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State-Federal Vocational Rehabilitation in Traumatic Brain Injury: What Predictors Are Associated With Employment Outcomes?
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- Author(s): Ahonle, Zaccheus J.; Barnes, Marcia; Romero, Sergio; Sorrells, Audrey M.; Brooks, Gene I.
- Source:
Rehabilitation Counseling Bulletin; Apr2020, Vol. 63 Issue 3, p143-155, 13p- Subject Terms:
CHI-squared test; EMPLOYMENT; FEDERAL government; HEALTH outcome assessment; RACE; STATE governments; VOCATIONAL rehabilitation; MULTIPLE regression analysis; SUPPORTED employment; RELATIVE medical risk; REHABILITATION for brain injury patients; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio - Source:
- Additional Information
- Subject Terms:
- Abstract: This study identified predictors of employment for individuals with traumatic brain injury (TBI). Data from 4,923 individuals with TBI were extracted from the Rehabilitation Services Administration's Case Service Report (RSA-911) database. A multiple logistic regression model using demographics, disability-related variables, vocational rehabilitation (VR) service variables, and their interactions correctly classified 69.5% of the cases as successfully employed or not successfully employed. The model explained approximately 27.1% of the variance in employment outcomes. Results indicated that level of education, race/ethnicity, age at application, preemployment status, Supplemental Security Income (SSI), Social Security Disability Insurance (SSDI), comorbid depression, and case expenditure were significantly associated with employment outcomes (all p ≤.05). VR variables that showed the most significant positive effect on employment outcomes were on-the-job support, job placement, and on-the-job training. Race/ethnicity moderated the effect of college training, supported employment, transportation, and extended evaluation or work trial assessment services on employment outcomes. The findings have implications for promoting the use of those VR services that are strongly related to employment outcomes for persons with TBI. They also point to the need for rehabilitation personnel to address some of the demographic and disability-related barriers to successful employment. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Rehabilitation Counseling Bulletin is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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