Affiliations: [a] University of Missouri School of Medicine, Department of Health Psychology, Columbia, MO, USA | [b] Missouri Department of Elementary & Secondary Education, Division of Vocational Rehabilitation, MO, USA | [c] Independent Practice, St. Louis, MO, USA
Correspondence:
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Address for correspondence: Thomas A. Bounds, Department of Health Psychology, DC046.46, One Hospital Drive, Columbia, MO 65212, USA. Tel.: +1 573 882 1561; Fax: +1 573 884 4540; E-mail: BoundsT@health.missouri.edi
Abstract: Because traumatic brain injury affects between 1.5 and 2 million individuals per year and results in long term vocational and financial difficulties, there is growing interest in determining those factors that predict successful outcomes for specific groups of individuals with TBI. An NIH consensus panel on TBI has suggested that women are one group that needs more attention, particularly given the studies indicating that men and women experience different cognitive [14], emotional [19], and vocational outcomes following TBI [5]. The current study evaluated differences in injury severity, demographics, neuropsychological abilities, and vocational and financial outcomes for 78 persons with TBI (55 male, 23 female) who received services from a state Vocational Rehabilitation Division (DVR). Despite similar injury severity, neuropsychological and demographic characteristics, more men (43.6%) received Maintenance services from MO-DVR than women (21.7%). Of note, only 4.4% of the women were successfully employed through DVR, compared to 23.6% of the men. In addition, 73.9% of the women had services terminated after being accepted by DVR but before services were initiated, compared to 56.4% of the men. The significance of these results is discussed, as are the limitations of the current project.
