Replicated positive results for the VCC model of vocational intervention after ABI within the social model of disability.
OBJECTIVE
Replicated evaluation of the Vocational Case Co-ordinator (VCC) Model for vocational rehabilitation after acquired brain injury (ABI).


METHODS
Referral cohort studied within the social model of disability.


METHODS
One hundred and thirty-eight participants with ABI were assisted by a VCC to develop self-directed vocational plans and networks of medical centre and community services. Early intervention, work trials, temporary or long-term supported employment and employer education are fundamental features of the VCC Model.


RESULTS
One year after initial placement 80% of participants remained in community-based employment, 56% of the total sample with no support. Better outcomes were associated with earlier intervention but not with initial injury severity.


CONCLUSIONS
Results replicate original findings of the effectiveness of the VCC Model of vocational rehabilitation after ABI with a different VCC. Implications for social change within the social model of disability are discussed.
Mayo Clinic College of Medicine, Rochester, MN 55905, USA. malec.james@mayo.edu
James F
JF
Malec
Anne M
AM
Moessner
D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000534:rehabilitation*; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D003695:Delivery of Health Care / Q000458:organization & administration; D004651:Employment; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D017063:Outcome Assessment, Health Care; D012050:Rehabilitation, Vocational / Q000379:methods*; D015203:Reproducibility of Results