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 Ann Gehrels; Jennifer Voreis Wethe

doi:10.1080/02699050600744301

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 Ann Gehrels, Jennifer Voreis Wethe

Psychology

Research output: Contribution to journal › Article › peer-review

36 Scopus citations

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 language	English (US)
Pages (from-to)	601-612
Number of pages	12
Journal	Brain Injury
Volume	20
Issue number	6
DOIs	https://doi.org/10.1080/02699050600744301
State	Published - Jun 2006

Keywords

Brain injury
Driving
Neurorehabilitation
Outcome
Work

ASJC Scopus subject areas

Neuroscience (miscellaneous)
Developmental and Educational Psychology
Clinical Neurology

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10.1080/02699050600744301

Cite this

@article{cb8707e9104148c683ba18f7ef46192d,

title = "Psychosocial outcomes 1-7 years after comprehensive milieu-oriented neurorehabilitation: The role of pre-injury status",

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.",

keywords = "Brain injury, Driving, Neurorehabilitation, Outcome, Work",

author = "Klonoff, {Pamela S.} and Watt, {Lisa M.} and Dawson, {Lauren K.} and Henderson, {Steven W.} and Gehrels, {Jo Ann} and Wethe, {Jennifer Voreis}",

note = "Funding Information: Table III also provides information regarding sources of financial support pre-and post-injury. Respondents were asked to rate all sources of income, as some patients received support from more than one source (e.g. working part-time while receiving Social Security Disability Income support as well). A notable change occurred in terms of financial support pre-injury compared to follow-up, with significantly fewer patients receiving income solely from work at follow-up compared to pre-injury (61.3% solely supported by work income pre-injury vs 30.1% supported solely by work at follow-up) and significantly more patients receiving some type of government support (e.g. Social Security Disability Income) at follow-up. The only source of financial support that did not change from preinjury to follow-up was funding from Worker{\textquoteright}s Compensation. Copyright: Copyright 2017 Elsevier B.V., All rights reserved.",

year = "2006",

month = jun,

doi = "10.1080/02699050600744301",

language = "English (US)",

volume = "20",

pages = "601--612",

journal = "Brain Injury",

issn = "0269-9052",

publisher = "Informa Healthcare",

number = "6",

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T1 - Psychosocial outcomes 1-7 years after comprehensive milieu-oriented neurorehabilitation

T2 - The role of pre-injury status

AU - Klonoff, Pamela S.

AU - Watt, Lisa M.

AU - Dawson, Lauren K.

AU - Henderson, Steven W.

AU - Gehrels, Jo Ann

AU - Wethe, Jennifer Voreis

N1 - Funding Information: Table III also provides information regarding sources of financial support pre-and post-injury. Respondents were asked to rate all sources of income, as some patients received support from more than one source (e.g. working part-time while receiving Social Security Disability Income support as well). A notable change occurred in terms of financial support pre-injury compared to follow-up, with significantly fewer patients receiving income solely from work at follow-up compared to pre-injury (61.3% solely supported by work income pre-injury vs 30.1% supported solely by work at follow-up) and significantly more patients receiving some type of government support (e.g. Social Security Disability Income) at follow-up. The only source of financial support that did not change from preinjury to follow-up was funding from Worker’s Compensation. Copyright: Copyright 2017 Elsevier B.V., All rights reserved.

PY - 2006/6

Y1 - 2006/6

N2 - 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.

AB - 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.

KW - Brain injury

KW - Driving

KW - Neurorehabilitation

KW - Outcome

KW - Work

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JF - Brain Injury

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Psychosocial outcomes 1-7 years after comprehensive milieu-oriented neurorehabilitation: The role of pre-injury status

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