Abstract
Employment Interventions for Return to Work in Working Aged Adults Following Traumatic Brain Injury (TBI): A Systematic Review
Highlights
Individuals with traumatic brain injury (TBI) often struggle to obtain competitive employment after sustaining a TBI, commonly as a result of the post-injury difficulties they exhibit (Andelic, Stevens, Sigurdardottir, Arango-Lasprilla, & Roe, 2009; Mansfield et al, 2015)
What is this review about? The unemployment rate in the United States for people who have suffered traumatic brain injury (TBI) was around 60 percent for 2001-10, compared to a national average of around 7 percent.Post-acute rehabilitation services – such as residential community reintegration programs, comprehensive day treatment programs, and community reentry programs - focus on helping individuals adjust to ongoing impairments and to reenter their communities, workplaces, and education
What is the aim of this review? This Campbell systematic review examines the effectiveness of vocational rehabilitation interventions to help adults with traumatic brain injury get competitive employment
Summary
Individuals with traumatic brain injury (TBI) often struggle to obtain competitive employment after sustaining a TBI, commonly as a result of the post-injury difficulties they exhibit (Andelic, Stevens, Sigurdardottir, Arango-Lasprilla, & Roe, 2009; Mansfield et al, 2015). The authors of this review drew on a wide range of databases, searched grey literature, included studies with a range of follow-up times, and focused on competitive employment outcomes among individuals with TBI regardless of the injury severity of the individuals. Traumatic brain injury (TBI) occurs when an external force causes an alteration to brain function (e.g., loss of consciousness, memory loss, and neurologic defects). Levels of TBI range from mild to severe and are determined by measures such as duration of coma or post-traumatic amnesia (PTA), Glasgow Coma Scale (GCS) scores, and the nature and extent of functional impairments following the injury. Even individuals experiencing mild brain injuries can experience problems in one or more areas of functioning, though most individuals with a mild TBI will recover lost functioning. In most cases of moderate and severe TBI, individuals’ recovery will plateau below pre-injury functioning levels
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