1st Edition

Traumatic Brain Injury Rehabilitation Practical Vocational, Neuropsychological, and Psychotherapy Interventions

Edited By Robert Fraiser, David C. Clemmons Copyright 2000

    Addressing the critical issues in community re-entry in a very practical manner, this book is suitable for all members of a community re-entry or brain-injury rehabilitation team.
    Traumatic Brain Injury Rehabilitation: Practical Vocational, Neuropsychological, and Psychotherapy Interventions provides innovative guidelines for allied health members of the traumatic brain injury rehabilitation team with information to help achieve more successful vocational and psychosocial outcomes.
    The book provides a very clear overview of critical components of neuropsychological information and the use of this information in vocational planning; examples of functional areas of cognition and neuropsychological assessment; the linkages between cognitive and behavioral impairments; the different categories of assistive technology; psychotherapy and behavioral interventions as well as successful vocational interventions; and, models of work access, including methods of supported employment, the development of a tailored job coaching program, and the specifics of utilizing natural supports.
    This book is useful to anyone involved in neurorehabilitation, vocational rehabilitation, rehab psychology, neuropsychology, and students in counseling programs or studying medical aspects of disability.

    Chapter 1
    APPLICATION OF THE NEUROPSYCHOLOGICAL EVALUATION IN VOCATIONAL PLANNING AFTER BRAIN INJURY - Jay M. Uomoto, Ph. D.
    Introduction
    Neuropsychology as the Study of Brain-Behavior Relationships
    Purposes of the Neuropsychological Evaluation
    Traditional Psychological vs. Neuropsychological Evaluations
    Physiology
    Functional Areas of Cognition in Neuropsychological Assessment
    Limitations of Neuropsychological Assessment in Vocational Planning
    Utilizing a Neuropsychologist in Vocational Planning
    Questions to Ask a Neuropsychologist: Suggested Approaches
    Examples of Neuropsychological Reports
    Appendix A: Further Reading
    Appendix B. Common Neuropsychological Tests by General Cognitive Skill Area
    Appendix C. Glossary of Common Terms in Neuropsychology
    Chapter 2
    COUNSELING INTERACTIONS FOR CLIENTS WITH TRAUMATIC BRAIN INJURY - Keith D. Cicerone, Ph.D. and Robert T. Fraser
    Introduction
    Psychological Disturbances After Traumatic Brain Injury
    Neuropsychologically Mediated and Organic Problems
    Emotional Reactions to Injury
    Pre-Injury Personality Characteristics
    Psychological Assessment
    Counseling Interactions and the Therapeutic Relationship
    Specific Interventions for Cognitive and Behavioral Problems Related to Vocational Rehabilitation Procedures and Outcomes
    Conclusions
    References
    Chapter 3
    USE OF ASSISTIVE TECHNOLOGY IN VOCATIONAL REHABILITATION OF PERSONS WITH TRAUMATIC BRAIN INJURY - C. Gerald Warren, MPA
    Introduction: A Brief History and Definition of Assistive Technology
    Why Use Assistive Technology to Help Persons With TBI?
    Secondary Effects of Applying Assistive Technology
    Impaired Functions That Limit Vocational Outcome
    Behavioral Concerns in the Workplace
    Maximizing the Clients' Residual Knowledge and Skills
    An Emphasis on Computer Technology and Electronics to Augment Function
    Use of Computer Technology
    Augmenting Academic and Vocational Activities
    Adapting Work Environments
    Guidelines for the Use of Assistive Technology
    References
    An Introduction to Vocational Evaluation and Placement - Robert T. Fraser, Ph.D., C.R.C.
    Chapter 4
    THE BASIS OF THE PLACEMENT APPROACH: VOCATIONAL EVALUATION - Robert T. Fraser, Ph.D., C.R.C.
    Basic Considerations
    Hierarchical Steps in the Vocational Evaluation Process
    Summary
    References
    Appendix A: U.S. Department of Labor Fair Labor Standards Act
    Appendix B: Basic Vocational Evolution Framework
    Chapter 5
    THE AFFIRMATIVE INDUSTRY VARIATION OF SUPPORTED EMPLOYMENT - Brian T. McMahon, Ph.D., C.R.C.
    The Affirmative Industry as Supported Employment
    Specifics of Affirmative Industry Program Development
    Program Benefits
    Administration Barriers to Affirmative Industry Implementation
    Caveats for Affirmative Industry in the Post-ADA Era
    References
    Chapter 6
    CHOICE OF A PLACEMENT MODEL - Robert T. Fraser, Ph.D., C.R.C., and Rita Curl, Ph.D.
    Introduction
    Models
    Forms of Employment Support
    A Perspective on Co-Worker and Employer Training Programs
    Benefits to the Co-Worker as Trainer Model in Providing Natural Support
    Findings from a Co-Worker as Trainer Project in TBI Vocational Rehabilitation
    Summary
    References
    Chapter 7
    SUPPORTED EMPLOYMENT FOR PERSONS WITH TRAUMATIC BRAIN INJURY: A GUIDE FOR IMPLEMENTATION - Paul Wehman, Ph.D., John Bricout, Ph.D., and Pam Targett, M.Ed.
    Introduction
    Initiating and Maintaining a Supported Employment Program: Description of Supported Employment
    Description of Supported Employment Models
    Employment Specialists: Training and Recruitment
    The Role of the Employment Specialist in Helping Persons with Traumatic Brain Injuries Return to Work
    Job-Site Training and Support Services
    Customized Job Retention Services
    Compensatory Strategies and Other Accommodations
    Using Systematic Training Strategies on a Job Site: A Case Study
    Using Positive Strategies to Manage Challenging Behavior
    The Most Frequently Asked Questions and Answers About Individual Supported-Employment Programming
    Planning Extended Services
    References
    Index

    Biography

    Robert Fraiser

    "'Not just another vocational rehabilitation book,' is the promise-and the fulfillment! This text was designed to be a resource with practical applications in daily service delivery. Readers benefit from the practical expertise of contributing authors from medical centers throughout the country, such as Keith Cicerone, Rita Curl, C.G. Warren, Paul Wehman, Brian McMahon, and Jay Uomoto, all well known in the field of vocational rehabilitation of persons with traumatic brain injury."
    - Brain Injury Update, Volume 15, January 2000


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