Enhanced vocational rehabilitation for Veterans with mild traumatic brain injury and mental illness: Pilot study.
Work plays a significant role in how people identify themselves, and successful return to work is associated with significant psychological and rehabilitative benefits. Unfortunately, despite the many benefits of employment, Veterans who experience mild traumatic brain injury and have mental health issues often have significant difficulty getting their vocational needs met. Considering that a consistent relationship between cognitive dysfunction and difficulties with employability has been firmly established, cognitive rehabilitation may enhance engagement in vocational rehabilitation and return to work outcomes. In this pilot study, we evaluated a 12 wk cognitive rehabilitation intervention embedded within vocational rehabilitation services. Eighteen Veterans were randomly assigned to receive either the embedded cognitive rehabilitation intervention (n = 10) or a control condition offering supportive client-centered therapy that did not focus on employment or cognitive rehabilitation (n = 8); all Veterans (intervention and control groups) received vocational rehabilitation services. This pilot feasibility study demonstrated efficient implementation of an embedded cognitive rehabilitation intervention within vocational rehabilitation. The current pilot data revealed small to moderate effect sizes on employment outcomes. Given these preliminary findings, a larger outcome study is warranted.
Veterans Integrated Service Network 1 Mental Illness Research, Education, and Clinical Center, Department of Psychology, Bedford Department of Veterans Affairs Medical Center, Bedford, MA;
Maureen K
MK
O'Connor
Lisa
L
Mueller
Eunice
E
Kwon
Charles E
CE
Drebing
Ashley A
AA
O'Connor
Alicia
A
Semiatin
Shihwe
S
Wang
Ryan
R
Daley
D000328:Adult; D000368:Aged; D001924:Brain Concussion / Q000534:rehabilitation*; D004651:Employment; D005240:Feasibility Studies; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008875:Middle Aged; D010865:Pilot Projects; D012050:Rehabilitation, Vocational; D062707:Return to Work; D014728:Veterans
OIF/OEF; Veterans; cognitive rehabilitation; compensated work therapy; competitive employment; mental illness; mild traumatic brain injury; supported employment; transitional work experience; vocational rehabilitation