Citation

Klonoff PS, Watt LM, Dawson LK, Henderson SW, Gehrels JA, Wethe JV. Brain Inj. 2006; 20(6): 601-612.

Affiliation

Catholic Healthcare West, Barrow Neurological Institute, Center for Transitional Neurorehabilitation, Phoenix, AZ 85013, USA. pamela.klonoff@chw.edu

Copyright

(Copyright © 2006, Informa - Taylor and Francis Group)

DOI

10.1080/02699050600744301

PMID

16754285

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.

Language: en