title: Vocational rehabilitation for clients with cognitive and behavioral disorders associated with traumatic brain injury.
abstract: OBJECTIVE
  To report on functional outcomes of clients with traumatic brain injury (TBI) admitted to a sub-acute rehabilitation hospital and rehabilitation facility in Japan.
  
  
  METHODS
  The subjects included 300 adults with TBI who underwent a rehabilitation in-patient program at the hospital at the Kanagawa Rehabilitation Center.
  
  
  METHODS
  Individual and group programs were designed for TBI clients using an interdisciplinary teamwork model including supported employment. All clients were evaluated by the Barthel Index, WAIS-R, and social outcome.
  
  
  RESULTS
  Overall, at discharge from the hospital, 46.4% of 300 clients were placed in gainful employment or returned to the school they had attended previously.
  
  
  CONCLUSIONS
  Despite a high prevalence of cognitive and behavioral disorders after moderate-to-severe TBI, long-term functional improvement is likely to occur in clients with TBI. Greater gains in both physical and cognitive functions are made through a multidisciplinary, wide-ranging, comprehensive approach to rehabilitation.
authors.affiliation: Department of Rehabilitation Medicine, Jikei University School of Medicine, Komae city, Tokyo, Japan. wa2ta@hs.tmu.ac.jp
authors.forename: Shu
authors.initials: S
authors.lastname: Watanabe
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000150:complications / Q000534:rehabilitation*; D003071:Cognition; D003072:Cognition Disorders / Q000209:etiology / Q000534:rehabilitation*; D016832:Employment, Supported; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000534:rehabilitation*; D008875:Middle Aged; D012050:Rehabilitation, Vocational; D055815:Young Adult