scholarly journals The experiences of women with traumatic brain injury about the barriers and facilitators experienced after vocational rehabilitation in the Western Cape Metropole, South Africa

Work ◽  
2019 ◽  
Vol 64 (3) ◽  
pp. 477-486 ◽  
Author(s):  
Mogammad Shaheed Soeker ◽  
Zareena Darries
Keyword(s):  
South Africa ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Vocational Rehabilitation ◽  
Barriers And Facilitators ◽  
Western Cape ◽  
Experiences Of Women

scholarly journals Participation restrictions and vocational rehabilitation needs experienced by persons with a unilateral lower limb amputation in the Western Cape, South Africa

2019 ◽  
Vol 8 ◽  
Author(s):  
Tak Wing Yu ◽  
Liezel Ennion
Keyword(s):  
South Africa ◽  
Vocational Rehabilitation ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
World Health ◽  
Limb Amputation ◽  
Western Cape ◽  
Participation Restrictions ◽  
Health Organization ◽  
Rehabilitation Needs

Background: Vocational rehabilitation (VR) aims to rehabilitate a person with an amputation back into actively participating in society. Even though lower limb amputation (LLA) surgery is commonly performed in South Africa (SA), little research has been published on the participation restrictions experienced by and vocational needs of persons with LLA in the Western Cape (WC).Objectives: The aim of this study was to determine and explore the participation restrictions and VR needs of persons with a unilateral LLA in the WC.Method: A mixed-methods approach and a sequential exploratory design were utilised to collect data from 50 persons with an LLA. Participants were conveniently sampled within the Cape Metropole region of the WC, SA. The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) tool was used to collect the quantitative data, and telephonic interviews were conducted for qualitative data collection.Results: A third (28%) of participants in this study were unemployed, and only 14% (n = 7) of the participants owned or used a prosthesis. In addition, 50% of the participants either had a disability grant or were on pension. The participation restrictions identified were mainly related to mobility where 74% (n = 37) of participants had extreme difficulty with mobility in general, 92% (n = 46) struggled with walking distances longer than 1 km and 80% (n = 40) had extreme difficulty in completing household tasks quickly. The main VR needs identified in this study were the inadequate rehabilitation services that target ambulation (standing and walking) to facilitate employment.Conclusion: Persons with a unilateral LLA still experience significant difficulties in mobility 3 months post-amputation, which negatively affects their participation in society and vocational activities.

scholarly journals Systematic review protocol for facilitators and barriers to integrating health services for traumatic brain injury and mental health or addictions

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e027534 ◽  
Author(s):  
Vincy Chan ◽  
Danielle Toccalino ◽  
Angela Colantonio
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Services ◽  
Healthcare Access ◽  
Barriers And Facilitators ◽  
Cochrane Central Register ◽  
Registration Number ◽  
Scientific Meetings

IntroductionIn the most populous province of Canada, one in five adults and one in six students report a lifetime history of traumatic brain injury (TBI). These individuals were also more likely to report elevated psychological distress and use illicit substances compared with those without TBI. The need for integrated health services has been recognised globally, yet efforts to develop more comprehensive and effective care for TBI and mental health and/or addictions (MHA) continue to be challenged by the siloing of the two systems. This protocol is for a systematic review that describes the current types of integrated care for TBI and MHA and identifies the barriers and facilitators to integrating healthcare for these populations.Methods and analysisThis review will systematically search MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, Sociological Abstracts, and Dissertations & Theses Global. References of eligible articles will also be searched for additional relevant studies. The search strategy will include the use of text words and subject headings relevant to the concepts ‘TBI,’ ‘substance abuse, gambling, or mental health,’ ‘integrated healthcare,’ ‘barriers and facilitators,’ and ‘healthcare access.’ Two reviewers will independently screen all articles based on predetermined inclusion and exclusion criteria and perform quality assessment on eligible studies. A narrative synthesis will be conducted using the data abstracted by the two reviewers.Ethics and disseminationFindings from the systematic review will be published in peer-reviewed journals, presented at scientific meetings, and summarised for key stakeholders in the field of TBI and/or MHA. This protocol will form a systematic review that holds the potential to impact policy and planning in the development of integrated person-centred care for TBI and MHA and addresses a recognised gap in TBI care.Trial registration numberCRD42018108343

scholarly journals Exploring Vocational Evaluation Practices following Traumatic Brain Injury

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Christina Dillahunt-Aspillaga ◽  
Tammy Jorgensen Smith ◽  
Ardis Hanson ◽  
Sarah Ehlke ◽  
Mary Stergiou-Kita ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Vocational Rehabilitation ◽  
Online Survey ◽  
Assessment Method ◽  
Rehabilitation Counselors ◽  
Assessment Practices ◽  
Work Related ◽  
Vocational Evaluation ◽  
Certified Rehabilitation Counselors

Background. Individuals with traumatic brain injury (TBI) face many challenges when attempting to return to work (RTW). Vocational evaluation (VE) is a systematic process that involves assessment and appraisal of an individual’s current work-related characteristics and abilities.Objective. The aims of this study are to (1) examine demographic and employment characteristics of vocational rehabilitation providers (VRPs), (2) identify the specific evaluation methods that are used in the VE of individuals with TBI, and (3) examine the differences in assessment method practices based upon evaluator assessment preferences.Methods. This exploratory case study used a forty-six-item online survey which was distributed to VRPs.Results. One hundred and nine VRPs accessed the survey. Of these, 74 completed the survey. A majority of respondents were female (79.7%), Caucasian (71.6%), and holding a master’s degree (74.3%), and more than half (56.8%) were employed as state vocational rehabilitation counselors (VRCs). In addition, over two-thirds (67.6%) were certified rehabilitation counselors (CRCs). Respondents reported using several specific tools and assessments during the VE process.Conclusions. Study findings reveal differences in use of and rationales for specific assessments amongst VRPs. Understanding VRP assessment practices and use of an evidence-based framework for VE following TBI may inform and improve VE practice.

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