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创伤性脑损伤过渡年龄青年的职业康复服务与成果

Vocational Rehabilitation Services and Outcomes for Transition-Age Youth With Traumatic Brain Injuries.

作者信息

Rumrill Phillip, Wehman Paul, Cimera Robert, Kaya Cahit, Dillard Chad, Chan Fong

机构信息

Center for Disability Studies, Kent State University, Kent, Ohio (Drs Rumrill and Cimera); Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond (Drs Wehman and Dillard); and Department of Rehabilitation Psychology and Special Education, University of Wisconsin-Madison, Madison (Drs Kaya and Chan).

出版信息

J Head Trauma Rehabil. 2016 Jul-Aug;31(4):288-95. doi: 10.1097/HTR.0000000000000186.

DOI:10.1097/HTR.0000000000000186
PMID:26360004
Abstract

OBJECTIVE

This study examined data provided by the US Department of Education's Rehabilitation Services Administration (RSA) in an effort to evaluate the relationship between (a) demographic variables and vocational rehabilitation (VR) services and (b) the employment outcomes of transition-age youth with traumatic brain injuries.

SETTING

Not applicable.

PARTICIPANTS

Data for 1546 transition-age youth (ie, 16-25 years of age) with traumatic brain injuries were examined.

DESIGN

Purposeful selection of multivariate logistic regression was employed to analyze the data.

MAIN MEASURES

Not applicable.

RESULTS

Receipt of more VR services at higher expenditure levels over shorter periods of time was related to case closure in successful competitive employment status. Also, higher levels of education at the time of enrollment in the VR program (ie, bachelor's degrees or higher); nonreceipt of social security disability benefits at the time of enrollment in the VR program; and receipt of VR services such as occupational/vocational training, job search, job placement, on-the-job support, maintenance, and information/referral were associated with competitive employment outcomes.

CONCLUSION

Client demographic and VR service-related variables significantly predict competitive employment outcomes for transition-age youth with traumatic brain injuries. Vocational rehabilitation services should focus on the specific interventions that are most closely associated with successful rehabilitation.

摘要

目的

本研究对美国教育部康复服务管理局(RSA)提供的数据进行了分析,旨在评估(a)人口统计学变量与职业康复(VR)服务之间的关系,以及(b)脑外伤过渡期青年的就业成果。

设置

不适用。

参与者

研究分析了1546名脑外伤过渡期青年(即16 - 25岁)的数据。

设计

采用有目的的多元逻辑回归分析数据。

主要测量指标

不适用。

结果

在较短时间内获得更高支出水平的更多VR服务与以成功的竞争性就业状态结案相关。此外,VR项目入学时较高的教育水平(即学士学位或更高);VR项目入学时未领取社会保障残疾福利;以及接受职业/职业培训、求职、工作安置、在职支持、维持和信息/转介等VR服务与竞争性就业成果相关。

结论

服务对象的人口统计学和VR服务相关变量显著预测了脑外伤过渡期青年的竞争性就业成果。职业康复服务应侧重于与成功康复最密切相关的具体干预措施。

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