Vocational evaluation, training, and job placement after traumatic brain injury: problems and solutions

Parenté, Rick; Stapleton, Mary

doi:10.3233/jvr-1996-7308

Cited by 8 publications

(2 citation statements)

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“…However, of those individuals who do return to work following TBI, 84% will return to a lower level of occupation than that held prior to injury or to roles that are not commensurate with their pre-injury qualifications and experience (McMordie, Barker & Paolo, 1990). Many are no longer able to perform at their pre-injury level (Parente & Stapleton, 1996) and require considerable assistance to maintain employment (Wehman, 1990). In general, individuals with TBI are extremely unlikely to maintain stable employment over time (Sale, West, Sherron & Wehman, 1991).…”

Section: Pat Ri C I a M U Rp H Y G R I Ffi T H U N I Ve R S I T Ymentioning

confidence: 99%

The Determinants of Work Adjustment following Traumatic Brain Injury: A Focus for Career Counsellors

Kendall

Murphy

2003

Australian Journal of Career Development

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PAT RI C I A M U RP H Y, G r i ffi t h U n i ve r s i t yThis longitudinal study examined the determinants of work adjustment in the traumatic brain injury (TBI) population, using the frameworks provided by Hershenson (I 996) and Moos (2002) as a guide for selecting variables. Based on these frameworks, the predictive utility of a range of variables (Len, self-esteem, perceived support, situational stressors, appraisal of stress and self-efficacy and coping responses) was examined. Eighty-one individuals withTBl provided data for the study.The prediction of work adjustment was improved beyond that accounted for by initial adjustment when these previously-mentioned variables were entered into regression equations. Specifically, short-term work adjustment was associated with high levels of social support and self-efficacy as well as the effective use of problem-solving. In the longterm, however, internal resources such as self-esteem became more important to work adjustment, as did the effects of lesion location and cognitive impairment. Greater focus on these determinants of work adjustment in the career counselling process could foster the development of a preventative approach toTBI vocational rehabilitation. In particular, it may be possible to identify individuals who are likely to experience work adjustment difficulties and assist them to maintain and develop the resources that will, in turn, improve their likelihood of vocational success.A u s t r a l i a n J o u r n a l of C a r e e r D e v e l o p m e n t

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Section: Pat Ri C I a M U Rp H Y G R I Ffi T H U N I Ve R S I T Ymentioning

confidence: 99%

The Determinants of Work Adjustment following Traumatic Brain Injury: A Focus for Career Counsellors

Kendall

Murphy

2003

Australian Journal of Career Development

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“…Consequently, best practice recommendations encourage health/vocational professionals (physicians, occupational therapists, physiotherapists, etc.) to utilize systematic vocational evaluation approaches, to identify personal, occupational and environmental factors relevant to successful vocational outcomes and to document their underlying reasoning for their return to work (RTW) recommendations (Innes and Straker, 1998; Parente and Stapleton, 1996).…”

Section: Introductionmentioning

confidence: 99%

Do current vocational evaluation practices in traumatic brain injury align with best practices? Strengths, challenges and recommendations

Stergiou-Kita

Grigorovich

Dawson

et al. 2016

British Journal of Occupational Therapy

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Introduction: To support implementation of the Inter-professional Guideline for Vocational Evaluation Following Traumatic Brain Injury we compared current practices to best practices as outlined in the guideline. Method: We recruited health/vocational professionals who do vocational evaluation of traumatic brain injury survivors to participate in qualitative semi-structured interviews. We also conducted a document review of internal clinical and provincial workers' compensation insurance documents. All data were analyzed using directed content analysis. Results: Thirteen individuals participated and three types of documents were reviewed. Practices that were found to be frequently aligned with the Inter-professional Guideline for Vocational Evaluation Following Traumatic Brain Injury included: (a) identification of evaluation purpose; (b) obtaining informed consent; (c) gathering background information; (d) assessing persistent symptoms and abilities; (e) analyzing and synthesizing results; and (f) developing return to work recommendations. Practices partially aligned included: (a) incorporating the worker's perspectives into the evaluation; (b) observing work behaviors in naturalistic settings (c) assessing available supports; and (d) assessing occupational/job demands in context. Practices that did not align with the guideline included: (a) evaluation of the workplace environment and workplace supports; (b) accommodation potential; and (c) assessment of workplace safety. Conclusion: To support implementation of the guideline and enhance successful vocational outcomes, additional attention and resources should be dedicated to evaluating workplace-based factors and assessing workplace-based risks.

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Interactive Behaviors in Adolescent Conversation Dyads

Turkstra

Ciccia

Seaton

2003

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Vocational evaluation, training, and job placement after traumatic brain injury: problems and solutions

Cited by 8 publications

References 0 publications

The Determinants of Work Adjustment following Traumatic Brain Injury: A Focus for Career Counsellors

The Determinants of Work Adjustment following Traumatic Brain Injury: A Focus for Career Counsellors

Do current vocational evaluation practices in traumatic brain injury align with best practices? Strengths, challenges and recommendations

Interactive Behaviors in Adolescent Conversation Dyads

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