abstract: 'Objective: To identify any pilot and nonpilot site differences regarding

  current (1) provision of supported employment (SE) to veterans with

  traumatic brain injury (TBI); (2) staffing and communication between the

  SE and polytrauma/TBI teams; and (3) provider perceptions on

  facilitators and barriers to providing, and suggestions for improving,

  SE.

  Design: Mixed methods cross-sectional survey study.

  Setting: Veterans Health Administration SE programs.

  Participants: Respondents (N=144) included 54 SE supervisors and 90

  vocational rehabilitation specialists.

  Interventions: Not applicable.

  Main Outcome Measures: Web-based surveys of forced-choice and open-ended

  items included questions on SE team characteristics, communication with

  polytrauma/TBI teams, and experiences with providing SE to veterans with

  TBI history.

  Results: SE was provided to veterans with TBI at 100\% of pilot and

  59.2\% of nonpilot sites (P=.09). However, vocational rehabilitation

  specialists at pilot sites reported that communication with the

  polytrauma/TBI team about SE referrals was more frequent than at

  nonpilot sites (P=.003). In open-ended items, suggestions for improving

  SE were similar across pilot and nonpilot sites, and included increasing

  staffing for vocational rehabilitation specialists and case management,

  enhancing communication and education between SE and polytrauma/TBI

  teams, and expanding the scope of the SE program so that eligibility is

  based on employment support need, rather than diagnosis.

  Conclusions: These findings may contribute to an evidence base that

  informs SE research and clinical directions on service provision,

  resource allocation, team integration efforts, and outreach to veterans

  with TBI who have employment support needs. Published by Elsevier Inc.

  on behalf of the American Congress of Rehabilitation Medicine'
affiliation: 'Pogoda, TK (Corresponding Author), VA Boston Healthcare Syst, Ctr Healthcare
  Org \& Implementat Res, Bldg 9,Off 218,150 S Huntington Ave,152M, Boston, MA 02130
  USA.

  Pogoda, Terri K.; Gormley, Katelyn E., VA Boston Healthcare Syst, Ctr Healthcare
  Org \& Implementat Res, Bldg 9,Off 218,150 S Huntington Ave,152M, Boston, MA 02130
  USA.

  Pogoda, Terri K., Boston Univ, Sch Publ Hlth, Dept Hlth Law Policy \& Management,
  Boston, MA USA.

  Carlson, Kathleen F., VA Portland Hlth Care Syst, Ctr Improve Vet Involvement Care,
  Portland, OR USA.

  Carlson, Kathleen F., VA Portland Hlth Care Syst, Natl Ctr Rehabilitat Auditory
  Res, Portland, OR USA.

  Carlson, Kathleen F., Oregon Hlth \& Sci Univ, Portland State Univ, Sch Publ Hlth,
  Portland, OR 97201 USA.

  Resnick, Sandra G., VA Connecticut Healthcare Syst, Res \& Clin Ctr, New England
  Mental Illness, West Haven, CT USA.

  Resnick, Sandra G., Yale Univ, Sch Med, Dept Psychiat, New Haven, CT USA.'
author: Pogoda, Terri K. and Carlson, Kathleen F. and Gormley, Katelyn E. and Resnick,
  Sandra G.
author-email: terri.pogoda@va.gov
author_list:
- family: Pogoda
  given: Terri K.
- family: Carlson
  given: Kathleen F.
- family: Gormley
  given: Katelyn E.
- family: Resnick
  given: Sandra G.
da: '2023-09-28'
doi: 10.1016/j.apmr.2017.06.029
eissn: 1532-821X
files: []
issn: 0003-9993
journal: ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
keywords: 'Brain injuries, traumatic; Community integration; Employment, supported;

  Rehabilitation; Veterans'
keywords-plus: 'POSTTRAUMATIC-STRESS-DISORDER; PERSISTENT POSTCONCUSSIVE SYMPTOMS;

  POLYTRAUMA REHABILITATION; VOCATIONAL-REHABILITATION; RETURN; WORK;

  IMPLEMENTATION; UNEMPLOYMENT; STRATEGIES; DEPLOYMENT'
language: English
month: FEB
note: 'Defense Centers of Excellence for Psychological Health and Traumatic

  Brain Injury Summit, Falls Church, VA, SEP 13, 2016'
number: 2, 1
number-of-cited-references: '57'
orcid-numbers: 'Resnick, Sandra G/0000-0001-6373-1482

  Pogoda, Terri/0000-0003-1397-8780'
pages: S14-S22
papis_id: 7421385a76cc9275f3b8931de81a8b18
ref: Pogoda2018supportedemployment
researcherid-numbers: 'Resnick, Sandra G/F-3883-2014

  Pogoda, Terri/F-6243-2012'
times-cited: '11'
title: 'Supported Employment for Veterans With Traumatic Brain Injury: Provider Perspectives'
type: Article; Proceedings Paper
unique-id: WOS:000424069900003
usage-count-last-180-days: '2'
usage-count-since-2013: '10'
volume: '99'
web-of-science-categories: Rehabilitation; Sport Sciences
year: '2018'