Does the application of supported employment enhance outcomes for people with TBI?
There is some Class II evidence that supported employment can improve the vocational outcomes of survivors of TBI. Most of the evidence on the effects of supported employment comes from two programs of research, each of which used different experimental designs and different models of supported employment. Both designs used prospective data collection, but one compared the treatment group with an independent control, while the other was a case control study comparing preinjury employment with postinjury employment without and then with supported employment. The findings have not been replicated at other centers, so the results cannot be generalized to the general population of survivors of TBI. Most studies of supported employment in TBI research are of the individual placement model, but some evidence also supports the use of the apprenticeship model. The evidence for improvement of vocational outcomes with supported employment is sufficient to warrant its use in practice while furthe
