title: Costs of operating a supported work program for traumatically brain-injured individuals.
abstract: This paper presents a preliminary analysis of costs associated with a return-to-work program emphasizing a supported employment approach for persons who had sustained severe traumatic brain injuries. This analysis spans almost three years. Results indicated that a mean of 237.8 hours of staff intervention time was required to achieve job stabilization, at a cost of +6896. Ongoing follow-along and support services averaged 1.64 hours per week at a cost of +47.56. Over 68% of total staff time and costs were expended in job-site training and advocacy efforts. Application of these findings to state-level and agency-level policies should be weighed against individual characteristics and needs of clients, program design, and outcomes which clients achieve as a result of services.
authors.affiliation: Department of Rehabilitation Medicine, Medical College of Virginia, Virginia Commonwealth University, Richmond.
authors.forename: M
authors.initials: M
authors.lastname: West
authors.forename: P
authors.initials: P
authors.lastname: Wehman
authors.forename: J
authors.initials: J
authors.lastname: Kregel
authors.forename: J
authors.initials: J
authors.lastname: Kreutzer
authors.forename: P
authors.initials: P
authors.lastname: Sherron
authors.forename: N
authors.initials: N
authors.lastname: Zasler
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000534:rehabilitation*; D002648:Child; D003365:Costs and Cost Analysis; D004651:Employment; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy / Q000191:economics*; D012947:Social Work / Q000191:economics