EMPLOYMENT FOLLOWING SPINAL CORD INJURY. Barbara Taylor, OTR/L, CHT Ursula Draper, OTR/L, ATP

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1 EMPLOYMENT FOLLOWING SPINAL CORD INJURY Barbara Taylor, OTR/L, CHT Ursula Draper, OTR/L, ATP

2 Disclosures Presenters have no interest to disclose: PESG and PVA staff have no interest to disclose. This continuing education activity is managed and accredited by Professional Education Services Group in cooperation with PVA. PESG, PVA, and all accrediting organization do not support or endorse any product or service mentioned in this activity.

3 Learning Objectives At the conclusion of this activity, the participant will be able to: 1. Discuss Return to Work benefits and support available with your SCI patients. 2. Identify SCI person s skills and passions and develop their interests in returning to work. 3.Identify and analyze the SCI person s work choice. 4.Discuss with the SCI person accessibility options to improve their reintegration and success in the workplace. 5.Define the medical team support for successful employment reintegration following SCI

4 250,000 Americans with serious SCI 42,000 are Veterans average age of SCI at the time of the injury is 42 average age of reaching the peak of career for non-sci earning potential is during the 40s.

5 Success in the work place following SCI is 25%-48%

6 increased life satisfaction longer life expectancy better health

7 Transportation Accessibility Health Care Relying on others to get them ready in time to get to work Employer/Employee Attitudes

8 Interaction with others Increased Self Esteem Feeling of regaining their life after SCI Monetary Self Reliance

9 Loosing SSDI, SSI, or LTD Transportation Personal Needs Acceptance

10 Physician Psychology Occupational Therapy Dietician VETERAN Drivers Education Physical Therapy Social Work Vocational Rehabilitation Assistive Technology

11 OCCUPATIONAL THERAPY Early discussion HOPE Identify/define skills Transference of skills Knowledge Passion/Dream Job Motivation

12 Analyze work choice with Veteran Job Site visit with the veteran and Vocational Rehab counselor Ease the transition and acceptance from medical to work place

13 Discuss with the veteran and SCI team accessibility options to improve their reintegration and success in the workplace environment. Assistive Technology

14 Veteran #1 63 year old Motorcycle Accident 2006 NSC C1-C4 with Central Cord Syndrome

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18 Veteran #2 35 year old MVA vs post 100% SC C5-C7 Complete

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20 t Switch Mouse EZ Chair Workstation

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22 Ram Flat Tray Kensington Expert Mouse

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25 Veteran #3 66 years old MCC VS MVC 2008 NSC C6

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30 Veteran #4 38 year old Shallow diving 2004 <50% SC C3

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35 Veteran #5 63 years old 1988 Bicycle Accident C4-C5 Incomplete NSC

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45 CE/CME Credit If you would like to receive continuing education credit for this activity, please visit:

46 RESOURCES Berg-Emons, R. J., Bussmann, J. B., Haisma, J. A., Sluis, T. A., Woude, L. H., Bergen, M. P., & Stam, H. J. (2008). A Prospective Study on Physical Activity Levels After Spinal Cord Injury During Inpatient Rehabilitation and the Year After Discharge. Archives of Physical Medicine and Rehabilitation,89(11), doi: /j.apmr Hills, L., & Cullen, E. (2007). A study into the employment trends of individuals t reated at a spinal cord injury centre. International Journal of Therapy and Rehabilitation,14(8), doi: /ijtr Kannisto, M., Merikanto, J., Alaranta, H., Hokkanen, H., & Sintonen, H. (1998). Comparison of health-related quality of life in three subgroups of spinal cord injury patients. Spinal Cord,36(3), doi: /sj.sc

47 RESOURCES Krause, J. S., Terza, J. V., & Dismuke, C. (2008). Earnings Among People With Spinal Cord Injury. Archives of Physical Medicine and Rehabilitation,89(8), doi: /j.apmr Meade, M. A., Forchheimer, M. B., Krause, J. S., & Charlifue, S. (2011). The Influence of Secondary Conditions on Job Acquisition and Retention in Adults With Spinal Cord Injury. Archives of Physical Medicine and Rehabilitation,92(3), doi: /j.apmr Schönherr, M. C., Groothoff, J. W., Mulder, G. A., Schoppen, T., & Eisma, W. H. (2004). Vocational reintegration following spinal cord injury: expectations, participation and interventions. Spinal Cord,42(3), doi: /sj.sc

48 RESOURCES Whiteneck, G. G., Gassaway, J., Dijkers, M. P., Lammertse, D. P., Hammond, F., Heinemann, A. W.,... Zanca, J. M. (2011). Inpatient and Postdischarge Rehabilitation Services Provided in the First Year After Spinal Cord Injury: Findings From the SCIRehab Study. Archives of Physical Medicine and Rehabilitation,92(3), doi: /j.apmr