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Navigating Employment Pathways and Supports Following Brain Injury in Australia: Client Perspectives

Published online by Cambridge University Press:  13 December 2016

Philippa McRae*
Affiliation:
Agency for Clinical Innovation, NSW Health, Sydney, Australia Brain Injury Rehabilitation Research Group, Ingham Institute of Applied Medical Research, Liverpool, Australia
Lisa Hallab
Affiliation:
Agency for Clinical Innovation, NSW Health, Sydney, Australia Brain Injury Rehabilitation Research Group, Ingham Institute of Applied Medical Research, Liverpool, Australia
Grahame Simpson
Affiliation:
Brain Injury Rehabilitation Research Group, Ingham Institute of Applied Medical Research, Liverpool, Australia Liverpool Brain Injury Rehabilitation Unit, Liverpool Hospital, Liverpool, Australia John Walsh Centre of Rehabilitation Research, Kolling Institute, University of Sydney, Sydney, Australia
*
Address for correspondence: Philippa McRae, Brain Injury Rehabilitation Directorate, Agency for Clinical Innovation, Level 2, Ingham Institute of Applied Medical Research, 1 Campbell St, Liverpool, NSW 2170. E-mail: [email protected]
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Abstract

This study investigated the vocational rehabilitation experiences of 29 clients, up to 14 years post brain injury. Data obtained from participant interviews were thematically analysed by employment pathway (‘return to pre-injury employment’, ‘job seeking’ and ‘not worked since injury’). A total of nine themes were identified. Across all pathways, participants identified the importance of working, impact of injury and their own determination. The content for the remaining themes (understanding, adjustment, access, support, disclosure of injury, intervention) varied by pathway, reflecting the differing perspectives arising from integrating back into a familiar workplace versus seeking new employment. In conclusion, programme approaches to vocational rehabilitation need to be tailored to the individual circumstances, opportunities and support needs of people with brain injury pursuing these different pathways.

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Articles
Copyright
Copyright © The Author(s) 2016 

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References

Access Economics. (2009). The Economic Cost of Spinal Cord Injury and Traumatic Brain Injury in Australia. Melbourne, Australia: Victorian Neurotrauma Institute Google Scholar
Agency for Clinical Innovation. (2013). Investigation of Vocational Programs and Outcomes for People with Traumatic Brain Injury in New South Wales. Sydney, Australia: Brain Injury Rehabilitation Directorate, Agency for Clinical Innovation.Google Scholar
Agency for Clinical Innovation. (2014). Brain Injury Rehabilitation Directorate: Diagnostic Report. Sydney, Australia: Brain Injury Rehabilitation Directorate, Agency for Clinical Innovation.Google Scholar
Anstey, K., Butterworth, P., Jorm, A.F., Chistensen, H., Rodgers, B., & Windsor, T.D. (2004). A population survey found an association between self-reports of traumatic brain injury and increased psychiatric symptoms. Journal of Clinical Epidemiology, 57, 12021209.Google Scholar
Australian Institute of Health and Welfare. (2007). Disability in Australia: Acquired brain injury. Bulletin no. 55. Catalogue No. AUS 96. Canberra: Australian Institute of Health and Welfare.Google Scholar
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3 (2), 77101.CrossRefGoogle Scholar
Brooks, N., McKinlay, W., Symington, C., Beattie, A., & Campsie, L. (1987). Return to work within the first seven years of severe head injury. Brain Injury, 1 (1), 519.Google Scholar
Department of Employment. (2015). Disability Employment Services: DES Monthly Data. Canberra, Australia: Department of Employment, Australian Government. Available at: http://lmip.gov.au/default.aspx?LMIP/DisabilityEmploymentServicesData/MonthlyData.Google Scholar
Ellingsen, K.L., & Aas, R.W. (2009). Work participation after acquired brain injury: Experiences of inhibiting and facilitating factors. The International Journal of Disability Management Research, 4, 111.Google Scholar
Frost, R.B., Farrer, T.J., Primosch, M., & Hedges, D.W. (2012). Prevalence of traumatic brain injury in the general adult population: A meta-analysis. Neuroepidemiology, 40, 154159.CrossRefGoogle ScholarPubMed
Gilworth, G., Eyres, S., Carey, A., Bhakta, B.B., & Tennant, A. (2008). Working with a brain injury: Personal experiences of returning to work following a mild or moderate brain injury. Journal of Rehabilitation Medicine, 40, 334339.Google Scholar
Gilworth, G., Phil, M., Cert, A., Sansam, K.A., & Kent, R.M. (2009). Personal experiences of returning to work following stroke: An exploratory study. Work, 34, 95103.Google Scholar
Gracey, F., Palmer, S., Rous, B., Psaila, K., Shaw, K., O'Dell, J., Cope, J. & Mohamed, S. (2008). “Feeling part of things”: Personal construction of self after brain injury. Neuropsychological Rehabilitation, 18, 627650.CrossRefGoogle ScholarPubMed
Harradine, P.G., Winstanley, J.B., Tate, R., Cameron, I.D., Baguley, I.J., & Harris, R.D. (2004) Severe traumatic brain injury in New South Wales: Comparable outcomes for rural and urban residents. Medical Journal of Australia, 181 (3), 130134.CrossRefGoogle ScholarPubMed
Kreutzer, J.S., Marwitz, J.H., Walker, W., Sander, A. Sherer, M., Bogner, J., Fraser, R., & Bushnik, T. (2003). Moderating factors in return to work and job stability after traumatic brain injury. Journal of Head Trauma Rehabilitation, 18 (2), 128138.CrossRefGoogle ScholarPubMed
Macaden, A.S., Chandler, B.J., Chandler, C., & Berry, A. (2010). Sustaining employment after vocational rehabilitation in acquired brain injury. Disability and Rehabilitation: An International, Multidisciplinary Journal, 32 (14), 11401147.Google Scholar
Medin, J., Barajas, J., & Ekberg, K. (2006). Stroke patients' experiences of return to work. Disability and Rehabilitation, 28 (17), 10511060.CrossRefGoogle ScholarPubMed
Menon, D.K., Schwab, K., Wright, D.W., & Maas, A.I. (2010). Position statement: Definition of Traumatic Brain Injury. Archives of Physical Medicine and Rehabilitation, 91 (11), 16371638.CrossRefGoogle ScholarPubMed
Nightingale, E.J., Soo, C.A., & Tate, R.L. (2007). A systematic review of early prognostic factors for return to work after traumatic brain injury. Brain Impairment, 8 (2), 101142.Google Scholar
Olver, J.H., Ponsford, J.L. & Curran, C.A. (1996). Outcome following traumatic brain injury: A comparison between 2 and 5 years after injury. Brain Injury, 10 (11), 841848.CrossRefGoogle ScholarPubMed
Oppermann, J.D. (2004). Interpreting the meaning individuals ascribe to returning to work after traumatic brain injury: A qualitative approach. Brain Injury, 18 (9), 941955.CrossRefGoogle ScholarPubMed
Petrella, L., McColl, M.A., Krupa, T., & Johnston, J. (2005). Returning to productive activities: Perspectives of individuals with long-standing acquired brain injuries. Brain Injury, 19, 643655.Google Scholar
Ponsford, J.L., Downing, M.G., Olver, J., Ponsford, M., Archer, R., Carty, M., & Spitz, G. (2014). Longitudinal follow-up of patients with traumatic brain injury: Outcome at two, five, and ten years post-injury. Journal of Neurotrauma, 31 (1), 6477.CrossRefGoogle ScholarPubMed
Rubenson, C., Svensson, E., Linddahl, I., & Bjorklund, A. (2007). Experiences of returning to work after acquired brain injury. Scandinavian Journal of Occupational Therapy, 14, 205214.Google Scholar
Sabatello, M. (2014). “If you can't do it now, you're out the door:” Employees with traumatic brain injury - A case study. Work, 48 (3), 373379.Google Scholar
Simpson, G.K., Daher, M., Hodgkinson, A., & Strettles, B. (2016). Service utilisation, service access & unmet service needs of clients with traumatic brain injury: A comparison between urban, regional and remote populations in New South Wales. Journal of Head Trauma Rehabilitation, 31, E26–E38.Google Scholar
Tate, R.L., Simpson, G.K., & McRae, P. (2015). Traumatic brain injury. In Escorpizo, R., Brage, S., Homa, D., & Stucki, G. (Eds.), Handbook of Vocational Rehabilitation and Disability Evaluation: Application and Implementation of the ICF (pp. 263294). New York: Springer.Google Scholar
Teasdale, G.M. (1995). Head injury. Journal of Neurology, Neurosurgery and Psychiatry, 58 (5), 526539.CrossRefGoogle ScholarPubMed
van Velzen, J.M., van Bennekom, C.A., Edelaar, M.J., Sluiter, J.K., & Frings-Dresen, M.H. (2009). How many people return to work after acquired brain injury?: A systematic review. Brain Injury, 23, 473488.CrossRefGoogle ScholarPubMed
van Velzen, J.M., van Bennekom, C.A., van Dormolen, M., Sluiter, J.K., & Frings-Dresen, M.H. (2011). Factors influencing return to work experienced by people with acquired brain injury: A qualitative research study. Disability and Rehabilitation: An International, Multidisciplinary Journal, 33, 22372246.CrossRefGoogle ScholarPubMed