title: Interest of workplace support for returning to work after a traumatic brain injury: a retrospective study.
abstract: OBJECTIVE
  To analyse usefulness of the SPASE programme, a coordinated facility programme to assist traumatic brain injury (TBI) persons in returning to work and retaining their job in the ordinary work environment.
  
  
  METHODS
  A retrospective study including 100 subjects aged over 18 who had suffered traumatic brain injury (GOS 1 or 2). The criterion for return to work (RTW) success was the ability to return to the job he/she had before the accident or to a new professional activity.
  
  
  RESULTS
  Factors associated with RTW success were at short-term (2-3 years): the presence of significant workplace support OR=15.1 [3.7-61.7], the presence of physical disabilities OR=0.32 [0.12-0.87] or serious traumatic brain injury OR=0.22 [0.07-0.66]. At medium-term (over 3 years) these factors were: significant workplace support OR=3.9 [1.3-11.3] and presence of mental illness OR=0.15 [0.03-0.7].
  
  
  CONCLUSIONS
  This study suggests that a case coordination vocational programme may facilitate the return and maintain to work of TBI persons. It reveals that the workplace support is a key factor for job retention in the medium-term.
authors.affiliation: Équipe EPSP laboratoire TIMC (UMR 5525), UFR de médecine, université Joseph-Fourier Grenoble, Domaine de la Merci, 38700 La Tronche, France; Department of occupational health and medicine, public health department, Grenoble university hospital, BP 217, 38043 Grenoble cedex9, France.
authors.forename: V
authors.initials: V
authors.lastname: Bonneterre
authors.forename: D
authors.initials: D
authors.lastname: Pérennou
authors.forename: V
authors.initials: V
authors.lastname: Trovatello
authors.forename: N
authors.initials: N
authors.lastname: Mignot
authors.forename: P
authors.initials: P
authors.lastname: Segal
authors.forename: F
authors.initials: F
authors.lastname: Balducci
authors.forename: F
authors.initials: F
authors.lastname: Laloua
authors.forename: R
authors.initials: R
authors.lastname: de Gaudemaris
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000534:rehabilitation*; D019090:Case Management; D003072:Cognition Disorders; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D012189:Retrospective Studies; D062707:Return to Work / Q000706:statistics & numerical data; D012944:Social Support; D013997:Time Factors; D017132:Workplace
keywords: Brain injuries/rehabilitation; Emploi/méthodes; Lésions cérébrales/rééducation; Rehabilitation; Retour à l’emploi; Return to work; Rééducation; Vocational/methods