Vocational Rehabilitation for Persons with Traumatic Brain Injury.In the final chapter of this book, Elizabeth Horn, Executive Director of the Virginia Head Injury Foundation, cites some astounding a·stound tr.v. a·stound·ed, a·stound·ing, a·stounds To astonish and bewilder. See Synonyms at surprise. [From Middle English astoned, past participle of astonen, statistics regarding traumatic brain injury Traumatic brain injury (TBI), traumatic injuries to the brain, also called intracranial injury, or simply head injury, occurs when a sudden trauma causes brain damage. TBI can result from a closed head injury or a penetrating head injury and is one of two subsets of acquired brain (TBI TBI 1. Thyroxine-binding index 2. Total body irradiation ). In 1980, 90% of persons who sustained a severe blow to the head died. In 1990, 90% of these individuals survived. Unfortunately, theadvances in emergency medicine have not been matched in the field of rehabilitation. Although programs for rehabilitation of persons suffering from the effects of TBI have grown from 70 to 700 in the past decade, "only one survivor in 20 can access lifelong adequate care; the others go without treatment or ened up in programs designed for other disability groups." The editors' stated purpose was to present a text that describes job placement techniques and vocational rehabilitation for persons surviving TBI. They have organized a collection of 16 chapters that include excellent examples of work reentry reentry n. taking back possession and going into real property which one owns, particularly when a tenant has failed to pay rent or has abandoned the property, or possession has been restored to the owner by judgment in an unlawful detainer lawsuit. programs, prognostic indexes, job placement techniques, and vocational service delivery. The book reflects two slowly emerging trends: (1) the gradual move of neuropsychology neuropsychology Science concerned with the integration of psychological observations on behaviour with neurological observations on the central nervous system (CNS), including the brain. from strictly diagnostic issues toward rehabilitation issues more familiar to physical therapists, such as evaluating and changing performance, and (2) the even more gradual shift in the state/federal Vocational Rehabilitation Program Noun 1. vocational rehabilitation program - a program of rehabilitation through job training with an eye to gainful employment rehabilitation program - a program for restoring someone to good health from time-limited and strictly vocational services to that of "supported employment," that is, establishing a client/jof fit by providing as much assistance as necessary and then gradually weaning the support. Three chapters are devoted to the step-by-step process of developing supported employment programs. The text is well written and informative. It would be an excellent resource for physical therapy practitioners working closely with vocational counselors and for persons affected by TBI. James J Solon, PT Fort Wayne, Ind |
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