Psychosocial outcomes 1-7 years after comprehensive milieu-oriented neurorehabilitation

The role of pre-injury status

Pamela S. Klonoff, Lisa M. Watt, Lauren K. Dawson, Steven W. Henderson, Jo A. Gehrels, Jennifer Wethe

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Primary objective: To explore pre-injury variables related to post-discharge psychosocial status and identify factors related to work and driving outcomes. Methods and procedures: Ninety-three brain-injured patients attended a holistic milieu-oriented neurorehabilitation program and were contacted 1-7 years post-discharge. Experimental interventions: Questionnaire data addressing pre-injury and post-injury work, driving, income, marital status and living situation. Main outcomes and results: 74.3% were involved in competitive work and/or school with 86.0% productive at follow-up. Post-injury income decreased significantly compared with pre-injury levels. Pre-injury relationship status did not differ significantly from post-injury; 81.1% remaining in a stable relationship or married at follow-up. Pre-injury and post-injury accident rates were related; 73.1% drove at follow-up. Higher education, non-right hemispheric injury, shorter treatment length and return to work related to driving. Younger age, higher education, non-right hemispheric injury and driving post-injury related to positive work status. Conclusions: Pre-injury psychosocial data provide an important context for understanding post-discharge outcome after brain injury. Holistic milieu-oriented rehabilitation facilitates long-term successful work, driving and relationship stability.

Original languageEnglish (US)
Pages (from-to)601-612
Number of pages12
JournalBrain Injury
Volume20
Issue number6
DOIs
StatePublished - Jun 2006
Externally publishedYes

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Wounds and Injuries
Neurological Rehabilitation
Education
Return to Work
Marital Status
Brain Injuries
Accidents
Rehabilitation
Brain

Keywords

  • Brain injury
  • Driving
  • Neurorehabilitation
  • Outcome
  • Work

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Psychosocial outcomes 1-7 years after comprehensive milieu-oriented neurorehabilitation : The role of pre-injury status. / Klonoff, Pamela S.; Watt, Lisa M.; Dawson, Lauren K.; Henderson, Steven W.; Gehrels, Jo A.; Wethe, Jennifer.

In: Brain Injury, Vol. 20, No. 6, 06.2006, p. 601-612.

Research output: Contribution to journalArticle

Klonoff, Pamela S. ; Watt, Lisa M. ; Dawson, Lauren K. ; Henderson, Steven W. ; Gehrels, Jo A. ; Wethe, Jennifer. / Psychosocial outcomes 1-7 years after comprehensive milieu-oriented neurorehabilitation : The role of pre-injury status. In: Brain Injury. 2006 ; Vol. 20, No. 6. pp. 601-612.
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