2023-09-28 14:46:10 +00:00
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abstract: 'Objective: To identify any pilot and nonpilot site differences regarding
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current (1) provision of supported employment (SE) to veterans with
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traumatic brain injury (TBI); (2) staffing and communication between the
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SE and polytrauma/TBI teams; and (3) provider perceptions on
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facilitators and barriers to providing, and suggestions for improving,
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SE.
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Design: Mixed methods cross-sectional survey study.
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Setting: Veterans Health Administration SE programs.
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Participants: Respondents (N=144) included 54 SE supervisors and 90
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vocational rehabilitation specialists.
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Interventions: Not applicable.
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Main Outcome Measures: Web-based surveys of forced-choice and open-ended
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items included questions on SE team characteristics, communication with
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polytrauma/TBI teams, and experiences with providing SE to veterans with
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TBI history.
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Results: SE was provided to veterans with TBI at 100\% of pilot and
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59.2\% of nonpilot sites (P=.09). However, vocational rehabilitation
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specialists at pilot sites reported that communication with the
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polytrauma/TBI team about SE referrals was more frequent than at
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nonpilot sites (P=.003). In open-ended items, suggestions for improving
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SE were similar across pilot and nonpilot sites, and included increasing
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staffing for vocational rehabilitation specialists and case management,
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enhancing communication and education between SE and polytrauma/TBI
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teams, and expanding the scope of the SE program so that eligibility is
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based on employment support need, rather than diagnosis.
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Conclusions: These findings may contribute to an evidence base that
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informs SE research and clinical directions on service provision,
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resource allocation, team integration efforts, and outreach to veterans
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with TBI who have employment support needs. Published by Elsevier Inc.
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on behalf of the American Congress of Rehabilitation Medicine'
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affiliation: 'Pogoda, TK (Corresponding Author), VA Boston Healthcare Syst, Ctr Healthcare
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Org \& Implementat Res, Bldg 9,Off 218,150 S Huntington Ave,152M, Boston, MA 02130
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USA.
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Pogoda, Terri K.; Gormley, Katelyn E., VA Boston Healthcare Syst, Ctr Healthcare
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Org \& Implementat Res, Bldg 9,Off 218,150 S Huntington Ave,152M, Boston, MA 02130
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USA.
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Pogoda, Terri K., Boston Univ, Sch Publ Hlth, Dept Hlth Law Policy \& Management,
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Boston, MA USA.
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Carlson, Kathleen F., VA Portland Hlth Care Syst, Ctr Improve Vet Involvement Care,
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Portland, OR USA.
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Carlson, Kathleen F., VA Portland Hlth Care Syst, Natl Ctr Rehabilitat Auditory
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Res, Portland, OR USA.
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Carlson, Kathleen F., Oregon Hlth \& Sci Univ, Portland State Univ, Sch Publ Hlth,
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Portland, OR 97201 USA.
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Resnick, Sandra G., VA Connecticut Healthcare Syst, Res \& Clin Ctr, New England
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Mental Illness, West Haven, CT USA.
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Resnick, Sandra G., Yale Univ, Sch Med, Dept Psychiat, New Haven, CT USA.'
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author: Pogoda, Terri K. and Carlson, Kathleen F. and Gormley, Katelyn E. and Resnick,
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Sandra G.
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author-email: terri.pogoda@va.gov
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author_list:
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- family: Pogoda
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given: Terri K.
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- family: Carlson
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given: Kathleen F.
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- family: Gormley
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given: Katelyn E.
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- family: Resnick
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given: Sandra G.
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da: '2023-09-28'
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doi: 10.1016/j.apmr.2017.06.029
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eissn: 1532-821X
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files: []
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issn: 0003-9993
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journal: ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
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keywords: 'Brain injuries, traumatic; Community integration; Employment, supported;
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Rehabilitation; Veterans'
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keywords-plus: 'POSTTRAUMATIC-STRESS-DISORDER; PERSISTENT POSTCONCUSSIVE SYMPTOMS;
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POLYTRAUMA REHABILITATION; VOCATIONAL-REHABILITATION; RETURN; WORK;
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IMPLEMENTATION; UNEMPLOYMENT; STRATEGIES; DEPLOYMENT'
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language: English
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month: FEB
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note: 'Defense Centers of Excellence for Psychological Health and Traumatic
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Brain Injury Summit, Falls Church, VA, SEP 13, 2016'
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number: 2, 1
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number-of-cited-references: '57'
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orcid-numbers: 'Resnick, Sandra G/0000-0001-6373-1482
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Pogoda, Terri/0000-0003-1397-8780'
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pages: S14-S22
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papis_id: 7421385a76cc9275f3b8931de81a8b18
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ref: Pogoda2018supportedemployment
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researcherid-numbers: 'Resnick, Sandra G/F-3883-2014
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Pogoda, Terri/F-6243-2012'
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times-cited: '11'
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title: 'Supported Employment for Veterans With Traumatic Brain Injury: Provider Perspectives'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000424069900003
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usage-count-last-180-days: '2'
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usage-count-since-2013: '10'
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volume: '99'
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web-of-science-categories: Rehabilitation; Sport Sciences
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year: '2018'
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