RESUMO
The present investigation examined the incidence of alcohol use, drug use and criminal behaviour among persons with traumatic brain injury referred for supported employment services. Primary caretakers of 74 consecutive referrals completed the General Health and History Questionnaire, the brief version of the Michigan Alcohol Screening Test, and the Quantity-Frequency-Variability Index. Pre-injury, a fifth of the sample were abstinent from alcohol and 66% were labelled as moderate or heavy drinkers. Post-injury alcohol use declined. Half of the sample were abstinent and 28% were moderate or heavy drinkers. Thirty-six percent reported illicit drug use pre-injury. Reportedly, post-injury drug use declined to an incidence of 4%. Nearly 20% of the sample had been arrested pre-injury and 10% were arrested post-injury. Implications for further research and programme development are discussed.
Assuntos
Dano Encefálico Crônico/reabilitação , Lesões Encefálicas/reabilitação , Encaminhamento e Consulta , Reabilitação Vocacional/psicologia , Oficinas de Trabalho Protegido , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Atividades Cotidianas/psicologia , Adulto , Alcoolismo/diagnóstico , Alcoolismo/psicologia , Alcoolismo/reabilitação , Dano Encefálico Crônico/diagnóstico , Dano Encefálico Crônico/psicologia , Lesões Encefálicas/diagnóstico , Lesões Encefálicas/psicologia , Cocaína , Feminino , Escala de Coma de Glasgow , Humanos , Masculino , Abuso de Maconha/diagnóstico , Abuso de Maconha/psicologia , Abuso de Maconha/reabilitação , Testes Neuropsicológicos , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Transtornos Relacionados ao Uso de Substâncias/psicologiaRESUMO
Supported employment was used to place 41 persons into competitive employment during 30 months. All individuals had experienced severe head injuries; almost 70% of injuries were due to motor vehicle accidents. A mean of seven years had passed since injury for all referred clients, who had been unconscious a mean of 53 days. Only 36% of referred clients had achieved any competitive postinjury employment, compared with 91% of the same group who were competitively employed before injury. A job retention rate of 71% was reported, with most jobs in warehouse, clerical, and service-related occupations. A mean of 291 hours of job coaching was required to place and maintain all clients in supported employment.