Employment and vocational rehabilitation experiences among veterans with polytrauma/traumatic brain injury history.
Employment and vocational rehabilitation experiences among veterans with polytrauma/traumatic brain injury history.
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DOI：
10.1037/ser0000283
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发表时间：
2020-02
影响因子：
2.3
通讯作者：
Carlson KF
中科院分区：
文献类型：
--
作者：
Wyse JJ;Pogoda TK;Mastarone GL;Gilbert T;Carlson KF
有证据表明，伊拉克和阿富汗战争退伍军人与多发性创伤/创伤性脑损伤（TBI）的历史和神经行为症状可能会面临重返工作岗位的困难，但也遇到障碍访问，导航，并参与退伍军人事务部（VA）职业康复计划。本研究利用定性访谈和焦点小组与退伍军人记录多发性创伤/TBI的历史，探讨退伍军人的就业和职业康复计划参与的感知障碍，以及征求有关的想法，以证据为基础的职业康复计划的兴趣，个人安置和支持就业模式（IPS-SE）。退伍军人确定了身体，情感，认知和人际交往的障碍，以寻找和维持工作，他们描述为与他们的多发性创伤/TBI症状和后遗症。沟通和后勤问题被描述为职业康复计划准入的主要障碍，而计划利用的障碍包括资格特征，担心失去经济利益，以及自给自足的军事文化信仰，使寻求帮助变得困难。最后，退伍军人认可IPS-SE的关键方面，例如工作人员担任翻译，倡导者和求职和维护过程的导航员。政策建议得到落实。
Evidence suggests that Iraq and Afghanistan war veterans with polytrauma/traumatic brain injury (TBI) history and neurobehavioral symptoms may face difficulties returning to work, yet also encounter barriers to accessing, navigating, and engaging in Department of Veterans Affairs (VA) vocational rehabilitation programs. This study utilized qualitative interviews and focus groups with veterans with documented polytrauma/TBI history to explore veterans’ perceived barriers to employment and vocational rehabilitation program participation, as well as to solicit thoughts regarding interest in an evidence-based vocational rehabilitation program, the Individual Placement and Support model of Supported Employment (IPS-SE). Veterans identified physical, emotional, cognitive, and interpersonal barriers to finding and maintaining work that they described as linked with their polytrauma/TBI symptoms and sequelae. Communication and logistical issues were described as the primary barriers to vocational rehabilitation program access, while barriers to program utilization included eligibility characteristics, fear of losing financial benefits, and a military-cultural belief of self-sufficiency that made help-seeking difficult. Finally, veterans endorsed key aspects of IPS-SE, such as staff serving as translators, advocates, and navigators of the job search and maintenance process. Policy recommendations are addressed.
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