Vocational rehabilitation services and outcomes for transition-age youth with traumatic brain injuries

Phillip Rumrill, Paul Wehman, Robert Cimera, Cahit Kaya, Chad Dillard, Fong Chan

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Objective: This study examined data provided by the US Department of Education's Rehabilitation Services Administration (RSA) in an effort to evaluate the relationship between (a) demographic variables and vocational rehabilitation (VR) services and (b) the employment outcomes of transition-age youth with traumatic brain injuries. Setting: Not applicable. Participants: Data for 1546 transition-age youth (ie, 16-25 years of age) with traumatic brain injuries were examined. Design: Purposeful selection of multivariate logistic regression was employed to analyze the data. Main Measures: Not applicable. Results: Receipt of more VR services at higher expenditure levels over shorter periods of time was related to case closure in successful competitive employment status. Also, higher levels of education at the time of enrollment in the VR program (ie, bachelor's degrees or higher); nonreceipt of social security disability benefits at the time of enrollment in the VR program; and receipt of VR services such as occupational/vocational training, job search, job placement, on-the-job support, maintenance, and information/referral were associated with competitive employment outcomes. Conclusion: Client demographic and VR service-related variables significantly predict competitive employment outcomes for transition-age youth with traumatic brain injuries. Vocational rehabilitation services should focus on the specific interventions that are most closely associated with successful rehabilitation.

Original languageEnglish
Pages (from-to)288-295
Number of pages8
JournalJournal of Head Trauma Rehabilitation
Issue number4
StatePublished - 2016

Bibliographical note

Funding Information:
The contents of this article were developed under 2 grants from the United States Department of Education, NIDRR grant #H133A130066 and NIDRR grant #H133A100007. However, those contents do not necessarily represent the policy of the Department of Education, and readers should not assume endorsement by the Federal Government.

Publisher Copyright:
© 2016 Wolters Kluwer Health, Inc.


  • Transition-age youth
  • Traumatic brain injuries
  • Vocational rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology


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