Tutorial: The Speech-Language Pathologist's Role in Return to Work for Adults With Traumatic Brain Injury

Area of Science:

• Neurology
• Rehabilitation Medicine
• Speech-Language Pathology

Background:

• Return to work (RTW) is a critical measure of participation for individuals with traumatic brain injury (TBI).
• Speech-language pathologists (SLPs) possess expertise in cognitive-communication deficits following TBI, which significantly impact vocational outcomes.

Purpose of the Study:

• To support SLPs in their clinical practice concerning RTW for individuals with TBI.
• To summarize key interprofessional vocational rehabilitation (VR) models relevant to TBI.
• To illustrate the integral role of SLPs throughout the RTW process using a case study.

Main Methods:

• The article was developed by a TBI research group and a VR expert.
• Methods included literature review of systematic studies and deliberative discussions on VR and SLP practices.
• Focus on presenting VR models alongside SLP assessment and treatment strategies.

Main Results:

• Key VR models and general VR approaches for adults with TBI are summarized.
• Four evidence-supported VR models are presented.
• Interprofessional assessment models and a chronological model for work return are highlighted for planning and communication.

Conclusions:

• SLPs are vital members of the RTW team for individuals with TBI.
• Knowledge of VR models enhances communication between SLPs and VR professionals.
• Informed practice by SLPs can improve RTW success for individuals with TBI.