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Vocational Rehabilitation

Stig Evensen, Torill Ueland, June Ullevoldsæter Lystad, Helen Bull, Ole Klungsøyr, Egil W Martinsen, Erik Falkum
BACKGROUND: Employment is an important part of recovery for individuals with schizophrenia. The employment rate for this group is as low as 10% in Norway, and major system related barriers to employment are evident. AIMS: This study reports the competitive employment outcome at 2-year follow-up of a vocational rehabilitation study augmented with cognitive remediation (CR) or elements from cognitive behaviour therapy (CBT) for individuals with schizophrenia spectrum disorders...
October 24, 2016: Nordic Journal of Psychiatry
M Schuler, M Lukasczik, H Laterveer, F Weilbach, M Presl, M Presl, J Knörzer, S Neuderth
Objectives: The MBO(®) Kompakt-Neurowoche is offered as a work-related medical rehabilitation measure (based on allocation by a physician) following a regular neurological rehabilitation program with a duration of 7 days. Program access, process, and outcomes were examined in terms of a formative evaluation. Method: Pre-post-questionnaire data from 5 data points were used: start of regular rehabilitation (T0); start of work-related rehabilitation (T1); end of work-related rehabilitation (T2); 6-months follow-up (T3); 12-months follow-up (T4)...
October 2016: Die Rehabilitation
C Hetzel, M Streibelt
Background: Studies about the impact of the labour market on return to work (RTW) after vocational retraining are contradictory. We examined if (1) RTW after vocational retraining depends on regional labour markets and if (2) the regional labour markets variance affects the influence of personal characteristics on RTW. Methods: The data consisted of the scientific use file (completed rehabilitation in the course of health insurance 2002-2009) of the German Federal Pension Insurance (51 626 persons of 7 year cohorts) and regional economic data (412 districts)...
October 2016: Die Rehabilitation
Ulrika Bejerholm, Maria E Larsson, Suzanne Johanson
BACKGROUND: While effective vocational methods for gaining employment exist for people with schizophrenia and similar conditions, no evidence exists with regard to people with affective disorders. We aimed to study the effectiveness of a newly developed Individual Enabling and Support (IES) model adapted for the target group and compared to traditional vocational rehabilitation (TVR). METHODS: An assessor-blinded randomized controlled trial (RCT) with a parallel design was performed...
October 2, 2016: Journal of Affective Disorders
Ritva Ahomäki, Arja Harila-Saari, Jaakko Matomäki, Päivi M Lähteenmäki
BACKGROUND: In order to assess neurocognitive and social outcomes after childhood cancer, we explored the educational and vocational attainments of Finnish survivors in comparison to matched population controls. METHODS: From national registries, we identified survivors (n = 3243) born from 1960 to 1992 and aged below 16 at cancer diagnosis (years 1964-2009) as well as their controls (n = 16,215). Data on educational achievements, yearly income, employment status, and retirement were retrieved from Statistics Finland...
October 6, 2016: Journal of Cancer Survivorship: Research and Practice
M I Bal, J N T Sattoe, N R van Schaardenburgh, M C S G Floothuis, M E Roebroeck, H S Miedema
BACKGROUND: Finding and maintaining employment is a major challenge for young adults with physical disabilities and their work participation rate is lower than that of healthy peers. This paper is about a program that supports work participation amongst young adults with chronic physical disabilities. The study aims to explore their experienced barriers and facilitators for finding and maintaining employment after starting this program, the participant-perceived beneficial attributes of the program and participants' recommendations for additional intervention components...
October 5, 2016: Child: Care, Health and Development
Shankar Ganesh, Deepak Chhabra, Nitika Kumari
BACKGROUND: Studies have shown that farming is associated with many agricultural workers experiencing low back pain (LBP). The rehabilitation of these workers should facilitate their functioning, activities and level of participation in an adequate way. OBJECTIVE: The objectives of this study were to identify the health components associated with LBP and to evaluate the effectiveness of the interventions in returning agricultural workers with LBP to their vocation using the International Classification of Function (ICF) -based tools...
October 17, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
Suzanne Johanson, Ulrika Bejerholm
PURPOSE: Sick leave and unemployment are highly prevalent among people with affective disorders. Their depression severity is disabling and inversely related to having employment. No evidence-based vocational rehabilitation exists for this target group. Knowledge is therefore needed to understand the psychosocial factors that affect depression severity in order to develop new rehabilitation interventions. This study examined relationships between depression severity and empowerment, working life aspirations, occupational engagement, and quality of life in unemployed people with affective disorders receiving mental healthcare...
August 16, 2016: Disability and Rehabilitation
David B Salisbury, Thomas D Parsons, Kimberley R Monden, Zina Trost, Simon J Driver
Purpose/Objective: To investigate the feasibility of brain-computer interface (BCI) with patients on an inpatient spinal cord injury (SCI) unit. Research Method/Design: This study included 25 participants aged 18-64 who sustained traumatic or nontraumatic SCI and did not have severe cognitive or psychiatric impairment. Participants completed a variety of screening measures related to cognition, psychological disposition, pain, and technology experience/interest. The Emotiv electroencephalography system was used in conjunction with a cube rotation and manipulation game presented on a laptop computer...
September 29, 2016: Rehabilitation Psychology
Cyrille Burrus, Johanne Tuscher, Philippe Vuistiner, Gilles Rivier, Bertrand Léger, François Luthi
OBJECTIVE: Functional capacity evaluation (FCE) based on a safe maximal performance (kinesiophysical criteria), is used to evaluate abilities of a patient to accomplish work-related tasks that may help precise functional limitations. As known in chronic pain, psychosocial factors and behavioral factors have been shown to influence FCE. The influence of the "fear-avoidance" model on FCE is debated (van Abbema, 2011) and has never been studied with a full model. The goal of this study was to evaluate the influence of the fear-avoidance model on FCE performance in patients admitted for vocational rehabilitation after orthopaedic trauma...
September 2016: Annals of Physical and Rehabilitation Medicine
Chantal Plomb-Holmes, Roger Hilfiker, François Lüthi
OBJECTIVE: To measure if a decision-supportive tool based on the WORRK model, developed to predict non-return to work (nRTW) after orthopaedic trauma, improves the allocation to various vocational pathways according to patients' "nRTW" risk, for use in clinical practice. MATERIAL/PATIENTS AND METHODS: Randomized-controlled trial using vocational inpatients after orthopaedic trauma (n=280). In the intervention group, the nRTW risk estimated using the WORRK tool was given to the clinician team before allocation of the vocational pathway, while in the control group it was not...
September 2016: Annals of Physical and Rehabilitation Medicine
François Luthi
OBJECTIVE: Activity behaviour patterns influence the development and perpetuation of musculoskeletal pain. Three major patterns have been observed in chronic pain patients: avoidance, pacing and persistence (also labelled "overdoing", "confronting" or "endurance" pattern). MATERIAL/PATIENTS AND METHODS: Relationships between these patterns and clinical outcomes remain inconclusive. Associations between pain, disability, depressive symptoms, and poor self-efficacy have been consistently demonstrated for the avoidance model...
September 2016: Annals of Physical and Rehabilitation Medicine
Jean-Pascal Devailly, Laurence Josse
OBJECTIVE: In all countries, the boundaries are ambiguous between acute and post-acute as well as defining the dimensions of care. The aim of this study is to analyze relations between segmentation of care and payment systems. In the new prospective payment system implemented in French SSR, the grouping unit is inpatient stay and the week for day hospitalization. In 1991, the field of SSR mixed structures as diverse in their purposes as public or private hospital units of rehabilitation and "nursing homes"...
September 2016: Annals of Physical and Rehabilitation Medicine
Etienne Savard
OBJECTIVE: Dysimmune encephalitis are neurologic diseases that are more and more diagnosed. Most of patients are young and active. Cognitive and behavior troubles can delay the diagnosis and can cause disability. Functional outcome is not routinely assessed. The aim of this study is to describe the activities and participation several months after the onset. MATERIALS/PATIENTS AND METHODS: Four cases have been handled in the same multidisciplinary rehabilitation unit...
September 2016: Annals of Physical and Rehabilitation Medicine
Soumaya Boudokhane, Hichem Ben Brahim, Aymen Haj Salah, Houda Migaou, Anis Jellad, Zohra Ben Salah Frih
OBJECTIVE: To determine factors influencing long-term functional and professional outcomes in patients post severe traumatic brain injury (STBI). MATERIAL/PATIENTS AND METHODS: A descriptive analytical transversal and cross-sectional study involving patients with STBI dated more than 1 year and managed in rehabilitation department on an outpatient basis. Described parameters were: coma duration, post-traumatic amnesia duration (PTA), duration of hospitalization in intensive care unit, rehabilitation delay management, brain imaging findings, motor impairment, neuropsychological impairment assessed with Neurobehavioral Rating Scale-Revised (NRS-R), functional outcomes assessed with Functional Independence Measure (FIM) and disability assessed with Glasgow Outcome Scale (GOS)...
September 2016: Annals of Physical and Rehabilitation Medicine
Andreas Mühl, Christelle Aubert, Gérard Wicky, Michel Fédou, Frédéric Devanthéry, Serge Jungo, Charles Benaim, Bertrand Leger, Philippe Vuadens, Bellmann Anne
OBJECTIVE: Standard neuropsychological evaluation after severe TBI (traumatic brain injury) often minimizes executive deficits, the latter are known to seriously impair return to work. Therefore, we developed an ecological organization and problem-solving test in a vocational setting called the TEM-PRO. In the present study, we aimed to normalize the TEM-PRO in a population of 40 control patients without neurological and psychiatric disorders. MATERIAL/PATIENTS AND METHODS: The TEM-PRO is based on the multiple errands test from Shallice and Burger (1991)...
September 2016: Annals of Physical and Rehabilitation Medicine
Haifa Aroui, Irtyah Merchaoui, Mohamed Adnène Henchi, Ines Rassas, Noura Belhadj, Neila Chaari, Charfeddine Amri
OBJECTIVE: Describe the medical and professional consequences in victims of carpal tunnel syndrome. MATERIAL/PATIENTS AND METHODS: Exhaustive and descriptive study on 233 cases of carpal tunnel syndrome identified in two occupational medicine departments of the center of Tunisia from 2005 to 2010. The Boston questionnaire was used to assess the functional disability. RESULTS: To study the medical and professional becoming, we contacted 128 employees (54...
September 2016: Annals of Physical and Rehabilitation Medicine
Johanna Morgounovski, Philippe Vuistiner, Bertrand Léger, François Luthi
OBJECTIVE: The fear-avoidance model (FAM) is commonly used in musculoskeletal chronic pain (Vlaeyen 2012). Nevertheless, only few prospective studies have been conducted, especially on return to work (RTW). This study lays the hypothesis that the components of the FAM (catastrophizing, kinesiophobia and depression) can predict RTW 1 year after a vocational rehabilitation for orthopedic trauma patients. MATERIAL/PATIENTS AND METHODS: A total of 323 rehab orthopedic trauma inpatients (average time after accident: 9 months) were included...
September 2016: Annals of Physical and Rehabilitation Medicine
Dawn Magnusson, Monica Roe, Jeff Hartman
PURPOSE: To examine community perspectives regarding the strengths, weaknesses, opportunities, and threats of a community-based rehabilitation (CBR) program in Toledo District, Belize. METHOD: A participatory approach was implemented using the CBR Matrix as a conceptual framework. Semi-structured interviews were conducted with CBR community partners and program participants living in Toledo District. Respondents were recruited until thematic saturation was achieved (i...
September 27, 2016: Disability and Rehabilitation
K Stengler, J Rauschenbach, S G Riedel-Heller, T Becker, I Steinhart, G Gerlinger, I Hauth
Working and living for persons with mental illnesses are a major concern of rehabilitative psychiatry. In Germany the definition of rehabilitation for persons with mental illnesses is closely linked to different sectors of social welfare and to the strongly organized supply chain of prevention, acute treatment, rehabilitation and care. In successfully supporting people with mental health problems in terms of vocational integration, professionals face various obstacles. Besides finding the correct content, structural and organizational difficulties can also arise...
September 20, 2016: Der Nervenarzt
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