title: Outcomes from milieu-based neurorehabilitation at up to 11 years post-discharge.
abstract: Outcome in patients with brain injury after milieu-based day treatment neurorehabilitation was examined at up to 11 years post-discharge. Follow-up data in this cross-sectional study were sought from all admissions since May 1986 to May 1998 at 3 months, 1, 3, 5, 7, 9, and 11 year intervals. The 164 participants who responded had heterogeneous brain injury aetiologies and represented 73.9% of all patients who were successfully discharged from the programme. Rates of productivity (defined as gainful employment, school, and/or volunteer work) and employment (defined as work for pay) were examined in this follow-up sample. The results demonstrate that 83.5% of patients were productive up to 11 years post-discharge, with 67.1% engaged in work or school, and no decline in productivity was seen over time from discharge. Better vocational/school outcomes were associated with younger age, male gender, and higher staff working alliance ratings of patients and their families.
authors.affiliation: Catholic Healthcare West, Barrow Neurological Institute, Adult Day Hospital for Neurological Rehabilitation, Phoenix, Arizona 85013, USA. dlamb@chw.edu
authors.forename: P S
authors.initials: PS
authors.lastname: Klonoff
authors.forename: D G
authors.initials: DG
authors.lastname: Lamb
authors.forename: S W
authors.initials: SW
authors.lastname: Henderson
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001930:Brain Injuries / Q000473:pathology / Q000534:rehabilitation*; D003430:Cross-Sectional Studies; D004651:Employment; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011788:Quality of Life; D012737:Sex Factors; D012944:Social Support; D016896:Treatment Outcome; D014830:Vocational Guidance