Medical/Vocational Case Coordination System Appears Useful
Is the Medical/Vocational Case Coordination System useful to improve initial placement and 1-year employment outcomes for individuals with brain injury?
Past Studies show that brain injury frequently results in impairments that interfere with the
This study tested a Medical/Vocational Case Coordination System (MVCCS) designed for individuals with brain injury. The MVCCS emphasizes early intervention and coordinated service delivery through combined medical center-based and community-based services. The participants included 114 adults with brain injury in Minnesota. The researchers stressed early intervention to reduce the time between injury and community reintegration. They did this to prevent behavioral and socialization problems associated with lack of early intervention. The researchers expected the MVCCS to increase the participants’ employment and independent living abilities and to minimize the use of community and medical resources. With the MVCCS, the participants received early case management services, medical and vocational rehabilitation services, work trials, and temporary or long-term supported employment when appropriate. Supported employment provides on-site supports, often with the direct help of a job coach who assists the individual to maintain satisfactory job performance.The researchers found that employment rates at the time of first job placement and at a 1-year follow-up approached or exceeded their expectations. Initially, eighty percent of the participants were placed in community work settings.
Who May Be Affected By These Findings
Individuals with brain injury, discharge planners, rehabilitation professionals, researchers
The best predictor of employment at one year from the injury date was the level of initial job placement. This finding is not what was found in studies that linked impaired self-awareness to employment. The results of this study suggest that impaired self-awareness may be a barrier to employment that can be overcome through rehabilitation, education, and supportive employers.
The Medical/Vocational Case Coordination System appears useful to evaluate initial placement and 1-year employment outcomes for individuals with brain injury.
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Find This Study
Malec, J. F., Buffington, A. L. H., Moessner, A. M., & Degiorio, L. (2000). A medical/vocational case coordination system for persons with brain injury: An evaluation of employment outcomes. Archives of Physical Medicine and Rehabilitation, 81, 1007-1015.