in vocational decision making. The review found that there are opportunities for enhancing VR service provision following SCI, namely integrating the VR programme within the primary rehabilitation team thus facilitating early VR intervention. DISCUSSION: Emerging evidence shows promising results for early intervention in VR; however, questions remain regarding ideal intervention approaches, and it is clear that further empirical investigation is required to support the use of early intervention models post SCI. The study was sponsored by Motor Accident Insurance Commission (MAIC).

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Section: Spinal Cord Injury and Employmentmentioning

confidence: 99%

Integrated services and early intervention in the vocational rehabilitation of people with spinal cord injuries

Bloom

Dorsett

McLennan

2017

Spinal Cord Ser Cases

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“…One study 30 found that the majority of Veterans with SCI employed within the first 12 months of participation in an EBSE program received care and assistance at home. In this study, marital status did not serve in the predictive manner for employment that it has in other studies.…”

Section: Mixed-methods View Of Barriers To Employmentmentioning

confidence: 99%

Facilitators and Barriers to Employment Among Veterans with Spinal Cord Injury Receiving 12 Months of Evidence-Based Supported Employment Services

Cotner

Njoh

Trainor

et al. 2015

Topics in Spinal Cord Injury Rehabilitation

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Background:Return to work is associated with positive rehabilitation outcomes for persons with spinal cord injury (SCI); however, more research is needed on vocational support for persons with disabilities seeking employment. Objective: The association between facilitators and barriers of employment and employment outcome was examined among Veterans with SCI who participated in an evidence-based supported employment (EBSE) program. Methods: Using a mixed-methods, nested case-control design, data on facilitators and barriers to employment were extracted from qualitative interviews and quantitative measures administered in person to 34 Veterans with SCI who completed 12 months of an EBSE program. Participants who did (case) and did not (control) obtain competitive employment were matched on time since SCI. Facilitators and barriers to employment were compared between the groups. Results: Self-report measures administered at baseline were examined; there were no statistically significant factors that predicted employment outcomes after 12 months of EBSE program participation. Qualitative interview data revealed program-specific facilitators and Veteran characteristics that were associated with employment outcomes. Conclusions: Qualitative data illustrate how the integration of the vocational rehabilitation specialist on the medical team is helpful for addressing identified disability-specific barriers, including practical matters such as transportation and caregiving schedules, to facilitate employment outcomes.

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Occupational bonding after spinal cord injury: A review and narrative synthesis

Bloom

McLennan

Dorsett

2019

JVR

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BACKGROUND: Emerging vocational rehabilitation services for people with spinal cord injury seek to fill the gap between hospital and community services, and preserve jobs before they are lost. This is consistent with the longstanding notion within disability management and workers' compensation of 'occupational bonding', or the relationship between the person and their employer. Despite the importance of this factor, there is little research underpinning the concept of occupational bonding specifically. OBJECTIVE: To analyse the extant literature about vocational rehabilitation after spinal cord injury to summarise the evidence for the concept of occupational bonding after SCI. METHODS: A systematic review combined with a narrative synthesis of the literature. RESULTS: Evidence supported workplace-based social support, particularly from the employer, as being a key facilitator of return to work. There was also evidence of an intrinsic, values-based component describing the person's bond to the world of work in general. CONCLUSION: Reinforcing the employer and co-workers during return to work after a lengthy absence could facilitate employment outcomes. The person's intrinsic bond to the world of work may also be reinforced by the vocational rehabilitation professional during the often lengthy rehabilitation period following a spinal cord injury.

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The Role of Social Networks for Veterans With Spinal Cord Injury in Obtaining Employment

Cited by 4 publications

References 32 publications

Integrated services and early intervention in the vocational rehabilitation of people with spinal cord injuries

Integrated services and early intervention in the vocational rehabilitation of people with spinal cord injuries

Facilitators and Barriers to Employment Among Veterans with Spinal Cord Injury Receiving 12 Months of Evidence-Based Supported Employment Services

Occupational bonding after spinal cord injury: A review and narrative synthesis

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