Abstract
The South African labour law serves as a guide for employers to accommodate injured individuals in the work place. The aim of the study was to explore and describe the experiences of individuals with traumatic brain injury regarding returning to work through the use of the Model of Occupational Self-Efficacy (MOOSE). The study utilized a multiple case study research design, and 10 participants participated in the study. An analytical strategy of explanation building was used to analyse the data. Three themes emerged from the study, i.e., Theme 1: the model has its limitations (barriers), Theme 2: the model helps facilitate work integration (facilitators), and Theme 3: further enhancements to improve the model. The findings of this study indicated that the participant experiences of the MOOSE are a useful model to facilitate the return of individuals living with a TBI back to work. Coping skills and support groups were also viewed as being an important part of the vocational rehabilitation program.
Highlights
A traumatic brain injury can cause an individual to experience long-term physical, cognitive, and psychosocial impairments [1]
A limitation to the Model of Occupational Self-Efficacy (MOOSE) was that despite all efforts of going through the model, it did not guarantee a positive outcome which leads to demotivation and a reduction in self-efficacy
The vocational rehabilitation program used the stages of the MOOSE in returning individuals with brain injury to work
Summary
A traumatic brain injury can cause an individual to experience long-term physical, cognitive, and psychosocial impairments [1]. The individual with an injury or disability is regarded as having problems that require mainly medical-biological and in condoning the relief of disability’s burdens through medical rather than environmental or attitudinal interventions [5], One criticism of the medical model includes the fact that disability is considered a condition that needs to be normalised, often disregarding the personal autonomy of the person with disability to choose to live with the disability in society [5] Another criticism relates to the medical model that it mainly assumes the patient or client to be a passive recipient of care, with minimal input in terms of planning intervention [6]. The model differs from other occupational therapy models of practice as it Occupational Therapy International focuses on improving an individual’s workrelated skills, it encourages introspection and goal setting, and most importantly, it encompasses elements that is unique to supportive employment work-related models [7]
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