@article{ref1,
title="Psychosocial outcomes 1-7 years after comprehensive milieu-oriented neurorehabilitation: the role of pre-injury status",
journal="Brain injury",
year="2006",
author="Klonoff, Pamela S. and Watt, Lisa M. and Dawson, Lauren K. and Henderson, Steven W. and Gehrels, Jo-Ann and Wethe, Jennifer Voreis",
volume="20",
number="6",
pages="601-612",
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.<p /><p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699050600744301",
url="http://dx.doi.org/10.1080/02699050600744301"
}