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Exploring Vocational Evaluation Practices following Traumatic Brain Injury
Christina Dillahunt-Aspillaga1, Tammy Jorgensen Smith1, Ardis Hanson2
1Department of Rehabilitation and Mental Health Counseling, College of Behavioral and Community Sciences, University of South Florida, 13301 Bruce B Downs Boulevard, MHC 1632, Tampa, FL 33612-3807, USA.
Vocational rehabilitation providers (VRPs) use varied assessment methods for individuals with traumatic brain injury (TBI) returning to work. Understanding these practices can improve vocational evaluation (VE) effectiveness.
Area of Science:
- Rehabilitation Science
- Vocational Psychology
- Neurorehabilitation
Background:
- Traumatic brain injury (TBI) presents significant challenges for individuals seeking to return to work (RTW).
- Vocational evaluation (VE) is a critical, systematic process for assessing work-related abilities and characteristics.
- Effective VE is essential for successful RTW after TBI.
Purpose of the Study:
- To characterize vocational rehabilitation providers (VRPs) serving individuals with TBI.
- To identify specific assessment methods used in VE for TBI.
- To explore how VRPs' preferences influence assessment choices.
Main Methods:
- An exploratory case study design was employed.
- A 46-item online survey was administered to VRPs.
- Data were collected on VRP demographics and assessment practices.
Main Results:
- 74 VRPs completed the survey; most were female, Caucasian, held master's degrees, and were state vocational rehabilitation counselors (VRCs).
- A majority (67.6%) were certified rehabilitation counselors (CRCs).
- Respondents reported utilizing diverse tools and assessments within the VE process.
Conclusions:
- Significant variations exist in VRPs' use of and rationale for specific assessment tools.
- Understanding these diverse practices is crucial for enhancing VE for TBI.
- Implementing evidence-based frameworks can improve VE outcomes for individuals with TBI.

